Coordination of Action Research on AIDs and Mobility

About CARAM Asia

CARAM Asia is a regional network of 42 migrant and migrant support organizations in eighteen countries across Asia, including Middle East. CARAM Asia is a non-profit and non-governmental organisation (NGO), that educates, promotes and protects migrants’ labour and health rights with a focus on HIV&AIDS and SRHR issues since its establishment in 1997. Based in Kuala Lumpur, Malaysia, the CARAM Asia Secretariat works with its member organizations at regional level to work for advancement of migrant worker’s labour and health rights.

CARAM Asia Statement on the Occasion of 2024 International Migrants Day

As we commemorate the 2024 International Migrants Day (IMD), we call on governments in both sending and receiving countries to recognize the contributions of migrant workers (MWs). MWs are essential drivers of global development, fueling economic growth, addressing critical labor market gaps, sharing learning and experiences, and enriching cultures. In 2020, the global population of international migrants reached 281 million, with 187 million categorized as labor migrants. Notably, the feminization of labor migration is on the rise, with women now accounting for approximately 48.1% of international migrants in 2020i. Among these, 83 million hailed from the Asian region, contributing an impressive $309 billion in remittances in 2022ii. This influx of funds has significantly boosted the GDPs of countries like Nepal, Philippines, and Bangladesh. These remittances support education, healthcare, housing, and transforming communities. In receiving countries, MWs fill labor shortages, particularly in "3D jobs" (dirty, difficult, and dangerous), while also promoting cultural exchange and strengthening democratic engagement through diaspora participation. The 2024 theme, “Honoring the Contributions of Migrants and Respecting Their Rights”, emphasizes the far-reaching impact of migrant contributions across sectors and borders, while also addressing the challenges and exploitation MWs experience during their migration cycle. It is crucial for governments and other stakeholders to recognize that despite invaluable contributions, to date, MWs continue to face significant challenges at pre-departure stage to post-arrival in receiving countries and in reintegration stage in sending countries that violate human, labor and health rights, which include: 1.Exploitation and Labour Rights Violations: MWs are particularly vulnerable to exploitation such as fraud, bribes, and forced labor. Women migrant domestic workers, for example, are disproportionately affected, enduring severe labor rights violations. These include working long hours without guaranteed days off, wage theft, unfair working conditions, and lack of legal protection against physical and sexual abuse. Furthermore, many MWs are trapped under restrictive sponsorship systems that prevent them from changing employers, even in cases of exploitation. A significant number of MWs become undocumented due to employers' negligence in renewing work permits. Others are brought into receiving countries by unlicensed recruiters using fake documents or for non-existent jobs, leaving them stranded. Some enter in receiving countries on student or tourist visas under false promises of obtaining work permits, only to face legal and financial instability. This increases their vulnerability to arrest, deportation, and exploitation, while depriving them of essential rights and protections. 2.Health Access Barriers: MWs continuously face exclusion from healthcare services, due to extremely high out of pocket health care cost in public hospitals, they have limited or no insurance and compensation for work-related injuries. Undocumented MWs avoid entering public health care services due to fear of arrest, detention and deportation. In addition, MWs are subjected to involuntary health testing for employment requirements and criminalized (i.e. arrest, detention, and deportation) for health-related conditions which can be treated. These discriminatory policies and practices violate their human and health rights, as access to healthcare should be voluntary and based on universal health coverage principles. In many receiving countries, strict health screening procedures, including mandatory HIV testing and pregnancy tests for women migrant workers, are enforced as part of the work permit process at pre-departure stage, upon arrival and at the time of work permit renewal. Those who are found to be HIV positive or pregnant face a heightened risk of job termination, possible unsafe abortion, and most often result in forced deportation and/or criminalization. 3.Social and Economic Marginalization: Xenophobia, discrimination, and limited integration into receiving communities exacerbate their challenges for social cohesion and cultural exchange, further restricting access to resources, services, and decision-making processes that are crucial to ensure their meaningful participation at the grassroots level. Social support mechanisms are also not in place and MWs suffer from isolation and exclusion. 4.Migration Policy Gaps and Implementation Failures: The discriminatory nature of policies and inability to protect MWs’ labor and health rights restricts migrants’ access to essential healthcare, legal services, and other interventions. Issues like wage theft, recruitment fraud, and inadequate social protections, especially for women MWs under systems like Kafala, persist. Despite progress in migration policies in some Asian countries, inconsistencies and implementation gaps persist, particularly in informal sectors such as domestic work, among undocumented MWs, and in addressing gender-based protections. Migrant workers continue to endure human, labor, and health rights violations in receiving countries to support their families back home, often relying on non-governmental organizations (NGOs), community networks, and advocacy groups for legal aid, healthcare, and other supports. The spirit of IMD calls for a renewed commitment to addressing the needs of migrants worldwide especially in the context of labour migrants in Asian region. Honoring migrants’ contributions requires addressing migration challenges through concrete actions. CARAM Asia, along with its 42 member organizations across 18 countries in Asia, urges decisive action from the governments of both sending and receiving countries to create a future where migration is safe and equitable, with the following recommendations; 1.Strengthen Legal Frameworks: Governments should revise outdated migration policies to include labor, health, and human rights protections, addressing the evolving needs of MWs, with gender-responsive measures, and ensuring effective monitoring and enforcement. 2.Ratify International Instruments: Sending and receiving countries should ratify and enforce conventions like the International Convention on Migrant Workers’ Rights to guarantee fair treatment and equal protection for migrants. 3.Promote Healthcare Access: Governments should eliminate discriminatory health policies, remove criminalization based on health and documentation status, and ensure MWs can access healthcare at local rates. 4.Combat Human Trafficking: Sending and receiving countries should work together to enhance regional cooperation to dismantle trafficking networks while ensuring victims are protected without criminalizing their legal status. 5.Facilitate Integration: Sending countries should establish social inclusion and reintegration pathways to support MWs' resilience, both in receiving countries and upon their return home regardless of their status. CARAM Asia (Coordination of Action Research on AIDS and Mobility) remains committed to advocating for the health and rights of migrant communities. Through evidence-based interventions, policy advocacy, and regional cooperation, we aim to create a future where MWs can live with dignity, free from stigma and discrimination. Statement issued by: CARAM Asia Secretariat, Member Organizations and Migrant Workers’ Right Task Force.

