Global health. The current scenario and future perspectives
194 Challenges and recommendations This article describes the current migration phenomenon and the response process that countries in the region must have from a perspective on training healthcare human resources so they can better address migration phenomena and their impact on healthcare systems in the Americas Region. The current scenario is complex, as global pandemic, war in Northern Europe (Russia-Ukraine), climate change, natural disasters and armed violence in the region exacerbate vulnerabilities among migrant populations including refugees, victims of trafficking and human smuggling, internally displaced persons and missing persons. All this calls for active strategies to manage current and future crises in different countries/subregions. States must generate updated coordinated actions that allow for comprehensive timely quality responses. In terms of migration and health, the WHO/PAHO have called for progress towards equitable universal health where healthcare is provided without discrimination based on people’s needs within their communities. Detecting specific access barriers for migrant populations and defining interventions that are linguistically, culturally and financially appropriate are promoted. This poses a great challenge for Latin American healthcare systems. These mandates come from international organizations, but specific responses not only involve developing guidelines/programs but also require human resources to have knowledge about multidimensionality that come with migratory phenomena and their impacts on health. As described throughout this article’s development, analysis studies conducted in Hungary have contributed to promoting the development of programs on migration and health; however European educational system responses have not been adequate. Therefore, a gap is created between the health needs of the diverse people and communities that make up countries and the training processes of healthcare personnel. These minimally consider or simply lack specific training in an area that, as described above, requires a comprehensive and inclusive approach. While there are experiences in North America and Latin America, these are not systematic nor are they consistently included in curricula throughout the region. In late 2021, the World Health Organization published a series of
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