Global health. The current scenario and future perspectives

189 Table 1. Global Competency Standards for Health Workers Domain 1: Person-centered Standard Competency 1 Providing person-centered healthcare to refugees and migrants. Standard Competency 2 Promoting agency of refugees and migrants at an individual and community level. Domain 2: Communication Standard Competency 3 Engaging in safe and relevant assistance to understand the language and communication needs of refugees and migrants. Standard Competency 4 Supporting migrants and refugees in understanding information about their healthcare. Domain 3: Collaboration Standard Competency 5 Engaging in collaborative practices to promote the health of refugees and migrants. Standard Competency 6 Responding to sudden increases in demand for migration-related services. Domain 4: Evidence-informed practice Standard Competency 7 Promoting evidence-informed healthcare for refugees and migrants. Domain 5: Personal behavior Standard Competency 8 Engaging in lifelong learning and reflective practice to promote the health of migrants and refugees. Standard Competency 9 Contributing to a culture of self-care and mutual support when providing healthcare in the context of migration. Source: Own elaboration: Refugee and migrant health: global competency standards for health workers . World Health Organization. Geneva, Switzerland. For the Americas region, the 55 th Directing Council of 2016 published a document on the health of migrants (PAHO, 2016). It recognizes their vulnerable situation in the region, so the PAHO generated four policy elements as recommendations for member states: a) Inclusive health services that respond to the health needs of migrants. b) Institutional arrangements to provide access to comprehensive, quality and people-centered health services. c) Mechanisms to offer financial protection in health. d) Intersectoral action and establishment of partnerships, networks and multi-country frameworks.