FOREWORD
Today we are seeing the largest population movements
and displacement since the end of the Second World War.
An estimated 1 billion people are on the move with more
people than ever migrating or being displaced – about one
in seven people worldwide.
Global frameworks exist to improve the health and well-be‑
ing of refugees and migrants, including WHO’s Global Ac‑
tion Plan, Promoting the Health of Refugees and Migrants,
alongside the Global Compact on Refugees and the Global
Compact for Safe, Orderly and Regular Migration.
Refugees and migrants contribute energy and ideas that
drive economic and social development. However, the
COVID‑19 pandemic has had a disproportionately hard im‑
pact on these populations. They are often exposed to the
virus with limited tools to protect themselves, and public
health measures do not always reach them. Refugees and
migrants may live highly insecure lives on the fringes of soci‑
ety, often in fear and without access to essential health and
other services. Women may face the threat of violence and
lack access to sexual and reproductive health services and
social and financial protection. All these vulnerabilities may
be further exacerbated by public health and social measures
such as stay-at-home orders and border closures.
These international commitments provide blueprints for
governments, international organizations and other stake‑
holders to ensure that refugees and migrants, as well as
host communities, get the support they need to meet the
health needs of everyone during the COVID‑19 emergency
and beyond.
The pandemic has compromised the response capacities
of health systems and highlighted existing inequities in
access and utilization. Additionally, fear of the virus is ex‑
acerbating already high levels of xenophobia, racism and
stigmatization and has even given rise to attacks against
refugees and migrants. COVID‑19 has entrenched restric‑
tions on international movement and the curtailment of
rights of people on the move.
To change this situation, it is vital that all countries include
refugees and migrants in national health plans as part of
their commitment to universal health coverage. Protecting
the health of refugees and migrants is crucial in the con‑
text of the COVID‑19 pandemic.
Yet beyond international agreements, there are many indi‑
vidual stories to be heard from refugees and migrants. We
must learn from their varied and vivid experiences. This is
the intention of this preliminary overview : to take stock of
the real-life experiences of refugees and migrants, listen to
their stories and understand first-hand the real challeng‑
es when associated with limited access to health care and
with stigmatization and discrimination.
WHO is committed to working with countries towards a
shared mission to promote health, keep the world safe and
serve the vulnerable, including refugees and migrants. We
shall continue this work alongside our many partners, in‑
cluding the International Organization for Migration, the
Office of the United Nations High Commissioner for Hu‑
man Rights and the United Nations High Commissioner for
Refugees, and with many other international organizations
and bodies to ensure that refugees and migrants are not
left behind.
Health for all means just that: health for all, including refu‑
gees and migrants. Everyone should enjoy access to quality
health services without facing financial hardship. This right
must be supported by national health policies and legal
and financial frameworks that see health as an integrating
force in society.
If we exclude refugees and migrants, we will all bear the
costs. That exclusion will undermine development and pro‑
mote exclusionary and sometimes racist politics and senti‑
ments. Throughout the COVID‑19 pandemic, refugees and
migrants have been key contributors to the response and
will have a significant role to play in the recovery.
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| Foreword
Dr Tedros Adhanom Ghebreyesus
WHO Director-General