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UNGA 24 Hour Live and pre-recorded Programming 

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PEAH News Flash 398

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 398

 

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REGISTRATION – OFFICIAL UN GENERAL ASSEMBLY SIDE EVENT: PROGRESS AND MULTISECTORAL ACTION TOWARDS ACHIEVING GLOBAL TARGETS TO END TB Wednesday, 23 September 2020, 10:00H – 12:00H New York time Virtual event, United Nations, New York  

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Non-Communicable Diseases & Injuries Are The Biggest Killers Of People In The Poorest Billion 

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Barriers For Migrants by Chamid Sulchan

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Africa’s Innovative COVID-19 Response: The Africa Medical Supplies Platform

The Africa Medical Supplies Platform (AMSP) is a non-profit continental online procurement platform designed to resolve Africa’s COVID-19 medical supply predicament. Besides strengthening Africa’s supply management system and bolstering local production of pharmaceuticals the main objective of the platform is to provide equitable access to medicines and medical supplies for all participating countries. The platform pools certified medical suppliers and aggregates demand, thereby creating a larger market that saves time, enables competitive pricing, and ensures the security of the supplies. Sourced and donated medical supplies are distributed proportionately by taking into account the population, disease burden, and vulnerability level of Member States. After quotas are designated, Member States are required to make payment into a holding account at Africa’s Export-Import Bank (Afreximbank) within a stipulated number of days and then the supplies are delivered by designated commercial carriers

 By Chiamaka P. Ojiako

Policy Analyst, Lawyer 

New York University

Africa’s Innovative COVID-19 Response

The Africa Medical Supplies Platform

 

Globally, access to medicines and medical supplies is largely driven by demand and the ability to pay rather than need. Notwithstanding numerous factors that impede access to medicines and medical supplies, this paper will focus on the recent innovations in supply chain management in Africa. These developments are particularly significant as over 70% of all pharmaceuticals consumed in Africa are imported, and less than 2% are manufactured locally.[1]

The heavy reliance on imported pharmaceuticals further strains limited health financing and exposes vulnerable populations to greater inequalities in accessing effective and affordable medicines.[2]

In 2012, the Heads of State at the African Union Summit endorsed the African Pharmaceutical Manufacturing Plan to foster local production of quality and affordable pharmaceuticals.[3] However, demand-side barriers caused by buyer fragmentation, different markets, and the small economic size of several African countries raised feasibility and sustainability concerns.[4] These are valid concerns because a small country’s significant need for medicines might not translate to sufficient demand leading to higher cost and lower availability.[5] Addressing these restraints became more imaginable with the ratification of the Africa Free Trade Agreement (AfCTA), which seeks to create a single continental market for goods and services.[6] The projections of improved harmonization and continental access have opened up possibilities for developing unified continental regulatory standards for the pharmaceutical industry. These uniform standards, if achieved across the continent, would facilitate pooled procurement and local drug production.

Leveraging on the AfCTA, the Small Island Developing States (SID), United Nations Economic Commission for Africa (ECA), and the Intergovernmental Authority on Development (IGAD) advocated for the development of the AfCTA-Anchored Pharmaceutical Project with a three-fold approach of pooled procurement, local production, and improved drug quality.[7] This pilot initiative focused on improving access to maternal and child health care (MCH) products in select countries from Regional Economic Communities (RECS) with existing pooled procurement projects.[8]  The experiences, practices, policies, and lessons learned from implementing successful regional pooled procurement initiatives, like the Southern African Regional Program on Access to Medicines (SARPAM), served as a precursor to Africa’s innovative response to the disrupted global drug supply chain during the COVID-19 pandemic.[9]

In recognition of the vulnerability of the African region to COVID-19 and its adverse effects, the Africa Center for Disease Control (CDC) adopted a containment and mitigation response strategy.[10] While swift containment measures were successfully put in place, mitigating the spread across African countries was difficult mainly due to limited testing capacity and scarce medical supplies.[11] Pharmaceutical companies responded to the disrupted global supply chain with unpredictable price changes and prioritization of the highest bidders. Consequently, several African countries lacked COVID-19 medical supplies and became more vulnerable to substandard pharmaceutical products in circulation.[12] The disparity in accessing essential medical supplies in Africa provided the necessary impetus for creating the Africa Medical Supplies Platform (AMSP), which is an expanded version of the regional pooled procurement arrangement proposed by the AfCTFA-anchored pharmaceutical project.

