INTRODUCTION
COVID‑19 has swept across the world, with over 50 million
confirmed cases and over 1.4 million deaths reported to
WHO at the time of writing (1). In the face of this pandemic,
all are vulnerable, including refugees and migrants.
“The virus has shown that it does not discriminate – but
many refugees and migrants are at heightened risk” (4).
Today, every seventh person worldwide is estimated to be
a migrant, with 272 million being international migrants (5)
and 763 million internal migrants (6). Also, among them,
by mid 2020, 80 million people were forcibly displaced be‑
cause of persecution, conflict, violence, human rights viola‑
tions or events seriously disturbing public order (7).
While refugees and migrants are resilient like rest of the
humankind, they may often remain in difficult situation be‑
cause of factors such as their migratory status, inadequate
access to services including health and other entitlements
and discrimination that they might face across the migra‑
tion cycle.
Refugees and migrants enjoy the same human rights and
the right to health as any other person in society, yet much
evidence suggests that they may face difficulties in realiz‑
ing such rights and have limited tools to protect them‑
selves. The reasons may depend on poor living conditions,
marginalization with respect to the reach of public health
measures, limited access to health care, lack of financial pro‑
tection and informal or precarious labour settings. They may
DEFINITIONS OF REFUGEE AND MIGRANT
Refugee
Migrant
Definitions in this document
The 1951 Convention relating to
the Status of Refugees and its
1967 Protocol (2) defines a refu‑
gee as “any person who … owing
to well-founded fear of being per‑
secuted for reasons of race, reli‑
gion, nationality, membership of a
particular social group or political
opinion, is outside the country of
his nationality and is unable or,
owing to such fear, is unwilling to
avail himself of the protection of
that country; or who, not having a
nationality and being outside the
country of his former habitual res‑
idence as a result of such events,
is unable or, owing to such fear,
is unwilling to return to it.” The
World Health Assembly Resolu‑
tion A72/25 Rev.1 (Promoting the
health of refugees and migrants:
draft global action plan, 2019–
2023) uses this definition (3).
Resolution A72/25 Rev.1 also states
that “There is no universally ac‑
cepted definition of the term “mi‑
grant”. Migrants may be granted a
different legal status in the country
of their stay, which may have dif‑
ferent interpretations regarding
entitlement and access to essen‑
tial health care services within a
given national legislation, yet un‑
der international law such access
remains universal for all in line with
the 2030 Agenda for Sustainable
Development, in particular with
Sustainable Development Goal 3
(Ensure healthy lives and promote
well-being for all at all ages)” (3).
Migrants may remain in the home
country or host country (settlers),
move on to another country (transit
migrants), or move back and forth
between countries (circular mi‑
grants, such as seasonal workers).
While in some contexts such defini‑
tions may have important implica‑
tions for entitlement of and access
to health services, the definitions
as applied in this document do not
denote any particular legal status
or entitlement. The entitlement of
and access to health services for
the various groups are determined
by national regulations and legis‑
lation. In this document, the term
migrant is used as an overarching
category; the terms refugee and
asylum seeker are included and ap‑
plied in accordance with the 1951
Refugee Convention and as rec‑
ommended by the International
Organization for Migration and the
Office of the United Nations High
Commissioner for Refugees.
Introduction |
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