Time-frame | Issues | Actors | Recommendations | |
---|---|---|---|---|
 |  | HOME | HOST |  |
Short term | Heat and exhaustion | + | Â | Providing adequate hydration at work |
Heat and exhaustion | Â | + | Providing heat shields | |
False reports | + | Â | Addressing issues regarding false medical reports by enforcing monitoring on screening centers | |
Intermediate | Low awareness | + | + | Coordination with provincial and district health offices to raise awareness on importance of lifestyle changes, physical activity and medical checkups even before the migration cycle starts |
Low awareness | Â | Â | Coordination with companies, recruiting agencies and local health offices to raise awareness on lifestyle, physical activity and medical check ups | |
Surveillance and monitoring | + | + | Tracking the out-bound and in-bound migrants and addressing their health outcomes using routine health registers | |
Surveillance and monitoring | Â | Â | The information obtained from health assessment should be shared not just within migration authorities but also across health sector, and integrated within the health system in host and home country. | |
Adherence to medication and treatment | + | + | For those with existing CMD, counselling on adherence to medication, lifestyle changes and physical activity | |
Long term | Limited health promoting facilities | + | + | Health and wellbeing centers targeting outgoing and in-coming migrants |
Limited insurance coverage | + | + | The insurance package should cover the health expenses when returning home with CMD, and coverage for any disability/deaths. | |
Low political priority |  | + | Cooperation at the ministerial level to accord migrant’s cardio metabolic health as a top priority. The first step will on providing exercise facility, adequate space to live and provision for adequate nutrition and hydration at work. |