Healthcare in Danger

1. Acceptance
2. Indifference
3. Rejection
4. Hostility

• An initiative of RCRC
• Concepts examines health services during conflicts
• Health of health care workers
• Health care infrastructures
• The participants in conflicts
• Medico-legal considerations

• Aims at addressing issues of violence toward patients, healthcare workers, medical transport and facilities
• To ensure the safe access to and delivery of health care in times of armed conflict and other emergencies
• Just giving a brief reminder on what HCiD strives to achieve.

• To prevent violence against health care
• To increase safe access and delivery of health care to affected populations in armed conflict and other situation of violence

1. Health care providers and facilities are prepared to prevent, mitigate and cope with the impact of violence
2. This is one of the aims of HCiD amongst others and our collaboration was tied to this objective.
3. Other objectives which include
• Weapon bearers respect healthcare services and enable healthcare to be delivered safely.
• The legal and policy framework in the country adequately protects health care service from violence
• The general public affected by armed conflict and other situations of violence has greater respect for health care services

• Warring factions (civil wars, communal clashes)
• Bandits
• Kidnappers
• Civilians (patients, relations)
• Protesters (riots, law enforcers)

• Abductions
• Kidnapping
• Threats
• Robberies
• Arrests
• Shootings/killings
• General assaults

• Bombings
• Shellings
• Lootings
• Occupying
• Seizing (vehicles, equipment, drugs, medicines)
• Hideouts (arms, ammunitions)
• Perfidy (emblems, red cross/crescent, ambulances)

• Respect (impartiality, no discrimination)
• Protection (medical personnel, the wounded sick)
• NEMA ACT (1999)
• Criminal Code (1916)
• National Health Act (2014) (gunshot wound, police reports, clearance from CMD before arrest of victims)
• Professional ethics and codes (MDCN, NMCN)

• Consensus building (global and national peace)
• International human rights
• Develop, strengthen domestic laws
• Training of health care providers
• Training of armed forces personnel
• Emergency preparedness and response
• Public sensitization and awareness (CSO, CBOS, religious and community leaders)

• Began with Abuja summit in 2019
• MOU has been signed with APHPN
• Training manual developed
• Training has commenced in some states
• Members or chapters are expected to conduct training in their units or chapters
• Systematic introduction into the curriculum of medical schools

Comparative Assessments on Prevalence and Patterns of Violence against Healthcare.

Objectives

• Compare the level of prevalence on violence against healthcare between areas affected by armed conflict, other situation of violence and areas not affected by conflict.
• Explore the differences and similarities of the type and pattern of violence against healthcare and contributing factors between areas affected by armed conflict, other situation of violence and areas not affected by conflict.
• Explore the differences and similarities of the perpetrators of violence against healthcare between areas affected by armed conflict, other situation of violence and areas not affected by conflict.