Inclusive Centenaries Conference NUI Galway June 2016 Iryna Pokhilo Cairde The Republic guarantees religious and civil liberty equal rights and equal opportunities of all its citizens and declares its resolve to pursue the happiness and prosperity of the whole nation and of all ID: 612000
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Slide1
Challenging Minority Health Inequalities
Inclusive Centenaries
Conference
NUI Galway, June 2016
Iryna
Pokhilo
: CairdeSlide2
“The
Republic guarantees religious and civil liberty, equal rights and equal opportunities of all its citizens, and declares its resolve to pursue the happiness and prosperity of the whole nation and of all its parts, cherishing all the children of the nation
equally…”
1916 Proclamation of the Irish Republic Slide3
Ireland in 1916
“…exiled
children in America “ 1916 Proclamation
Ireland in 2016Diverse and multicultural societyCensus 2011: number of people identified as being born outside Ireland - 766,770Any other white background- 412,975
African- 58,697
Asian background- 66,858Chinese- 17,832Mixed background – 40,724There are an estimated 7,937 people in the asylum system, 55% (4,350) have been in the system for over five years. 21% of the total are children (June 2015)Slide4
Health Inequalities
Vulnerable
groups: Roma, Travellers, asylum seekers,
undocumented people, homeless people, women and children experiencing violence. Marginalised groups not often a priority in broader schemes….”one size fits all approach”Fragmentation and inconsistencies in service provisionImpact of socio-economic deprivation on health
“Inverse care
law” – those most likely to need services are less likely to get themSlide5
Health Inequalities
Social determinants of health
“ Inequalities
in health arise because of inequalities in society – in the conditions in which people are born, grow, live, work and age" Sir Michael Marmot, 2010, President of the World Medical AssociationGender and ageImmigration status
Accommodation
UnemploymentEducationHealthcareNutrition, water etc.…Slide6
Current challenges
Immigration Status
– undocumented people, asylum seekersAccommodation
-homelessness, direct provision as “ an open prison”Unemployment – people in the asylum process are not allowed to work, loss of skills and creation of dependencyEducation – 3rd level education is not available for asylum seekers
Gender
– gender-based violence, access to maternity services for undocumented women, crisis pregnancy Nutrition- poor quality of food and lack of cooking facilities in direct provision centresSlide7
Current challenges
Mental Health and Wellbeing
Racism and discrimination
Stigma attached to mental illness Gender-based violencePost-traumatic Stress Disorder Pre-migration
, migration and post-migration
stressHigher levels of depression amongst asylum seekersInstitutionalisation and isolation in DP centresInadequate provision of mental health servicesSlide8
Equity in Health
Examples of good practice
Specialist FGM clinicRoma GP busses
Ethnic Equality monitoring Emergency Multilingual AidRecommendations Full implementation of McMahon’s report Holistic approach to health with taking into account a burden of disease (medical, psychological and social needs)
Reduction in time people spend in Direct Provision
Access to medical cards for asylum seekers who reside outside Direct Provision (means test) Mental health screening for asylum seekers as part of multidisciplinary assessmentMental health awareness training for staff in Direct ProvisionSlide9
Thank you!
Contact details:
Iryna PokhiloCairde19 Belvedere Place
Dublin 1Tel: 018552111www.cairde.ie