Dr Vasil Dr Vasil GajdadzieGajdadzievv

Chris PetchChris Petch

IOM KyivIOM Kyiv

Ukraine Irregular Migrants – Ukraine Irregular Migrants – Reception and Health CareReception and Health Care

The IssuesThe IssuesThe IssuesThe Issues

The Issues CountryCountry

State Border Guard ServiceState Border Guard ServiceMinistry of Ministry of

InteriorInterior Total by CountryTotal by CountryGreen BorderGreen Border CheckpointsCheckpoints

20032003 20022002 20032003 20022002 20032003 20022002 20032003 20022002

TOTALTOTAL 6,6276,627 5,9195,919 15,17815,178 12,77912,779 17,69517,695 22,80422,804 39,50039,500 41,50241,502

Persons apprehended or stopped for offences Persons apprehended or stopped for offences against migration legislationagainst migration legislation

Government of Ukraine – through legislation and lead Government of Ukraine – through legislation and lead agency statusagency status

Department and Ministries – Action PlanDepartment and Ministries – Action Plan DonorsDonors

– EC – New Neighbourhood, TACISEC – New Neighbourhood, TACIS– US – USAIDUS – USAID– UK – DFIDUK – DFID

IOM Strategy IOM Strategy

StrategiesStrategies

IOM Strategy for Capacity Building IOM Strategy for Capacity Building for Ukraine Migration Managementfor Ukraine Migration Management

Objective:Objective:To assist the Government of UkraineTo assist the Government of Ukraine

to substantively strengthen its capacity to better to substantively strengthen its capacity to better manage and more effectively operate a migration manage and more effectively operate a migration

management system in Ukraine with particular management system in Ukraine with particular emphasis in the early stages on building national emphasis in the early stages on building national

capacity to deal with irregular migration.capacity to deal with irregular migration.

Capacity Building Capacity Building for Migration Management for Migration Management

Programme: UkraineProgramme: Ukraine

This objective will be achieved through inter-This objective will be achieved through inter-related and integrated projects in the areas of:related and integrated projects in the areas of:

– Management of Irregular MigrantsManagement of Irregular Migrants– International and National Regimes and International and National Regimes and

LegislationLegislation– Ensuring sustainable facilities and processes Ensuring sustainable facilities and processes

through securing continued GoU support, training through securing continued GoU support, training of officials and relevant staff and expert of officials and relevant staff and expert international adviceinternational advice

Migration Management

FRAMEWORK MANAGEMENT CONTROL

Intelligence

Monitoring and Detection

Inspection

Response

Policy

Legislation

Regulations

Procedures

National Passport

National Visa

Official Documents of Identity

Human Rights IssuesHuman Rights Issues Human Rights of Irregular MigrantsHuman Rights of Irregular Migrants

UDHR - Universal Declaration of Human RightsUDHR - Universal Declaration of Human RightsCERDCERD - - Convention on the Elimination of All Forms of Convention on the Elimination of All Forms of

Discrimination Discrimination ICESCRICESCR - - International Covenant on Economic, S International Covenant on Economic, Soocial, and cial, and

Cultural Rights Cultural Rights ICCPR ICCPR -- International Covenant on Civil and Political Rights International Covenant on Civil and Political Rights CEDAWCEDAW - - Convention of the Elimination of All Forms of Convention of the Elimination of All Forms of

Discrimination Against Women Discrimination Against Women CATCAT - - Convention Against Torture and Other Cruel, Convention Against Torture and Other Cruel,

Inhuman or Degrading Treatment or Punishment Inhuman or Degrading Treatment or Punishment International Convention on the Protection of the Rights of International Convention on the Protection of the Rights of

All Migrant WorkersAll Migrant Workers

IOM Programme of ActionIOM Programme of Action

ProceduresProcedures• Best Practice in Detention ProceduresBest Practice in Detention Procedures

Process of transfer to accommodation centresProcess of transfer to accommodation centres Access to health careAccess to health care Access to legal advice, rightsAccess to legal advice, rights Access by NGOsAccess by NGOs

• Best Practice in Return ProceduresBest Practice in Return Procedures Best Practices for AVRBest Practices for AVR Truly voluntary processTruly voluntary process Right to Asylum processRight to Asylum process

LegislationLegislation• Link legislation to International Laws and Link legislation to International Laws and

Conventions Conventions • Embed Best Practices into legal and procedural Embed Best Practices into legal and procedural

edictsedicts• Link migration legislation to ConstitutionLink migration legislation to Constitution• Cascade legislation down to proceduresCascade legislation down to procedures

IOM Programme of ActionIOM Programme of Action

Current SituationCurrent Situation

IOM Programme of Action IOM Programme of Action

Migrant FacilitiesMigrant Facilities• Refurbish establishment for temporary Migrant Refurbish establishment for temporary Migrant

accommodationaccommodation• Ensure appropriate provision of health care (incl. Ensure appropriate provision of health care (incl.

