IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v105y2012i1p25-32.html
   My bibliography  Save this article

Policies to improve the health and well-being of Roma people: The European experience

Author

Listed:
  • Fésüs, Gabriella
  • Östlin, Piroska
  • McKee, Martin
  • Ádány, Róza

Abstract

The Roma constitute the largest ethnic minority in the European Region. The many policy initiatives designed over the past two decades to tackle their adverse social conditions in Central and South Eastern Europe, where the Roma population is concentrated, have had limited success. This paper reviews what is being done to improve the health and social situation of Roma communities in the Region and identifies factors that may limit the effectiveness of these policy initiatives. Strong political commitment, measures to overcome prejudices against Roma, inter-sectoral policy coordination, adequate budgets, evidence-based policies, and Roma involvement can be identified as key preconditions for improved health outcomes and well-being. However, developing a sound evidence-based approach to Roma inclusion requires removing obstacles to the collection of reliable data and improving analytical and evaluation capacity. Health policies seeking to reduce health inequalities for Roma people need to be aligned with education, economic, labour market, housing, environmental and territorial development policies and form part of comprehensive policy frameworks allowing for effective integration.

Suggested Citation

  • Fésüs, Gabriella & Östlin, Piroska & McKee, Martin & Ádány, Róza, 2012. "Policies to improve the health and well-being of Roma people: The European experience," Health Policy, Elsevier, vol. 105(1), pages 25-32.
  • Handle: RePEc:eee:hepoli:v:105:y:2012:i:1:p:25-32
    DOI: 10.1016/j.healthpol.2011.12.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851011002703
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2011.12.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gabor Kertesi & Gabor Kezdi, 2006. "Expected long-term budgetary benefits to Roma education in Hungary," Budapest Working Papers on the Labour Market 0605, Institute of Economics, Centre for Economic and Regional Studies.
    2. Kahanec, Martin, 2009. "The Decade of Roma Inclusion: A Unifying Framework of Progress Measurement and Options for Data Collection," IZA Research Reports 21, Institute of Labor Economics (IZA).
    3. Kolarcik, Peter & Geckova, Andrea Madarasova & Orosova, Olga & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2009. "To what extent does socioeconomic status explain differences in health between Roma and non-Roma adolescents in Slovakia?," Social Science & Medicine, Elsevier, vol. 68(7), pages 1279-1284, April.
    4. Andrey Ivanov & Sanjar Tursaliev, 2006. "Microlending to the Roma in Central and Southeastern Europe: Mixed Results, New Approaches," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 48(1), pages 36-49, March.
    5. Kósa, Z. & Széles, G. & Kardos, L. & Kósa, K. & Németh, R. & Országh, S. & Fésüs, G. & McKee, M. & Ádány, R. & Vokó, Z., 2007. "A comparative health survey of the inhabitants of Roma settlements in Hungary," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 853-859.
    6. Koupilová, Ilona & Epstein, Helen & Holcík, Jan & Hajioff, Steve & McKee, Martin, 2001. "Health needs of the Roma population in the Czech and Slovak Republics," Social Science & Medicine, Elsevier, vol. 53(9), pages 1191-1204, November.
    7. World Bank, 2010. "Roma Inclusion : An Economic Opportunity for Bulgaria, Czech Republic, Romania and Serbia," World Bank Publications - Reports 12905, The World Bank Group.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Viola Sallay & Tamás Martos & Lilla Lucza & Orsolya Papp-Zipernovszky & Márta Csabai, 2023. "Health Psychology Services for People in Disadvantaged Regions of Hungary: Experiences from the Primary Health Care Development Model Program," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
    2. Sowa, P. Marcin & Butler, James R.G. & Connelly, Luke B., 2014. "Unmet medical needs and health care accessibility in seven countries of Eastern Europe," MPRA Paper 75619, University Library of Munich, Germany.
    3. Andreassen, Trude & Weiderpass, Elisabete & Nicula, Florian & Suteu, Ofelia & Itu, Andreea & Bumbu, Minodora & Tincu, Aida & Ursin, Giske & Moen, Kåre, 2017. "Controversies about cervical cancer screening: A qualitative study of Roma women's (non)participation in cervical cancer screening in Romania," Social Science & Medicine, Elsevier, vol. 183(C), pages 48-55.
    4. Evelina Pappa & Simela Chatzikonstantinidou & George Chalkiopoulos & Angelos Papadopoulos & Dimitris Niakas, 2015. "Health-Related Quality of Life of the Roma in Greece: The Role of Socio-Economic Characteristics and Housing Conditions," IJERPH, MDPI, vol. 12(6), pages 1-13, June.
    5. Balázs Ádám & Szabolcs Lovas & Róza Ádány, 2020. "Use of Genomic Information in Health Impact Assessment is Yet to Come: A Systematic Review," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    6. Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.
    7. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    8. Andrej Belak & Zuzana Dankulincova Veselska & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2017. "How Well Do Health-Mediation Programs Address the Determinants of the Poor Health Status of Roma? A Longitudinal Case Study," IJERPH, MDPI, vol. 14(12), pages 1-18, December.
