Global health. The current scenario and future perspectives

190 While point b) recommends providing comprehensive care that responds to the health needs of migrant individuals and considers cultural, religious and gender issues, it does not mention the training that healthcare personnel must have in order to achieve this desirable objective. Likewise, in the guidance document on migration and health prepared by the PAHO in 2019 (PAHO, 2019), five strategic guidelines were generated: 1. Strengthening surveillance systems, information management and monitoring. 2. Improving access to healthcare services for migrant populations and host communities. 3. Enhancing communication and information exchange to reduce xenophobia, stigma and discrimination. 4. Strengthening partnerships, networks and multiple frameworks to understand migrant status and promote/protect their health. 5. Adapting policies, programs and legal frameworks to promote and protect migrants’ health and well-being. Strategic guideline number 2 recommends to: “Provide training for the healthcare workforce to develop interprofessional teams at primary care level with combined competencies in comprehensive care as well as intercultural approaches to health with a focus on social determinants. Training on equity in health and human rights-based approaches are key elements for both healthcare professionals as well as non-health actors.”. The implementation of these recommendations from the Pan American Health Organization (PAHO, 2016; 2019), whether at planning, policy implementation or evaluation level, will require trained and sensitized personnel in the subject matter for effective performance in the desired health response. However, the educational spaces within healthcare careers in the region are characterized by having basic training courses in biomedical sciences during the early years, followed by clinical specializations. Public health courses incorporate mentions of vulnerable populations that include references to migrant populations, but the coverage is minimal within semester-long courses in programs that span 10 to 14 semesters. Therefore, when specific healthcare competencies are required for migrant patients, internally displaced people, refugees or victims of trafficking or human trafficking, the impact is low. At this point, the academic challenge is to increase research that can account for current training offers on this topic in Latin America. It is of greater interest to operationalize globally proposed competencies presented