The AMSP is a non-profit continental online procurement platform designed under the leadership of Strive Musiyiwa, African Union Special Envoy, to resolve Africa’s COVID-19 medical supply predicament. Besides strengthening Africa’s supply management system and bolstering local production of pharmaceuticals the main objective of the platform is to provide equitable access to medicines and medical supplies for all participating countries. Following the launch of the platform, the Member States of the Caribbean Community (CARICOM) have also joined the platform to benefit from the competitive procurement of medical supplies.[13]

The platform pools certified medical suppliers and aggregates demand, thereby creating a larger market that saves time, enables competitive pricing, and ensures the security of the supplies. Sourced and donated medical supplies are distributed proportionately by taking into account the population, disease burden, and vulnerability level of Member States. After quotas are designated, Member States are required to make payment into a holding account at Africa’s Export-Import Bank (Afreximbank) within a stipulated number of days and then the supplies are delivered by designated commercial carriers. Predesignated quotas are exchangeable for needed medical supplies on the platform and the Ministry of Health officials can request the procurement of unavailable medical supplies.[14]

Provision is equally made for countries that have insufficient funds to pay by extending a line of credit to them with the Afreximbank. This funding is sourced from the $3 million Pandemic Trade Impact Mitigation Facility set up by Afreximbank to support African countries’ COVID-19 response effort of which $200 million is designated for financing the production of medical supplies and equipment.[15]

The world’s first continental digital procurement platform has gone beyond improving procurement to boosting indigenous pharmaceutical production with plans in place for establishing an open license for enlisting local manufacturers. Furthermore, African manufacturers are prioritized on the platform by featuring made in Africa options on the first page. These incentives are expected to motivate the diversification of operations by both small and large African companies to address the demand and supply mismatch for protective equipment and COVID-19 supplies in Africa.[16]

The realization of the AMSP during unprecedented times is a testament that the solutions for African problems lie within Africa. This precarious moment, when Africa’s leadership is displaying political commitment to health, should be leveraged upon to increase the capacity of local drug manufacturing in Africa. Therefore, more African countries need to sign and ratify the treaty for establishing the African Medicines Agency (AMA) to ensure that the governance and regulation of medicines in Africa are strengthened and harmonized.

 

References

[1] Supporting the production of pharmaceuticals in Africa. (2015, December 23). Retrieved July 10, 2020, from https://www.who.int/bulletin/volumes/94/1/15-163782/en/

[2]Report of the High-Level Stakeholder Meeting on: The AfCTA: Opportunities for pooled procurement of essential drugs and products and local pharmaceutical production for the continent.( 2019, November 21).  Retrieved July 22, 2020 from  https://www.uneca.org/sites/default/files/uploaded-documents/AfCFTA-Pharma 2019/pharma_high_level_meeting_report_final.pdf

[3]Pharmaceutical Manufacturing Plan For Africa: AUDA-NEPAD. Retrieved August 10, 2020, from https://nepad.org/publication/pharmaceutical-manufacturing-plan-africa

[4]O’Donnell, O. (2007, December 01). Access to health care in developing countries: Breaking down demand side barriers. Retrieved August 11, 2020, from https://www.scielosp.org/article/csp/2007.v23n12/2820-2834/

[5]Improving access to essential medicines for mental, neurological, and substance use disorders in Sub-Saharan Africa: Workshop summary. Forum on neuroscience and nervous system disorders. (2014, August 26). Retrieved August 25, 2020 from https://www.worldcat.org/title/improving-access-to-essential-medicines-for-mental-neurological-and-substance-use-disorders-in-sub-saharan-africa-workshop-summary-forum-on-neuroscience-and-nervous-system-disorders/oclc/899280083

[6]African Continental Free Trade Area (AfCFTA) Legal Texts and Policy Documents. Retrieved August 15, 2020, from https://www.tralac.org/resources/our-resources/6730-continental-free-trade-area-cfta.html

