Results and Strategies for a Diversity-Oriented Public Health Monitoring in Germany

Carmen Koschollek, Katja Kajikhina, Susanne Bartig, Marie-Luise Zeisler, Patrick Schmich, Antje Gößwald, Alexander Rommel, Thomas Ziese and Claudia Hövener
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Carmen Koschollek: Robert Koch Institute, 13353 Berlin, Germany
Katja Kajikhina: Robert Koch Institute, 13353 Berlin, Germany
Susanne Bartig: Robert Koch Institute, 13353 Berlin, Germany
Marie-Luise Zeisler: Robert Koch Institute, 13353 Berlin, Germany
Patrick Schmich: Robert Koch Institute, 13353 Berlin, Germany
Antje Gößwald: Robert Koch Institute, 13353 Berlin, Germany
Alexander Rommel: Robert Koch Institute, 13353 Berlin, Germany
Thomas Ziese: Robert Koch Institute, 13353 Berlin, Germany
Claudia Hövener: Robert Koch Institute, 13353 Berlin, Germany

IJERPH, 2022, vol. 19, issue 2, 1-18

Abstract: Germany is a country of immigration; 27% of the population are people with a migration background (PMB). As other countries, Germany faces difficulties in adequately including hard-to-survey populations like PMB into national public health monitoring. The IMIRA project was initiated to develop strategies to adequately include PMB into public health monitoring and to represent diversity in public health reporting. Here, we aim to synthesize the lessons learned for diversity-oriented public health monitoring and reporting in Germany. We also aim to derive recommendations for further research on migration and health. We conducted two feasibility studies (interview and examination surveys) to improve the inclusion of PMB. Study materials were developed in focus groups with PMB. A systematic review investigated the usability of the concept of acculturation. A scoping review was conducted on discrimination as a health determinant. Furthermore, core indicators were defined for public health reporting on PMB. The translated questionnaires were well accepted among the different migrant groups. Home visits increased the participation of hard-to-survey populations. In examination surveys, multilingual explanation videos and video-interpretation services were effective. Instead of using the concept of acculturation, we derived several dimensions to capture the effects of migration status on health, which were more differentiated. We also developed an instrument to measure subjectively perceived discrimination. For future public health reporting, a set of 25 core indicators was defined to report on the health of PMB. A diversity-oriented public health monitoring should include the following: (1) multilingual, diversity-sensitive materials, and tools; (2) different modes of administration; (3) diversity-sensitive concepts; (4) increase the participation of PMB; and (5) continuous public health reporting, including constant reflection and development of concepts and methods.

Keywords: public health monitoring; public health reporting; migration; diversity-oriented; discrimination; core indicators (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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