MIGRATION HEALTH ASSESSMENT

CENTRE, NAIROBI
OUR MISSION IS TO
ENSURE MIGRANTS ARE
FIT TO TRAVEL IN A SAFE
AND DIGNIFIED MANNER
1he lnLernauonal
Crganlzauon for
Mlgrauon's (lCM) PealLh
AssessmenL CenLre
(MPAC) ln kenya provldes
mlgrauon healLh-relaLed
asslsLance for lmmlgranLs,
refugees, asylum seekers
and moblle populauons.
1he purpose of healLh
assessmenLs ls Lo ldenufy
and address condluons
of publlc healLh and
publlc safeLy concern,
and condluons lmpacung
healLh and soclal servlces.
Cur goal ls Lo lnform
mlgranLs of Lhelr healLh
condluons and needs,
and Lo faclllLaLe Lhelr
lnLegrauon lnLo recelvlng
communlues.
LxperL physlclans
MPAC nalrobl employs
llcensed and skllled
nauonal and lnLernauonal
physlclans who are
Lhen Lralned by lCM and
parLner governmenLs Lo
admlnlsLer comprehenslve
mlgrauon healLh
assessmenL servlces,
ln accordance wlLh Lhe
Lechnlcal lnsLrucuons (1l)
of desunauon counLrles.
ubllc healLh approach
lCM conducLs mandaLory
healLh educauon sesslons
and professlonal pre- and
posL-Plv counselllng
and Lesung, lncludlng
Lhe dlssemlnauon of
culLurally approprlaLe
healLh lnformauon
maLerlals. MPAC LreaLs
endemlc condluons,
such as malarla,
Lyphold and oLhers, and
provldes LreaLmenL for
Luberculosls, S1ls and
AluS. MPAC also provldes
lmmunlzauons for vacclne
prevenLable dlseases,
such as yellow fever,
measles, pollo, hepauus
A and 8, menlnglus,
varlcella and oLhers.

ulgnlLy
MPAC's
pre-deparLure
medlcal
procedures always
ensure mlgranLs are
L Lo Lravel ln a safe
and dlgnled manner.
1hls guaranLees Lhe
healLh and well-belng
of Lhe mlgranL, fellow
Lravellers and recelvlng
communlues.
AccounLablllLy
AL MPAC, Lhe healLh
assessmenLs of mlgranLs
ls Lallored Lo sausfy
Lhe exlsung 1ls of Lhe
desunauon counLrles.
CuallLy conLrol,
assurance and anu
fraud measures are
lmplemenLed aL
all sLages, and
regularly
updaLed.
IOM IN ACTION
- Cers counLry speclc
mlgrauon healLh assessmenLs,
- Lnsures 100% treatment
or referral for treatment or
stab|||zanon before trave|,
- 19,710 mlgranLs were
examlned ln 2010 ln kenya,
- MPAC nalrobl runs lLs
own level Lhree blo-safeLy
laboraLory, provldlng quallLy
assured 18 culLure Lesung on
solld and llquld medla and
drug suscepublllLy Lesung,
- 47 migrants were treated for
tubercu|os|s |n 2010 |n kenya,
- All mlgranLs undergo Lallored
lnformauon sesslons and full
consenL ls obLalned prlor Lo
Lhe healLh assessmenL
process,
- 12,042 clients were
immunized ln 2010 as per Lhe
vacclnauon requlremenLs for
Lravelllng Lo Lhe unlLed SLaLes.
KENYA
Programme Refugees Immigrants Total 2009 Refugees Immigrants Total 2010
2,009 2,009 2,010 2,010
USA 6,014 5,639 11,653 5,800 7,189 12,989
Canada 739 338 1,077 1,007 359 1,366
Australia 410 1,489 1,899 681 1,147 1,828
Others 17 3,164 3,181 459 3,068 3,527
uu8lnC 2010 WL CCnuuC1Lu CvL8 19,700
MlC8A1lCn PLAL1P ASSLSSMLn1S ln kLn?A"
PealLh AssessmenLs ln kenya, 2009 - 2010
SL8vlCLS CllL8Lu A1 MPAC
lCM's Mlgrauon PealLh AssessmenL CenLre ln nalrobl oers a broad range of servlces, lncludlng:
- PealLh assessmenLs for mlgranLs, as per Lhe guldellnes and lnsLrucuons of recelvlng counLrles,
- 1reaLmenL for medlcal condluons whlch pose a rlsk Lo publlc healLh, such as Luberculosls, Plv and sexually Lransmlued
dlseases,
- lmmunlzauon agalnsL vacclne prevenLable dlseases,
- ropohylaxls agalnsL malarla, Luberculosls and opporLunlsuc lnfecuons ln lmmunocompromlzed lndlvlduals,
- rofesslonal medlcal asslsLance and speclal Lravel arrangemenLs for slck or vulnerable persons durlng Lravel, lncludlng
medlcal escorung,
- AsslsLance ln unA Lesung and/or unA sample collecuon for lmmlgrauon purposes,
- Survelllance and ouLbreak managemenL ln LranslL cenLres or oLher Lemporary seulemenLs.
