Carers on the Move

1

• Carers on the Move
• Dr Mireille Kingma
• International Centre for Human Resources in
  Nursing
• International Council of Nurses

2
International Migration

• Past three decades, migrant population
  doubled
• 2005 191 million people
• 49 female
• Industrialised countries One out of 10
• International labour market

3
Health Sector

• Labour intensive 100 million health sector
  workers
• No international recording system
• Looking for
• Learning opportunities
• Career advancement
• Improved quality of life
• Personal safety

4
Ethical Dimension

• Right to migrate
• Right to health
• Right to development
• Education
• Remittances
• Right to equal opportunity and a safe work
  environment

5
Mobility

• Universal Declaration of Human Rights (1948)
• Right to freedom of movement and residence within
  borders of each State
• Right to leave any country and return
• International Covenant on Civil and Political
  Rights (1966)

6
Immigration Bans

• Blunt instruments
• Timing
• Macro level
• Private/public
• Abuse/corruption
• Violation of human rights

7
The more we try to deal with migration simply by
clamping down on it with tighter border controls,
the more we find that human rights are sacrificed
on the journey, at the border, and inside host
countries. Kofi Annan
8
Quality Care

• Competence
• Deployment
• Infrastructure
• Materials
• Equipment
• Logistical support

• Work environment
• Health team

9
Barriers to Integration

• Information
• Communication
• Language - Slang
• Prejudice - discrimination
• Culture Religion Race
• Harassment - bullying
• Fear job insecurity
• Preferential treatment

10
Positive Practice Environments

• Mutual recognition agreements
• Orientation programmes
• Language preparation
• Cultural awareness
• Mentors
• Equal opportunity
• Worker representation
• Management support
• Social links

11
Areas for Intervention

• International policy
• Migration
• Workforce planning
• Society and diversity
• Patient care and cultural competency
• International nurses and employment

12
Realities

• Globalisation will continue
• Freedom of movement is a fundamental human right
• Migration characteristic of todays world and
  health systems
• Positive practice environments support the
  integration of international health professionals