HPH Migration, Equity & Diversity Task Force

HPH Progress Report 2017-2018: HPH Migration, Equity & Diversity  Task Force

 

______________________________________________________________________________

 

The HPH Constitution (2008) for the International Network of Health Promoting Hospitals and Health Services states that one of the tasks of a HPH Task Force is: “To periodically deliver a progress report to the Governance Board.” (Refer to 1.4. Mission and Obligations, HPH Constitution)

 

For the purposes of this activity:

 

  • The period for progress reports to be delivered is every two years.

  • A progress report is defined as a report on efforts to assist hospitals/health services to ”incorporate the concepts, values, strategies and standards or indicators of health promotion into the organizational structure and culture of the hospital/health service." (Refer to Mission, HPH Constitution)

 

The aims of Progress Reports are:

  1. To provide a mechanism for HPH networks and taskforces to share information, knowledge and experience

  2. To contribute to an assessment of the achievement of objectives by the International HPH Network

  3. To help identify priorities for future action by the International HPH Network.

This survey refers to activities in the period 2017-2018.

 

All data will be made publicly available.

 

 

INSTRUCTIONS: Keep the text that in black color. Change the text in grey colour (Green text is hyperlinks for your reference)

 

______________________________________________________________________________

 

 

Part 1: Administrative information

 

 

1A. Task Force contact details

  • Task Force Coordinator name: -Antonio Chiarenza

  • Phone: -+390522335087

  • E-mail: -antonio.chiarenza@ausl.re.it

  • Address: -Via Amendola, 2 - 42122 Reggio Emilia

  • Website: www.ausl.re.it

  • Name of Coordinating Institution: -Azienda USL di Reggio Emilia

 

1B. Task Force administrative details

  • Task Force establishment: December 2016

  • Expiration of Task Force agreement: December 2019

  • Number of current Task Force members: 52

  • My list of members on hphnet.org is up to date: no

  • Number of new members in 2017: 

  • Number of new members in 2018: 

  • Number of ceased members in 2017: 

  • Number of ceased members in 2018: 

 ______________________________________________________________________________

 

 

 

Part 2: Task Force progress

 

 

2A. To what degree has my Task Force put the HPH mission, purpose and objectives into practice?

 

  1. Choose one option

  • Not at all

  • A little bit

  • Moderate

  • Quite a bit X

  • Completely

Please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

The Task Force Migration Equity and Diversity (TF MED) relates - through the terms of references - directly to parts of the mission of the International HPH Network. Health promotion, seen as an enabling process for the achievement of individual health potential, reducing disparities and ensuring equal opportunities and resources, became the conceptual and operative framework for the new project of the TF MFCCH..

 

According to this logic, redressing the disparity which prevents equal access to services and care and which impedes participation and integration, means developing policies and equity tools which render services more responsive to diversity, which improve communication and relations with patients, improving staff competence, encouraging patient empowerment and participation and tackling the determinants of health care inequalities.

 

Thus, providing equitable health care services means, above all, recognising the centrality of the individual and re-affirming the principle of equality of fundamental rights and duties for all citizens, irrespective of social status and culture. This means, on the one hand, striving for greater equality through sensitivity to and acceptance of diversity and, on the other hand, compensating for disadvantages in participation by the provision of specific services and measures of empowerment.

 

2B. How is my Task Force organized and how do we work?

 

Please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

The Task Force Migration, Equity & Diversity (MED) was established in December 2016 within the international network of Health Promoting Hospitals & Health Services (HPH). It is continuing the work carried out by the Task Force Migrant Friendly & Culturally Competent Healthcare (TF MFCCH 2005-2016), which was a successor to the Migrant Friendly Hospitals project (MFH 2002-2004).

Scientific committee: Antonio Chiarenza, Task Force Chair, AUSL of Reggio Emilia, Italy Bernadette Nirmal Kumar and Ragnhild Spilker, The Norwegian Centre for Migration and Minority Health, NAKMI, Norway David Ingleby, University of Amsterdam, The Netherlands Eeva Hakkinen, Mikkeli Central Hospital, Finland Laura McHugh, Galway University Hospital, Ireland James Glover, Community Health, Dublin, Ireland Marie Serdynska, Montreal Children’s Hospital, McGill University Health Centre, Canada Karima Karmali, The Hospital for Sick Children, Toronto, Canada Lidia Horvat, Department of Health and Human Services, Melbourne, Australia Manuel Fernandez Gonzalez, Uppsala University Hospital, Sweden Elizabeth Abraham, Critical Link International, Canada Hans Verrept, FPS Health, Food Chain Safety and Environment, Belgium Manuel Garcia-Ramirez, CESPYD, University of Seville, Spain

Members: 52 health care organisations in 16 countries: Australia (6), Belgium (6), Canada (4), Finland (2), France (1), Ireland (2), Italy (11), Malta (1), the Netherlands (1), Norway (6), Slovenia (1), Spain (6), Sweden (1), Switzerland (1), Turkey (1) and the United Kingdom (2).

 

2C. What has been the aim of my Task Force?

 

Please elaborate/list projects here:

<you can answer in writing or by, for instance, adding a video presentation here>

The purpose of the Task Force MED is to support member organisations in developing policies, systems and competences for the provision and delivery of accessible health care to patients from diverse populations. To this end, a set of Standards for Equity in Health Care were developed by the TF MFCCH and pilot tested in several countries. The new TF MED aims at developing strategies to ensure the effective implementation of the equity standards and the identification and sharing of good practices and innovative ideas.

