International Federation of Medical Students Associations Pre European Regional Meeting 2015 Aalborg Denmark Human Rights Violations Content Introduction Goals and clear Objectives Building knowledge on Human Rights Violation and Health Reaffirm the continuous work of the DRM permanent small working group and the HCiD project Establish skills & knowledge on Health Care in Disasters Expected number of participants Methodology Keynote lectures Workshops Case studies Evening Program Movie night Proposed list of external partners Expected outcomes For the participants For the federation Follow up plan Proposed agenda Resources needed Fundraising plans and budget Coordinators’ contact details Appendix Abbreviations Introduction “While every refugee's story is different and their anguish personal, they all share a common thread of uncommon courage – the courage not only to survive, but to persevere and rebuild their shattered lives.” ~ Antonio Guterres, U.N. High Commissioner for Refugees, 2005 The Declaration of Human Rights and International Humanitarian Law is set to protect the inherent dignity and the equal and inalienable rights of all members of the human family. The Right to Life and Health have a special chapter in the Universal Declaration of Human Rights and is closely connected to our mission as future doctors. There is also an inextricable link between respecting, protecting and fulfilling the remaining Human Rights and promoting and protecting health. Health policies can for example promote or violate Human Rights in their design or implementation. Violations or lack of attention to Human Rights can also result in serious health consequences. Thus, health care personnel are often in the first defense line against Human Right violations. The Human Rights and International Humanitarian Laws need to be given specific attention in conflicts and other emergencies. In such times, the health of the people is at risk. This can be a consequence of the conflict or emergency itself, but it can also be a result of diminished access to health care. Attention needs to be given to these situations. In particular, the needs of vulnerable groups such as displaced people and refugees needs to be taken into consideration. Conflict and other emergencies are not static. In Ukraine, over 4000 people have been killed as a consequence of the crisis during 2014. The United Nations have estimated the number of internally displaced persons to be 455.829 in November 2014. In countries that are spared from open conflict/combat, violence against health personnel is unfortunately not uncommon. An example is taken from Sweden, where a political demonstration in August 2014 turned violent. As a consequence, police men blocked the entrance to the ER at the local hospital, asking people seeking care for identification. As future doctors, medical students are often on the frontlines defending Human Rights. We need to integrate human rights principles into our work, but lack the knowledge to do so. This dilemma is especially obvious in conflicts and other emergencies. With this proposal, we aim to build capacity within the future European medical personnel to act as defenders of Human Rights and access to health care. We take standpoint from two IFMSA initiatives: Health Care in Danger - Ethical Principles of Health Care in Conflicts and Other Emergencies, part of the PSWG on DRM and the PSWG on Migrant Health. Health Care in Danger Violence against health care personnel is increasing in conflicts and other emergencies. In conflicts these incidents are violations against International Humanitarian Law. As expressed in the IFMSA policy paper, violence against health care workers cannot be accepted by the international community. Therefore, IFMSA members worldwide raise their voices by implementation of the project Health Care in Danger - Ethical Principles of Health Care in Conflicts and Other Emergencies (HCiD). The project takes standpoint from the International Committee of the Red Cross (ICRC) project Health Care in Danger. The important and unique role that health care services and personnel fill in society is under special pressure in times of disasters. To increase the mandate of health care personnel to act as neutral parties ensuring and advocating access to health care, we see the need to call upon the Universal Declaration of Human Rights, International Humanitarian Law and the Declaration of Geneva. We need to raise awareness on threats toward health care and access to health care in all settings among medical students, medical professionals and society. Refugee health Conflicts and disasters, natural as well as man-made, force people to move in search of better opportunities and a safe life where their rights are respected. According to UNHCR, the number of forcibly displaced persons today is the highest since World War II. While most of these people remain in their home country or neighboring countries, a few percent reach Europe. The Universal Declaration of Human Rights states the right to seek for asylum, yet there are many barriers which stand in the way of a successful claim. Furthermore, in their destination country many are treated unjustly, and social assistance enjoyed by other citizens are withheld from them. These problems have a grave effect on the health of asylum seeking populations throughout Europe. IFMSA has adopted a number of policy statements recognizing the problems that refugees, asylum seekers and undocumented persons face, as well as the importance of addressing them. As tomorrow’s doctors it will be our duty to provide the best possible healthcare to our patients, as well as society as a whole. By valuing and holding these values, we will be able to treat each other equally, regardless of immigration status. We will also be better equipped to act as advocates for vulnerable members of our society. Goals and Objectives Building knowledge on Human Rights Violation and Health ● ● ● ● ● ● Build knowledge on International Humanitarian Law and its violations that impact