Building responsive health systems to help communities affected by migration: An international delphi consensus

Kevin Pottie, Charles Hui, Prinon Rahman, David Ingleby, Elie A. Akl, Grant Russell, Li Ling, Kolitha Wickramage, Davide Mosca, Claire D. Brindis

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

Abstract

Persons affected by migration require health systems that are responsive and adaptable to the needs of both disadvantaged migrants and non-migrant populations. The objective of this study is to support health systems for populations affected by migration. Materials and Methods: An international Delphi consensus process was used to identify policy approaches to improve health systems for populations affected by migration. Participants were leading migrant health experts from Americas, Europe, Middle East, Asia, and Australasia. We calculated average ranking scores and qualitatively analyzed open-ended questions. Results: Participants identified the following key areas as priorities for policy development: health inequities, system discrimination, migrant related health data, disadvantaged migrant sub-groups, and considerations for disadvantaged non-migrant populations. Highly ranked items to improve health systems were: Health Equity Impact Assessment, evidence based guidelines, and the International Organization for Migration annual reports. Discussion: Policy makers need tools, data and resources to address health systems challenges. Policies need to avoid preventable deaths of migrants and barriers to basic health services.

Original languageEnglish
Article number144
Number of pages11
JournalInternational Journal of Environmental Research and Public Health
Volume14
Issue number2
DOIs
Publication statusPublished - 3 Feb 2017

Keywords

  • Delphi consensus
  • Health systems
  • Other migrants
  • Public health
  • Refugees

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