[7]Report of the High-Level Stakeholder Meeting on :The AfCTA: Opportunities for pooled procurement of essential drugs and products and local pharmaceutical production for the continent. (2019, November 21). Retrieved August 20, 2020 from  https://www.uneca.org/sites/default/files/uploaded-documents/AfCFTA-Pharma-2019/pharma_high_level_meeting_report_final.pdf

[8] Third Africa Business Forum 2020 on Africa Continental Free Trade Area: An opportunity to accelerate towards the implementation of the 2030 Agenda and Agenda 2063 through pooled procurement of the essential safe and quality drugs and products and local pharmaceutical production for the continent. Retrieved July 28, 2020 from https://www.uneca.org/sites/default/files/uploaded-documents/Africa-Business-Forum/3rd/technical_background_paper_-_health-the_pharma_issue_-_en_-_e2000083.pdf

[9] SADC Pooled Procurement of Essential Medicines and Medical Supplies Situational Analysis and Feasibility Study  Retrieved August 21,2020 from https://www.sadc.int/files/6614/1890/8516/sadc___sadc_pooled_procurement_of_essential_medicines_and_medical_suppli….pdf

[10]Strategic Response Plan in the WHO African Region. Retrieved September 1, 2020 from  https://www.afro.who.int/sites/default/files/2020-06/SPRP%20BUDGET%200520_01.pdf

[11]Kavanagh, M. M., Erondu, N. A., Tomori, O., Dzau, V. J., Okiro, E. A., Maleche, A., Aniebo, I. C., Rugege, U., Holmes, C. B., & Gostin, L. O. (2020). Access to lifesaving medical resources for African countries: COVID-19 testing and response, ethics, and politics. The Lancet395(10238), 1735-1738. https://doi.org/10.1016/S0140-6736(20)31093-X

[12]Jane Bradley, T. (2020, April 19). In scramble for coronavirus supplies, rich countries push poor aside. Retrieved August 11, 2020, from https://bdnews24.com/world/2020/04/10/in-scramble-for-coronavirus-supplies-rich-countries-push-poor-aside

[13] Statement by the Chairman of the Caribbean Community (CARICOM) the Honourable Mia Amor Mottley, Prime Minister of Barbados on Access by CARICOM to the Africa Medical Supplies Platform. (2020, July 01). Retrieved August 23, 2020, from https://caricom.org/statement-by-the-chairman-of-the-caribbean-community-caricom-the-honourable-mia-amor-mottley-prime-minister-of-barbados-on-access-by-caricom-to-the-africa-medical-supplies-platform/

[14]Interview with AU Special Envoy Strive Masiyiwa on the Launch of the Africa Medical Supplies Platform, Milken Institute. (2020, June 18). Retrieved August 15, 2020, from https://covid19africawatch.org/strive-masiyiwa-africa-medical-supplies-platform/

[15]Afreximbank Announces $3-Million COVID-19 Response Grant for African Countries. (2020, July 17). Retrieved August 20, 2020, from https://www.afreximbank.com/afreximbank-announces-3-million-covid-19-response-grant-for-african-countries/

[16] President Cyril Ramaphosa: Launch of Africa Medical Supplies Platform media briefing. (2020, June 18). Retrieved September 1, 2020, from https://www.gov.za/speeches/medical-supplies-platform-19-jun-2020-0000

Barriers For Migrants

PEAH is pleased to republish an article by AFEW partner organization. AFEW is dedicated to improving the health of key populations in society. With a focus on Eastern Europe and Central Asia, AFEW strives to promote health and increase access to prevention, treatment and care for major public health concerns such as HIV, TB, viral hepatitis, and sexual and reproductive health

First published August 25, 2020 

By Chamid Sulchan

AFEW International intern

Barriers For Migrants

 

The main reason why labour migrants from Tajikistan, Moldova, Belarus and Uzbekistan come to Russia is that there is no work for them in their home countries. Often labour migrants have big families; parents, brothers, sisters, wives and children, and they have to take care of them. Working in Russia is often the only way for them to help their families to survive.

Margarita Abramyan, manager at KOVCHEG Anti-AIDS in Rostov-on-Don, a partner of AFEW International in Russia, has been implementing a project called ”HIV and migrant workers in southern districts” in the framework of the regional approach of the “Bridging the Gaps: health and right for key populations” program. She told us what influences migrants’ access to health services in Russia and how to improve this difficult situation.