access to health care within Europe; Equip medical students with knowledge on human rights and ethical principles and their connection to access to health care; Inform medical students about our federation’s policy on inclusive, all-hazard approach and IFMSA´s active contribution to enhancing Disaster Risk Reduction; Deepen the understanding of the role of health care and access to it in emergencies and disasters settings from a human rights based approach, including international laws and conducts set to protect health care; Equip medical students worldwide with knowledge required to advocate for access to health care in emergencies and disaster settings; Equip medical students worldwide with knowledge of importance of human rights and ethics in disasters, conflicts and other emergencies in medical education; ● ● ● Provide medical students with the opportunity to network with other students, professional organisations and leaders in global health, while strengthening collaboration between IFMSA and invited NGOs; Reaffirm the continuous work of the DRM permanent small working group and the HCiD project; Create an open space for consultations about humanitarian issues and health. Refugee health and access to healthcare ● ● ● ● ● ● To establish how refugees are perceived by the general population in countries across Europe; Gather information on how these perceptions have changed over time; Understand common external factors which have led to these perceptions changing; Explain how the asylum system in the European Union impacts the health of refugees; Learn, through patient narratives, of the barriers to healthcare faced by refugees, asylum seekers and undocumented migrants; Advertise opportunities currently within the IFMSA and externally for migrant health advocacy, and share successes of other NMOs in this area. Provide fora to discuss how the European region should collaborate to tackle barriers to healthcare experienced by asylum seeking populations. Establish skills & knowledge on Health Care in Disasters ● ● ● ● Introduce medical students to challenges that health care professionals face in emergencies and disasters namely armed conflicts and internal disturbances; Provide medical students with necessary knowledge and skills to actively take part in health related actions of Disaster Risk Management and Disaster Risk Reduction; Increase knowledge about health in emergencies and disaster settings, including violations of access to health care in conflicts; Increase knowledge of the challenges posed by violations of health ethics when medical professionals are either threatened by or the victims of violence. Expected number of participants We aim to gather 25 - 30 participants. The selection is based upon motivation, ethnicity, geographical representation and age, as well as plans for further involvement beyond the training. Methodology Keynote lectures Keynote lectures will be delivered by students and external speakers from a broad variety of institutions worldwide. The lectures will ensure every participant has enough working knowledge to participate in the training, and will also provide an opportunity for externals to relate exciting and new opportunities in the field. The aims are to reduce the knowledge gaps between participants by fostering an interactive discussion between the participants and the speaker. The talks may be carried out using computer-assisted presentations or flipcharts, depending on the preferences of the speaker. Workshops Planned workshops will use a wide range of methods including interactive presentations with materials for participants (printed charts, graphs and information), creative processes such as hands-on activity and methods that enable participants to present their own knowledge in an assigned topic (all participants will receive an information package via email prior to the event). Where appropriate, workshops will include various kinds of audio-visual material: videos, audiotapes, overheads and projected computer-screen images. Where possible, workshops will be conducted by external experts. After workshops, participants will receive all materials used and presented during the day. Case studies Case studies will be used to delve in to deeper studies on specific situations. These situations will provide insight to the workshop topics. As an example we are aiming to use a case study from the EU on Syrian refugees in the EU, covering the European response to the increasing refugee influx and covering the motivations of refugees to risk their lives crossing the Mediterranean. We will also address underage asylum seekers and some cases from the past year that received international media attention will be discussed. Finally, Health Care in Danger related case studies based upon on material from the ICRC will be updated to fit a European setting. Evening Program Examples of evening program that will be developed further are a movie night, an open consultation for the World Humanitarian Summit and a Humanitarian Café. Proposed list of external partners International Humanitarian Law: Rights and Obligations of Health Care Personnel in Armed Conflicts: Health Care in Danger: Medical Ethics: Health Systems Preparedness: ICRC / IFRC ICRC / IFRC ICRC / IFRC /MSF WMA Danish DRR Focal Point Expected outcomes I. For the participants ● ● Medical students have a firm understanding of International Humanitarian Law and Human Right to Health in emergencies and conflict settings; Built common knowledge about the Human Rights Violations and access to healthcare in emergencies and disasters including conflicts with focus on Europe; ● ● ● ● ● ● II. Understanding of refugees’ human rights protection in Europe and outside Europe as a part of the outcome of the emergencies and conflicts; Medical students have a firm understanding of the challenges health care professionals face in disaster settings, especially during conflicts; Medical students are fully equipped to actively take part in health aspects of Disaster Risk Management and Disaster Risk Reduction, including