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The estimated number of migrant workers has reached 150.3 million, of these 66.6 million are women. 11.5 million are domestic workers with the vast majority of domestic workers, 8.5 million, being women. Migrant workers are at a significantly greater risk of being injured or becoming ill due to work in large part because they are engaged in 3D jobs. When they are injured or become ill due to work, few are covered by the social protection laws of the countries where they are working and even if covered face significant barriers to accessing needed assistance and services.The ILO promulgated international standards and related instruments which address many of these challenges including conventions and recommendations on Migrant Workers (C. 97, C.143, R. 86, R. 151), Social Protections (C. 118, C. 157, R. 167) and Domestic Workers (C. 189, R. 201). Domestic work is one of the least regulated sectors of the economy and, as such, is of particular concern to the ILO due to its concentration of migrant women workers and relatively low visibility of the workforce.More recently the ILO has launched a fair recruitment initiative in response to concerns about the growing role of unscrupulous employment agencies, informal labour intermediaries and other operators acting outside the legal and regulatory framework that prey especially on low-skilled workers. The ILO is also playing a leading role in development of the Compact for Migration and the inclusion of provisions addressing migrant worker health along with the IOM and WHO. The global compact is a significant opportunity to improve the governance on migration, to address the challenges associated with today’s migration, and to strengthen the contribution of migrants and migration to sustainable development.