psycho-social), psycho-social), • Access to rights and legal advice, Access to rights and legal advice, • Access to asylum and return processes.Access to asylum and return processes.• Access to family contact, interpretersAccess to family contact, interpreters

IOM Programme of Action IOM Programme of Action

Migrant Health CareMigrant Health Care

• Refurbish and fit health care centresRefurbish and fit health care centres• Set up health care system in accommodation Set up health care system in accommodation

centrecentre• Ensure appropriate provision of health care Ensure appropriate provision of health care • Train health care staffTrain health care staff

Every woman, man, youth and child has the human Every woman, man, youth and child has the human right to the highest attainable standard of physical right to the highest attainable standard of physical and mental health, without discrimination of any and mental health, without discrimination of any kind…Article 25 of the Declaration on human rights kind…Article 25 of the Declaration on human rights

Enjoyment of the human right to health is vital to all Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is aspects of a person's life and well-being, and is crucial to the realization of many other fundamental crucial to the realization of many other fundamental human rights and freedoms specially in vulnerable human rights and freedoms specially in vulnerable population groups as refugees, IDPs, irregular population groups as refugees, IDPs, irregular migrants, VoT etcmigrants, VoT etc

Migrants And HealthMigrants And Health

High rate of long-term physical and psychological High rate of long-term physical and psychological problems, due in large part to their exposure to conflict problems, due in large part to their exposure to conflict and oppression.and oppression.

One in four will have been subject to torture or severe One in four will have been subject to torture or severe human rights violations, with almost three in four being human rights violations, with almost three in four being exposed to traumatic events such as forced dislocation, exposed to traumatic events such as forced dislocation, prolonged political repression, refugee camp prolonged political repression, refugee camp experiences and loss of or separation from family experiences and loss of or separation from family members in violent circumstancesmembers in violent circumstances

Many may have physical and psychological Many may have physical and psychological sequelaesequelae associated with pre-migration trauma and torture and associated with pre-migration trauma and torture and may need a thorough medical examinationmay need a thorough medical examination

Stranded Migrants and HealthStranded Migrants and Health

Aims to ensure strict implementation of the universal Aims to ensure strict implementation of the universal right to quality health care, facilitate healthy living right to quality health care, facilitate healthy living environment and reinforce the capacity of the environment and reinforce the capacity of the national health care institutions achieved with joint national health care institutions achieved with joint efforts not only by National Health Care System efforts not only by National Health Care System institutions but with intervention in policies of Public institutions but with intervention in policies of Public Administration of UkraineAdministration of Ukraine

Project Capacity Building of Project Capacity Building of Migrant Health Care: UkraineMigrant Health Care: Ukraine

Development and implementation of the organizational setup of health Development and implementation of the organizational setup of health care system in detention centres (Setup of Health care Delivery System care system in detention centres (Setup of Health care Delivery System ensuring the quality health care according to international standards, ensuring the quality health care according to international standards, expanding the possibilities for cooperation between the health care expanding the possibilities for cooperation between the health care system in the centres and civilian health care system etc).system in the centres and civilian health care system etc).

Training of the medical and support staff through allocation of tasks, Training of the medical and support staff through allocation of tasks, assessment of needs, development of training curriculums and manuals assessment of needs, development of training curriculums and manuals for work in health provision, education and promotion respecting for work in health provision, education and promotion respecting internationally accepted standards, training courses etc.)internationally accepted standards, training courses etc.)

Implementation of Goals Implementation of Goals through..through..

Development of the guidelines specific to the culture of the stranded Development of the guidelines specific to the culture of the stranded migrants in hygiene and environmental conditions migrants in hygiene and environmental conditions

Development of guidelines adequate to respond on specific Development of guidelines adequate to respond on specific psychosocial needs of involved population (impact of past trauma, prior psychosocial needs of involved population (impact of past trauma, prior experience of health care, cultural differences and the stresses of experience of health care, cultural differences and the stresses of resettlement).resettlement).

Adequate equipment of the health care posts through initial Adequate equipment of the health care posts through initial assessments of objective needs, procurement and installment of assessments of objective needs, procurement and installment of equipment and training of the health staff to use the installed equipment and training of the health staff to use the installed equipmentequipment

Implementation of Goals Implementation of Goals through..through..

Proposed MAC Sites Proposed MAC Sites Site 2

Site 2Site 1Site 1SiteSite 22

Proposed MAC Site Proposed MAC Site

Recommended MeasuresRecommended Measures

• Improve Irregular Migrant Temporary Improve Irregular Migrant Temporary AccommodationAccommodation

• Build in Best Practices to Migrant Detention Build in Best Practices to Migrant Detention Procedures and FacilitiesProcedures and Facilities

• Build on Ukraine Programme to Voluntarily Build on Ukraine Programme to Voluntarily Return MigrantsReturn Migrants

• Build in Migrant Rights to all aspects of Build in Migrant Rights to all aspects of Reception and ReturnReception and Return

Thank YouThank You

Chris PetchChris Petch

Dr Vasil Dr Vasil GajdadzieGajdadzievv

IOM KyivIOM Kyiv

Questions?Questions?