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Description of Organisation

Contact information








Information about Organisation/Institution providing health services for UDMs

Type of Organisation/Institution:








Type of Health Care Provider (several options possible):













Your activities address the following catchment area:







1. Please name and describe your 3 main partners in implementing services for
undocumented migrants at a local, national and/or international level:

MAIN PARTNER 1


Type:








Official agreement

Purpose







MAIN PARTNER 2


Type:








Official agreement

Purpose







MAIN PARTNER 3


Type:








Official agreement

Purpose







2. Who initiated the service for undocumented migrants (please specify)?








3. Since when has your organisation been providing services for
undocumented migrants?

4. What was the motivation/reason to set up this kind of service?
(select all applicable)








5. Indicate any other target groups for your service.

Vulnerable groups (regardless of status)








6. Please estimate the percentage of undocumented migrants
among the people who use your service:
%
7. How many undocumented migrants received services from
your organisation within the last year (2008)?


b) Tendency of numbers over the last 3 years:




8. Please specify the three main nationalities in the group of
undocumented migrants who accessed your services during last year
(please indicate percentages for the categories):

a) Origins: 3 main nationalities


%

%

%

b) Age

%
%
%
%

c) Sex

%
%
9. Do undocumented migrants need any documents to access your services?



10. Which kind of services do you offer for undocumented migrants?

On a regularbasis:


Preventive care:






Health Promotion and Education





Mental Health care






Social support


Medical care












Others


On a project basis (please indicate also duration):

Preventive care:






Health Promotion and Education





Mental Health care






Social support


Medical care












Others


11. What are the most common health care needs of your
undocumented migrant clientele?







12. Do you help undocumented migrants to access the system? Help to access the system

If yes, namely:









13. What are the main factors of success of your services:
14. Do you have any feedback/evaluation mechanism for your
undocumented clients? Please specified:
Any Feedback mechanism

15. Briefly describe an example of good practice in your provision
of healthcare to undocumented migrants
(targeted group, service provided, partnership, etc.)

16. Description of staff involved in your service:

a) Which kinds of professionals are involved in your services for undocumented migrants? Please give also number of staff:

Number of employees















Number of volunteers















b)


c)


d) Which are the main nationalities/origins of your staff (please also give percentages for the categories)


%

%

%

%

%
17. How have undocumented migrants come to hear of your services?
(more options possible)









18. Are there any other issues about your health service
for undocumented migrants that you would like to bring to our attention?
Any other issues about your health service



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