In spite of the growing awareness and literature on health inequalities, the people encountered in MdM and partner organisations often fall through official surveys and are currently not captured by health information systems. This is why each year, the MdM International Network Observatory on access to healthcare publishes a report on the social determinants of health and health status of the patients met by MdM teams.

2017 Observatory report – Falling through the cracks: the failure of universal coverage in Europe

Gathering and presenting data collected by NGOs from 14 European countries, through more than 46.000 medical and social consultations,  the Observatory report reveals unacceptable gaps in Europe’s healthcare coverage. The report was launched at the European Parliament on 8 November 2017.

Executive Summary (in English)

2017 Observatory report – Falling through the cracks: the failure of universal coverage in Europe Robert W Aldridge, Anna Miller, Bethany Jakubowski, et al. 


2017 Legal report on access to healthcare in 16 European countries

This legal report intends to collect and gather legal and field information about access to healthcare for people facing vulnerabilities in 16 European countries[1]

Legal report on access to healthcare in 16 European countries

[1]Belgium (BE), France (FR), Germany (DE), Greece (EL), Ireland (IE), Italy (IT), Luxemburg (LU), The Netherlands (NL), Norway (NO), Romania (Ro), Slovenia (SI), Spain (ES), Sweden (SE), Switzerland (CH), Turkey (TR), United kingdom (UK)


2016 – European Observatory report and Legal report

The Observatory report is a report on social and medical data gathered during the year 2015 in 11 European countries and Turkey. It was published in November 2016.

Executive Summary (in English and Spanish) of the 2016 European Observatory report.

obs-2016Access to healthcare for people facing multiple vulnerabilities in health in 31 cities in 12 countries

L’accès aux soins des personnes confrontées à de multiples facteurs de vulnérabilité en santé dans 31 villes de 12 pays

Simonnot N, Rodriguez A, Nuernberg M, Fille F, Aranda-Fernández P.E and Chauvin P. 

 

2016-legal-reportThe Legal report on access to healthcare in 17 countries[2] was  written using both legal expertise and feedback from the field. The public healthcare system of each country is described as it is foreseen by the national laws. The legal data is then completed by a description of the reality of access to healthcare. The report focuses on several categories of people as specific provisions apply to them, generally restricting their access to the public healthcare system.

Legal report on access to healthcare in 17 countries

[2] Belgium (BE), Canada (CA), France (FR), Germany (DE), Greece (EL), Ireland (IE), Italy (IT), Luxembourg (LU), The Netherlands (NL), Norway (NO), Romania (Ro), Slovenia (SI), Spain (ES), Sweden (SE), Switzerland (CH), Turkey (TR), United kingdom (UK)

 


2015

cover photo EN

Access to healthcare for people facing multiple health vulnerabilities. Obstacles in access to care for children and pregnant women in Europe (May 2015)

L’accès aux soins des personnes confrontées à de multiples facteurs de vulnérabilité. Obstacles à l’accès aux soins des enfants et des femmes enceintes en Europe (Mai 2015).

El acceso a la atención sanitaria de las personas confrontadas con multiples vulnerabilidades de salud. Las barreras al acceso a la atención sanitaria de las mujeres embarazadas y los / las menores en Europa (Mayo de 2015).

The infographic summary can be downloaded here.

The complete report that presents the results of all the analyses, and that also includes Montreal (Canada), is available here:

Chauvin P, Simonnot N, Vanbiervliet F, Vicart M, Vuillermoz C. Access to healthcare for people facing multiple vulnerabilities in health in 26 cities across 11 countries. Report on the social and medical data gathered in 2014 in nine European countries, Turkey and Canada. Paris: Doctors of the World – Médecins du monde international network, May 2015.

