scholarly journals Multilateral action to harmonise migrant health data in the WHO European region

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Severoni ◽  
J Bartovic

Abstract Member states in the WHO European region have made significant progress towards the implementation of the Regional Strategy and Action plan. The presentation includes the regional situation analysis on migration health data collection and results of the second survey on implementation of the Strategy WHO EURO Member States. It will also cover the policy landscape vis a vis migration health data in WHO EURO region and current gaps in migrant health data collection. Challenges and barriers for migrant health data collection and sharing will also be explored. Country examples for possible way forward including strengthening of national systems and coordination; harmonization of markers and definitions; mutual exchange between states & relevant stakeholders; strengthen data linkages in health information systems and provision of technical guidance will be presented.

Author(s):  
Louise Biddle ◽  
Kayvan Bozorgmehr ◽  
Rosa Jahn

Ensuring the health of migrants and access to appropriate health services presents a challenge to health systems in the age of global migration. Reliable and timely information is key to decision-making in all sectors of the health system to ensure that health system goals are met. Such information is even more important among a mobile, sometimes rapidly changing, dynamic and heterogeneous migrant population. While health information systems (HIS) are crucial for effective functioning of other health system blocks as well as for evidence-informed decision-making, they are often sidelined in health system policy and development. Looking across the World Health Organization (WHO) European Region, HIS for migrants are deficient both in their overall availability and their integration into regular monitoring structures. Less than half of the 53 member states routinely report health data for refugees and migrants. Most of the routinely collected data on migrant and refugee health can be identified in countries with strong population-based records, with some good practice examples of well-integrated and high-quality health monitoring surveys, disease-specific registries, and “parallel” HIS in migrant-specific settings. Overall, however, HIS in the WHO European Region are not able to provide data of sufficient quality and comparability to be well integrated into regular health monitoring structures. The reasons for this can be highlighted by five key barriers to improved information systems for migrant health: barriers in recording data, standardizing data collection, harmonizing migrant indicators, producing high-quality data, and sharing information. Better integration can be achieved through increased multilateral collaboration for the harmonization of indicators, strengthening of governance frameworks for data-sharing and protection measures, and the increased use of currently underutilized data collection mechanisms, including health monitoring surveys and medical records from refugee reception facilities. These steps will remain essential for the adequate planning and provision of needs-based care for refugees and migrants.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Bozorgmehr ◽  
R Jahn ◽  
L Biddle ◽  
S Rohleder ◽  
S Puthopparambil

Abstract This presentation discusses the findings of a Health Evidence Network synthesis report on availability and integration of refugee and migrant health data in health information systems in the WHO European Region. Based on an analysis of 41 full-text studies and 696 abstracts, the report found that refugee and migrant health data were available in less than half of the Region's Member States, and that data availability and integration, data collection systems, as well as indicators on migration varied markedly between states. From these findings, the report derived key policy considerations regarding the strengthening and harmonization of migrant health data collection, as well as governance and monitoring of health information systems.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Sørensen ◽  
A Koylyu ◽  
B Mikkelsen

Abstract Background The 53 Member States of the WHO European Region adopted in 2019 a health literacy roadmap and a resolution to develop an action plan to guide the work of the Member States. The development of the action plan builds on achievements regarding the EU funded European Health Literacy Survey and the WHO action networks on health literacy measurement and NCD related demonstration projects as well as the multiple national initiatives launched in the European region in the last decade. Methods Scenario planning is a methodology that uses the inherent human capacity for imagining futures to better understand the present regarding the development of a new strategy or action plan. In the kick-off phase of the development process of the health literacy action plan, a transformative future scenario planning approach was applied in combination with a SWOT analysis (strengths, weaknesses, opportunities, threats) of current achievements, challenges and gaps considering the development of health literate societies involving 50 experts from a wide range of sectors and disciplines. Additionally, an iterative process followed including technical consultations with experts in Europe in preparation for a governmental consultation. Results The SWOT analysis, long-sight planning and generation of complementary concrete actions served as basis for the development of the action plan highlighting its relevance, sustainability and accountability. Additionally, the health literacy plan was developed in a process of co-creation with the wider health literacy community as well as stakeholders with multiple backgrounds in research, policy, education and practice. Conclusions The European health literacy action plan is multi-sectoral, people-centred and targeted governmental actions with the aim of developing health literate societies and populations. It can serve as a model for other world regions to adapt.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Health information systems have not kept up with the demands and needs created by the sharp rise in human mobility over the past three decades. Most health information systems operate in national silos, and fail to provide a fully accurate, reliable and timely picture of the health and health care situation of a world on the move. As such, health needs of a large number of international migrants go unrecognized, and health systems fail to produce the evidence required for migrant-sensitive service planning, monitoring and public health action. The generation of such essential evidence relies on the inclusion of migrant health in health information systems in a consistent, comparable and ethically acceptable manner. A high-level consensus conference in Pecs (October 2019) noted the need for greater harmonisation and international cooperation on migrant health information systems, including data collection, analysis and dissemination. Taking the status quo of health information systems as a starting point, the workshop aims to present steps towards health system reforms which make information systems more sensitive and responsive to the health needs of increasingly mobile human populations. To this end, the workshop brings together researchers, policy makers and health professionals from different fields and institutions, to share existing knowledge, and by jointly exploring the following questions: What measures can we take to facilitate the harmonisation of migrant health indicators and data collection methods to ensure cross-border comparability, compatibility and completeness of data?How can we effectively improve international cooperation and governance of data management in order to share and transfer data for reasonable analysis, advocacy, and action?How can we initiate health systems reforms towards the above aims, considering that health systems are complex adaptive social constructs which are often resistant to change and not linear?What ethical and data protection considerations must be made when collecting, analysing and sharing migrant health data?How can build the required human resource capacities? Key messages Evidence based development of ‘migrant sensitive health care system’ requires specific, consistent and comparable health data Health systems harmonization on the field of migration requires supportive policy, guidance, infrastructure and trained human resources