a comprehensive approach of information, education and assistance; Elaborate the role of healthcare and access to it from a human rights approach, including international laws and conducts set to protect health care; Medical students have been given the opportunity to network with other students as well as with professional organisations and leaders in global health; Medical students have gained appreciation of the challenges posed by violations of health ethics when medical professionals are either threatened by or the victims of violence. For the federation ● ● ● ● ● ● Medical students are informed about our federation’s policy on inclusive, all-hazard approach and IFMSA´s active contribution of enhancing human rights approach in health, protection of humanitarian laws and refugees; Medical students are informed about our federation’s policy on inclusive, all-hazard approach and IFMSA´s active contribution of enhancing Disaster Risk Reduction; Awareness has been raised among students on the role of health care in emergency and conflict settings including violations of access to health care; Raised awareness among medical students about access to healthcare of refugees in Europe and above; The continuous work of the DRM small working group and the HCiD project has been reaffirmed; Medical students worldwide are equipped with knowledge required to advocate for access to health care in all settings. Follow up plan ● ● ● ● ● ● Invite the participants to participate in the DRM movement of IFMSA including the HCiD project; Introduce participants to the online training material on HCiD produced by ICRC to extend their knowledge and skill set; Share the manuals created within the IFMSA Health Care in Danger project, aiming to provide NMOs to recreate part of the training agenda; Participants will have increased awareness of the need to advocate for access to health care in all settings; Support participants in building a network on local and national levels; Evaluation of the preEuRegMe through an online survey. Proposed agenda Time Day 1 Day 2 Human Right & International Humanitarian Law & Medical ethics Day 3 “Health Care in Danger” Day 4 “Borderless Healthcare Access to healthcare for refugees in Europe” 09.00 10.30 ARRIVAL – DAY Lecture and Workshop Human Rights IFMSA SCORP Director Workshop Homework: Students taking action on Health Care in Danger Lecture and Workshop The refugee experience in Europe Manon Pigeolet Jamie Scuffell Jessica Zhang 10.30 11.00 ARRIVAL – DAY Break Break Break 11.00 12.30 ARRIVAL – DAY Workshop Slot International Humanitarian Law ICRC Keynote Lecture Experiences as a War Surgeon Åsa Molde, ICRC Lecture and Workshop Barriers to healthcare for refugees, asylum seekers and undocumented migrants in Europe Workshop Medical ethics WMA National Association 12.30 13.15 ARRIVAL – DAY Lunch Lunch Lunch 13.15 15.00 ARRIVAL – DAY Presentation Human Right Violations OHCHR Lecture Medical Aid during internal disturbances: Ukraine and Turkey MSF/ICRC Ideas Café Take Action! IFMSA Voluntary Commitment Presentation & Workshop Human Right in Medical Education IFMSA Member 15.00 15.30 ARRIVAL – DAY Break Break Break 15.30 18.00 ARRIVAL – DAY Training Advocacy training IFMSA LRP Lecture and Workshop: When states prepare for the worst Danish Contingencies Agency/DEMA IFMSA Member Closing session 18.00 19.30 Dinner Dinner Dinner Dinner 19.30 open end Welcoming Session Voluntary session Meet & Greet of invited NGOs and already engaged students Voluntary session Social Program Voluntary session Social Program Introduction Video and discussion: Human Right & Health Care in Danger & Migrants Rights Resources needed 1. Two rooms, with chairs and desks, big enough to host about 30 participants, 5 trainers and the external speakers; 2. Two beamers for computer presentations and projections; 3. A whiteboard and/or a flip chart; 4. Flip chart paper, markers, post-its, paper, pencils, etcetera; 5. Water and snacks for the participants, trainers and speakers; 6. Full board accommodation for the participants, trainers and the attending external speakers; 7. Internet connection; 8. Speakers and microphones for video-/audio-presentations may be advisable, if possible. Fundraising plans and budget We are aiming to reduce the costs for externals by many different means, especially by inviting experts from the region. Moreover, all arriving experts will be kindly suggested to be funded by their local institute. Especially, the possibility to have high-quality speakers from MSF on their own expenses is currently discussed. However, financial support to fund externals´ travel expenses would be highly appreciated by the coordinators. Measures to reduce our ecological impact and to be cost-effective will be central in the consideration of external speakers. Coordinators’ contact details Moa M Herrgård Liaison Officer to Human Rights & Peace IFMSA Global DRR Focal Point - UN Major Group for Children & Youth Deputy Chair - Youth Beyond Disasters Mail: [email protected] Phone: +46 (0)70 2825595 Anna-Theresia Ekman Policy Advisor - Youth Beyond Disasters Health Care in Danger Focal Point IFMSASweden phone: +46 73 707 25 68 mail: [email protected] Ljiljana Lukic Projects Support Division Director - IFMSA Advisory Council on Youth - Ministry of Youth and Social Affairs, Croatia Phone: +385 91 504 30 05 Mail: [email protected] Fabian Falkenbach Social Media Lead - Youth Beyond Disaster Task Force on Constitution and Bylaws Improvement - IFMSA phone +49 2421 388 97 89 mail [email protected] Matthew Valentino Director on Human Rights & Peace - IFMSA Mail: [email protected] Phone: +356 79 042792 Jessica Zhang Vice National Officer on Global Health and Human Rights - IFMSA-Sweden Health Care in Danger - Swedish Red Cross phone: +46 73 957 10 06 mail: [email protected] Appendix Abbreviations DRR ICRC HCiD MSF Disaster Risk Reduction International Committee of the Red Cross Health Care in Danger Medecins Sans Frontieres / Doctors without borders
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