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Coventry’s Migrant Health Needs Assessment

Coventry’s Migrant Health Needs Assessment. Dr Khadidja Bichbiche Consultant in Public Health Medicine Coventry City Council. Background information on Coventry.

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Coventry’s Migrant Health Needs Assessment

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  1. Coventry’s Migrant Health Needs Assessment Dr Khadidja Bichbiche Consultant in Public Health Medicine Coventry City Council

  2. Background information on Coventry • Long tradition of welcoming people to the city from all over the world: French refugees settled in 1685 following religious persecution and introduced the weaving trade to Coventry • Migrants to the City have brought many new skills, resources as well as new cultures and diversity • Over the past ten years, greatest increase in migration of any Local Authority in England outside of London • In 2011, those born overseas made up 21% of the population (13% in 2001). UK in 2011, 12% non UK born. • Large proportion of new migrants are students

  3. Why conduct a MHNA? • Priority for health and wellbeing strategy/ Marmot city: health inequality agenda • Increasing migrant population • improve understanding of changing health needs of migrants • Review the suitability and accessibility of current services across the City and assess the alignment with health needs • To make recommendations to improve health and access to health care for migrants • To engage and empower migrant communities and support community cohesion.

  4. MHNA methodology • Definition of migrants and what influences their health: ethnicity/ country of origin/ date of arrival/ status (economic migrants, R&AS, students, etc) • Established Vs Recent migrants • Literature review: migration and health/ policy and legislation • Workshop with stakeholders (mapping local services) • Data gathering and analysis • Second workshop (co-production of solutions)

  5. MHNA data sources • Census 2011 • National Insurance Number Registrations (DWP) • “Flag 4” GP Registrations • Birth registrations • School census data • UKBA data on asylum seekers • International passenger survey data (ONS) • Meridian centre • HPA/ PHE data and reports on HIV, TB, etc • UHCW/ CCG data • NHS data and reports

  6. Overall Coventry population figures

  7. Ethnicity data (2011)

  8. Year of arrival in Coventry of non-UK born usual residents

  9. Non national new NI registrations 2003 – 2011 in Coventry

  10. Age of arrival in UK by country of birth (Regional)

  11. Age profile of UK and non- UK born population grouped by age groups

  12. Health and Wellbeing • Established Vs Recent (in the last 10 years) • Recent migrants: HIV/ TB/Sexual health/ Hepatitis B/ mental health/ screening and imms, etc • Established migrants: CVD/ CHD/ cancer/ mental wellbeing (WEMWBS)/ smoking/ alcohol, etc • Current services in relation to need • Voluntary sector and Community groups (assets)

  13. Health and health related issues • Issues identified: • Understanding of NHS /entitlement/fear/trust • Stigma/ discrimination • Gender inequality • Cultural understanding • Poverty, overcrowding • Language and translation

  14. Examples of Local assets • Interpretation and translation services: commissioned by CCC/NHSE • MAMTA Project, based at Foleshill Women's Training Centre, • Health service champions: 3200 • Public health team in local authority • Targeted stop smoking service (shisha) • Assets based approach to further develop assets within the local communities

  15. Way forward • Workshop with VAC and community groups: co-production of solutions • Raise awareness of the health needs and current health inequalities of migrants to inform and influence commissioners (CCC, CCG, AT) • Asset based approach (not just needs)/ MECC • Incorporate MHNA findings into JSNA and Marmot city plan • Manage comms and stigma around migrants

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