How would you describe the access to health services for labour migrants in Russia?

So it really depends on whether you are in Russia legally or illegally. If a migrant comes to Russia legally, he/she receives a residence and work permit with medical insurance. If the migrant is in Russia illegally, this person can stay here up to 90 days. They don´t need to undertake all the documentation procedures and therefore don´t have a medical insurance. To get a legal residence permit or a medical card in Russia, you need to be tested for HIV, viral hepatitis and TB. But the thing is that you have to pay for all these tests yourself, and many migrants cannot afford this.

Under the migrant medical policy, emergency ambulance assistance and emergency operations are free. If you need an operation that is not absolutely necessary, then you need to pay for this operation yourself.

What are the consequences if labour migrants do not have access to health services?

There are a lot of consequences of the lack of access to health services for labour migrants in Russia. Migrants who come to Russia often work at construction sites, the kind of jobs that are really dangerous and where it´s common to have serious accidents. When a migrant has a serious accident at a construction site and they do not have access to healthcare, they can become an invalid for life.

The big problem is that migrants are actually afraid to get medical help, because medical workers ask for their documents and check if their papers are valid. If medical workers find out that migrants are illegal, then basically they can be thrown out of the country. Another big problem is that HIV positive migrants who come to Russia cannot get Russian citizenship. However, many of those HIV positive migrants come to Russia anyway. They stay in the country illegally and do not have access to healthcare. They often don´t know the condition of their health and cannot get any ART.

What these migrants sometimes do is that they connect or communicate with the non-profit-organizations from Ukraine or Uzbekistan, with countries that have borders with Russia, and then they can get therapy from there. So they could register in Ukraine, for example, and get therapy there and then go back to Russia. We are in contact with these organizations to support migrants. Of course, now with the coronavirus situation it´s a lot more difficult because the borders are closed. So the migrants can´t go back to their own countries and get treatment there.

What are other factors that influence migrants’ access to health services, besides their legal or illegal status?

So other factors include societal denial and ignorance . Russian people and people who come from post-Soviet countries have a very particular mentality – they believe that HIV will never touch them. They think they will never get sick and if they get something, like a flu, then they just drink some herbs, and everything will be fine.

The other thing is that there is a widespread belief left over from the 90s that only sex workers, LGBTQ+ people and drug users can get HIV, so if you don´t live a “wild life”, you live a so-called a ´normal life´ that is not connected to drugs or sex work, then you definitely will never get HIV. Another thing is that people still have a lot of unprotected sex. Moreover, most of the migrants that come to Russia send their money to their families back home. All the money that migrants earn is sent back to their home countries and they do not want to spend this money on healthcare.

Are culture and language also a barrier for migrants to access health services?

Yes, it’s a very big barrier. Together with my organization we went to one of the detention centres for illegal migrants in February and there is no official interpreter for them there. Migrants are communicating with through signs. Even though there is a lot of medical information about HIV and how to access medical services, there are no interpreters for migrants. For example, of the four people who came from Uzbekistan, only one spoke Russian. The people who cannot speak Russian are trying to figure it out for themselves.

 Is there a governmental programme that tries to help migrants integrate into Russian society?

There is no governmental programme like this, these kinds of activities are mostly done by NGOs. These activities include language training, consultations, cultural trainings and workshops, and it´s mostly just NGOs doing that, as volunteers.

Which services does your organization provide for labour migrants?

We provide peer-to-peer consultations for migrants. We also have lawyers, virologists, and psychologists who support migrants. We are also supporting migrants in getting their Russian citizenship and filling out the documents for work and residence permits. If there are funds, we also try to support migrants financially. We also have rehabilitation centres for drug HIV positive users. Also, we often organize information events for labour migrants where we tell them about access to health services and about treatment and testing for HIV. We also have a lot of contact with local organizations and job centres. If a migrant is looking for a job, we can refer them to our other contacts.

What do you think should be done to improve the access to health services?

On the governmental level, first of all the medical insurance for labour migrants should cover all the medical services that are also available for Russian citizens. On the local level it would be great if NGOs get financial support from the government to pay for HIV treatment and testing for migrants.

