PREFACE
The right to health as laid down in the WHO Constitution
applies to every person, including refugees and migrants.
Globally health has improved, yet there are profound dif‑
ferences and inequities. WHO’s triple billion targets in‑
clude 1 billion more people enjoying improved health and
well-being. Here the key is that this improvement should
be equitable and enjoyed by all people.
This report looks at the ways in which the pandemic has hit
the lives of refugees and migrants. It takes the perspective
of their own lived experiences during the COVID‑19 crisis.
There is clear evidence that even in more normal times
their access to health and health services is often severely
compromised, both by the organization of the health sys‑
tem and by the social setting in which they live. Women and
children may be particularly severely affected. Ultimately,
the survey reported in this publication is an inquiry into the
right to health for refugees and migrants.
Understanding how refugees and migrants themselves ex‑
perience and cope with the pandemic is crucial to shape
inclusive and holistic policy responses. We wanted to give
refugees and migrants a voice and to understand their spe‑
cific challenges , such as when experiencing limited access
to health care as well as their living and working conditions.
WHO is committed to the right to health for all, including
refugees and migrants. The Thirteenth General Programme
of Work concentrates on working towards universal health
coverage and the achievement of the Sustainable Devel‑
opment Goals, which include inclusive health systems that
put people at the centre. Ensuring the health and well-be‑
ing of refugees and migrants is a key priority within this
endeavour. The WHO Global Action Plan, Promoting the
Health of Refugees and Migrants, aims to both protect ref‑
ugee and migrant health and leave no one behind.
To move ahead and make a difference, WHO has now es‑
tablished the WHO Global Programme for Health and Mi‑
gration. The Programme aims to provide and coordinate
global leadership, policy, advocacy and research around
health and migration; set norms and standards; promote
tools and strategies; and generate evidence-based infor‑
mation to support decision-making. It will support Mem‑
ber States as well as other parts of WHO in addressing the
public health challenges that are associated with human
mobility, as well as promote global multilateral action and
collaboration.
This ApartTogether survey report serves as a first inquiry
into the social impact of the COVID‑19 pandemic on ref‑
ugees and migrants globally. It shows that, even though
refugees and migrants face similar health threats as their
host populations, the pandemic may have exacerbated
their often precarious living and working conditions. The
results underline the need and importance of including
them in inclusive policy responses to COVID‑19.
We hope that this report will inform political leaders and
health managers and professionals about the possible
heightened vulnerabilities of refugees and migrants during
the pandemic and focus attention on this issue. We hope
that this will lead to further research at global, regional,
country and local levels on how address refugee and mi‑
grant health. National health policies, and supporting leg‑
islative and financial frameworks, should promote the right
to health of refugees and migrants, see health as an inte‑
grating force in society and be gender sensitive.
We must recognize that the pandemic is bringing to the
fore and exacerbating existing inequities in health system
capacities and responses. We must commit to working
with countries to build health system capacities and resil‑
ience in the face of the pandemic. We must take measures
to identify and counter stigmatizing and discriminatory
practices towards refugees and migrants in our COVID‑19
responses. We must achieve equitable access to essential
health services for refugees and migrants, remove finan‑
cial and other barriers to COVID‑19 testing and treatment
services and introduce safety nets to mitigate the adverse
social and economic impacts of the pandemic.
Above all we must leave none behind in our public health
responses to the pandemic, using an inclusive approach
that respects human rights.
Dr Zsuzsanna Jakab
Dr Santino Severoni
WHO Deputy Director-General
Director, Global Programme on
Health and Migration
Preface |
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