Vete Sano, Regresa Sano

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Vete Sano, Regresa Sano
Orientation and Support Services Network for
Families of Migrants in Mexico
Dr. Romeo S. Rodríguez Suárez General Director,
Centro Nacional para la Salud de la Infancia y la
Adolescencia
Guatemala, October 18 19, 2004
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Legal Framework
In Mexico
Political Constitution United Mexican
States Art. 4 Health is a Constitutional
Right.
General Health Act Social Health Protection
System Official Mexican Norms
Planning Act National Development Plan (PND)
2001-2006
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PND 2001 2006
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Objective
Contributing to protect the health of migrants
families in their country of origin, in transit
and in the country of destination.
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Migration Mobility

• Characteristics
• Increasing at the national and international
  level (south to north)
• Flow of immigrants from Central America and other
  countries, Southern Border
• Covers practically all 32 federative entities /-
• Families, not individuals
• Rural and urban

• California, USA is not the main destination
  anymore.
• Impact in morbidity and mortality
• Multiple factors
• Social
• Economic
• Education
• Family Tradition
• Inter-cultural

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Migrant Municipalities in México
1 Municipalities 1338 Population 23.6 External
Migration Municipalities 492 Population 3.8
Internal Migration Municipalities 1
046 Population 18.4 Municipalities with
Internal and External Migration Municipalities 20
0 Population 1.0
1 SG.CONAPO. E INEGI 2000
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Economic Sectors
Destined for 60 Agriculture 20
Industry 10 Services 10 Informal
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Principales causas de enfermedad, Municipios
Migrantes 2003 1
Total
Diagnosis
Acute respiratory infections Intestinal
infections by other micro-organisms and not well
defined infections Urinary tract infections
Ulcers, gastritis, and duodenitis Intestinal
amoebiasis Otitis media acuta Other
Helminthiasis Hypertension Streptococcal
Angina and Tonsillitis Conjunctivitis
21,282,493 3,938,824 2,714,497 1,001,013 670,532
534,288 483,768 414,552 379,868 326,272
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Represent 81.12 of the 34.7 million diagnoses
notified in a year.
1. SSA. DGE. SUAVE. Cierre 2003
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Morbidity
A conclusion for México
The morbidity control for migrants represents at
least 42.62 of what occurs in the countrys
2454 municipalities.
1. SSA.DGIS. SISPA 2002-2003
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Mortalidad 2002
Main Causes for General Mortality, 2002
National 457,680 1
CAUSES NUMBER 1. Diabetes
Mellitus 54,828 2. Isquemic heart
disease 48,285 3. Cerebrovascular
disease 26,526 4. Cirrhosis and other liver
disorders 26,142 5. Perinatal disorders 18,569
6. Chronic obstructive pulmonar
disease 16,851 7. Traffic accidents 14,372 8.
Acute respiratory insufficiency 13,662 9.
Hypertension-related diseases
10,696 11. Agression 9,975 12.
Malnutrition 8,891 16. EDAS 4,679 17.
HIV/AIDS 4,463
1. Defunciones INEGI/SSA. DGIS.CONAPO 2002
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Riesgos y exposición durante el tránsito y
destino

• Addictions
• Incomplete vaccination schemes
• Mental disorders
• HIV/AIDS
• STIs (sexual transmission infections)
• Womens health
• Violence
• Accidents

• Pulmonar Tuberculosis
• Diarrhea
• Respiratory infections
• Gastroenteritis
• Dermatomycosis

1. SSA.DGIS. SISPA 2002-2003
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Propuesta
Proposal
Build and Operate
Support Service Network for Migrants
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Prevention and Health Promotion Approach
Origin-Transit-Destination
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Characteristics
Health has no Borders Gender Equity
Perspective Migrants Families Prevention and
Health Promotion Self-Health Care
Culture Health Units Preventive Care and
Treatment Lifetime Disease Prevention,
Detection, and Control Scheme
Booklet Simplified Surveillance
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Operational Model
SPPS- CENSIA-VSRS
246 Sanitary Jurisdictions
32 State Secretariats of Health
Medical Units
Mobile Units
Direct Care National Health Weeks Campaigns Fairs
Medical Brigades
Migrants Families Communities Camps Hostels
Commando Groups
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Health Service Infrastructure SS
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National vs. 1338 migrant municipalities
64 in migrant municipalities (MM) 80
Hospitals in MM 64 First Level Units
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Support Service Network for Migrants

• Promote prevention and health promotion during
  life of migrants families 23.6 million Mexicans