There is always hope that things will change. If the government provides enough support, treatment and care to migrants then communicable diseases will not be transmitted. There are migrants who take their health and the health of their families very seriously, but they do not have the same access to health services as Russian citizens.

PEAH News Flash 397

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

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News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 396

 

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PEAH News Flash 395

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

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PEAH News Flash 394

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 394

 

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Migrants in Need: COVID-19 and the Impact on Labor Migrants’ Health, Income, Food and Travel

PEAH is pleased to cross-post an article by AFEW partner organization. AFEW is dedicated to improving the health of key populations in society. With a focus on Eastern Europe and Central Asia, AFEW strives to promote health and increase access to prevention, treatment and care for major public health concerns such as HIV, TB, viral hepatitis, and sexual and reproductive health

First published August 3, 2020 

By Olga Shelevakho 

and Helena Arntz

AFEW International

Migrants in Need: COVID-19 and the Impact on Labor Migrants’ Health, Income, Food and Travel

 

“I lost my job in Russia due to the COVID-19 pandemic and I didn’t have any money to send back to my mother in Tajikistan who is taking care of my children. I don’t know how to help them”

This is one of many stories from Tajik migrants who have lost their job in Russia in the last months and can’t go back to their families. Some of them have to stay in Russia in poverty and some are stranded at the borders or are staying in unsanitary conditions with hundreds of other people without food, money or shelter. Government help is not enough in this situation, which is why NGOs in Russia and Kazakhstan have taken on the responsibility of helping migrants.

For reference

Russia alone hosted around 12 million labor migrants in 2019, which include an estimated 3 million migrants from Uzbekistan and 1.2 million from Tajikistan. Hoping for better chances of finding a job, migrants from Central Asia migrate mostly to Russia and Kazakhstan. Labor migrants from Central Asia significantly contribute to the economies of these two countries, as well as to the economy of their country of origin. That makes migrants an important part of the international economy, however society’s attitude towards migrants still remains bad.

Lockdown in Russia

At the end of March 2020, the Russian government announced that all non-essential businesses would be closed and suspended all international civil aviation travel. These travel restrictions, put in place to stop the spread of COVID-19, have a severe impact on migrants’ lives. Due to the pandemic regulations, an estimated 83% of the migrants lost their jobs and many of them were not able to return home. In March, 200 Central Asian migrants were stuck at Moscow Domodedovo airport for two weeks and 300 Kyrgyz nationals stuck at the Novosibirsk airport went on hunger strike. Hundreds of people who were trying to go home to Uzbekistan, Tajikistan or Kyrgyzstan by car got stranded at the border.

As many factories and companies stopped working, a lot of migrants lost their jobs and had no money for basic items. When big cities such as Moscow closed down as a result of the COVID-19 pandemic, a pass system was introduced to stop people from going outside. Labor migrants had great difficulty obtaining these passes, as migrants needed to have an officially registered job to be able to receive them. This means that undocumented migrants weren’t able to go out, which caused great difficulties in accessing social and health services. This has serious implications for migrants living with HIV, who cannot get their ARV therapy.

With regards to COVID-19 care, the Russian government announced that it’s free for everyone, even if a person is undocumented. During quarantine there was a moratorium on eviction from Russia, even for people without documents.

Liudmila Vins, the director of NGO “Luna” (Yekaterinburg):

“A migrant who owns a small bakery fell ill with coronavirus. His entire family and workers, also migrants, including illegal immigrants, were tested for free. They started a period of self-isolation, and the bakery was temporarily shut down. The owner of the bakery received all the benefits that were due to him as a small business owner”.

Families in need

The travel restrictions have not only impacted the lives of migrants, but also their families back in their home countries, who depend on incomes from seasonal labor. Especially for a country such as Tajikistan, where remittances made up 32% of Tajikistan’s GDP in 2018, this is a massive blow to its economy. Numbers from the International Organization for Migration show that 51% of Central Asian migrants make regular money transfers to their homeland. Of these, an estimated 80% were unable to transfer any money at the end of April 2020. The lockdown in the host countries thus also places a heavy burden on the families back in the home country.[1] The main problems Central Asian migrants face is not being able to pay their rent (64%), not being able to find a job (45%) and not being able to pay for food (43%).[2] The Russian government decided to compensate migrants for their loss of income, without much success, firstly because the vast majority of labor migrants work in the informal sector, which makes them ineligible for compensation or unemployment benefits. Secondly, the maximum payment by the Russian government to compensate for loss of income of officially registered migrants is 12,130 rubles a month (less than 160 euros), which is not enough not for the migrants themselves to survive, and definitely not enough for them to send money back to their families at home.