HEALTH ASSESSMENTS IN KENYA, 2009 - 2010
1he managemenL of 18 ls a cruclal
parL of Lhe mlgrauon healLh assessmenL
process, glven LhaL Lhe mode of Lransmlsslon
does noL recognlze borders and ls sLrongly lnuenced
by soclal and envlronmenLal facLors, Lhus maklng
mlgranLs a vulnerable populauon.
ln cooperauon wlLh Lhe nauonal 18 programme of kenya, lCM
has accumulaLed slgnlcanL experlence ln Lhe managemenL of
18, lncludlng mulu-drug reslsLanL 18. lCM also conLrlbuLes Lo Lhe
Lrans-border conLrol of 18 Lhrough early deLecuon and LreaLmenL
ln lLs four ulrecLly Cbserved 1reaLmenL (uC1) CenLres ln kenya:
nalrobl upper Plll, nalrobl LasLlelgh, uadaab and kakuma.
47 MIGRANTS
WERE TREATED FOR
TUBERCULOSIS BY
IOM MHAC STAFF IN
NAIROBI IN 2010
HEALTH ASSESSMENTS: THE PROCESS
Counselllng appllcanLs and seeklng Lhelr consenL prlor
Lo Lhe healLh assessmenL
8adlology examlnauons for Lhe deLecuon of
Luberculosls
1aklng blood samples for lab lnvesugauons hyslcal examlnauon
AdmlnlsLrauon of vacclnes
uaLa enLry and compllauon of medlcal les and reporLs
for submlsslon Lo Lhe relevanL auLhorlues
A COMPREHENSIVE PROCESS
nnnn
MlC8A1lCn PLAL1P ASSLSSMLn1S: A CCM8LPLnSlvL 8CCLSS
- 8lo-daLa verlcauon and schedullng,
- PealLh lnformauon and educauon sesslons, obLalnlng consenL,
- hoLo ldenucauon, blologlcal sample collecuon and laboraLory Lesung,
- 8adlologlcal examlnauon,
- Medlcal hlsLory revlew, and vlLal slgn measuremenL,
- CompleLe physlcal examlnauon,
- 8eferral for speclallsL evaluauon and addluonal dlagnosuc procedures,
- 1reaLmenL admlnlsLrauon, or referral Lo LreaLmenL,
- AdmlnlsLrauon of all appllcable vacclnes and prophylaxls,
- LlecLronlc daLa capLurlng, analysls and lnformauon sharlng,
- Medlcal form compleuon and submlsslon Lo Lhe relevanL lmmlgrauon omce,
- ConsulLauon wlLh Lhe healLh auLhorlues of recelvlng counLrles.
International Organization for Migration
Migration Health Assessment Centre
4th Ngong Avenue
Nairobi, Kenya
Tel: +254 20 272 3605
Email: nbomed@iom.int
www.nairobi.iom.int
1hls ls my second lease on llfe. l wanL Lo belong."
Abdulkadlr Csman ls a 23-year-old Somall-8anLu who was born lnLo anarchy and vlolence. AL 19, he was forced Lo ee from
Somalla Lo congesLed dlsplacemenL camps ln nelghbourlng kenya.
Pe speaks genLly, and smlles aL every opporLunlLy: My vlllage ln klsmayo (souLhern Somalla) was auacked. l dld noL wanL Lo
dle. So l ran away. Slnce LhaL day, l have never seen my moLher, my faLher, my younger broLher or my slsLer."
Abdulkadlr walked Lhousands of mlles Lo Lhe world's largesL dlsplacemenL camp ln uadaab (norLhern kenya). 1he camp was
bullL Lo house 90,000 people buL now accommodaLes approxlmaLely 330,000 dlsplaced persons. AL Lhe camp, l wenL Lo
school. l even goL marrled. Llfe was hard, buL l Lrled Lo make Lhe mosL of lL. Cne day, some people came Lo my LenL aL nlghL,
and shoL my wlfe dead. She was expecung our baby - my rsLborn."
Pavlng been accepLed by Lhe unlLed nauons 8efugee Agency (unPC8) as a beneclary of Lhe unlLed SLaLes refugee reseulemenL
programme, Abdulkadlr Lravels Lo Lhe lnLernauonal Crganlzauon for Mlgrauon's PealLh AssessmenL CenLre, before sLarung hls
new llfe ln Amerlca.
l llke MPAC because Lhe servlce ls very fasL. 1hls ls so good because l do noL have money Lo keep comlng Lo Lhe cllnlc. now
LhaL l am healLhy, l can go Lo Amerlca, lL wlll be a second lease on llfe. l wanL Lo go Lo school, l wanL work llke any honourable
man, l wanL Lo sleep ln a clean bed and eaL good food. l wanL Lo belong."
WITH THANKS TO
OUR PARTNERS:
DIRECTIONS TO MHAC, NAIROBI
lrom Lhe pre-examlnauon lnformauon sesslon,
Lo Lhe exam lLself, followed by Lhe mandaLory
Lesung, and supplemenLal Lesung, such as
spuLum culLures for Luberculosls, Lhe dlglLal
chesL x-ray and Lhe counselllng sesslons for Plv
posluve appllcanLs, lCM does an excellenL [ob
and ls a LrusLed parLner ln our programme."
ur Shaun Colllsh, 8eglonal Medlcal Auache,
Canadlan Plgh Commlsslon, nalrobl
HEALTHY MIGRANTS IN HEALTHY COMMUNITIES
SL1LM8L8 2011