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Migration and Health Overview
- 1. University of CaliforniaGlobal Health Institute Center of Expertise on Migration and Health
- 2. Mission statement Themission of the Center of Expertise on Migration and Health (COEMH) is to improve health and eliminate health disparities of international migrants, refugees, and internally displaced people around the world, through: partnerships with global communities and organizations basic and action-oriented research policy analyses applied learning opportunities, and translation of research into effective, culturally appropriate practices and sound public policies.
- 3. UCGHI External AdvisoryBoard N. California Hub UCD Director: Schenker Assoc. Dir: Castaneda S. California Hub UCSD Director: Strathdee Assoc. Dir: Cornelius Steering Committee 1 representative from each of 10 campuses Education Working Group N/S Co-Chairs Research Working Group N/S Co-Chairs Partnerships Working Group N/S Co-Chairs COEMH governance structure
- 4. COEMH Research AgendaHow international migration shapes health outcomes and health care-seeking behavior in migrants’ communities of origin and destination Child and women’s health in immigrant families Occupational and environmental health issues affecting migrant populations Chronic, infectious and emergent health conditions affected by migration Health care delivery and health policy choices affecting migrants’ access to care
- 5. Occupational and environmentalhealth hazards of Im/migrant Populations
- 6. Infectious disease andmigration: TB Incidence on the U.S.-Mexico Border CA AZ NM TX SON CHI COH TAM NL B.C. 25.4 18.7 11.7 31.1 57.3 21.9 7.5 4.8 2.6 6.3 UNITED STATES National TB Incidence: 4.4 MEXICO National TB Incidence: 15.7
- 7. Signature research projectThe New Family Dynamics of California’s Immigrant Population: Impacts on Health Care and Health Outcomes Seeks to disentangle the effects of family dynamics, public policies, and the economic situation of immigrant families on access to health care and health outcomes Focus on populations left behind in health care reform legislation Special attention to mixed-legal-status families, which pose special challenges for health care delivery Survey and qualitative data to be gathered by interdisciplinary research teams at all 10 UC campuses
- 8. Why is thisresearch important to California?
- 9. A population leftbehind in health care reform How immigrants are covered under health care reform legislation will particularly affect states with the largest uninsured immigrant populations. In California, undocumented immigrants represent one out of five of the uninsured population under age 65 . Undocumented Immigrants
- 10. 2010 Federal HealthCare Reform Act Undocumented immigrants are totally excluded from benefits, prevented from buying their own insurance through government-sponsored insurance policy exchanges
- 11. Advancing the researchand careers of emerging leaders in the field of migration and health COEMH educational activities
- 12. 20 graduate students,undergraduates, and postdocs from 9 UC campuses presented; 8 faculty members discussed their research First Annual COEMH Research Training Workshop: May 13-14, 2010
- 13. “ Usefulness toyour overall professional development”: average score of 8.7 on a 10-point scale Publication: 9 workshop papers to be published this summer as a special issue of a peer-reviewed, international, on-line scientific journal: FACTS Reports From participant evaluations: “ Quite a successful effort to bring together so many different disciplines across the UC campuses….Thanks for the great publication opportunity.”
- 14.