Vision

All people have the right to stay or move and live and work in dignity with equal rights in a society, where their quality of life is ensured.

Mission

Empower:

To empower migrants, their families and communities throughout the migration process and build capacities of Community Based Organisations (CBOs) and Non-Governmental Organisations (NGOs) working for the promotion and protection of migrants’ labour and health rights with focus on HIV & AIDS including sexual and reproductive health rights (SRHR).

Evidence-based:

Utilise Participatory Action Research (PAR) to ensure inclusion of migrant’s voices and perspectives on HIV vulnerabilities, migrant worker’s health status and give potential policy recommendations for effective national and regional advocacy.

Rights-based :

Use the rights-based approach in promoting and protecting migrants’ labour and health rights through interventions to reduce all vulnerabilities and improve social determinants of health throughout the migration process.

CARAM Asia Task Forces

CARAM Asia's task forces are prioritised in line with four key thematic areas:

  • 1. Migrant Worker's Rights (MWR)
  • 2. Migration, Health, HIV and Well-Being (MHH)
  • 3. Migration, Development and Globalisation (MDG)
  • 4. Migration Climate Change and Humanitarian Crisis (MCCHC)

Principles & Frameworks

CARAM Asia endeavours to institutionalise and incorporate a rights based framework from which to address migrants’ health concerns. Two other frameworks used in developing and implementing programmes are the Greater Involvement of People Living with HIV (GIPA) principles as well as gender and sexuality frameworks.

CARAM Asia Approaches

Four key thrusts and pillars which provide momentum to CARAM Asia programmes are Participatory Action Research (PAR), national and regional advocacy, coalition building and capacity building for CBOs and NGOs working with migrant communities.

These approaches provide an impetus for the development of research, publications, campaigns and policy prescriptions for CARAM Asia programmes.

PAR has assisted migrants in developing information tools which empowers them to understand, provide solutions and better manage their own situations. The real strength in PAR is that it is conducted by local communities for local communities.

Outputs from PAR are used for key regional advocacy and capacity building activities aimed at creating a regional response to improving the health and well-being of Asian migrant workers.

