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On the other hand, there are a couple of small (formal and informal) migrant community based organisations which attempt to fill the access and intercultural dearth (with respect to minorities). These organisations often
lack resources and institutional capacity. Apparently, each organisation was unaware of the presence
of the other in the society. With the initiative of the Coordination Point of Migrants'
Sexual Health and SOA/AIDS Prevention at NIGZ, volunteers and representatives of migrant
organisations in The Netherlands have had the chance to come together and further
discuss about each others' experiences, challenges and possibilities. After a couple
of regular meetings, a work group (which include all participating organisations
and individuals) and a task force were formed. A series of regular work group and
task force discussions/meetings were conducted. NIGZ provided logistic support and
coordination services.
At the work group meetings, migrant community self-help organisations presented
their experiences, problems and visions. They had the opportunity to evaluate and
scrutinize each other's experiences, needs and opportunities. The work group realised that
self-help organisations face more or less similar problems in working against HIV/AIDS/STI's and other community issues among migrants in The Netherlands:
1) Lack of bargaining
position within the society. They become powerless in effecting
their services and visions:
Migrant organizations are de-linked from relevant regular organisations and
authorities. They are not structurally linked to regular
organisations. Most of them have no institutional capacity to bring their needs and grievances to regular organisations, to the Ministry of Health and others;
2) Lack of financial support and motivation .
All migrant organisations reported financial constraints.
It is one of the major obstacles in achieving their goals.
Almost all migrant organisations are sustained by volunteers who are committed
to giving support to their fellow communities. Volunteers of some organisations
indicated that they have no financial and other incentives whatsoever, except
the personal, moral and spiritual satisfactions which would be presumed.
3) Every participating organisation echoed that the Dutch health care system is not adequate with regard to the care and
support requirements of migrants mainly because it lacks inter-cultural perspective.
For instance HIV/AIDS patients have to confront emotional, psychological and
social problems, for which they often would like to resort to fellow migrants to get support and friendship as per their respective cultural, religious and traditional backgrounds.
The Dutch health system cannot provide these, at least so far. Self-help organisations
could fill this gap;
4) Furthermore, Migrants have no good knowledge
of the Dutch health care system. Language and cultural barriers play a great role
in this. Besides, there is limited information in languages other than Dutch.
Thus, after several meetings and discussions, the work group unanimously appreciated
the need to coordinate activities and work in collaboration and unity
as a solution to the prevailing problems and inefficiencies. Establishing a national
platform was proposed to this end. After several other suggestions, the initiative
(the proposed platform) was finally named 'National Association of Migrant Organizations against HIV/AIDS and other STIs in The Netherlands (NAMIO)'. This initiative is expected to contribute in addressing the principal problems of self-help organisations (basically
resource and capacity dearth) and strengthening collaboration and coordination. Thus,
improving the quality and magnitude of their services.
NAMIO is a non-governmental and non-profit making organization established by non-western migrant
organizations which fight against HIV/AIDS/STIs and other community issues, specifically among the migrant
populations in The Netherlands. There are several such non-western migrant organizations, each organization having its own objectives,
method and agenda specific to the community of own socio-cultural and ethnic origin. NAMIO is established as a national platform charged with the coordination,
encouraging and strengthening the capacities of non-western migrant organizations
in The Netherlands. NAMIO is expected to improve efficiency of resource use
through coordinating activities and sharing experiences and knowledge. NAMIO promotes
the much desired partnership among migrant self-help organizations and empowers migrant
organizations and aims to improve their support, care and prevention services to
migrant seropositives, migrant communities and the general public.
In other words,
NAMIO aims at facilitating and promoting better health care and prevention services
within the migrant population and the general public in The Netherlands. By doing so,
NAMIO hopes to contribute to the prevention of the further spread of HIV among migrant
communities and the general public in The Netherlands. And directly or indirectly,
NAMIO will contribute in the global fight against HIV/AIDS. |