RESPONDING TO THE CHALLENGES OF THE MIGRATION OF HUMAN RESOURCES FOR HEALTH IN EAST AFRICA:

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• RESPONDING TO THE CHALLENGES OF THE MIGRATION OF
  HUMAN RESOURCES FOR HEALTH IN EAST AFRICA
• FROM AWARENESS TO ACTION

Christy Wagner Health Worker Migration Programme
Officer International Organization for
Migration Nairobi, Kenya

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Managing Migration

• The concept of migration management relates to
  the shaping of clear and comprehensive policies,
  laws and administrative arrangements to ensure
  that population movements occur to the mutual
  benefit of migrants, society and governments
• IOM World Migration Report, 2003

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Managing the Migration of Human Resources for
Health

• Engage with governments of sending countries
• Engage with governments of receiving countries
• Collaboration with international organizations

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Stakeholder Collaborations

• ILO Action Programme (AP) on the Migration of
  Health Care Workers the Supply Side, 22 March
  2006
• Migration and Human Resources for Health From
  Awareness to Action on 23-24 March 2006 in Geneva

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ILO Action Programme (AP) on the Migration of
Health Care Workers the Supply Side

• Six countries
• Costa Rica, Kenya, Romania, Senegal,
• Sri Lanka, and Trinidad and Tobago
• Objectives
• Facilitate in-country social dialogue
• Improve data on health workers
• Conduct research relevant to country

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Kenyan Multi - Sectoral Approach

• Federation of Kenya Employers
• Nursing Council of Kenya
• Ministry of Health
• Ministry of Labour
• IOM
• ILO
• WHO

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Technical Working Group for Managing the
Migration of Human Resources for Health in Kenya

• Action Plan
• Commission three baseline studies
• Policy Review
• Data Management
• Impact of Health Service Delivery
• National Steering Committee (NSC)
• Chaired by the Permanent Secretary of Labour

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Partnership with East African Community

• EAC and IOM signed a Memorandum of Understanding
• Regional Guidelines for Harmonization of
  Migration/Displacement Health Policies and
  Programmes In East Africa
• IOM facilitate the establishment of a Regional
  Committee of Experts, as well as a Regional
  Workshop

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Research Agenda KENYA, TANZANIA, UGANDA
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• EAC IOM Conference
• EAC-IOM Regional Stakeholders Baseline Study and
  Workshop on Migrants Health Migration of
  Health Workers in East Africa and 1st Meeting of
  the EAC Committee of Experts on Migration Health
• Nairobi, Kenya, May 2007

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Lessons Learned

• Multi - sectoral in-country dialogue
• Country ownership and stewardship
• Country specific approach
• Pooling of resources
• Cooperation and merging of initiatives
• Donors support

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Contact Information

• Dr. Davide Mosca
• Regional Medical Officer for Africa and Middle
  East
• dmosca_at_iom.int
• Christy Wagner
• Health Worker Migration Programme Officer
• cwagner_at_iom.int
• International Organization for Migration
• Nairobi, Kenya
• 254 20 4444 174