MINELRES: ERRC Report: Roma and Health Care
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Sat Oct 14 09:03:19 2006
Original sender: European Roma Rights Centre <[email protected]>
Announcement of Publication
Report by the European Roma Rights Centre
Ambulance Not on the Way:
The Disgrace of Health Care for Roma in Europe
Contacts:
Claude Cahn, ERRC Programmes Director: [email protected], (36 20) 98 36 445
Savelina Danova-Russinova, ERRC Research and Policy Co-ordinator:
[email protected], (36 1) 41 32 215
Warsaw/Budapest, 4 October 2006:
The European Roma Rights Centre (ERRC) announces the publication of the
report "Ambulance Not on the Way: The Disgrace of Health Care for Roma
in Europe". The report explores major systemic causes for exclusion of
Roma from access to health care, as well as provision of inferior
medical services to Roma.
A number of studies reveal a serious gap in health status between
Roma and non-Roma in many European countries. Roma live shorter lives
and show markedly higher instances of diseases such as tuberculosis,
long thought eradicated but now making a dramatic comeback in Central
and Southeastern Europe, as elsewhere. There have also been a number
of recent outbreaks of diseases avoidable by routine vaccine, such as
measles. One recent measles outbreak in Romania caused the death of
fourteen children.
The World Health Organization (WHO) reports that many Roma are not
vaccinated against other serious or deadly diseases, such as polio.
Roma are also regularly excluded from emergency care. Where Roma do
gain access to emergency care this may in fact be the only meaningful
contact they are able to secure with the health care system: Roma
often have no access whatsoever to primary or preventative health
services. These issues and others implicate the international law ban
on racial discrimination.
For a number of years, the ERRC has documented the interference of
racism in the provision of health care services to Romani men and
women in a number of European countries -- Bosnia and Herzegovina,
the Czech Republic, Croatia, Greece, France, Italy, Kosovo, Romania,
Serbia and Montenegro, Slovakia and Slovenia. Research during 2005 in
Bulgaria, Hungary and Spain elaborated and reinforced the findings in
previous years of persistent and widespread practices that deny Roma
the quality of health services available to others. As documented by
the ERRC, in many instances, health services are entirely unavailable to
Roma.
Racial discrimination against Roma in health care is manifested in
exclusion from health services and in the provision of health
services of inferior quality. Roma frequently lack one or more
personal documents crucial for gaining access to health care, and in
some cases may even lack the citizenship of any state. Many Roma have
no health insurance whatsoever. In some cases, access to health care
is obstructed by the physical separation of Roma from the mainstream
of social and economic life, in segregated communities where public
services are restricted or entirely unavailable. In its most
egregious forms, racial discrimination in the provision of health
care manifests itself as denial of treatment of Roma by health care
providers and/or in inappropriate and negligent treatment. Reports of
segregation of Roma in medical facilities, verbal abuse and degrading
treatment reveal a pattern of substandard level of health care
provided to Roma.
In the case of Romani women, the complexity of influences on health
status and access to health care, stemming from the rejection of Roma
in their societies at institutional and individual levels, is
magnified by gender-related discriminatory barriers and forms of
abuse. Lack of access to medical services and inferior medical
services have a particular negative impact on Romani women's health,
especially where reproductive and maternal health are concerned. In
some countries, Romani women experience extreme forms of human rights
violations by health professionals, such as coercive sterilisation.
Racial discrimination outside the health care system also affects the
health of Roma in a number of ways. One area in which the impact of
racial discrimination on the health of Roma is particularly visible
is housing. Patterns of housing discrimination against Roma have
forced numerous individuals into inhuman and degrading conditions of
segregated slum settlements; exposed Romani individuals to
environmental hazards; and made them vulnerable to forced evictions
and other violent abuse by state and non-state actors. Higher
vulnerability of Romani women from excluded communities to
trafficking, domestic violence and early marriage are other factors
having a negative impact on the health status of Romani women.
The exclusion of Europe's largest minority from vast areas of the
health care system should in principle constitute among Europe's most
significant social inclusion policy concerns. To date, however, the
interface between Roma and the health care systems of Europe has
received limited policy attention, in particular by comparison with
several other key areas. Government policies to facilitate the access
by Roma to medical care are for the most part nascent, where they exist
at all.
Where such policies do exist, by failing to acknowledge and confront
discrimination against Roma in the health care system, governments
postpone the solutions to these problems to the distant future.
Policy measures on Roma health tend to be designed and implemented
outside the mainstream health policy framework of governments. The
effect of implementing separate health policies on Roma while not
integrating solutions to Roma health problems in mainstream policies
is to diminish the impact of Roma-specific health policies and in
some cases to render such policies effectively meaningless.
Effective health care policies on Roma should involve revision of
laws and policies which are shown to have a disparate effect on Roma
in the field of social and health services, as well as the
development and implementation of specific targeted action to ensure
equal access to such services. Furthermore, health policies are
contingent on the effectiveness of policies aimed at reducing levels
of exclusion of Roma from mainstream and quality education, reducing
exclusion from employment, and improving housing standards.
"Ambulance Not on the Way" includes detailed recommendations to
policy- and lawmakers aimed at bringing about fundamental change in
these areas.
Research toward -- and publication of -- "Ambulance Not on the Way:
The Disgrace of Health Care for Roma in Europe" has been paid for by
a grant from the Open Society Institute's Public Health Program
(PHP). The full text of "Ambulance Not on the Way: The Disgrace of
Health Care for Roma in Europe" is available in English at:
http://www.errc.org/cikk.php?cikk=2632
Hard copies of "Ambulance Not on the Way: The Disgrace of Health Care
for Roma in Europe" are available by contacting the offices of the
European Roma Rights Centre.
_____________________________________________
The European Roma Rights Centre is an international public interest
law organisation which monitors the rights of Roma and provides legal
defence in cases of human rights abuse. For more information about
the European Roma Rights Centre, visit the ERRC on the web at
http://www.errc.org.
European Roma Rights Centre
1386 Budapest 62
P.O. Box 906/93
Hungary
Phone: +36 1 4132200
Fax: +36 1 4132201
_____________________________________________
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