WHY SHOULD WE BE CONCERNED WITH THE HEALTH OF REFUGEES AND MIGRANTS?

By Sandra Bahhur, MPH, MHSA, RN 

Co-founder and Health Program Director of Go Project Hope: A Health and Education Initiative

Published June 30, 2020

Because the right to health is a basic human right. The World Health Organization’s Constitution states that “everyone has the right to enjoy the highest attainable standard of physical and mental health and ratified international human rights standards and conventions exist to protect the rights of refugees and migrants including their right to health”. Providing timely access to quality health services to refugees and migrants is the best way to save lives and cut health care costs, as well as protect the health of the native citizens. Migrants and refugees are likely to be healthy, but they can be at risk of getting sick in transition or when they reach their new host country. Most of the illnesses a refugee encounters can stem from poor living conditions such as camps that provide very little shelter and sanitation. They are at risk for illness because of the change in their lifestyle due to inadequate food, lack of clean water, overcrowding and the increase in toxic stress and anxiety due to the violence and torture suffered both in their countries of origin and during their journey seeking safety.

Go Project Hope volunteers at Kitrinos health clinic in Moria Refugee Camp

Go Project Hope volunteers at Kitrinos health clinic in Moria Refugee Camp

Many countries do not offer access to their healthcare systems to refugees or migrants. The World Health Organization calls on all countries to implement policies that provide health care services to all migrants and refugees regardless of their legal status. Refugees living in poor conditions during their journey increase their risk of infections and disease, therefore it is necessary for them to receive protection against illness especially infectious diseases. Refugees suffer post-traumatic stress disorder and other mental illnesses as a result of violence, torture, war and fleeing their country of origin. Then, they are faced with discrimination, poor health conditions, lack of food and very little to no support system in their refugee camps. 

Go Project Hope (GPH) has been working with refugees in Greece since 2016. Starting in Thessaloniki Greece, GPH collaborated with Elpida Home, a Greek non-profit organization committed to providing a humane, dignified and empowered living experience for refugees. GPH provided educational tools for teachers and students, teacher to teacher training, medication medical supplies for their health clinic and I-pads for the language lab, to help the refugees learn a new language before resettling to in their host country. As the refugee situation worsened, the Island of Lesvos became a hotspot. With the influx in of new asylum seekers and reduced numbers of refugees being resettled, GPH turned its attention to the Moria refugee camp. 

Moria camp houses refugees who have fled from wars in Syria, Iraq, and Afghanistan also a small minority of refugees come from Iran, Morocco, Pakistan, Sudan, Eritrea, Democratic Republic of Congo and other countries. Once the refugees arrive in Turkey, they pay a smuggler 2,000 euros or more for a fake lifejacket and a spot on an overcrowded rubber dingy that will take them across the Aegean Sea. It is about 10 kilometers or 6 miles to Lesvos or any another Greek island like Chios, Samos or Kos. Even though it is a short distance from Turkey to the Islands, many of these refugees have drowned because they do not know how to swim, and they are navigating into unknown territory. 

Moria refugee camp is located on the island of Lesvos in Greece. The camp site was an old prison that held approximately 2,000 people, now converted into one of the largest refugee camps in Europe holding approximately 20,000 refugees. Moria has little to no electricity, water is scarce, garbage is overflowing in heaps in the camp and for many refugees there is no shelter available. With the overcrowding in the camp, many have resorted to living outdoors in the elements in a make-shift extension known as the Olive Grove. They are sleeping anywhere they can find space with no tents and only a blanket or sleeping bag to protect them.

