Regional Framework

Migration, Health and HIV in the GMS

Marta Vallejo Mestresr

UNDP Asia Pacific Regional Centre

21 November 2013

Disclaimer: The views expressed in this paper/presentation do not necessarily reflect the views or policies of the Asian

Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee the

accuracy of the data included in this paper and accepts no responsibility for any consequence of their use. Terminology used

may not necessarily be consistent with ADB official terms.

Outline

• What is JUNIMA

• Access to health care for migrants in the GMS

• Building the Regional Framework from 2011-2012

• Implementation of the regional framework to 2013-2014

Background

What is JUNIMA and what do we do 1. Access to health care for migrants

2. Removal of HIV- related travel restrictions

3. Linkages between migration, key affected populations and sexual and reproductive health

Goal

Develop and Implement a model for access to treatment and care

for migrant / mobile populations within the GMS

Document the situation of access to treatment for migrants in

the GMS

• Experiences of migrants accessing treatment

• Comparative framework on treatment access

• Cross border service delivery model

Develop policy options to increase treatment for migrants

• Bilateral dialogues:

Thailand – Myanmar,

Thailand – Laos

Thailand – Cambodia

Access to Health care for migrants

Regional framework

2012

Consultation on migrants’ access to antiretroviral treatment along the migration continuum in four GMS

countries

Recommendations: 1- Harmonize treatment and referral protocols across countries; 2- Examining ways to use TRIPS intellectual property and free trade agreement flexibilities to lower the cost of treatment services and increase coverage for migrants; 3- Ensure that in addition to treatment, migrants have better HIV services available.

2011

Memorandum of Understanding for Joint Action to Reduce HIV Vulnerability related to Population Movement – Signed by 6 GMS governments at the 4th GMS Summit

April

December

Consultation on the memorandum of understanding to reduce HIV vulnerability associated with population movement

Outcome: Agreed Joint Action Plan for the implementation of the MOU i) Promoting an enabling environment ii) Promote community based strategies that

reduce HIV vulnerability iii) Promote Access to HIV and AIDS Prevention,

Treatment, Care and Support iv) Monitoring and Evaluation

July December Joint Action Plan

Endorsed by 6 GMS

governments

Briefing Note - The use of TRIPS flexibilities to increase access to ART

Implementation of the Regional framework

2013

Consultation for the 2013-2014 implementation of The Joint Action Programme (JAP) in the Greater Mekong Subregion (GMS)

August November Policy Briefs -Six HIV and labor migration in the GMS -Access to HIV treatment for migrants in Thailand -migration and Key Populations

4-5 November Bilateral consultation between Thailand and Myanmar

Implementation of the Regional framework

2014

ANALYSIS of the availability of health services for migrants

Bilateral consultations between Thailand and Myanmar Thailand and Lao PDR Thailand and Cambodia

Gender analysis of HIV vulnerabilities of migrants in the GMS.

Develop Standard Operating Procedures (SOP) on cross border referral mechanisms

to ensure continuity of care throughout the migration cycle at source and destination countries in the 6 GMS Countries.

THANK YOU