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The missions

Thematiques

Les migrants, ces indésirables universels

Parce que les migrants font partie des populations les plus vulnérables et afin de faciliter leur accès aux soins, MdM développe des programmes spécifiques dans les pays où il est présent. Sans oublier de plaider pour la reconnaissance de leur droit à la santé.

Mobilisation

Médecine et politique migratoire : la liaison dangereuse - Par Pierre Micheletti - Président de Médecins du Monde

(...) nous voyons s’installer par petites touches successives une logique qui nous inquiète : celle qui consiste à utiliser les sciences médicales et les médecins comme supplétifs de la maîtrise de l’immigration...

Projet de loi relatif à l’immigration

Paris, le 12 octobre 2007, lettre aux Sénateurs et Députés - (...) Nous, professionnels de santé, vous demandons instamment, une nouvelle fois, d’annuler plusieurs dispositions du projet de loi relatif à la maîtrise de l’immigration...

Pas de papiers, pas de santé ?

(...) l’Espagne, la France et l’Italie, qui en Europe sont les pays qui accordent le meilleur accès aux soins aux étrangers en situation irrégulière, ne sont pas submergés par des vagues de sans papiers malades, risquant leur vie dans les chaloupes des passeurs pour venir se faire soigner. Les exilés sans papiers que rencontrent les équipes de Médecins du Monde implantées dans 11 pays de l’Union Européenne, ne vont se faire soigner qu’en toute dernière extrémité, parfois trop tard (...).

Press

17/01/2008 Médecins du Monde reçu par Roselyne Bachelot les 26 000 signatures de la pétition « médecine et immigration » remises à la ministre

eudi 17 janvier, le Docteur Pierre Micheletti, président de Médecins du Monde, remettra à Roselyne Bachelot, ministre de la Santé, de la Jeunesse et des Sports la liste des signataires de la pétition « Médecine et immigration, non aux liaisons dangereuses » lancée le 25 octobre 2007 par l’association.

25/09/2007 First European Observatory o access to Health Care

The "Health and Migrations in the EU" conference will be held in Lisbon on 27and 28 September 2007 under the auspices of the Portuguese presidency. It will bring together health ministers from across the European Union, each of whom will be presented with a set of 25 “best practices” in the field of migration and health care. Featured among them will be the European study performed by Médecins du Monde on access to health care for undocumented migrants.

28/04/2007 Peut-on renvoyer des malades mourir dans leur pays ?

Le gouvernement a publié, en toute discrétion et au mépris de l’esprit de la loi, des outils facilitant l’expulsion de personnes étrangères gravement malades, condamnées dans leur pays d’origine par l’absence de traitement.

Publication

24/11/2007 Rapport - Access to health care and human rights of asylum seekers in Malta.
24/09/2007 Rapport - European survey on undocumented migrant's access to health care

The European Union now has 27 countries. Some have long been prosperous, whereas others are emerging from decades of poverty and have briskly growing economies.The goal is to create a free-trade zone fostering the wealth of all, but it must include fighting against pockets of poverty and precariousness that are still too common.

Petition

Médecine et immigration : non aux liaisons dangereuses

Médecins du Monde lance une pétition contre l’utilisation des sciences médicales au service des politiques migratoires. Outre le retrait de l'"amendement "ADN", MdM demande la fin des pressions exercées sur les médecins inspecteurs de santé publique ...

Temoignage

Médecins du Monde et les migrants - Interview de Françoise Jeanson (septembre 2007)

VIDEO - Médecins du Monde et les migrants - interview de Françoise Jeanson

Mission Migrants

CHIFFRES

Beneficiaries : 89% of patients seen for the first time are foreigners; 60% of them are illegal and 30%
have applied for asylum
Country of origin : Algeria, Romania, Morocco, Cameroon, Tunisia, etc. (Other nationalities turn up in different centres)
Main conditions : osteo-articular, ENT, gastro-enterology, psychiatry, dermatology, gynaecology-obstetrics, psychological problems ; 88% of foreigners seen have not acquired the right to health insurance when they are seen at a healthcare centre for the first time.

Number of projects : all programmes (centres, mobile actions and harm reduction programmes)
Number of volunteers : nearly 2,000
Sources of funding :Regional & local health authorities, department councils, regional councils, regional and national health insurance offices (CRAM, CPAM), etc.
Partners : CASP, Cimade, Gisti, LDH, Anafé (National association helping foreigners at borders), CFDA (Committee for the right to asylum), Comede, involvement in ODSE (European monitoring centre for access to healthcare), local or regional association committees, etc.

The 2003 law on immigration and the 2004 law on asylum have already made it harder to obtain a residence permit and refugee status, but the planned reform of the rules for foreigners entering and staying in the country and the right of asylum risks making a difficult situation even more difficult for prospective immigrants, asylum seekers and sick foreigners. The state medical aid reform of 2004 and July 2005 makes it even harder for foreigners living irregularly in France to get access to healthcare. The health insurance reform which requires people to choose a regular doctor also penalises homeless people including migrants. More than 89% of patients in Médecin du Monde's healthcare centres are foreigners: they have more problems in getting sickness cover as they do not know their rights or how to acquire them.

Facilitating access to healthcare



Activities:

• Healthcare centres: In 2005, the 21 healthcare centres saw 89% foreigners and carried out 45,783 medical consultations. The main obstacles to access to healthcare and rights quoted by people are lack of access to an address, financial difficulties, poor knowledge of rights and systems, administrative difficulties and the language barrier. MdM plays a bridging role and, where possible, refers people to the public health and welfare systems. Journeys into exile, often the source of major psychological and physical suffering, are taken into account, and psychological support work is being developed. The Paris and Marseilles CASOs have set up a specific HIV/hepatitis/STI prevention and screening programme.
• CAFDA (Committee for asylum-seeking families) Project: MdMhas set up reception, health and referral consultations for newly arrived asylum-seeking famlies with a partner, CAFDA. In 2005, CAFDA received and housed more than 5,000 people of 79 nationalities. 1,298 people (of 51 different nationalities) newly arrived at CAFDA were seen by the MdM team in 2005, i.e. 462 families.

Types of work :

All the projects provide consultations, dispense prevention messages and refer migrants to partners and public health systems. Testimonies on insecure living conditions linked to administartive status, the length of proceedings and housing difficulties are the basis for specific work to restrict the decline in migrants' rights.

Outlook:

MdM continues to work towards each person, whatever his administrative status, having immediate access to health insurance and being referred to existing health structures. Mission France is continuing to develop HIV, hepatitis and STI prevention and screening programmes, as well as programmes for treating migrants' psychological suffering. The European Access to Healthcare Monitoring Centre (started in 2004) lobbies European Union institutions and bears witness to the difficulties of getting access to healthcare for people living in insecure situations, on the basis of data collected on the ground (MdM works in 11 European Union countries).

october 2006