RoMoMatter-Final Conference B.Kumar

Global Collaboration for:  Reproductive Justice

Bernadette N. Kumar,  MD, PhD

Norwegian Institute of Public Health

Chair Global Society MERH; EUPHA Migrant and Ethnic Minority Health, Co Chair Lancet Migration 




Dr. Sally Hargreaves, St. Georges London/ECDC

Dr.Santino Severoni WHO Geneva

Prof. David Ingleby 

Jill Morrison

 Conclusions and Lessons Learned

Barriers in engaging policy makers/stakeholders (in reducing migrant and ethnic minority health  inequalities):
where evidence matters where governance matters 


  • It is not our concern (evidence, description)
  • We don’t know what to do (evidence, links)
  • We don’t know how to do it (delivery, networks)
  • We don’t want to – (levers, incentives, regulations)
  • We really don’t want to - ideology, no pressure so public pressure
  • We cant afford to – (cost efficacy, cross sectoral, prevention,other things matter more)





  • The urgent challenge - conclusions into practice. 
  • Tackling BOTH socioeconomic inequities and those linked to migrant/ethnic minority background
  • Tackling BOTH  ‘upstream’ measures and ‘downstream’measures


Tackling Inequity within the Health system

  • Address up stream initiatives such as Governance, Leadership and Data/Research Issues
  • Continue to address (formal and informal) barriers to accessing services
  • Advocate for ensuring legal entitlements are in place (in particular for  those that fall outside the system- in an irregular situation)
  • Adopt and implement migrant/ ethnic minority health policies


    •  Knowledge/Data and Research 


  • We know the what but the why and how remain  
  •  Inequalities will remain undetected and unexplained


    •  Governance and Policy  
      •  Strengthen the leadership of efforts to improve health protection for MEM groups in each country 


  • Exclusion of migrants and ethnic minorities and other disadvantaged groups from national responses countries hinder full health protection for all
  • Apply an intersectoral, ‘whole-of-government’ approach to protecting MEM’ health, including health impact analyses of policies outside the health sector.


  • Equity is the Best Practise 
    •  Equity in migrant, ethnic minorities and other excluded or hard-to-reach communities
    • National Responses MUST include user engagement for prevention, protection and rehabilitation
    • Public Health Messaging must continue to adapt and extend reach to those most at risk   

Outside health systems

    • Equity in all polices
    • Inter-sectoral Action required 
    •  Use available evidence to dispel MEM myths 
    • Work with media to ensure  public opinion is not based on misinformation


  • Mobility has positive effect on HIC economies and services