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sanitation), and whether the State protects the child against the many hazards and dangers
including those posed by national and transnational organized crime, intermediaries, employers,
or working conditions - are a key factor in determining the impact of migration on children left
behind.29
49. The attention of the Special Rapporteur has been drawn to the migration of health
professionals as a serious impediment to the delivery of health-care services to the population in
communities characterized by high levels of migration. This has also affected the provision of
health-care services to children in some countries of origin.30 In this connection, the
Special Rapporteur welcomes efforts made by some host countries to transform migration
challenges for countries of origin into opportunities for cooperation. A good example is the pilot
project “Migration and Development for Africa”, launched by the International Organization for
Migration (Helsinki) with the support of the Ministry of Foreign Affairs of Finland, which
promotes the return of qualified professionals of Somali background on a temporary basis to
Somaliland and Puntland to assist and share their skills with local health authorities, civil society
organizations, hospitals and universities.31
50. Assessing the human rights impact of migration on children left behind also includes a
gender dimension that requires careful consideration by the State. Research studies carried out in
the Latin American region, suggest, for example, that children left behind may be affected
differently by the absence of their mother compared to the father, given that when a family
member migrates, relations are redefined and subsequent changes in roles and responsibilities
affect the daily life of the child. Furthermore, studies by the International Labour Organization
(ILO) in Tajikistan suggest that the prolonged absence of the male head of the household often
leaves the rest of the family destitute.32
51. The inclusion of measures to promote family unity and facilitate the reunion of children
with their parents in host countries is also necessary to address adequately the special needs and
protection of children left behind. Many parents and other family members initially migrate
29
See A. Whitehead and I. Hashim, “Children and migration”, background paper for DFID
Migration Team, March 2005. See also “The impact of international migration: children left
behind in selected countries of Latin America and the Caribbean”, UNICEF, 2007.
30
Delanyo Dovlo, The Brain Drain and Retention of Health Professionals in Africa, Accra,
September 2003. Available at http://siteresources.worldbank.org/INTAFRREGTOPTEIA/
Resources/dela_dovlo.pdf.
31
See International Organization for Migration, “Strengthening the health sector in Somaliland
and Puntland through the engagement of Somali diaspora health professionals from Finland”,
available at http://iom.fi/content/view/212/8.
32
ILO, Migrants in times of economic crisis: ILO/UNDP join forces to make Tajik migration
safe, 16 December 2008.