GPH has worked with Kitrinos, a UK based NGO that operates a small clinic at the entrance of the camp that provides medical care to refugees. In our missions to Moria health clinic we were able to provide nursing and ancillary clinical support, translators, health education, medication and basic medical equipment to the clinic. Over the past year, GPH has noticed the living conditions at the Moria refugee camp have deteriorated, mainly due to overcrowding and lack of hygiene which is contributing to an ongoing health crisis. On our last visit to Moria in February 2019 the same health issues, scabies and lice appeared in patients at the clinic time and time again. These health conditions stem from bad sanitation and poor living conditions in the camp. Having seen many patients with lice, scabies and deteriorating mental health within the residents, GPH created a series of 4 instructional comic books. These books were designed to teach refugee children 5 years and older about the health hazards of living in an overcrowded refugee camp, ways to prevent, detect and treat these conditions. Each Camp Care Comic book comes with a utility kit which contains the essentials to carry out the instructional lesson. It is not feasible to  ask someone to wash his hands with soap and water when there are no resources to do so. The four main topics covered in the comic books are: Handwashing, lice and scabies prevention along with mindful initiatives to relieve stress and anxiety a child may have from the stresses of fleeing their home and living in a crowded refugee camp. The Camp Care Comics can be distributed to newly admitted refugee families as a prevention measure and to the children currently living in refugee camps in an informal educational classroom setting. The comic book can also be used as a patient education tool in a small clinic setting. The booklets are being translated in Arabic, French Farci, Pashtu, and Spanish but can be easily translated in other languages depending on the population.

As we live through the COVID-19 day by day, with social distancing and quarantine as a way of slowing down the virus; let us not forget the poor and displaced no matter where they live. Amid the global pandemic, Zaher Sahloul, president and co-founder of the humanitarian charity MedGlobal, urged authorities not to forget the most vulnerable people. He said, “While the global health community and countries are busy with curbing the spread of the covid-19, let us not forget the refugees and the displaced. It is our humanitarian duty, and it is also the right thing to do to prevent catastrophic morbidity and mortality in a population that is unable to deal with the pandemic effectively.” Go Project Hope continues to develop and implement health education and mindful initiatives that serve children and families during the pandemic. We are working with the medical team at Moria to understand the needs of the camp during this difficult time. A donation to GPH will allow us to provide refugee families with the basic items needed to give them a chance to defend themselves from illnesses.

Refugee tents in the olive grove

Refugee tents in the olive grove

GPH bringing medical supplies to Moria refugee camp

GPH bringing medical supplies to Moria refugee camp

GIVE ONCE

Our Work

Project Hope a Health and Education Initiative (Go Project Hope) would like to extend our sincerest gratitude to all our supporters that believed in us our first year. Because of your support and loyalty, Go Project Hope provided health, education, living improvement and mindful initiatives that served children and families whose lives were greatly affected by conflict and war.

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In our first year (2017), we provided early learning tools to help the younger children of Elpida Refugee Camp in Thessaloniki, Greece start or continue their education while  awaiting resettlement. With your generous contributions, Go Project Hope provided books, and teaching materials for the early learning center helping children progress in their education during this tough time in their young lives. Tablets were provided to create a language lab, where languages like German and English classes were offered to the residence of Elpida.

In July 2017 and February 2018 two teams were deployed to Lesvos Greece to volunteer at the Moria refugee camp medical clinic and the children’s learning center at Kara Tepe. Go Project Hope provided several mindful initiatives to institute in the camps and help encourage calm and relaxation to the children. In July 2017 Go Project Hope created a yoga summer program and teacher training workshop to educate volunteers and students in mindful relaxation techniques in the hopes of relieving toxic stress and anxiety.  We introduced our new puppets “Amo Abu Rami” the wise old villager, “Filfil” the dragon and “Kunkush” the cat. Using puppetry and storytelling we provided a creative platform encouraging children to dream learn, and explore.

In February 2018, your donations provided a six month supply of laundry detergent to the residents of Moria camp. Funding the Wash Program, as simple as it seems, is essential because with fresh, clean laundered clothes, refugees regain a sense of dignity, self-esteem, health and well-being.

Our medical volunteers and translators worked alongside nurses, doctors and many organizers from around the globe to provide healthcare at the camp clinic in Moria. Go Project Hope has provided the Moria camp clinic with much needed medication, oxygen tanks, walkie talkies, electronic thermometers a clinic printer and much more.

Thanks to your loyalty and generosity, Project Hope a Health and Education Initiative had a successful first year in 2017. Our sites are set on 2018 working with you, our loyal partner to bring hope to the many refugees around the globe.

 

Sincerely,

Sandra Bahhur

Cofounder and Health Program Director

 

Rita Lahoud

Cofounder and Education Program Director