3.1.2 Challenges and solutions: example from Lebanon - Frederik Siem, (Senior Adviser for Health Care in Danger, Norwegian Red Cross) and Rodney Eid, (Assistant Director for Crisis Management, Lebanese Red Cross)

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來自 University of Geneva 的課程

Violence Against Healthcare

23 個評分

University of Geneva

Violence Against Healthcare

23 個評分

At the global level, there are many countries marked by violence affecting health care. The 'Health care in danger' project aims to establish practical measures and recommendations that can be implemented on the ground by policy-makers, humanitarian organizations and health professionals. In view of the multiplicity of actors and latitudes concerned, it is essential to be able to make available the tools needed to make informed decisions, guide behaviour in high-risk areas and provide everyone the means to create and optimize the dialogue between humanitarian professionals and health on the one hand and relevant authorities or other armed actors. This course covers various topics such as ethics, rights and responsibilities of the staff of health and pre-hospital personnel, issues related to international law and humanitarian law, international human rights, caregivers and patient safety as well as the role of communities to address and reduce violence against health care.

從本節課中

Module 3: Ambulance and prehospital services in risk situations

This module will inform you of the the general security challenges that ambulance and prehospital services face in situations of armed conflict or other emergencies. Unfortunately, challenges also include targetted attacks or threats of violence against the ambulance and prehospital. Direct and indirect attacks may be carried out by arms carriers, but also by the local communities themselves. Through the following chapters, we will try to understand some of the reasons behind such threats and attacks, as well as present you with some solutions that the service providers can implement to reduce risks and the impact that threats and attacks may have on the service providers and the people they seek to help. It should be noted that these solutions and good practices have to be considered up against the context in which they are to be implemented. What works in one country or area, may not be as relevant in another.

3.1.1 Aggression against ambulance personnel due to expectations exceeding capacity2:44

3.1.2 Challenges and solutions: example from Lebanon - Frederik Siem, (Senior Adviser for Health Care in Danger, Norwegian Red Cross) and Rodney Eid, (Assistant Director for Crisis Management, Lebanese Red Cross)6:08

與講師見面

Angela Gussing
Regional Director for the Americas
International Committee of the Red Cross
Beat Stoll
Dr
PD, Coordinator of the Master of Science in Global Health, University of Geneva
Esperanza Martinez
Dr, Head of Health
International Committee of the Red Cross
Alexander Breitegger
Legal Adviser
International Committee of the Red Cross
Frederik Siem
Senior Adviser for Health Care in Danger
Norwegian Red Cross (NorCross)
Bruce Eshaya-Chauvin
Dr, Medical Advisor Health Care in Danger Project
International Committee of the Red Cross
Jamie Williamson
Head of Unit, Relations with Arms Carriers
International Committee of the Red Cross
Luigi Fratini
Head of Prevention Cell Unit, Law & Policy department
International Committee of the Red Cross

[MUSIC]

Welcome back.

We now have the privilege of having Rodney Eid with us.

Rodney is a volunteer in the Lebanese Red Cross, where he's been a volunteer for

17 years in the Lebanese Red Cross Emergency Medical Services.

And he has a wealth of experience operating ambulances in risk situations.

So Rodney, can you tell us a little bit about the types of challenges and

solutions, in terms of

maintaining continuity of service in situations of armed conflict.

>> Hello Fred.

Thank you for this opportunity.

As the Lebanese Red Cross is the sole provider of EMS services in Lebanon,

we usually put in place contingency plans.

For so many, for several actually scenarios related to conflict or

natural man made disasters or a sorry, for natural disasters or man made disasters.

These contingency plans are set in place for

our teams to be able to operate when an incident happens.

The continuity of service is a very critical issue, especially when it comes

to an armed conflict because armed conflicts sometimes affect our access.

And maintaining our access to reach the vulnerable people is a key issue.

So the continuity of service is usually if we don't have a contingency plan, or

if we don't work with the local community, our axis can be obstructed.

The challenges are, especially when there's a conflict between a country and

external parties and this is where the type of war or

the type of conflicts affects the service we are providing.

For example in one of the wars bridges were cut out,

roads were cut out and we had difficulty reaching people in some villages.

The Lebanese Red Cross at the time improvised so

many ways and because even in our contingency plan,

the contingency plan is not always a full plan, a 100% working plan.

So you always have to improvise and improvisation was that at the time

we actually did bridges on the water, man made bridge on the water to pass

people within the rivers from one end of the river to the other.

If bridges are cut out and cutting out two cities from each other or

two villages from each other, we try to see.

We use maps, we use Google maps

to see alternative routes, routes in

the outskirts of the villages that can give us the access to these villages.

It will take more time, of course, but then at the end of the day our sole

objective is to reach the vulnerable people to the beneficiaries.

>> Thank you Rodney.

And again thank you for all the great work you are doing in Lebanon.

As Rodney mentioned a few times here, the contingency plan is key.

And on your screen now, there should appear a chapter from a report.

We can read a bit more about the importance of having good contingency

plans with the hospitals.

But as well, I just want to pick out a few of the other things Rodney said, and

the impartiality of the services as we saw earlier and the effect this has on them.

Perception of the service which, engenders the acceptance of the ambulance

service in the community, providing it security and therefore access.

All this of course to reach the people in need of medical care.

And then of course in times of armed conflict,

when there are so many more that need emergency medical care.

And we have situations where, like Rhody mentioned,

bridges are destroyed or there are other infrastructural challenges.

And the ambulance services are forced to take creative measures,

going on the Google Maps as you mentioned there Rodney, and finding separate routes.

Rodney, is there anything else, any sort of final words of wisdom that you want to

give us before we move on to the next chapter?

>> Just one thing Fred, we have to make sure always that communication is a key

part of all the response in a conflict.

And as you mentioned, hospitals, like in the Lebanese Red Cross as soon

as we have a conflict, we have someone in our despatch center who is surveying

the availability and the capacity of hospitals in real time.

We have one person who is talking to other

stakeholders in the government like the civil defense.

And the army and the police, so communication is key.

Communication between our headquarters and

with our volunteers on the ground that are operating the dispatch centers and

with external stakeholders who are going to help us And

who are going to support for us to reach the vulnerable people.

And of course, like the hospitals, because if here we get all these patients out, and

we overflow one hospital, and we don't know the availability,

then we are creating another problem for the hospital.

So communication is key in building the contingency plan.

>> Thank you Rodney, thanks again.

>> You're welcome.

[MUSIC]

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