The most importantcover photo legal barrier to healthcare faced in the surveyed countries is restrictive national laws. This is why MdM also published a legal report on access to healthcare in 12 countries (Belgium, Canada, France, Germany, Greece, Luxembourg, Netherlands, Spain, Sweden, Switzerland, Turkey and the United Kingdom). We hope it will be a useful tool for healthcare professionals, researchers, NGOs, policy makers and other stakeholders to better understand the legal and administrative barriers that stop people from taking care of their health.


2014

© Giorgos Moutafis, Dr Liana Mailli vaccinating a child in the polyclinic of Perama. In 2013, the teams of MdM Greece vaccinated over 9 000 children without access to healthcare…
© Giorgos Moutafis, Dr Liana Mailli vaccinating a child in the polyclinic of Perama. In 2013, the teams of MdM Greece vaccinated over 9 000 children without access to healthcare…

Access to healthcare for the most vulnerable in a Europe in social crisis. Focus on pregnant women an children (May 2014)

L’accès aux soins des plus précaires dans une Europe en crise sociale. Le cas des femmes enceintes et des enfants (Mai 2014)

El acceso a la sanidad de las personas en situación de mayor precariedad en una Europa en crisis social. El caso de las mujeres embarazadas y los/las menores (Mayo de 2014)

Rapport complet. L’accès aux soins des personnes confrontées à de multiples facteurs de vulnérabilité dans 27 villes de 10 pays. Rapport sur les données sociales et médicales recueillies en 2013 dans huit pays européens, en Turquie et au Canada.

Full report. Access to healthcare for people facing multiple vulnerability factors in 27 cities across 10 countries. Report on the social and medical data gathered in 2013 in eight European countries, Turkey and Canada.


2013

Athens, Greece 03/2012. Doctors of the world project in Greece. Doctors of the world staff taking part at the homeless project and visiting homeless in the suburbs of Athens.
Athens, Greece 03/2012. Doctors of the world staff taking part at the homeless project and visiting homeless in the suburbs of Athens. © MdM Greece

Access to healthcare in Europe in times of crisis and rising xenophobia (April 2013)

Full epidemiological report. Access to healthcare of excluded people in 14 cities of 7 European countries (April 2013)

Access to healthcare for vulnerable populations. UPDATE OF LEGISLATION in 10 European countries (April 2013)

L’accès aux soins en Europe en temps de crise et de montée de la xénophobie (Avril 2013)


2012

Dental mobile unit in Greece - © MdM Greece
Dental mobile unit in Greece – © MdM Greece

Access to health care for vulnerable groups in the European Union in 2012. An overview of the condition of persons excluded from healthcare systems in the EU.

Accès aux soins des populations les plus vulnérables dans l’Union Européenne en 2012. Un aperçu de la situation des personnes exclues des systèmes de soins dans l’UE.

Full report on access to healthcare for vulnerable groups in the European Union (October 2012).

Report on 2011 data from five health centres in Europe: Amsterdam, Brussels, London, Munich, and Nice and from mobile units in Patras and Igoumenitsa (Greece)


2009 and 2010

© Jobard / SIPA
© Jobard / SIPA

Access to healthcare for undocumented migrants in 11 European countries (2009).

El acceso a la sanidad de las personas sin permiso de residencia en once países europeos (2009)

L’accès aux soins des personnes sans autorisation de séjour dans 11 pays européens (2009)

Der Zugang zur medizinischen Versorgung von Menschen ohne Aufenthaltstitel in 11 europäischen Ländern (2009)

Report in Greek (2009)

L’accesso alle cure delle persone senza permesso di soggiorno in 11 paesi europei (2009)

De toegang tot gezondheidszorg van personen zonder verblijfsvergunning in 11 Europese landen (2009)

O acesso aos cuidados de saúde das pessoas sem autorização de residência em 11 países da Europa (2009)

Tillgangen till vard för papperslösa i 11 Europeiska länder

Access to healthcare and living conditions of asylum seekers and undocumented migrants in Cyprus, Malta, Poland and Romania (2010)

European Declaration of health professionals

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