Implementation of the PHR

The implementation of the Personal Health Record (PHR), and accompanying Handbook for Health Professionals (HPs), promotes a systematic assessment of the health of arriving migrants. It seeks to ensure that health assessment and preventive measures are provided to all (including vulnerable groups) via the employment of health mediators/interpreters and via health promotion activities.


The PHR is initially pre-piloted in one or two countries (possibly Greece). Then, following the evaluation of the pre-pilot phase and discussion on the results at a regional technical meeting, the use of the PHR and the Handbook is extended to the remaining target countries.

The pre-pilot will include the following activities :

  • Trainings for HPs on the use of the PHR and confidentiality principles;
  • Monitoring, including content and format adjustment when needed and based on the context and needs of HPs and patients; and
  • Feasibility report aiming at assessing the acceptability, feasibility, impact and transferability of the introduction of a personal health record

Any necessary changes to the PHR will be made in collaboration with CHAFEA/DG SANTE.


The regional technical meeting aims to discuss the results, including feasibility report and lessons learned from the pre-pilot phase and to foster the agreement from the national authorities of the other targeted countries


Subsequently, the use of the PHR and Handbook for HPs is extended to other implementation sites selected during the exploratory phase. To facilitate the implementation of the PHR the following activities are set-up:

  • Health mediators/interpreters are recruited and trained on working with migrants, especially vulnerable groups and children. One of the main tasks of the health mediators/interpreters, aside from interpretation services, is to explain to patients, in languages they can understand, the process and benefits of undergoing a health assessment.
  • Development of Health promotion and disease prevention activities/materials to meet the needs (identified during the exploratory mission) of refugees and migrants in term of health prevention and disease control and to support the work of the health mediators.
  • The Community Response Map (CRM) seeks to collect feedback from refugees and other migrants and to promote and maintain communication with patients.