Programa Nacional de Salud 2001-2006
January 2002
¿Who are migrants?
THEY MOVE:
13.9 millon
Internally
11.8
To Foreign Countries 3.0
THEY COME FROM:

Large Cities

<15000 habs
THEY WORK IN:

Agriculture

Industry

Services
32%
68%
50%
26%
25%
Mobility Patterns
3 millon to Foreign Countries
11.8 millons internally
502 municipalities
very high mobility
20.5% of the total
2.8%
RISKS FOR MIGRANTS :

IN THE MOVE, FAMILY DISINTEGRATION.

IN THE CHANGE OF ENVIRONMENT AND
CULTURE.

LACK OF ACCESS TO HEALTH SERVICES
EXPOSURE TO:

ADDICTIONS AND MENTAL DISORDERS

STD AND HIV/AIDS

PULMONARY TUBERCULOSIS

DIARRHEIC DISEASES

RESPIRATORY INFECTIONS
OTHER PROBLEMS:

INCOMPLETE IMMUNIZATION SCHEDULE

WOMEN HEALTH
Health Issues
Drug use in rural communuties with
high levels of migration
Migrants
Non
migrants
Inhalants
3.2%
0.8%
Marijuana
10.5% 3.5%
Cocaine
5.3%
Heroine
0.3%
Migrants
Non
migrants
--
--
0.7%
--
1.3%
---
---
----
---
---
Use
Source: Salgado de Snyder & Díaz, Jalisco, México. INP, 1997
11+ times
HEALTH ISSUES
The
risk of exposure to
HIV/AIDS is 5 times greater
in migrant population.
For
ex: Intravenous Drugs
California 13.6% Mexicans
vs. 1% national level.
HEALTH ISSUES
20 percent of the total new
cases of tuberculosis notified
yearly in the United States
corresponds to Mexican migrants.
HEALTH ISSUES
The prevalence of diabetes
mellitus in the rural areas is
twice as much as the one
observed in the general
population.
Objective
“Health Shield:
Leave Healthy, Return Healthy Program”
“Blindaje en Salud:
Programa Vete Sano, Regresa Sano”
Protect the health of migrant
population, through
information and health care
in their place of origin and
the place of destination.
Integrated Services to Migrant
Health Model (MAIS)
FROM THE TRADITIONAL SERVICES PARADIGM TO
THE SERVICES TO MOBIL POPULATIONS MODEL
NATIONAL ORIGEN
AND DESTINATION
INTERNATIONAL
DESTINATION
10 STATES
MOVE
502 MUNICIPALITIES
ENTIRE FAMILIES
11.8 millon
persons
OPTIMIZATION OF
THE SERVICES
PERSONS IN
ORGANIZED OR
CHANCE GROUPS
SOCIAL
NETWORKS
ORIENTED TO
LIFE CYCLE
TO FOREIGN COUNTRIES
3 millon
persons
STRATEGIC
SURVEILLANCE
Program actions
“Health Shield”
SUBSTANTIVES
1. Information to the
population
2. Preventive services
3. Health, medical and mental
services
STRATEGIES
1. Epidemiological surveillance
2. Evaluation
Information to the population

Information Guide
Disease management
First aid
Personal hygiene and sanitation
Health promotion
Orientation with regards to addictions and
mental health

Social participation
Identification of social networks
Community meeting sites
Migrant Associations
Mutual help groups
Preventive Services
 Immunization
 Nutritional surveillance
 Counseling in reproductive health
 Prevention of sexually transmitted
infections
 Early detection of cancer
 Accident and injury prevention
 Alcohol and addictions prevention
 Oral health
Preventive Services




National Health Weeks
Immunization Card
Women’s Health Card
Coordination with civic and
community based organizations
and health sector for joint actions
Medical Services
“In the migrant’s life cycle”
 “Arranque Parejo” – “Fair Start”
 Doctor’s appointments, emergencies





and treatments
Chronic Degenerative Diseases
Infectious Diseases
Adolescent Health
Community and Migrant Health Care
and Hospital referral
Early detection and treatment of
addictions and mental health
Epidemiological Surveillance

Simplified Epidemiological
Surveillance System

Evaluation of:


Process
Impact
Mexico-California
Cooperation
Proposals
 Development and distribution of “health
guides” in the mexican consulates of
neighbor countries
 Exchange of epidemiological information
 Training of community health workers
promotores/as for migrant population
 Exchange of health professionals and
practitioners
Mexico-California
Cooperation
Cooperation Topics





Inmunizations
HIV/AIDS
Tuberculosis
Addictions* (ATOD)
Reproductive Health*
*Pending to set counterpart
Health Week
PHASE I: introductory

Binational Health Week ( October )

Communication products of promotion
PHASE II:
 First National Health Week / Mexico
(February) Binational Initiative
 National Children’s Health Week / California
(April)
 Health guides
 Promotores/as Training
 Agenda ( health in your pocket )
Health Week
 Counseling visits for planning of binational activities
 Preparation of a communication and joint social
mobilization strategy.
MEXICO
CALIFORNIA
October 12-14, 2001
3SNS
-Action in municipalities
of mobile population
BNTL HEALTH WEEK
-Promote information on health
self-care in Clinics, DHS and
counties
HIV/AIDS
Health Promotion
 Exchange of materials
 Pamphlets for health week
Training
 Exchange of Personnel
 Short residencies
Information
 Epidemiological Surveillance
Tuberculosis




PROMOTION
INFORMATION SYSTEM
REFERRAL SYSTEM
BINATIONAL CARD
Current situation
10 federal entities
selected with high
mobility criteria by
CONAPO. (Baja
California, Colima,
Guanajuato, Guerrero,
Jalisco, Michoacán,
Oaxaca, Puebla, San Luis
Potosí y Zacatecas).
Current situation
4
integrate for state interest. (Coahuila, Nayarit,
Sinaloa and Tamaulipas)
8 sent their diagnostic.
(Col., Gro., Mich., Nay.,
Oax., Pue., S.L.P., Zac.)
6 have a work program. (Col., Gro., Gto, Pue,
Oax., S.L.P.)
STRATEGIC ACTIONS
1. Strengthening of sectorial and intersectorial
coordination
2. Diagnosis of the health situation
3. Social participation with the organized
communities
4. Utilization of the primary health care system
5. Human development
6. Marketing and social mobilization
7. Programming of actions and evaluations
8. Operating investigation
CHALLENGES AND
OPPORTUNITIES
ARTICULATION
SYNCHRONIZATION
COMPLEMENTARIZATION
CONTINUITY