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Health Care in NowHereland - Improving Services for Undocumented Migrants in the EU [Nowherecare] [2006333] - Project
General objectives

The project aims at improving the level of health protection for the people of Europe by addressing migrants’ and immigrants’ access, quality and appropriateness of health and social services as important wider determinants for health, focusing on healthcare services for undocumented migrants (UDMs) as an especially vulnerable group, an increasing public health risk and a group providing difficulties for healthcare providers and health policy.

Strategic relevance and contribution to the public health programme

Undocumented migrants (UDMs), estimated to cover up to 15 % of all migrants in the EU, are a relevant and complex challenge for European public health and healthcare. UDMs are vulnerable groups with high health risks also threatening public health (HIV, TBC, etc.). Service provision for UDMs is precarious due to, for example, late contact, language, no entitlement, uncertain legal/financial frameworks. Health policy has to deal with contradictory aims and criteria from public health, human rights, security and law enforcement policies.

Methods and means

The project uses different methods aiming to achieve the objectives at the levels of policy, providers, clients and for integration of the three perspectives:
public health policies: secondary analysis of documents and scientific literature and expert interviews;
providers: group discussion and consensus conferences of practice experts, scientific/evaluation experts, and migrant representatives/advocacy groups; assessment of practice models following a stakeholder approach using
document analysis, questionnaires, interviews and site visits;
UDMs: telephone interviews with advocacy groups, semi-structured interviews with UDMs including a short, structured questionnaire.

Expected outcomes period

Results will create a knowledge base for providing, exchanging and developing good practice and contribute to a more pragmatic perspective in a so far largely ideological based debate on UDMs in the EU. In addition and complementary to other EU initiatives, it will put a focus on this specific migrant group of UDMs that find themselves in a specific situation and that pose a specific challenge to EU policies and healthcare organisations.
By setting up an international network of experts, country reports of 27 EU Member States will be produced, which will be complemented with the EU landscapes presenting the results of the policy documentation and the country reports. 115 Health determinants
Database on contextualised practices of healthcare for UDMs, to be able to make the knowledge of the models of practice accessible.
Models of good practice will be selected and assessed. As a result a compilation of success stories in relation to given legal frameworks and UDM needs will be published.
The results of the in-depth interviews with the UDMs containing their perspectives will be published in a scientific article.
Fact sheets, translated into six EU languages, will include EU landscapes, models of good practice and UDM views, thus offering the possibility of a broad dissemination.
A book will be published which combines the results of the findings on policy, at the provider and client level.
An assessment tool, a tool for assessing models of good practice will be developed. Existing indicators (ECHI, OECD quality indicators) will be taken into consideration.
A manual for conduct of the assessment will be developed.

Start date: 01/01/2008
End date: 01/01/2011
Duration: 36 month(s)
Current status: Finalised
Programme title: First Programme of Community action in the field of public health (2003-2008)
EC Contribution: € 499 995,00