Instrução: A questão referem-se ao texto abaixo.
Including migrant populations in health impact assessments
Lara Miramontes Kevin Pottie Maria Benkhalti Jandu Vivian Welch Keith Miller Megan James Janet Hatcher Roberts
In 2010, there were 214 million international migrants worldwide, a number that is projected to double by
2050. Migrants' motives for leaving their countries of origin include employment and education opportunities,
escape from conflict and discrimination and the desire to raise families in economically and politically stable
environments.
[5] New migrants are often healthier than the general population on arrival, but their health may deteriorate after
settlement, due to unfamiliar social conditions, infectious diseases, or restricted access to health services. Cul-
ural and linguistic barriers may contribute to poor delivery of health services. The 61st World Health Assembly
called on all Member States to "promote migrant-sensitive health policies". Some subgroups - especially refugees
- have a greater burden of infectious diseases and mental disorders than the indigenous population. Guidelines
[10] have been developed to assist health workers in the clinical management of migrating populations. However,
there are no explicit decision-support tools for policy-makers to ensure health equity for migrants. We believe
health impact assessment can account for the needs of migrant populations.
Health impact assessment can improve health equity by mitigating unintended harms and maximizing
the benefits of programmes or policies. This approach supports decision-makers by suggesting actiona-
[15] ble recommendations for emerging policies and programmes.A number of health impact assessment tools have
been developed, several of which have emphasized the need to consider disadvantaged population groups.
However, a recent review found that only 14% of health impact assessments mentioned migrants in the evaluation
and only 2% included them in their recommendations.A recent consultation held at the WHO Collaborating Centre
for Knowledge Translation and Health Technology Assessment in Health Equity identified four challenges to
[20] the inclusion of migrants in health impact assessment: (i) including migrants in the scope of the assessment; (ii)
obtaining data on migrants; (iii) engaging migrant communities; and (iv) successfully appealing to decision-makers.
Adapted from: https://scielosp.org/article/bwho/2015.v93n12/888-889/en/. Access on: 24 Oct. 2020.
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