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Three steps to end discrimination of migrant workers and improve their health

Afsar Syed Mohammad



Authors: Afsar Syed Mohammad and Margherita Licata

When migrant workers leave their home, many encounter abuse and violence on their journey and discrimination once they arrive. This can be because of their status as migrants but also because of their ethnicity, sex, religion, and HIV status.

They often struggle to find decent work, which means they can end up in poor living and working conditions, which in turn affects their health. Female migrants are more likely to be vulnerable to exploitation and violence, which exposes them to the risk of HIV and other health issues.

Research has shown that migrant workers – particularly those who are in an irregular situation – often fail to access health services because of poverty, language and cultural barriers, lack of health insurance, as well as fear of job loss and deportation. It means that by the time they see a doctor, their illness has become all too serious.

Against this background, a newly launched ILO publication looks at the interplay between migration policies and those relating to broader health goals in countries of origin, transit and destination. Its key recommendation is that HIV and health policies should be integrated into the entire labour migration process.

So what can be done to ensure that migrant workers have better access to decent work, health and HIV services? The report recommends a three-pronged approach.

1) End discriminatory practices

Migrants face obstacles in accessing decent work, health as well as social protection. Whenever migrants are denied their rights, they tend to live and work in the shadows.  They become vulnerable to discrimination, exploitation and marginalization.

Discriminatory practices such as mandatory HIV testing of migrants for employment have proved to be ineffective. On the contrary, it is a violation of their rights. It disrupts access to health care and increases migrants’ vulnerability to HIV infection.

2) Set up an integrated response

It is essential to develop a response that does not just pile up ad-hoc policies one after another. Instead there needs to be an integrated and coordinated response that leads to decent work and health outcomes for migrants, including more effective HIV responses.

Right to entry does not mean the right to work for women in many countries. In such cases, women are left with no option but irregular migration which further exposes them to various forms of abuse, exploitation and risks such as HIV.

Gender-responsive migration policies would help address existing inequalities between men and women migrants, while at the same time improve their health.

3) Focus on migrant workers’ rights

There are no quick-fix solutions but discrimination and inequalities relating to HIV and health can be reduced if we focus on migrants’ rights and if we take a global approach. The report especially insists on the following priorities:

  • There is a need to target different groups of migrant workers for HIV prevention, care and treatment, depending on the specific risks that they face. For example, risks are different depending on whether they are low skilled or high skilled workers.
  • Effective responses to HIV for migrant workers should be integrated into fair recruitment initiatives, encouraging fair business practices to reduce HIV-related stigma and discrimination, and equal access to health services.
  • Health programmes and HIV prevention for migrants must be disassociated from immigration enforcement.
  • Inclusion, participation and freedom of association among migrant workers are essential pillars for effective actions on migration, health and HIV.
  • Migration and health policies and practices, in particular those relating to HIV and AIDS, should address inequalities between women and men. A gender analysis is needed from the start for all policies and practices relevant to migration and health.

*Margherita Licata, Technical Specialist Gender, Equality and Diversity and ILOAIDS Branch

Source: ILO

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Partnerships key to promoting economic empowerment for rural women in the MENA region




The economic empowerment of rural women in the Middle East and North Africa (MENA) region was the topic of a side-event organized by the governments of Italy and Tunisia, in cooperation with the United Nations Industrial Development Organization (UNIDO), UN Women and the Food and Agriculture Organization (FAO).

The event featured a range of high-level speakers from Italy, the MENA region, UN agencies and non-governmental organizations, and was moderated by Omar Hilale, Permanent Representative of the Kingdom of Morocco to the United Nations in New York. “Women face several barriers to their equal participation in the social, economic and political spheres, and these constraints are felt even more harshly by rural women,” he stated in his opening remarks.

Fatou Haidara, Managing Director of Corporate Management and Operations at UNIDO, highlighted the significance of industrialization in reducing poverty and increasing employment, and the positive benefits of this for women. She referred to the holistic approach adopted by UNIDO in its work in promoting women’s empowerment and entrepreneurship in the MENA region, stating that both policy and capacity-building dimensions are crucial.

“We have facilitated an ecosystem of knowledge and support, successfully partnering with governments and the private sector to create the foundation for structural change that has mobilized women’s entrepreneurship throughout the region,” she said. “For UNIDO, this project is one step forward in our long-term strategy for enabling women’s economic independence, because the resulting benefits will go beyond women and girls to put us all on the path to achieving the 2030 Agenda.”

The importance of integrating women into the political system was stressed by Neziha Laabidi, Minister of Women, Family and Childhood of the Government of Tunisia, who also highlighted the inclusion of women in Tunisia’s national, multi-sectoral strategy.

Teresa Bellanova, Deputy Minister of Economic Development of Italy drew attention to Italy’s commitment to promoting women’s rights and gender equality and to supporting women entrepreneurs and capacity-building at the local level in light of the radical, recent economic and geographical changes shaping the MENA region’s reality.

The discussion also touched upon issues faced by women in the region, such as access to land rights and discriminatory socio-cultural norms. The need for partnerships to come up with integrated solutions to such issues was addressed by Mohammed Naciri, Regional Director for Arab States, UN Women.