Children

Children of “unwanted” migrants are another big problem, according to human rights activists. When undocumented migrants are arrested by the police, they are taken to temporary detention centers. In some regions children of migrants are placed in a shelter for this time, while in Yekaterinburg they are taken to the Detention Center together with their parents. In these centers migrants are kept in separate locked cells. Each cell has several rooms of different sizes, which can accommodate from 4 to 12 people, and sometimes more. One person should have at least 4.5 square meters, but the centers are often overcrowded, especially after police raids.

Who can help migrants?

Despite many restrictions, several civil society organisations have mobilized their resources to help migrants during this difficult time. Kazakh NGO “Zabota”, managed to provide migrants information and recommendations by phone. Some NGOs received small grants from EFCA (Eurasia Fund of Central Asia) for the emergency project “Qolda”. In the framework of this initiative packages with food, hygiene and protection items such as masks were delivered to families of migrants residing abroad. Local ethno-cultural associations and diasporas also didn’t leave their nationals without help. In Russia, NGO “KOVCHEG Anti-AIDS” helps migrants such as Anna who live with HIV receive their medication from its reserve cabinet. They created a mobile point called “trust” so they could continue to meet migrants during the lockdown.

Anna (32 years old) from Ukraine: “I’ve had HIV since 2017. I went to Krasnodar, Russia, with my husband in 2014 where I worked as a housekeeper and my husband at a construction company. Every six months we went to Donetsk to get therapy and take tests. In December 2019, I got pregnant and in March after the borders were closed, we could not go back for the treatment. It was impossible to leave Russia, and I couldn’t interrupt treatment because of the risk of HIV transmission to my child. As a result of the pandemic, the organization where I worked was closed, and my husband and me were told to stay home.  I applied to the Krasnodar AIDS Center for therapy, but they couldn’t help me. Then I found the contact of NGO “KOVCHEG Anti-AIDS” in Rostov on Don, which helped with the therapy”.

In Tajikistan, people are starting to feel the consequences of the lack of remittances normally sent back by their relatives. Since the start of the pandemic, the costs of basic food items have been rising and many families cannot cover basic needs such as food. Thanks to NGOs, people got some supplies. NGO “Nakukor”, with the help of IOM Tajikistan and AFEW International, have distributed food packages to 500 migrant households in the Kulob region, providing families with basic supplies.

NGO “Luna” in Yekaterinburg mobilized resources to provide migrants with masks and hygiene kits. “Luna” has also helped several migrants to obtain residence permits and to register for an apartment. Recently, after borders reopened, some labor migrants left Russia and flew back home, primarily due to fear of infection.

Support NGOs

In April, President of Russia Vladimir Putin announced a support package for socially oriented NGOs and volunteers. The support package consists of seven items such as additional payments to employees of social institutions, grant support for volunteers as well as direct support for NGOs to help them pay salaries. Some NGOs have been exempted from taxes for the quarantine period.  Obviously, NGOs are playing a very important role in helping migrants during this pandemic. They should also be prepared for the reduction in remittances to the poorest Central Asian states to have implications on society and poverty in the long term. This will become clear in the coming months and years. The work of NGOs should not be underestimated and these organisations should continuously receive support to help people in need.

 

[1] IOM Central Asian and Russian Federation strategic preparedness and response plan: Coronavirus disease 2019, February – December 2020, updated on 27 April 2020.

[2] “Influence of the COVID-19 Pandemic on the Position of Migrants and Remittances in Central Asia” by Sergey Ryazantsev and Marina Khramova. Institute for Socio-Political Research of the Russian Academy of Sciences, Department of Demographic and Migration Policy at MGIMO University.

PEAH News Flash 393

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 393

 

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