 

The specific objectives of the new WP of the TF MED are:

  • To simplify the language of the standards and to create a “light” version of the standards

  • To develop a help-guide/manual to improve usability

  • To identify core indicators to measure results

  • To promote the tool in a wider range of countries/institutions

  • To develop additional resources for health care organisation

  • To develop an online platform that allows health care organisations to easily collect, monitor and use information about their performance

  • To make the standards available in a range of languages

     

     

     

     

     

     

     

     

     

2D. What were my Task Force's main achievements and lessons learned?

 

Please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

  • Development of the Standards for Equity in Health Care for migrants and other vulnerable groups

  • Pilot testing of the standards in 55 health care organisations in 16 countries

  • Participation in several  EU funded projects: COST-HOME, NOWHERELAND, COST-ADAPT, MEM-TP,

  • SH-CAPAC

  • Deveopment of a simplified version of the Equity standards in health care

  • Translation of the equity standards in different languages (Italian, French, Spanish, Norwagian, Dutch, Finnish, Slovenian)

 

2E. Global HPH Strategy 2016-2018

 

My Task Force worked with the Global Strategy: yes/no

 

Specifically, priority was given to

  • (Priority 1 on implementation of updated WHO-HPH Standards: NB not applicable due to delay with document)

  • Priority 2 on HPH awareness and capacity: yes

  • Priority 3 on HPH development and sustainability: yes

My Task Force has supported members with fulfilling the Global Strategy: yes

 

My Task Force acheived the following strategy goals

  • Priority 2 on HPH awareness and capacity

A-I) Task Force members participated at local HPH day: yes

B-I) Task Force members participated in discussion of the role of coordinators at HPH assembly: yes

B-II) Task Force members received the translated/locally adapted final document: yes

C) Stakeholder analysis made by Task Force: yes

D-I) Task Force members received translated/locally adapted HPH Member Packages: yes

D-II) At least 2 local decision makers received translate/locally adapted HPH package: yes

E) Own website updated at least 4 times with news, information and experiences: yes

F) Best practices/good ideas collected and reported at HPH general assembly, hphnet.org or here in progress report: yes

  • Priority 3 on HPH development and sustainability

A-I) Task Force participated in discussion and development of member benefits: yes

A-II) Translated/locally adapted HPH brochure describing the benefits of membership received by my members: yes

B-I) Hospitals nationally/regionally with potentially interest in HPH were listed: no

B-II) Contact was established and HPH information was sent to at least 2 potential new members: no

C) Best practices/good ideas collected and reported at HPH assembly, hphnet.org or here in Progress Report: yes/no

 

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

The pilot test of the standards for equity in 52 insitution was a learning process that allowed the TF MED to establish links and forms of collaboration with different organisations from several countries. 

 

We regularly hold TF MED meetings to share experiences on the issue of improving equity in health care, therefore we aim to connect the assessment process with the implementation of equity improvement interventions.

 

2F. How did my Task Force use the WHO-HPH Standards?

 

My Task Force prioritized working with the standards: yes 

 

N.B. We used the HPH-Standards as a basis for the development of the Equity standards.

 

If yes, priority was given to

  • Standard 1 on Management policy: yes/no

  • Standard 2 on Patient assessment: yes/no

  • Standard 3 on Patient information and intervention: yes/no

  • Standard 4 on Promoting a healthy workplace: yes/no

  • Standard 5 on Continuity and cooperation: yes/no

My Task Force has supported members with using the standards for quality improvement: yes, regarding the Equity standards

 

If you wish to share your experiences in this regard, please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

 

2G. Standards developed by HPH Task Forces

 

My Task Force has developed standards in our topic area: yes

 

If yes, they are avaliable at this URL: www.hphnet.org

 

My Task Force has worked with other relevant standards:

 

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

 

 

____________________________________________________________________________________

 

 

 

Part 3: Sharing of knowledge and experience

 

 

3A. Additional strategy, priorities and focus areas of my Task Force
 

My Task Force focused on:

<you can answer in writing or by, for instance, adding a video presentation here>

 

  • Migrant health and health care by participating in a number of EU projects.

  • We have recently submitted a project proposal to the call Erasmus Plus, aiming at improving equity competence among health professionals and managers.

 

3B. My Task Force's connection to National/Regional health policies and strategies

  • My members experience that HPH is a priority nationally/regionally in their health policies, laws and regulations: yes/no

  • Changes in national/regional health policies have directly influenced my members' activities: yes/no

  • My members experience that their national/regional health systems are supportive of the development of HPH: yes/no

  • My Task Force members have received recognition/acknowledgment from public authorities/health systems: yes/no

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

The TF MED has longstanding connections with the major networks and research institutions working on the issues of migrantt health (e.g.: EUPHA, COST Actions, Italian Association of Migrant Medicine,...)

3C. Availability of Task Force documents in local languages

 

My Task Force has ensured translation of the following documents: list documents, the languages they exist in and their URLs

 

The standards for equity in health care have been published in several languages.

 

We would like the following Task Force documents to be made available in local languages too: list documents, needed languages and their URLs

 

 

3D. My Task Force's untapped resources and needs for further support

 

My Task Force has untapped resources that could help contribute to the International HPH Network’s fulfilment of its objectives by:

<you can answer in writing or by, for instance, adding a video presentation here>

 

The International HPH Network, the HPH Governance Board and the HPH Governance Assembly could better support my Task Force by:

<you can answer in writing or by, for instance, adding a video presentation here>

 

To connect the TF MED WP with the HPH Global Strategy

 

3E. Final comments and ideas

 

Final comments and ideas from my Task Force are:

<you can add any comment you believe is useful for the international network in writing or by, for instance, adding a video presentation here>

 

 

 

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