CARAM Asia Ongoing Project (2022-2024)


Prevention & Advocacy on Migrant's HIV Issues, Enhancing Access to Health Services and Promoting HIV Positive Migrant's Rights in Asia


RCF Logo
Funded by Robert Carr Fund (RCF) for Civil Society Networks

CARAM Asia works for promotion and protection of migrant worker’s health rights with focus on HIV & AIDS and SRHR issues in the region. The network is presently working on the regional project titled "Prevention & Advocacy on Migrant's HIV Issues, Enhancing Access to Health Services and Promoting HIV Positive Migrant's Rights in Asia". This project is comprised of three years funding cycle from 2022 to 2024, funded by the Robert Carr Fund (RCF) for Civil Society Networks, aiming to address stigma and discrimination against HIV-positive migrant workers (MWs), enhance MW’s access to health services, conduct advocacy with key stakeholders for the protection of MWs’ health rights and address laws, policies and practices issues related to HIV, MW’s criminalization based on HIV-positive status and other health conditions. The project also covers the areas of awareness-raising on HIV prevention, conducting capacity building of the project partners, community-based organizations (CBOs), non-governmental organizations (NGOs), migrant community leaders, MWs etc.

The significant collaboration with CARAM Asia's project partners in three Asian sub-regions— South Asia, comprising the Ovibashi Karmi Unnayan Programme (OKUP) in Bangladesh, SPEAK Trust in Pakistan, Community Development Services (CDS) in Sri Lanka, and POURAKHI in Nepal, Southeast Asia includes the North South Initiative (NSI) in Malaysia and Action for Health Initiatives (ACHIEVE) in the Philippines and Middle East features Migration Services and Development (MSD) in Lebanon—is leading to various activities being implemented by the project partners, which hold corresponding purposes.

The Robert Carr Fund (RCF) for Civil Society Networks has been instrumental in providing CARAM Asia with the ongoing financial support as it implements the current regional project for 2022 to 2024 funding cycle. The tremendous support from RCF in the past years and for the current project implementation makes it possible for CARAM Asia to work extensively with the project partners at national, international, and regional levels for advocacy and at community levels among MWs in sending and receiving countries by executing its overarching strategies. To learn more about RCF, please click this link here.

Working Strategies:


A. Conducting participatory action research (PAR) studies to generate knowledge and evidence in support of the rights of MWs and use the evidence for advocacy and awareness raising.

PAR, which is identified as a core initiative of CARAM Asia, is designed to integrate migrants' perspectives and points of view on HIV & AIDS, MW’s vulnerabilities to HIV, SRHR issues and other health conditions, and develop potential policy recommendations. Currently, a few research studies are being conducted under this project such as “Health of Bangladeshi Migrant Workers: A Cost Analysis from Social and Economic Perspective” and “Research on Workers’ Understanding about HIV and Barriers in Accessing Health Services in Malaysia” to give attention to unaddressed issues of MWs especially on health’s rights.

Recently, completed research studies under this project are “Identify the Risk Factors that make MigrantWorkers More Vulnerable to Contracting HIV and What Interventions could be Taken to Reduce this Risk” in Sri Lanka and “Identify the Percentage of Migrants among Registered People Living with HIV (PLHIV)” in Pakistan produced fruitful key findings such as data acquisition on number of MWs with HIV and risk factors for HIV. These research outcomes are potentially being used for advocacy activities such as policy recommendations and to come up with insightful and research-based evidence on MWs and their current needs. For example, CDS has submitted research outcomes to important policy makers in Sri Lanka for further actions.

Research image
MOU Signing on Researches Collaboration

B. Advocating for the progression of MWs' rights at different levels including national, regional, and international levels

Built on the PAR, this strategy involves program policies and resource advocacy such as engagements between civil society organizations (CSOs) and relevant stakeholders. Within this strategy, CARAM Asia and its project partners are implementing well-established advocacy plans using the evidence-based from the PARs. These activities demonstrate that CARAM Asia strongly advocates for the recognition of MW’s vulnerability to HIV & AIDS, and SRHR due to various factors involved in the migration process. CARAM Asia also advocates for the removal of discriminatory health policies which criminalize MWs based on HIV-positive status. Many of these project activities are designed to address these issues at various levels.

