Ministry of Human Resources

MINISTRY OF HUMAN RESOURCES

The National Social Inclusion Strategy and other relevant programmes in Hungary

regarding Roma health

Together for a Better Health, Sofia, 27-28 September, 2013.

Csaba AndorMinistry of Human Resources

The National Social Inclusion Strategy and other relevant programmes in Hungary

regarding Roma health

Together for a Better Health, Sofia, 27-28 September, 2013.

Csaba AndorMinistry of Human Resources


Contents

0. Facts and figures1. The National Social Inclusion Strategy on health2. Other national strategies related to Roma health 3. Improving the health status of the Roma


0. Basic figures

• Roma are habitants, not migrants, consisting 3,2/7% (census/estimate) of the population• 70% are unemployed (80% of women!)• 80% living in deep poverty• Almost 30% living in poor segregated settlements, 40% living with 3 generations• Undereducated: high rate of school drop-out, 2/3 finish their schools in secondary vocational education• 2-3x higher fertility rate than other Hungarians• 32,4% are under 15, just 4% above 60• Life expectancy at birth about 8-10 years shorter

The Roma are overrepresented in the disadvantaged

small regions of the country


1. National Social Inclusion Strategy (NSIS) 2011-2020

• Aims to reduce inequalities in Hungarian society and enhance the integration of disadvantaged groups including the Roma.

• A strategy focusing on the Roma, but not exclusively for the Roma.

European background: • During the Hungarian presidency in 2011 one of the goals was to

reinforce the role of EU in Roma inclusion and enhance cooperation • Declaration: the inclusion of the Roma is of common EU interest• EU Framework of Roma strategies (COM(2012) 226): national

measures aimed at Roma inclusion have to fit into the national reform programs to contribute to the objectives of the EU2020 Strategy

• Steps since 2011: SWD(133), COM(2013) 454, COM(2013) 460 (debated)


EU focus areas of the strategy

• Education• Employment • Housing• Health• Antidisrimination

Hungarian focus

The above +• Culture• Public safety


Target groups

1. Those living in deep poverty2. Families with children3. Roma population with special focus on women

Problematic areas

1. Low level of labour intensity2. Territorial inequalities3. Access to public education4. Access to healthcare5. Access to housing6. Self representation of Roma, consciousness of rights7. Discrimination against the Roma8. Methodological difficulties regarding data about the Roma


Political principles of social inclusion

1. Governmental priority to inclusion which is a development policy (based on the positive equality of opportunity)

2. Integration3. Complexity, concentration, comprehensiveness4. Programs based on shareholder participation and

responsibility5. Regular measuring of progress and effects (~

monitoring)

The Roma issue is a political issue with special public attention.


Health priorities of NSIS

Health prevention of disadvantaged groups (vaccination,

local and individual health programmes)

Reduce the inequalities in access to basic health

services especially in disadvantaged micro regions

Early intervention: improved perinatal care, early

prevention and early development

Mental hygiene of disadvantaged groups


2. Related strategies

• 2003: “The Public Health Programme of the Decade of Health” (main goal: increase life expectancy by 3 years within 10 years)• 2005: Decade of Roma Inclusion Strategic Plan (2005-15, mission: to accelerate Roma integration and reduce inequalities)• 2011: Semmelweis Plan for the Rescue of Healthcare (values: health is a fundamental right, self responsibility, focus on Roma, villagers, poor and people with disabilities, complex actions)


3. Improving health status of the Roma

• Programme to fill all basic healthcare positions also in the

most disadvantaged micro regions (DMR; family doctor and

preventive nurse), aim to include Roma cultural mediators

enhancing Roma participation in private health development

programmes

• Programme to establish local Health Development Offices

(HDO): targeted at about 2/DMR (under implementation;

currently a project, but later included in the health budget)

• Programme to enhance mental health


3. Improving health status of the Roma

• Vaccination programme

• The ongoing complex settlement programmes (with housing,

education and employment elements) include health

development actions as well (HDOs)

• Research programmes in the social dimensions of health

inequalities resulting in practical suggestions

• Main difficulties: to accept health as a horizontal value with

decisive social, employment, housing and educational

factors besides medical health

Behind the generalized „roma data” and policies and programmes there are unique local communities, different cultures, citizens, e.g. … PEOPLE

Thank you for your attention!Thank you for your attention!

Csaba AndorCsaba [email protected]

mailto:[email protected]



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