Urgent policy actions are needed to tackle the Roma public health crisis! On the occasion of the 10th European Platform for Roma Inclusion taking place on 29-30 November in Brussels, and prior to the 2017 mid-term evaluation of the European Framework of National Roma Integration Strategies, we urgently call on all stakeholders, in the spirit of ‘Mutual Accountability,’ to consider the following Recommendations in the area of Roma Health:
- Primary and community health care services, including mental health services, must be distributed more equally and cost-efficiently in disadvantaged communities.
- The experience underpinning Roma health mediation to improve Roma population health is impressive and convincing. However, a careful assessment of the lessons learnt from its implementation is needed to identify the potential and limits of Roma health mediation, including lack of recognition by health providers and absence of systemic financing.
- As well as improving accessibility of public health facilities, complementary and alternative solutions should be further explored (eg. Mobile health units, Community healthcare monitoring including for maternal health care, Medical Caravans for cancer screening, vaccination etc.).
- Health determinants of disadvantaged Roma affected by such constraints as access to services, or information and influence (e.g. social norms, discrimination) must be addressed.
- Proper monitoring and evaluation mechanisms concerning the health status of the Roma population should be in place. The conclusions which can be drawn from the existing data on Roma health should be identified, as well as which methodologies can be scaled up or sustained in the long term.
- The disconnection between European processes and the policies implemented at regional and local level should be addressed. The synergies between, and concrete results of, the European 2020 targets and the Pillar of Social Rights should be carefully assessed with regard to Roma integration.
- The lack of accurate information on Roma communities must be addressed to develop and implement effective and appropriate policies and services. Ethnicity should be included as a category in the collection of official data.
AMALIPE Center for Interethnic Dialogue and Tolerance – Bulgaria ● Association for Culture, Education and Communication (ACEC) – Slovakia ● AwenAmenca - Czech Republic ● European Roma Information Office (ERIO) ● Eurochild ● Eurodiaconia ● European Coalition for Vision (ECV) ● European Federation of National Organisations Working with the Homeless (FEANTSA) ● European Institute for Women’s Health (EIWH) ● European Patients Forum (EPF) ● European Public Health Alliance (EPHA) ● European Roma Grassroots Organisations Network (ERGO) ● International Step by Step Association (ISSA) and Romani Early Years Network (REYN) ● Mental Health Europe (MHE) ● National Roma Center (NRC) - Macedonia ● Partners Hungary Foundation ● Platform for Supporting Health of Disadvantaged Groups and Healthy Communities – Slovakia ● Roma Association Unga - Spain ● Roma Cultural Centre “O Del Amenca” (ODA) - Romania ● SASTIPEN - Romania ● World Without Borders Association – Bulgaria
Download here this press statement and the background note - Roma Health in Europe
 The term “Roma” is used – similarly to other political documents of the European Parliament and the European Council – as an umbrella which includes groups of people who have more or less similar cultural characteristics, such as Sinti, Travellers, Kalé, Gens du voyage, etc. whether sedentary or not; around 80% of Roma are estimated to be sedentary (SEC(2010)400).
 Mental health disparities between Roma and non-Roma children in Romania and Bulgaria http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-014-0297-5
 Mc Daid, D. (2011). Making the long-term economic case for investing in mental health to contribute to sustainability. European Union. http://ec.europa.eu/health/mental_health/docs/long_term_sustainability_en.pdf
 The case for investing in public health” (2014) World Health Organization, Regional office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0009/278073/Case-Investing-Public-Health.pdf
 European Commission (2014). Roma Health Report – Health Status of the Roma Population. Available at: http://ec.europa.eu/health/social_determinants/docs/2014_roma_health_report_en.pdf
 The health situation of Roma communities: Analysis of the data from the UNDP/World Bank/EC Regional Roma Survey, p 38, http://www.undp.org/content/dam/rbec/docs/The-health-situation-of-Roma-communities.pdf
 Briefing Paper for Expert Consultation on Issues Related to Minorities and the Denial or Deprivation of Citizenship, 6-7 December 2007, Convened by the UN Independent Expert on Minority Issues http://www.nationalromacentrum.org/en/publications/research/roma-citizenship-statelessness-and-related-status-issues-in-europe
 Roma Health Mediators - Successes and challenges, p 1, http://www.ecdc.europa.eu/en/press/events/Documents/Roma-Health-Mediators-report-Alina-Covaci.pdf