Capacity Building for Migrant Health Care in Ukraine

1. Ukraine Irregular Migrants – Reception and Health Care Dr Vasil Gajdadziev Chris Petch IOM Kyiv

2. The Issues The Issues Persons apprehended or stopped for offences against migration legislation The Issues

3. Strategies • Government of Ukraine – through legislation and lead agency status • Department and Ministries – Action Plan • Donors • EC – New Neighbourhood, TACIS • US – USAID • UK – DFID • IOM Strategy

4. IOM Strategy for Capacity Building for Ukraine Migration Management Objective: To assist the Government of Ukraine to substantively strengthen its capacity to better manage and more effectively operate a migration management system in Ukraine with particular emphasis in the early stages on building national capacity to deal with irregular migration.

5. Capacity Building for Migration Management Programme: Ukraine This objective will be achieved through inter-related and integrated projects in the areas of: • Management of Irregular Migrants • International and National Regimes and Legislation • Ensuring sustainable facilities and processes through securing continued GoU support, training of officials and relevant staff and expert international advice

7. Human Rights Issues • Human Rights of Irregular Migrants • UDHR - Universal Declaration of Human Rights • CERD - Convention on the Elimination of All Forms of Discrimination • ICESCR - International Covenant on Economic, Social, and Cultural Rights • ICCPR - International Covenant on Civil and Political Rights • CEDAW - Convention of the Elimination of All Forms of Discrimination Against Women • CAT - Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment • International Convention on the Protection of the Rights of All Migrant Workers

8. IOM Programme of Action Procedures • Best Practice in Detention Procedures • Process of transfer to accommodation centres • Access to health care • Access to legal advice, rights • Access by NGOs • Best Practice in Return Procedures • Best Practices for AVR • Truly voluntary process • Right to Asylum process

9. IOM Programme of Action Legislation • Link legislation to International Laws and Conventions • Embed Best Practices into legal and procedural edicts • Link migration legislation to Constitution • Cascade legislation down to procedures

10. Current Situation

11. IOM Programme of Action Migrant Facilities • Refurbish establishment for temporary Migrant accommodation • Ensure appropriate provision of health care (incl. psycho-social), • Access to rights and legal advice, • Access to asylum and return processes. • Access to family contact, interpreters

12. IOM Programme of Action Migrant Health Care • Refurbish and fit health care centres • Set up health care system in accommodation centre • Ensure appropriate provision of health care • Train health care staff

13. Migrants And Health • Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind…Article 25 of the Declaration on human rights • Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms specially in vulnerable population groups as refugees, IDPs, irregular migrants, VoT etc

14. Stranded Migrants and Health • High rate of long-term physical and psychological problems, due in large part to their exposure to conflict and oppression. • One in four will have been subject to torture or severe human rights violations, with almost three in four being exposed to traumatic events such as forced dislocation, prolonged political repression, refugee camp experiences and loss of or separation from family members in violent circumstances • Many may have physical and psychological sequelae associated with pre-migration trauma and torture and may need a thorough medical examination

15. Project Capacity Building of Migrant Health Care: Ukraine Aims to ensure strict implementation of the universal right to quality health care, facilitate healthy living environment and reinforce the capacity of the national health care institutions achieved with joint efforts not only by National Health Care System institutions but with intervention in policies of Public Administration of Ukraine

16. Implementation of Goals through.. • Development and implementation of the organizational setup of health care system in detention centres (Setup of Health care Delivery System ensuring the quality health care according to international standards, expanding the possibilities for cooperation between the health care system in the centres and civilian health care system etc). • Training of the medical and support staff through allocation of tasks, assessment of needs, development of training curriculums and manuals for work in health provision, education and promotion respecting internationally accepted standards, training courses etc.)

17. Implementation of Goals through.. • Development of the guidelines specific to the culture of the stranded migrants in hygiene and environmental conditions • Development of guidelines adequate to respond on specific psychosocial needs of involved population (impact of past trauma, prior experience of health care, cultural differences and the stresses of resettlement). • Adequate equipment of the health care posts through initial assessments of objective needs, procurement and installment of equipment and training of the health staff to use the installed equipment

18. Proposed MAC Sites Site2 Site 2 Site 1 Site 2

19. Proposed MAC Site

20. Recommended Measures • Improve Irregular Migrant Temporary Accommodation • Build in Best Practices to Migrant Detention Procedures and Facilities • Build on Ukraine Programme to Voluntarily Return Migrants • Build in Migrant Rights to all aspects of Reception and Return

21. Questions? Thank You Chris Petch Dr Vasil Gajdadziev IOM Kyiv