For instance, advocacy meetings are being conducted with stakeholders including government officials, political representatives, NGOs, embassies, consulates, foreign service providers and others to advocate them on MWs’ needs. These are to achieve several outcomes; creating referral mechanisms for MWs at the airports in Pakistan, streamlining deportation process of MWs in Pakistan, sharing the research outcomes for the purpose of educating stakeholders with MWs’ needs in Pakistan, demanding the government for MWs’ health protection in Bangladesh, creating standard operating procedures (SOPs) for MWs’ protections in Lebanon, reforming the policies and laws for HIV-positive MWs in Nepal, addressing health issues and ensuring that HIV and AIDS-related activities and services are created based on the current needs of MWs in the Philippines.

Advocacy image
Consultation Meeting with Stakeholders

C. Implementing relevant capacity-building activities in accordance with the needs of the stakeholders involved (MWs, CSOs, PLHIV networks, etc.)

Strengthening the skills and capacity of CARAM Asia’s project partners is one of the influential elements in determining the success of CARAM Asia in achieving its goals. For that reason, CARAM Asia is capacitating the project partners with the monitoring and evaluation (M&E) training to empower them to have a better evaluation on the outcomes of project activities. Together, project partners are taking various initiatives including provision of training such as training of trainers (TOTs) workshop and orientation to officers, building on knowledge on HIV/AIDS and life skills training to different groups such as MWs and families, migrant leaders, government officers, commercial sex workers and staff members of various civil society organizations, to fully equipped them with relevant capacities.

Knowledge was boosted and skills were made available via the capacity builds that cover a variety of topics. For instance, roll-out training is introducing migrant leaders with HIV and STI related information, M&E training is providing project partners with the necessary tools to understand the M&E processes and orientation training are providing educational opportunities for foreign service officers to learn about HIV policies in relation to MW’s rights. The implementation of these activities follows from the fact that it improved their capacity to manage activities they engaged in their organizations.

cb image
Capacity Building of Migrant Leaders

D. Advancing migrant workers' rights through media campaigns and other relevant public relations activities

Crucial aspect of HIV prevention among MWs is awareness raising and increasing knowledge on HIV & AIDS related topics. HIV information generation and dissemination implemented by CARAM Asia’s project partners is not limited to MWs, but include hospital staffs, nursing students, potential MWs, youth, CSOs/NGOs, government officials, political representatives and other important stakeholders. Onsite HIV/AIDS awareness raising sessions such as in hospital, health care, nursing school, detention centers, via forums theaters and other online social media campaigns and materials dissemination on HIV/AIDS are combining together to reach the above-mentioned targeted populations to the greatest extent.

Moreover, the annual World AIDS Day celebration and HIV/AIDS prevention forum theater are part of this project initiative for the mass-awareness raising. This is an essential part of developing new knowledge and enhancing awareness of MWs' health rights, notably in HIV prevention, for having equal protection under laws, and accessibility to assistance and health services without stigma and discrimination by hospital staff and health care providers.

awareness image
Onsite Awareness Session

E. Increasing access to services for MWs, including health, legal, and other relevant services

To ensure health rights of MWs regardless of their status, CARAM Asia and its project partners are making services more accessible and available to MWs and their families. In spite of MWs' rising needs for healthcare services, illness prevention and treatment, and other services, the national health programmes are frequently neglecting them. With that, provision of services such as counseling sessions, referral services, self-support groups, service mechanism reconstruction, online psycho-social supports and medical assistance are being implemented as a part of the CARAM Asia’ regional project activities with the means to tackle such issues. Additionally, the RESQ team has been formed to increase accessibility and outreach services for MWs with lack of access to HIV services in Malaysia. Increased health access was proven to empower MWs living with HIV and enhance general mental and physical well-being.

Referral image
Healthcare Services for Migrants

To conclude, this project showed remarkable outcomes in the previous year. Notably, ACHIEVE’s representation as a CSO to the Philippine National AIDS Council (PNAC) and the 7th AIDS Medium Term Plan (AMTP 7) influenced changes in policy formulations to include MWs in HIV prevention programs. The development of 11-point action plans for the key affected population (KAP) on HIV/AIDS in Bangladesh resulted from collaboration of OKUP with UNAIDS and Community Forum Bangladesh. The creation of the technical working group (TWG) through SPEAK Trust’s stakeholder’s sensitization marked the progress towards the implementation of an HIV testing and referral system at international airports in Pakistan. POURAKHI's status as the voice of MWs was also strengthened with the formation of a coalition with CSOs addressing MW issues in Nepal.