Engagement with the financial sector, including making capital more easily accessible to rural women, was underlined as a key factor in empowering rural women by Emanuele Santi, founder and president of Afrilanthropy, which connects social start-ups in Africa to impact investors. Santi added that creating incentives – for example by giving bonuses to companies that invest in companies led by women and rural women in particular – was another key to success. Finally, he stated that the development community had to “work as an ecosystem” and blend financial support with non-financial support.

The event was held on the sidelines of the Commission on the Status of Women (CSW), an annual two-week session at the United Nations in New York. The CSW is the principal global intergovernmental body exclusively dedicated to the promotion of gender equality and the empowerment of women.

Speaking at the opening of the CSW, UN Secretary- General, António Guterres, stated that the Commission was “leading the way” when it comes to empowering women. “When women are already taking action, we need to listen to them and to support them,” he said. “By building equality, we give women a chance to fulfil their potential. And we also build more stable societies.”

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Four countries on track to graduate from UN list of least developed countries




Four countries could soon “graduate” from the ranks of the world’s poorest and most vulnerable nations, a United Nations expert committee announced on Thursday

Bhutan, Kiribati, Sao Tome and Principe and the Solomon Islands have increased national earning power and improved access to health care and education, making them eligible to exit the group of least developed countries (LDCs).

“This is an historic occasion,” said Jose Antonio Ocampo, chair of the Committee for Development Policy (CDP), noting that only five countries have graduated since the UN established the LDC category in 1971.

LDCs are assessed using three criteria: health and education targets; economic vulnerability and gross national income per capita.

Countries must meet two of the three criteria at two consecutive triennial reviews of the CDP to be considered for graduation.

The Committee will send its recommendations to the UN Economic and Social Council (ECOSOC) for endorsement, which will then refer its decision to the UN General Assembly.

For CDP member Diane Elson, a professor at the University of Essex in the United Kingdom, Thursday’s announcement was good news for millions of women in rural areas.

She pointed out that the latest session of the UN Commission on the Status of Women (CSW), currently under way in New York, is discussing the challenges facing this population.

“The success of the countries that are graduating reflects things like the improvement of the health and the education of the population, which extends to rural women, and the increase in incomes in the country, which extends to rural women,” she said.

However, Ms. Elson stressed that the countries will need continued international support because they remain vulnerable to external shocks, including the impact of climate change.

Mr. Ocampo said this vulnerability is particularly evident in Pacific Island states such as Kiribati.

Globally, there are 47 LDCs, according to the UN Office of the High Representative for the Least Developed Countries, Landlocked Developing Countries and Small Island Developing States.

The majority, 33, are in Africa, while 13 can be found in the Asia-Pacific region, and one is in Latin America.

In the 47 years of the LDC category’s existence, only five countries have graduated (Botswana, Cabo Verde, Equatorial Guinea, Maldives and Samoa)

The CDP said two more countries, Vanuatu and Angola, are scheduled for graduation over the next three years.

Nepal and Timor-Leste also met the criteria but were not recommended for graduation at this time, due to economic and political challenges.

That decision will be deferred to the next CDP triennial review in 2021, according to Mr. Ocampo.

Bangladesh, Lao People’s Democratic Republic and Myanmar met the graduation criteria for the first time but would need to do so for a second time to be eligible for consideration.

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ADB, India Sign $120 Million Loan to Improve Rail Infrastructure




The Asian Development Bank (ADB) and the Government of India today signed a $120 million loan agreement to complete double-tracking and electrification of railway tracks along high-density corridors in India and improve operational efficiency of the country’s railway networks.

The $120 million financing is the third tranche of a $500 million financing facility for the Railway Sector Investment Program approved by ADB’s Board in 2011. The loan amount will be used to complete the ongoing works started in the project’s first two tranches.

The agreement was signed by Kenichi Yokoyama, ADB Country Director for India, and Sameer Kumar Khare, Joint Secretary (Multilateral Institutions) of the Department of Economic Affairs in the Ministry of Finance, at a ceremony in New Delhi.

“The program will help develop energy efficient, safe, and reliable railway systems that will result in reduced travel time along project rail routes and also reduce annual accident rate,” said Mr. Khare.

“Funding for the project’s third tranche will contribute toward achieving the overall program outputs of double-tracking about 840 kilometers (km) of rail routes and electrification of 640 km of tracks along high density corridors,” said Mr. Yokoyama. “The program is also helping implement new accounting systems and provide additional safety measures including collision avoidance equipment.”

The investment program is targeting busy freight and passenger routes in the states of Andhra Pradesh, Chhattisgarh, Karnataka, Maharashtra, and Odisha, including the “Golden Quadrilateral” corridor that connects Chennai, Kolkata, Mumbai, and New Delhi. The doubling of rail sections is being implemented along Daund-Titlagarh section, Sambalpur-Titlagarh section, Raipur-Titlagarh Section, and Hospet-Tinaighat section, while electrification is being undertaken along the 641-km Pune-Wadi Guntakal section.

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