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Support Service Network for Migrants

• Distribute four national booklets on health in
  country of origin, transit, and country of
  destination in Mexico, and promote their use
  (1338 municipalities).
• Yes Booklets. Yes Health. The Booklets of Mexican
  
• Families

Presidential Decree Dec. 24, 2003
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Support Service Network for Migrants
Migrant Municipalities Maintaining vaccination
coverage in migrant municipalities Developing
parallel prevention and health promotion actions
in migrant municipalities Health Fairs,
Education Sessions, Contests, Murals, etc.
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Support Service Network for Migrants
60 Health Topics Risk Factors Recommendations
ABC of Migrants Health
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Support Service Network for Migrants
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Support Service Network for Migrants
Family Health Passport General Information
(5) Folio No. Date and Record of Prevention,
Detection, and Promotion Interventions National
and international origin, transit, and
destination Travel
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Support Service Network for Migrants
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Support Service Network for Migrants
Health Routes 50 maps to localize medical units
in the main cities. Increase the amount of maps
in the second phase to include municipalities
with more than 10,000 inhabitants.
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Support Service Network for Migrants
National telephone service operation 01 800 26 72
583 MI SALUD Free of charge First stage,
national coverage and assistance by specialists
800 to 1800 Second stage, international and
bilingual translators Links with ISMECAL,
Paisano and Infotur. Operations
begin. August 04
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Support Service Network for Migrants

• Agricultural Fields
• Accreditation with White Flags of Campos
  Agrícolas 492
• Community Health Projects
• Health Education
• Communication for Education
• General Prevention and Detection
• Control of the Environment
• Community Mobilization

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Support Service Network for Migrants

Actions on the Road Prevention and First Aid
Manual on highways. Prevention and First Aid
Package (for example, preservatives, paracetamol)
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Support Service Network for Migrants
Training Model for Migrant Populaton Leaders
Modules Information and Awareness-Raising Health
Care Model for Mobile Population Organization of
Migrant Groups Self-Health Care 1 3
days According to Morbidity
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Support Service Network for Migrants
Campaigns Radio communication campaign,
bilingual spots Spanish, Mixteco, Zapoteco, and
Náhuatl. Co-Production of Radio Program,
together with IMER. Radio station Sin Fronteras
1570 AM. Coverage Texas and Mexico.
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Support Service Network for Migrants
Promotional materials Signs and 60 spots y
and short radio programs on various topics
produced by SSA and others in coordination with
the Instituto Mexicano de la Radio Short TV
program, 5 minutes In progress El Mensajero de
la Salud para las y los Migrantes
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Support Service Network for Migrants
Health Information Sharing Operate web Vete
Sano Regresa Sano and link www.saludmigrante_at_salu
d.gob.mx
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Support Service Network for Migrants
Consulates in USA Evaluation of the
Ventanillas de Salud in the US
Consulates Developing Operational Model and
Guidelines Printing and distribution of booklets
ABC de la Salud de las y los Migrantes in the
Ventanillas de Salud in the US Orientation
posters
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Red de Servicios en Apoyo a Migrantes
Incorporation to the SUAVE 2004
Nominal Census for Migrants
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Support Service Network for Migrants

Methodology Guidelines for needs assessment of
the migrant population Invitation to participate
in the Diagnóstico Mesoamericano de Salud de las
y los Migrantes 2005, within the framework of the
Programa Mesoamericano de Cooperación con
Centroamérica 2005-2006, Secretaría de Relaciones
Exteriores.
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International and National
With whom ?

• Comisión de Salud Fronteriza
• Conferencia Nacional de Gobernadores
• Sistema de Cooperación con Centroamérica-SRE
• Instituto Nacional de Migración
• Iniciativa de Salud México-California (ISMECAL)
• Instituto de Mexicanos en el Exterior (IME)

With whom?
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APF3 CONCERTATIONS

• Secretaría de Gobernación
• Secretaría Relaciones Exteriores
• Secretaría de Turismo
• Secretaría del Trabajo y Previsión Social
• Secretaría de Desarrollo Social
• Coordinación Nacional de Pueblos Indígenas
• Coordinación Nacional de Oficinas Estatales de
  Atención a Migrantes
• Colegio de la Frontera Norte y Sur

Paisano IMER IME Ángeles Verdes Training Agr
icultural workers Radio Indígena Ofnas
Atención Migrantes Research
3. FEDERAL PUBLIC ADMINISTRATION and OTHER ORG.
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