The Right of Access to Health Care for Migrants in the Republic of North Macedonia - Barriers and Challenges
Journal
Journal of Health, Medicine and Nursing, An International Peer-reviewed Journal
Date Issued
2020-01-31
Author(s)
Jankulovska Angelka
DOI
10.7176/JHMN/70-03
Abstract
Introduction: In recent years hundreds of thousands of refugees and migrants who have left their homes in order
to reach the EU member states have transited through The Republic of North Macedonia (RNM). The dynamics
of the refugee crisis in this period continually tested the readiness of the state to fully respect the guarantees of
basic human rights, cultural and social differences, as well as respect for human dignity. The R. of North
Macedonia throughout the crisis has remained a country of transit, not a target destination for refugees and
migrants. The increasing number of migrants makes much more pressure on health systems in countries. Access
to health services is one of the most basic issues, because high-quality care and health care is not effective if
people don`t have access to it.Purpose of the paper is to represent the right and access to health care for migrants
in the Republic of Northern Macedonia, the restriction of the health system, as well as the policies for improving
the availability of health services for migrants.Material and Methods: In this paper are used, a public health
approach, an infromatic-analytical method and sinteses evidence, and a review of the existing legislation,
strategic documents and other documents. The materials whish were used are electronic databases such as
PubMed, HINARI, EBSCO, Google Scholar, Scopus, and special search strategies for each keyword database
based on inclusion criteria. For a detailed and specific view, were used reports from the International
Organization for Migration (IOM)Results and Discussion: With an overall assessment of MIPEX 38/100, the
country's policies are barely conducive to social integration. These policies are the result below the European
average and an average slightly better than other countries in the region. Migrants lack targeted state support to
find the right job, improve their children's education or benefit from consultative bodies. After the adoption of
the National Strategy for the Integration of Refugees and Migrants in 2017, as one of the key documents of the
Ministry of Labor and Social Policy that regulates the country's policy in dealing with affirmed refugees and
foreigners on its territory, in 2018, the Action plan for the integration of refugees and foreigners 2017-2027.
Migrants and refugees have multiple barriers to access to health care, as well as discrimination in access to the
asylum procedure - which indirectly affects the exercise of healthcare rights.Conclusion: Despite the efforts
made to give a quick response to the migration-refugee crisis, the Republic of North Macedonia needs further
improvement of the respect and protection of the human rights of migrants and refugees. Health system reforms
are needed in order to provide a faster and more efficient response to the needs of vulnerable groups who are
staying and transiting through the Republic of North Macedonia.
to reach the EU member states have transited through The Republic of North Macedonia (RNM). The dynamics
of the refugee crisis in this period continually tested the readiness of the state to fully respect the guarantees of
basic human rights, cultural and social differences, as well as respect for human dignity. The R. of North
Macedonia throughout the crisis has remained a country of transit, not a target destination for refugees and
migrants. The increasing number of migrants makes much more pressure on health systems in countries. Access
to health services is one of the most basic issues, because high-quality care and health care is not effective if
people don`t have access to it.Purpose of the paper is to represent the right and access to health care for migrants
in the Republic of Northern Macedonia, the restriction of the health system, as well as the policies for improving
the availability of health services for migrants.Material and Methods: In this paper are used, a public health
approach, an infromatic-analytical method and sinteses evidence, and a review of the existing legislation,
strategic documents and other documents. The materials whish were used are electronic databases such as
PubMed, HINARI, EBSCO, Google Scholar, Scopus, and special search strategies for each keyword database
based on inclusion criteria. For a detailed and specific view, were used reports from the International
Organization for Migration (IOM)Results and Discussion: With an overall assessment of MIPEX 38/100, the
country's policies are barely conducive to social integration. These policies are the result below the European
average and an average slightly better than other countries in the region. Migrants lack targeted state support to
find the right job, improve their children's education or benefit from consultative bodies. After the adoption of
the National Strategy for the Integration of Refugees and Migrants in 2017, as one of the key documents of the
Ministry of Labor and Social Policy that regulates the country's policy in dealing with affirmed refugees and
foreigners on its territory, in 2018, the Action plan for the integration of refugees and foreigners 2017-2027.
Migrants and refugees have multiple barriers to access to health care, as well as discrimination in access to the
asylum procedure - which indirectly affects the exercise of healthcare rights.Conclusion: Despite the efforts
made to give a quick response to the migration-refugee crisis, the Republic of North Macedonia needs further
improvement of the respect and protection of the human rights of migrants and refugees. Health system reforms
are needed in order to provide a faster and more efficient response to the needs of vulnerable groups who are
staying and transiting through the Republic of North Macedonia.
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