- 15. COEMH contributions toUCSF master’s program 201A: Foundations of Global Health Includes 4 lectures by COEMH faculty, including: -- Overview lecture on migration and health -- 3 lectures/seminar discussions on global migration patterns, occupational/environmental health issues among migrant workers, cultural/legal/policy factors affecting migrant health Field placements for Master’s students in migrant-sending communities and destination communities, NGOs Workshop on Information, Communication and Education Technology to enhance online education programs (April 28-29, 2010) UC-wide inventory of faculty and courses related to immigrant health in numerous disciplines, to be displayed on Ilios Curriculum Management System
- 16. Other COEMH trainingactivities Two new Courses: Migration and Health PH212C (UC Berkeley); Migration and Health SPH 212 (UC Davis) Two new distance-learning courses on migration and health (UC Davis) Course: Population Change & Public Policy CHS 247 (UCLA) Mexican Migration Field Research and Training Program: Field Research Methods for Migration Studies – SOC 122A,B,C (UCSD) R24 Postdoctoral Fellows Training Program proposal submitted (UC Davis, UCSD)
- 17. Proposed translation activitiesResearch findings generated by COEMH faculty, graduate students, and postdocs to be synthesized into 3-4 policy briefs per year Policy briefings for elected officials, their staff, and advocates, in Sacramento, Salinas, and Washington, DC Issue-specific briefings for mass media to improve accuracy of coverage
- 18. International partnership goalsIntegrate and leverage on existing partnerships of faculty on the 10 UC campuses: produce leaders with expertise in migration and health. Facilitate communication and identify potential connections across COEMH’s partnerships to develop institutional affiliations (MOUs). Address migration and health research, teaching and policy from a global, bi-national perspective
- 19. Examples of COEMHpartners Instituto Nacional de Salud Publica Cuernavaca, Mexico Consejo Nacional de Poblacion Mexico City, Mexico El Colegio de la Frontera Norte Tijuana, Mexico Universidad Autonoma de Baja California Tijuana, Mexico Universidad Autonoma de Ciudad Juarez Juarez, Mexico Instituto Mexicano de Seguro Social Mexico City, Mexico CONACyT Mexico City, Mexico International Center for Migration and Health Geneva, Switzerland Occupational Health Program, IMIM Barcelona, Spain National Taiwan University Taipei, Taiwan Ministry of Health Guatemala Ministry of Health Ecuador Ministry of Health Colombia INSERM Paris, France Universidad de Barcelona Barcelona, Spain Colombia Nos Une Bogota, Colombia SENAMI Quito, Ecuador
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- #7 STEFFANIE: High levels of cross-border mobility also influence the TB epidemic in both the US and Mexico. As seen here, TB incidence in border states in both countries tends to be much higher than the national TB incidence rates. In Baja Calif, TB incidence is 57 per 100,000 (nearly 5X the national average), which has a major impact on TB incidence in CA.
- #8 STEFFANIE: Our signature research project will focus on the changing family dynamics of California’s immigrant population and the implications of family diversity for accessing health care. Today’s immigrant population contains a much higher percentage of whole-family units, women, and children, compared to a generation ago, when “lone male” migrants dominated the migration flow, especially from countries like Mexico. A major factor contributing to these new family dynamics is stronger border enforcement, which has led many immigrant families to reunify themselves on the U.S side of the border. As a result, millions of California-born children are growing up in families where one or both parents are undocumented. Undocumented parents of children who are U.S. citizens may be reluctant to seek medical care, because they are fearful of disclosure to the authorities. Our project will gather original survey data and qualitative data on mixed-status immigrant families, using interdisciplinary teams of faculty and students at all 10 UC campuses.
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- #10 STEFFANIE: How immigrants are covered under the just-passed federal health care reform legislation has a crucial impact on states having the largest uninsured immigrant populations. In California, one out of five of the uninsured population under age 65 is an undocumented immigrant.
- #11 STEFFANIE : The federal health care reform act totally excludes undocumented immigrants from benefits. They are even prevented from buying their own health insurance through the government-sponsored insurance exchanges that will be set up under the legislation. This exclusion makes it urgent to address the situation of immigrant families of mixed-legal-status, to reduce at least the non- legal obstacles that they face in obtaining health care.
- #12 STEFFANIE PRESENTS- The irst COEMH workshop held in May 2010 at UCSD aimed to showcase ongoing research and offer an opportunity to mentor the next generation of researchers in migration and health, and provide networking opportunities for faculty, students and fellows.
- #13 STEFFANIE : 9 UC campuses were represented, and 20 grad students, undergrads and postdocs presented. 8 faculty members acted as discussants.
- #14 STEFFANIE – Attendees were extremely positive about this experience and about the opportunity to publish. For example, the workshop’s ‘usefulness to your professional dvpt” scored 8.7 on a 10 pt scale. 9 papers were chosen to be published in the FACTS journal, and an award was provided for best paper to a fellow from UCSF.
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