    9. Xupeng Zhang & Dianxi Wang & Fei Li, 2022. "Physical Exercise, Social Capital, Hope, and Subjective Well-Being in China: A Parallel Mediation Analysis," IJERPH, MDPI, vol. 20(1), pages 1-13, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Benjamin Cook & Geoffrey Wayne & Anne Valentine & Anna Lessios & Ethan Yeh, 2013. "Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 885-911, December.
    2. Ferenc Vincze & Anett Földvári & Anita Pálinkás & Valéria Sipos & Eszter Anna Janka & Róza Ádány & János Sándor, 2019. "Prevalence of Chronic Diseases and Activity-Limiting Disability among Roma and Non-Roma People: A Cross-Sectional, Census-Based Investigation," IJERPH, MDPI, vol. 16(19), pages 1-14, September.
    3. Branislav Šprocha & Branislav Bleha, 2021. "Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(3), pages 1065-1086, February.
    4. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    5. Kolarcik, Peter & Geckova, Andrea Madarasova & Orosova, Olga & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2009. "To what extent does socioeconomic status explain differences in health between Roma and non-Roma adolescents in Slovakia?," Social Science & Medicine, Elsevier, vol. 68(7), pages 1279-1284, April.
    6. Pavol Jarcuska & Daniela Bobakova & Jan Uhrin & Ladislav Bobak & Ingrid Babinska & Peter Kolarcik & Zuzana Veselska & Andrea Madarasova Geckova, 2013. "Are barriers in accessing health services in the Roma population associated with worse health status among Roma?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 427-434, June.
    7. Teresa Janevic & Janko Jankovic & Elizabeth Bradley, 2012. "Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 49-55, February.
    8. Zeljko, Hrvojka Marija & Škarić-Jurić, Tatjana & Narančić, Nina Smolej & Barešić, Ana & Tomas, Željka & Petranović, Matea Zajc & Miličić, Jasna & Salihović, Marijana Peričić & Janićijević, Branka, 2013. "Age trends in prevalence of cardiovascular risk factors in Roma minority population of Croatia," Economics & Human Biology, Elsevier, vol. 11(3), pages 326-336.
    9. Katarina Rosicova & Andrea Madarasova Geckova & Jitse Dijk & Jana Kollarova & Martin Rosic & Johan Groothoff, 2011. "Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 523-531, October.
    10. Zuzana Skodova & Jitse Dijk & Iveta Nagyova & Jaroslav Rosenberger & Daniela Ondusova & Martin Studencan & Sijmen Reijneveld, 2010. "Psychosocial factors of coronary heart disease and quality of life among Roma coronary patients: a study matched by socioeconomic position," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(5), pages 373-380, October.
    11. Evelina Pappa & Simela Chatzikonstantinidou & George Chalkiopoulos & Angelos Papadopoulos & Dimitris Niakas, 2015. "Health-Related Quality of Life of the Roma in Greece: The Role of Socio-Economic Characteristics and Housing Conditions," IJERPH, MDPI, vol. 12(6), pages 1-13, June.
    12. Gabriel Kolvek & Ludmila Podracka & Jaroslav Rosenberger & Roy Stewart & Jitse Dijk & Sijmen Reijneveld, 2014. "Kidney diseases in Roma and non-Roma children from eastern Slovakia: are Roma children more at risk?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(6), pages 1023-1026, December.
    13. Barbara Pavlikova & Lenka Freel & Jitse P. van Dijk, 2020. "To Comply or Not to Comply: Roma Approach to Health Laws," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    14. Evan Easton‐Calabria & Robert Hakiza, 2021. "In the interest of saving: Refugee‐led microfinance in Kampala, Uganda," Development Policy Review, Overseas Development Institute, vol. 39(1), pages 22-38, January.
    15. Maria Lacko, 2011. "The Poor Health Status of the Hungarians; Comparative Macro-Analysis of the Likely Explanatory Factors on Hungarian and Austrian Data, 1960-2004," DANUBE: Law and Economics Review, European Association Comenius - EACO, issue 3, pages 1-21, September.
    16. Zoltán Kántor, 2011. "Ethnic or Social Integration? The Roma in Hungary," Chapters, in: Martin Kahanec & Klaus F. Zimmermann (ed.), Ethnic Diversity in European Labor Markets, chapter 7, Edward Elgar Publishing.
    17. P. Kolarcik & A. Geckova & S. Reijneveld & J. Dijk, 2012. "Social support, hopelessness and life satisfaction among Roma and non-Roma adolescents in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(6), pages 905-913, December.
    18. Marisa Usera-Clavero & Diana Gil-González & Daniel La Parra-Casado & Carmen Vives-Cases & Pilar Carrasco-Garrido & Pablo Caballero, 2020. "Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 273-280, April.
    19. Juhász, Attila & Nagy, Csilla & Páldy, Anna & Beale, Linda, 2010. "Development of a Deprivation Index and its relation to premature mortality due to diseases of the circulatory system in Hungary, 1998-2004," Social Science & Medicine, Elsevier, vol. 70(9), pages 1342-1349, May.
    20. Ichim Arabela & Neculita Mihaela & Sarpe Daniela Ancuta, 2020. "Inequality of Opportunity for Roma in Europe," Risk in Contemporary Economy, "Dunarea de Jos" University of Galati, Faculty of Economics and Business Administration, pages 179-184.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:105:y:2012:i:1:p:25-32. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.