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10 Nov 2016

MRS No. 52 - Summary Report on the MIPEX Health Strand and Country Reports

The Migrant Integration Policy Index (MIPEX) Health strand is a questionnaire designed to supplement the existing seven strands of the MIPEX, which in its latest edition (2015) monitors policies affecting migrant integration in 38 different countries. The questionnaire measures the equitability of policies relating to four issues: (A) migrants’ entitlements to health services; (B) accessibility of health services for migrants; (C) responsiveness to migrants’ needs; and (D) measures to achieve change. The work described in this report formed part of the EQUI-HEALTH project carried out by the International Organization for Migration from 2013 to 2016, in collaboration with the Migrant Policy Group (MPG) and COST Action IS1103 (Adapting European health services to diversity). Part I of this report shows that many studies have already been carried out on migrant health policies, but because they tend to select different countries, concepts, categories and methods of measurement, it is difficult to integrate and synthesize all these findings. The MIPEX Health strand sets out to surmount this obstacle by collecting information on carefully defined and standardized indicators in all 38 MIPEX countries, as well as Bosnia and Herzegovina and the former Yugoslav Republic of Macedonia. Part II describes the conceptual framework underlying the questionnaire and the way in which aspects of policy were operationalized and scored in the 38 indicators. This is followed in Part III by a detailed description of the pattern of results found in 34 European countries on each item in the questionnaire. Part IV reports the results of statistical analyses of collected data.

  • Acknowledgements
  • List of acronyms
  • Executive summary
    • 1. Introduction to the project
      • 1.1. The project partnership
      • 1.2. Aims and background
      • 1.3. Countries and migrant groups studied
      • 1.4. Policy issues studied
      • 1.5. The questionnaire
    • 2. Content of the MIPEX health strand questionnaire
      • 2.1. Entitlement to health services
      • 2.2. Policies to facilitate access
      • 2.3. Responsive health services
      • 2.4. Measures to achieve change
    • 3. Questionnaire scores
      • 3.1. Entitlement to health services
      • 3.2. Policies to facilitate access
      • 3.3. Responsive health services
      • 3.4. Measures to achieve change
    • 4. Statistical analyses
      • 4.1. Reliability, validity and structure of the scales
      • 4.2. Relation of MIPEX Health strand scores to other variables
  • Appendix: Names of researchers and peer reviewers
  • Bibliography
  • Endnotes