Governments:
- Appoint minority representatives to participate in the design, implementation, and evaluation of health programs and policies that affect their lives.
- Ensure that policies and legislation address social factors that determine health and the needs of minorities. Interventions that aim to improve housing, for example, are critical to reducing TB infections.
- Support the collection of ethnically disaggregated data and, based on this data, allocate resources to populations most in need of basic health services. Communities should be involved in the data collection and analysis process.
- Train health care workers in communicating and working with minority and marginalized populations.
- Establish an ombudsman office or other monitoring mechanism in health care systems to follow up reports of abuse or discrimination in health care settings.
- Grant under- represented minority students incentives and assistance to enter health care professions.
Civil society, donors, researchers, media:
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Civil society should become more familiar with instruments designed to protect and promote human rights, including the right to health for minorities.
- Donors should invest in the institutional and capacity development of Roma leadership to engage effectively on policy issues affecting access to health and social services.
- Academic, government, and other research communities should explore the inequities in access to health care for minorities and other marginalized populations.
- Media should investigate and report systemic causes of the inequity in health status between minorities and the majority population in a balanced and fair manner.
Source: Open Society Institute Public Health Program. Left Out: Roma and Access to Health Care in Eastern Europe and South Eastern Europe, 2007. |