Irregular migrants belong to the most vulnerable migrant groups. Health threats associated with an irregular status are high, and access to health services is severely restricted globally. Concerning migration aspects, a common public narrative for Europe and Africa is that Africa is sending thousands of migrants to embark on an irregular life-threatening journey of migration to Europe every year. Although this is a well documented reality, it is by far not the most important migration pattern in terms of numbers and health threats when looking at Africa.

The realization of universal health coverage (UHC), one that leaves no migrant behind, requires innovative, evidence-based policies and sustainable financial mechanisms that emphasize whole-of society and whole-of-government actions, and involve migrants, including health workers, as co-developers of health services. Being and staying healthy is a fundamental precondition for migrants to be productive and contribute to the social and economic development of communities of origin and destination.

This chapter describes the facts and figures of today’s migration patterns and briefly presents the limits and findings of the existing research on the impact of different forms of migration on the mental health of migrants. The article aims at promoting a rights-based approach to migrants’ access to mental health care, as supported by international legal instruments.

Abstract

Migration is a social determinant of health. Throughout the migration process, migrants are exposed to a unique set of sociocultural, economic and environmental factors that may increase their risk of exposure to negative health outcomes, including communicable and non-communicable diseases. Migrants and mobile populations can face many obstacles in accessing essential health care services due to several factors including irregular immigration status, language barriers, discrimination, a lack of migrant-inclusive health policies and lack of affordable health services.

The UN 2030 Agenda for Sustainable Development puts people at the center of all actions, particularly the most marginalized and disempowered, for the realization of societies that are more equitable and inclusive. It also acknowledges that migration carries a development potential, owing to migrants’ intellectual, cultural, human and financial capital, and their active participation in society. Being and staying healthy is a fundamental precondition for migrants to work, be productive, and contribute to the social and economic development of communities of origin and destination.

The relationship between migration and health is explored, including resilience, vulnerability, and social determinants of health throughout the migration cycle. The chapter maintains that migration health governance should include the control of communicable diseases, health security, universal health coverage (UHC), and migration-responsive systems, which are all critical to health security, public health, and development.

Migration is a social determinant of health. Throughout the migration process, migrants are exposed to a unique set of sociocultural, economic and environmental factors that may increase their risk of exposure to negative health outcomes, including communicable and non-communicable diseases. Migrants and mobile populations can face many obstacles in accessing essential health care services due to several factors including irregular immigration status, language barriers, discrimination, a lack of migrant-inclusive health policies and lack of affordable health services.

The UN 2030 Agenda for Sustainable Development puts people at the center of all actions, particularly the most marginalized and disempowered, for the realization of societies that are more equitable and inclusive. It also acknowledges that migration carries a development potential, owing to migrants’ intellectual, cultural, human and financial capital, and their active participation in society. Being and staying healthy is a fundamental precondition for migrants to work, be productive, and contribute to the social and economic development of communities of origin and destination.

In this chapter, Global Health Security and Universal Health Coverage are analyzed underlining the possible synergies and differences between them and the links to health, even as the two take very different routes and approaches.