Title: EUropean Refugees-HUman Movement and Advisory Network

The international refugee crisis has reached a critical point and many European countries are developing policy and plan to better define their role in supporting refugees entering Europe. The aim of this proposal is to enhance the capacity of European member states who accept migrants and refugees in addressing their health needs, safeguard them from risks, and minimize cross-border health risks. This initiative will focus on addressing both the early arrival period and longer-term settlement of refugees in European host countries. The existing European and international experience will be systematically reviewed to identify effective interventions to vulnerable groups and tools for the initial health care needs assessment of the arriving refugees including mental, psychosocial and physical health. Established approaches including Participatory and Learning Action and Normalization Process Theory will be used to gain new understanding regarding the needs and opinions of both refugees and stakeholders in regards to the measures needed for health care assessment, and preventive activities including vaccinations, general health hygiene measures, chronic disease management, and psychosocial support. The content of the services that an early or late hosting multi-disciplinary center could offer in the countries that they will accept refugees will be discussed and defined by an international expert panel. Clinical protocols, guidelines together with health education and promotion material and as well as a training programme will be developed for staff serving the refugees and migrants health care centre and tailored protocols and pilot testing in six implementation settings in Greece, Italy, Croatia, Hungary, Austria and Slovenia with contribution from experts and stakeholders from Turkey, Cyprus, Ireland and Belgium. Finally, all these efforts will be evaluated and a final report for implementation in Europe.


MyHealth project comes to answer, by developing and implementing models based on the knowhow of a European multidisciplinary network, the need to reach out Vulnerable Migrants and Refugees (VMR) on their Health. In particular, women and Unaccompanied minors as one of the most vulnerable group.

It has been reported that, as local population, this very heterogeneous group is facing challenges in health related issues.
The main aim of MyHealth is to improve the healthcare access of vulnerable immigrants and refugees newly arrived to Europe, by developing and implementing models based on the knowhow of a European multidisciplinary network.
Secondary objectives:
1. Develop a complete interactive map, with main health issues, main actors and stakeholders, reference sites dealing with MREM, legal and organisational aspects of Health systems in the involved countries, and the ICT tools available.
2. To define more clearly the current health problems of migrants treated in our health centres.
3. Define and develop health intervention strategies in Mental Health/Communicable and non communicable diseases, based on the community health approach.
4. Develop and ICT based platform to support new tools, enhance Health applications development and health information
5. To implement the defined strategies and models in pilot over the hospital participating in the consortium.
6. To ensure training and involvement of all the key actors in the Health system value chain. From users to management.
7. Ensure a sound management and communication strategy for MyHealth.

Outcomes:
Interactive map available online.
Pilot survey on current health status and concerns conducted.
Health promotion best strategies identified.
Pilot Models successful evaluated.
Existence of guide for integration of ICT Solutions for VMR.



Mig-HealthCare will produce a roadmap to effective community based care models to improve physical and mental health care services, support the inclusion and participation of migrants and refugees in European communities and reduce health inequalities. Through the roadmap Mig-HealthCare will test implementation feasibility of community based care models in different settings and countries through pilot testing and assessment. Mig-HealthCare responds to all the current Work Program priorities and especially to the ones regarding the creation of innovative, efficient and sustainable health systems and facilitating access to better and safer healthcare services. Mig-HealthCare implements a participatory approach and recognizes differences between refugee/migrant groups and MS. The roadmap and toolbox will include guidelines and tools using ICT technology to reorient health care services to a community level. It will create networks of cooperation on all aspects that influence community health care including mental health and community integration characteristics. The project methodology is participatory and includes focus groups/interviews and surveys with all the target groups (vulnerable migrants/refugees, service providers, local community stakeholders), review of the current state of the art, collection and assessment of best practice, the development of an algorithm & prediction model, pilot implementation and creation of evidence based guidance and recommendations. Mig-HealthCare will: (1) Describe the current physical and mental health profile of vulnerable migrants/refugees including needs, expectations and capacities of service providers (2) Develop a comprehensive roadmap/toolbox for the implementation of community based care models including prediction models, best practice examples, algorithms and tailored made health and mental health materials (3) Pilot test and assess community care models and produce guidance and recommendations.
