Caring for Trafficked Persons: Guidance for Health Providers

231 Pages·2011·0.79 MB·English

CARING
FOR
TRAFFICKED
PERSONS
GUIDANCE FOR HEALTH PROVIDERS
The opinions expressed in the report are those of the authors and do not necessarily reflect the
views of the International Organization for Migration (IOM). The designations employed and
the presentation of material throughout the report do not imply the expression of any opinion
whatsoever on the part of IOM concerning the legal status of any country, territory, city or area,
or of its authorities, or concerning its frontiers or boundaries.
IOM is committed to the principle that humane and orderly migration benefits migrants and
society. As an intergovernmental organization, IOM acts with its partners in the international
community to: assist in meeting the operational challenges of migration; advance understanding
of migration issues; encourage social and economic development through migration; and uphold
the human dignity and well-being of migrants.
Editors: Cathy Zimmerman
London School of Hygiene & Tropical Medicine
Gender Violence & Health Centre

Rosilyne Borland
International Organization for Migration
Migration Health Division
Publisher: International Organization for Migration
17 route des Morillons
1211 Geneva 19
Switzerland
Tel: [phone]
Fax: [phone]
E-mail:
CARING
FOR
TRAFFICKED
PERSONS
GUIDANCE FOR HEALTH PROVIDERS
CARING FOR TRAFFICKED PERSONS: GUIDANCE FOR HEALTH PROVIDERS i
Acknowledgements
This handbook was made possible through the generous support of the
United Nations Global Initiative to Fight Trafficking in Persons. The develop-
ment of this handbook was coordinated by the International Organization for
Migration and the Gender Violence & Health Centre of the London School for
Hygiene & Tropical Medicine.
We were privileged to facilitate a broad group of health and human
trafficking experts from around the world in the development of Caring for
Trafficked Persons: Guidelines for Health Providers. Principal authors and
contributors included Dr. Melanie Abas (Institute of Psychiatry, Kings College
London), Dr. Idit Albert (Centre for Anxiety, Disorders and Trauma, South
London & Maudsley NHS Foundation Trust), Dr. Islene Araujo (Migration
Health Department, International Organization for Migration), Hedia
Belhadj-El Ghouayel (United Nations Population Fund), Rosilyne Borland
(Migration Health Department, International Organization for Migration),
Jenny Butler (United Nations Population Fund), Sarah Craggs (Counter-
Trafficking Division, International Organization for Migration), Dr. Michele
Decker (Harvard School of Public Health), Dr. Sean Devine (Independent
Consultant), Riet Groenen (United Nations Population Fund), Takashi
Izutsu (United Nations Population Fund), Dr. Elizabeth Miller (UC Davis
School of Medicine), Dr. Nenette Motus (Regional Office for Southeast
Asia, International Organization for Migration), Tina Nebe (United Nations
Population Fund), Dr. Anula Nikapota (Institute of Psychiatry, UK-Sri Lanka
Trauma Group), Marija Nikolovska (Regional Office for Southern Africa,
International Organization for Migration), Siân Oram (doctoral candidate,
LSHTM), Donka Petrova (Animus Foundation), Dr. Clydette Powell (Bureau
for Global Health, US Agency for International Development), Kate Ramsey
(United Nations Population Fund), Timothy Ross (Fundación Social Fénix),
Dr. Jesus Sarol (Migration Health Department, International Organization
for Migration), Maria Tchomarova (Animus Foundation), Leyla Sharafi
(United Nations Population Fund), Dr. Amara Soonthorndhada (Institute
ii CARING FOR TRAFFICKED PERSONS: GUIDANCE FOR HEALTH PROVIDERS
for Population and Social Research, Mahidol University), Aminata Toure
(United Nations Population Fund), Jacqueline Weekers (Migration Health
Department, International Organization for Migration), Dr. Katherine Welch
(Global Health Promise), Dr. Brian Willis (Global Health Promise), Dr. David
Wells (Victorian Institute of Forensic Medicine), Dr. Teresa Zakaria (IOM
Jakarta, International Organization for Migration), and Dr. Cathy Zimmerman
(London School for Hygiene & Tropical Medicine).
Many peer reviewers from around the world supported our authors.
Special thanks to Dr. Jane Cottingham, Dr. Claudia Garcia Moreno, Dr. Jason
Sigurdson and Dr. Susan Timberlake for ensuring we had detailed inputs from a
range of colleagues at the World Health Organization and the United Nations
Joint Programme on HIV/AIDS. The handbook would not have been possible
without the ongoing support and guidance of Dr. Davide Mosca, Director
of the Migration Health Department of the International Organization for
Migration and Richard Danziger, Director of the International Organization
for Migration’s Counter-Trafficking Division.
CARING FOR TRAFFICKED PERSONS: GUIDANCE FOR HEALTH PROVIDERS iii
Table of Contents
Acknowledgements ......................................................................... i
Introduction .................................................................................... 1
Chapter 1: Human trafficking ......................................................... 7
Chapter 2: The health consequences of human trafficking ........... 15
Chapter 3: Guiding principles ...................................................... 27
Action Sheet 1: Trauma-informed care ......................................... 33
Action Sheet 2: Culturally appropriate, individualized care .......... 41
Action Sheet 3: Working with interpreters .................................... 49
Action Sheet 4: Comprehensive health assessment ....................... 57
Action Sheet 5: Special considerations when examining
children and adolescents ..................................... 71
Action Sheet 6: What to do if you suspect trafficking .................... 79
Action Sheet 7: Protection and security ........................................ 89
Action Sheet 8: Self-care............................................................... 97
Action Sheet 9: Patient data and files .......................................... 107
Action Sheet 10: Safe referrals .................................................... 117
Action Sheet 11: Urgent care ...................................................... 129
Action Sheet 12: Mental health care ........................................... 137
Action Sheet 13: Sexual and reproductive health ....................... 149
Action Sheet 14: Disability ......................................................... 159
Action Sheet 15: Infectious diseases ........................................... 169
Action Sheet 16: Medico-legal considerations ............................ 181
Action Sheet 17: Interactions with law enforcement ................... 191
Conclusion ................................................................................. 199
Bibliography ............................................................................... 203
INTRO
Introduction
DUC
TION