Other noteworthy accomplishments include large number of beneficiaries/recipients of services who were directly benefited from services delivery, education and awareness campaigns on HIV prevention which conducted by CARAM Asia's project partners, MSD, CDS and SPEAK Trust, include the provision of medical support to MWs who are detained, HIV screening of deportees and returnees and their access to health services, and HIV awareness training for migrant prisoners, potential MWs, and other Key Affected Populations. NSI has also created the first-ever training module to build capacity and educate the community leaders who are MWs about risk behaviors for HIV infection, prevention, and the availability of HIV- and STI-related health services. The 2022 activities' outcomes, notably in treating the HIV issues among MWs, were crucial to assess the effectiveness and its impacts they had on positively improving MWs' lives.

CARAM Asia Project Partners

partner Logo

Pictures from Project Activities (2022-2023)


adovcacy Event
Advocacy Meeting with Key Stakeholders on HIV Testing and Referral Services for Deportee/Returnee Migrants in Pakistan
awareness Event
Awareness Sessions on HIV Prevention with Key Population in Sri Lanka
cb Event
Monitoring and Evaluation (MEL) Training on CARAM Asia Projects with Project Partners in Kuala Lumpur, Malaysia
cb Event
Workshop on "Leadership, Network Management and Community Mobilization” with Migrant Forum Leaders in Bangladesh
referral Event
Comprehensive HIV Services and Referral System for Migrants in Malaysia
research Event
Research Study conducted on Well-being of the Oversea Filippino Workers (OFWs) in the Philippines
caram impact Event
CARAM Asia Impact Reflection Meeting on 2022 Project Outcomes with Project Partners in Kuala Lumpur, Malaysia
advocacy Event
Consultation Meeting with Key Stakeholders on HIV Migrants Health Rights in Kathmandu, Nepal
research Event
Awareness Sessions with 41 Migrant Leaders Regarding Information and Resources on HIV/AIDS in Lebanon

Board of Directors

Chairman
Ms. Carmelita G. Nuqui

Development Action for Women Network (DAWN),

PHILIPPINES

Treasurer
Mr. Andrew Virendra Samuel

Community Development Services (CDS),

SRI LANKA

Member
Ms. Jeanne D'Arc Hobeika

Migrant Services and Development (MSD),

LEBANON

Member
Mr. Sakiul Millat Morshed

Shikkha Shastha Unnayan Karzakam (SHISUK),

BANGLADESH

Member
Ms. Manju Gurung

POURAKHI, NEPAL
Member
Mr. Adrian Anthony Pereira

North South Initiative (NSI),

MALAYSIA

Member
Ms. Sumaiya Islam

Bangladesh Nari Sramik Kendra (BNSK),

BANGLADESH

Migrant’s Representative
Mr.Seum Sophal

THE MIGRANT COMMUNITY REPRESENTATIVE

CAMBODIA

Migrant’s Representative
Mr. Niroshan Senadheera

THE MIGRANT COMMUNITY REPRESENTATIVE

SRI LANKA

Migrant’s Representative
Ms. Goma Bhandari

THE MIGRANT COMMUNITY REPRESENTATIVE

NEPAL

Migrant’s Representative
Mr. Thein Win

THE MIGRANT COMMUNITY REPRESENTATIVE

MALAYSIA

Migrant’s Representative
Ms. Sri Murni

THE MIGRANT COMMUNITY REPRESENTATIVE

INDONESIA

CARAM Asia Secretariat

The CARAM Asia Secretariat operates from Kuala Lumpur, Malaysia. The core team members are:
Musarrat Perveen (Regional Coordinator)
Elizabeth Deveraj (Finance Manager)

Location

5th Floor, Wisma Hamid Arshat
No. 12–5 , Jalan Bangsar Utama 9
Bangsar , 59000 Kuala Lumpur
Malaysia.

Contacts

Phone: +60 3-2282 7708
Fax: +603-2282 1155

Office Hours

Monday to Friday 9AM – 5PM (GMT +8)