General Assembly



Past and Future Events                  

The TF Migration, Equity & Diversity is established within the international HPH network with a specific mandate for coordination assigned to the HPH regional network of Emilia-Romagna (Italy) by the General Assembly and the Governance Board of the international HPH network. The provider is the Health Authority of Reggio Emilia, responsible for the Coordinating Centre of the regional HPH network of Emilia Romagna.            

The Task Force on Migration, Equity & Diversity (TF MED) was established in December 2016 within the international network of Health Promoting Hospitals & Health Services (HPH). It is continuing the work carried out by the Task Force on Migrant Friendly & Culturally Competent Healthcare (TF MFCCH 2005-2016), which was a successor to the Migrant Friendly Hospitals project (MFH 2002-2004).

The purpose of the TF MED is to support member organisations in developing policies, systems and competences for the provision and delivery of accessible health care to patients from diverse populations. To this end, a set of Standards for Equity in health care were developed by the TF MFCCH and pilot tested in several countries. The new TF MED aims at developing strategies to ensure the effective implementation of the Standards for Equity and the identification and sharing of good practices and innovative ideas.

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Scientific Committee

  • Antonio Chiarenza, Task Force Chair, AUSL of Reggio Emilia, Italy
  • Roumyana Petrova-BenedictInternational Organization for Migration
  • Bernadette Nirmal Kumar and Ragnhild Spilker, The Norwegian Centre for Migration and Minority Health, NAKMI, Norway
  • David Ingleby, University of Amsterdam, The Netherlands
  • Eeva Hakkinen, Mikkeli Central Hospital, Finland
  • Laura McHugh, Galway University Hospital, Ireland
  • James Glover, Community Health, Dublin, Ireland
  • Marie Serdynska, Montreal Children’s Hospital, McGill University Health Centre, Canada
  • Karima Karmali, The Hospital for Sick Children, Toronto, Canada
  • Lidia Horvat, Department of Health and Human Services, Melbourne, Australia
  • Manuel Fernandez Gonzalez, Uppsala University Hospital, Sweden
  • Elizabeth Abraham, Critical Link International, Canada
  • Hans Verrept, FPS Health, Food Chain Safety and Environment, Belgium
  • Manuel Garcia-Ramirez, CESPYD, University of Seville, Spain


Standards for equity in health care

During the last four years the TF has worked on a project aimed at developing a comprehensive framework for measuring and monitoring the capacity of health care organisations to improve accessibility and quality of care for migrants and other vulnerable groups.SfEquity.jpg

To this end a set of Standards for Equity in health care were developed and pilot tested in several countries: 

The Standards for equity in health care address 5 domains:

  1. Equity in Policy, aiming to define how organisations should develop policies, governance and performance monitoring systems, which promote equity;
  2. Equitable Access and Utilisation, aiming to encourage health organisations to address barriers which prevent or limit people accessing and benefiting from health care services;
  3. Equitable Quality of Care, aiming to ensure that organisations develop services that are responsive to the diverse needs of patients and families along the whole care pathway, ensuring a safe environment and continuity of care;
  4. Equity in Participation, aims to support organisations in developing equitable participatory processes that respond to the needs and preferences of all users;
  5. Promoting Equity, aiming to encourage organisations in promoting equity in its wider environment through cooperation, advocacy, capacity building, disseminating research and effective practices.

The Standards for equity provide opportunity for staff and services to question what they do, why they do it, and whether it can be done better.

Three Key Achievements

• Development of the Standards for Equity in health care for migrants and other vulnerable groups

• Pilot testing of the standards in 55 health care organisations in 16 countries

• Participation in several EU funded projects: EQUI-HEALTH, COST-HOME, NOWHERELAND, COST-ADAPT, MEM-TP, SH-CAPAC

Three Major Challenges

• The Standards for Equity require an online platform that allows health care organisations to easily collect, monitor and use information about their performance

• The Standards for Equity should be available in a range of languages

• Lack of supportive legislation, adaption to local circumstances and resource constraints


Our Vision for the Future

The TF MED will work on linking assessment through the Standards for Equity to continuous improvement in order to ensure effective implementation of interventions addressing inequities in health care. To this end, we will seek to secure additional resources to support the work of health care organisations to improve the equity of their services, and help them to implement action plans arising from self-assessment. We will promote the Standards for Equity among as many stakeholders as possible, including health care providers, regional and national health authorities, and interested groups. Therefore, we will raise awareness of the tool and the wider project. HPH member organisations are invited to participate in the new project by joining the TF MED.

Read the Task Force's Work Plan


Further information

These standards have been developed by a group of experts and professionals belonging to various HPH networks and other institutions, from Canada, Italy, Norway, Scotland, Spain, Sweden, Switzerland and The Netherlands. In order to facilitate the implementation, the structure and content of the equity standards are similar to those adopted for the well known HPH standards. These standards need now to be shared and discussed with the wider group of HPH members in order to assess whether they meet the requirements and comply with to the needs of the people and services’.

Read the Task Force's Progress Report 2015-2016


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TF MED in Tampere (Finland) on August 25th-26th 2016 with Task Force Leader Antonio Chiarenza (Italy), Manuel Gracia Ramirez (Spain), Ragnhild Spilker (Norway), Eeva Hakkinen (Finland), James Glover (Ireland), Hans Verrept (Belgium), Marie Serdynska (Canada), Isabelle Coune (Belgium), Sinikka Bots (Finland) and Marika Podda-Connor (Malta) and members of the Finnish HPH network participating in the meeting.

HPH members interested to join the TF-MED can contact the Chair of the TF:

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Antonio Chiarenza

Regional HPH Network of Emilia-Romagna, Direzione Generale AUSL of Reggio Emilia