migrants. Policy measures for the general population need
to consider the living and working situation of these groups
in order to minimize the detrimental impact of certain
measures.
Provision of psychological support during
and after the pandemic
The pandemic has a considerable impact on the mental
health of refugees and migrants. Refugees and migrants
living on the streets or in insecure accommodation face
particular mental health difficulties and require additional
support compared with those who living in less disadvan‑
taged conditions in order to deal with the high increase
in mental health problems. Adequate and accessible psy‑
chological support is required, but also measures to tackle
other factors that may impact their mental health, such
efforts to improve their housing or working conditions and
their social connectedness.
Foster connectedness
COVID‑19 and the public health and social measures to
manage and curb the pandemic have seriously impacted
the connections of refugees and migrants with their social
networks, in particular networks in the country where peo‑
ple are currently living.
Pandemic response plans of governments should pay due
attention to the decrease in connectedness that refugees
and migrants are confronted with. Fostering relationships
of refugees and migrants with their social networks is cru‑
cial to avoid isolation and loss of connectedness. The most
important strategy mentioned by refugees and migrants
to make them feel better was staying in touch with family
and friends. It is, however, often difficult for them to do so
due to the circumstances they live in. Important measures,
therefore, need to be taken to support and maintain social
support networks.
These initial findings from the survey also show the impor‑
tance of social media as an information source for many
refugees and migrants. Many organizations have shifted
to an online accessibility and information provision. Given
the limited means many refugees and migrants have, their
resources for Internet connection are likely limited, and im‑
proving this situation should be a priority.
Participation of refugees and migrants
The WHO Constitution strongly advocates the right to
health for all. This must include refugees and migrants, a
view expressed in WHO’s Global Action Plan, Promoting the
28 | Conclusions and way forward
Health of Refugees and Migrants, which is aligned with the
Global Compact on Refugees and the Global Compact for
Safe, Orderly and Regular Migration.
Refugees and migrants should not be treated differently in
society as that may hamper their basic human rights and
rights to health. Targeted and needs-based approaches to
programmes and interventions, including those for refu‑
gees and migrants, will ensure this. Refugees and migrants
should not be left behind and should be included in public
health actions in response to the pandemic and in the ef‑
forts to advance the goal of universal health coverage.
This survey was part of a response to the call for informa‑
tion on the impact of COVID‑19 on refugees and migrants
across the world. The survey has had some methodolog‑
ical and implementation limitations, as discussed above,
but despite these, it provides a glimpse into the challenges
faced by refugees and migrants at a global level. Further
systematic studies exploring the issues highlighted in this
report are needed. The value of the survey and this advoca‑
cy brief is to provide elements for a better understanding of
living conditions of refugees and migrants and the various
socioeconomic and public health impacts they face during
the COVID‑19 response, to advocate for leaving no one be‑
hind and for providing universal health care to all including
all refugees and migrants irrespective of their status and
origin. This is enshrined in the WHO transformation and
the principles of the triple billion target: promote health,
keep the world safe and serve the vulnerable.
The ApartTogether survey capturing self-reported impact
of COVID‑19 on refugees and migrants sheds light on some
of the challenges faced by the target groups. Notwith‑
standing the methodological limitations, the information
presented in this advocacy brief gives indications on the
areas that need to be prioritized for further research and
policy implementation. For example, additional data are
needed to answer questions regarding the specific vulner‑
abilities and health impacts that are additionally created by
COVID‑19 disaggregated for refugees and migrants, how
this manifested among the various income quintiles with‑
in these population groups and so on. This will be critical
in the development of targeted interventions and, conse‑
quently, impactful programme delivery on the ground.