2011 ◽  
Vol 39 (02) ◽  
pp. 95-100
Author(s):  
J. C. van Veersen ◽  
O. Sampimon ◽  
R. G. Olde Riekerink ◽  
T. J. G. Lam

SummaryIn this article an on-farm monitoring approach on udder health is presented. Monitoring of udder health consists of regular collection and analysis of data and of the regular evaluation of management practices. The ultimate goal is to manage critical control points in udder health management, such as hygiene, body condition, teat ends and treatments, in such a way that results (udder health parameters) are always optimal. Mastitis, however, is a multifactorial disease, and in real life it is not possible to fully prevent all mastitis problems. Therefore udder health data are also monitored with the goal to pick up deviations before they lead to (clinical) problems. By quantifying udder health data and management, a farm is approached as a business, with much attention for efficiency, thought over processes, clear agreements and goals, and including evaluation of processes and results. The whole approach starts with setting SMART (Specific, Measurable, Acceptable, Realistic, Time-bound) goals, followed by an action plan to realize these goals.


1976 ◽  
Author(s):  
N. Phillip Ross ◽  
Meyer Katzper
Keyword(s):  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Costanzo

Abstract Member States of the WHO European Region are currently facing high migratory pressure, and violence and injury among refugees and migrants travelling to and living in the Region is a major health risk. The development and implementation of interventions to prevent and effectively deal with such incidences are necessary. The main findings of the WHO technical guidance Strategies and interventions on preventing and responding to violence and injuries among refugees and migrants will be presented as well as best practice examples from countries. Existing regulations and laws for the prevention of violence and protection of refuges and migrants across the WHO European Region will be discussed as well as recommended strategies and interventions: ensuring safe passage for migrationaddressing causes of violence and injuries in transit and destination countriesidentifying victims and providing care and protectioninvestigating and prosecuting perpetratorsstrengthening the knowledge base


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Sørensen ◽  
A Koylyu ◽  
B Mikkelsen

Abstract Background Grounded in the last decade's health literacy developments; the work of the European health literacy action networks on measurement and NCDs as well as the newly adopted European Health Literacy Roadmap and resolution agreed upon by their 53 Member States in 2019, the WHO European Region continues its investment in health literacy. A WHO European health literacy action plan is under development to be launched in 2021. The action plan implies concrete actions for Member States on how to develop health literate populations and societies. Methods Based on co-creation principles, the development of the action plan is conducted by stakeholders from a wide range of fields and disciplines. Lead by the WHO European Regional Office, the process includes an initial stakeholder meeting, iterative technical consultations with experts and the wider stakeholder community and Member State consultations. The analytical methods integrate a SWOT-analysis, future scenario thinking and long-sight action planning approaches as well as application of health literacy analytics. Results The results of the initial analytical steps will be presented such as the SWOT analysis, the future scenarios and associated recommendations on how to create health literate populations and societies in Europe. Additionally, the outline of the draft of the European health literacy action plan will be open for discussion and input. Conclusions Through an iterative process, the European health literacy action plan is co-produced by multiple actors through a series of consultations facilitating ownership and accountability. The European health literacy action plan can be an inspiration and a model for other world regions.


2017 ◽  
Vol 9 (7) ◽  
pp. 1106 ◽  
Author(s):  
Amruta Nori-Sarma ◽  
Anobha Gurung ◽  
Gulrez Azhar ◽  
Ajit Rajiva ◽  
Dileep Mavalankar ◽  
...  

2021 ◽  
Vol 25 (1) ◽  
pp. 124-149
Author(s):  
Alexandre Silva ◽  
José C. Sá ◽  
Gilberto Santos ◽  
Francisco J.G. Silva ◽  
Luís P. Ferreira ◽  
...  

Purpose: This study was carried out in a cork company and its purpose was to observe and analyze the practices and methods used during the tools/series change moments and to propose improvements and alternatives to these same procedures so that the time needed to carry out the setup is reduced by 15% in both lines. Methodology/Approach:The methodology included the following phases: 1st - historical data collection and setup video recording, 2nd - footage analysis and conduction of informal interviews with employees, 3rd - flow, Gantt, and spaghetti charts creation and making of an action plan based on the waste and improvement opportunities identified in video analysis, 4th - validation with the line workers of the new operating mode created with the Single Minute Exchange of Dies (SMED) tool and communication to the Maintenance department about their role in this project, 5th - making and placement of plasticized cards on the cutting lines to ensure that new operating mode is followed and carrying out the actions identified in the action plan. Findings: Throughout this project using observations, video recording and its subsequent analysis, as well as interviews to the workers operating in the line, it was found the existence of several actions carried out by them during the setups which did not add value to the product, lack of adequate tools for the work to be performed and lack of work tools in general Research Limitation/implication: The study was limited by the lines and products under study and by the duration of the curricular internship, which was about five months. Originality/Value of paper: The article demonstrates the added value in terms of product quality and production output rate that SMED methodology can bring to companies that adopt the lean philosophy and in particular this continuous improvement tool.


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