6.1.1 The National Society Auxiliary role - Sylvia Khamati (Head of Health and Social Services, Kenya Red Cross - KRCS) and Luigi Fratini, (Head of the Prevention Cell Unit, ICRC)

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Violence Against Healthcare

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University of Geneva

Violence Against Healthcare

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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.

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Module 6: Members of the civil society: communities, National Societies, Religious Leaders, Health organizations and others

The purpose of this module is to highlight and understand the role civil society has in the medical mission. Civil society includes those who are actors themselves in the medical mission, as well as those who protect and promote access to health care. This module will look at how Red Cross and Red Crescent National Societies, communities, medical associations and religious circles have the ability to strengthen the provision of health care and to influence relevant parties in showing respect for the medical mission. The module will allow learners to understand the bigger picture in terms of actors involved and their role in the concept of “health care in danger”.

6.1.1 The National Society Auxiliary role - Sylvia Khamati (Head of Health and Social Services, Kenya Red Cross - KRCS) and Luigi Fratini, (Head of the Prevention Cell Unit, ICRC)8:24

Rencontrer les enseignants

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]

Dear learners, welcome to lesson number one.

We will discuss on the role of Red Cross and Red Crescent National Societies.

For these lessons, we are pleased to welcome Silvia Khamati who is the head

of health and social services of the Kenya Red Cross Society.

And she is one and through her experience and knowledge,

she will share with us her experience about the role

of national society in improving and strengthening respectful health care.

As you know, National Society Red Cross and Red Cross National Society

are a network of more than 185 National Societies around the globe.

They provide services on different fields from

disaster relief to preparedness, and also sharing humanitarian principles.

They are made by volunteers and staff, and they are very I would say,

we count on the proximities to the victim.

So, fundamental networks of our societies, that's why we thought it was an important

aspect to be take into these module on health getting danger.

So, let's discuss with Sylvia, and

thank you very much for joining us on this lesson.

Please, Sylvia, let's discuss about how the Kenya Red Cross Society

is strengthened in respect to full health care.

Two main pillars which is the auxiliary role, mandate and then, a safer access.

Can you elaborate more on that please?

>> Thank you very much.

I'm [INAUDIBLE] for the Kenya Red Cross, which is [INAUDIBLE] given to me,

all the Red Crosses across the globe in their countries like, their government.

And this means that the Red Cross is taking place by an active tenement and

is able to compliment the services of the national authorities depending on how

the structure of the government is.

There are some government that have got federal system,

others have got what we call the county system,

like Kenya currently has the [INAUDIBLE] of the National government system.

So you have the Red Cross which is available to National [INAUDIBLE]

government and of generally,

in simple ways means complimenting the government efforts and

looking into how to be sure the citizens of the country access in services.

And especially during emergencies which could be natural disasters or

conflicts or any other form of an emergency that might occur.

So at Kenya Red Cross, we enjoy this status and

we are able to then provide services in line with government guidelines but

at the end, they are also with our independence,

we are still able to work not really being given instructions by government and such,

but still wanting to get government in colaboration with [INAUDIBLE] services.

And from a health perspective, future [INAUDIBLE] including Kenya,

the government is the one that sponsor major, major health services.

So when there is an emergency, if you are not working in a scale under

the government, it becomes really difficult for you to provide the services.

There are recruit agents which stay there when there's calamity and

the government that provide the health care services.

>> Excellent, so as understood also,

you are working in order to facilitate taxes to health staff,

ambulances, volunteers to an area where health services is needed,

through the safer access framework.

Could you elaborate more on that as well?

Thanks.

>> Thank you, my Safer Access framework basically advocates for

ensuring the safety of the health line provider of emergency services.

And also ensuring that they are giving the services, they are protected facilities,

the service, but I do, we go by clinics, [INAUDIBLE] structured facilities.

These are also protected from harm, either from military attacks or

from bandit attacks or from any other fighting or of the company or

attack that would occur in the infrastructure and

[INAUDIBLE] providing health care services.

So, what we do as a Red Cross, possible is we have to do

the best which is ensuring that our staff, our women here.

And all the patients that work here [INAUDIBLE] success in terms of

ensuring that there's the respect of the Red Cross for

Red [INAUDIBLE] in that country, but also looking at how a major Geneva

convention that protect the health care system and health infrastructure.

And a respect for a very important aspect for, like the emblem, [INAUDIBLE] and

dispute are [INAUDIBLE] to Red Cross but also become of our key aspect,

including goverment because at times, some of the governments agencies may

not understand the importance of the emblem point.

So you go out and you need to make sure that the emblem, they are protected,

went to [INAUDIBLE] and when there is an emergency, say for example a conflict and

you have to then invke the universal emblem,then we have the limit

of respecting you, and we also have the voluntary respect for them.

And the, there are recruits to be able to access even the areas where at

times some of the other agencies can not.

>> Yeah, no, I know, thanks thanks Sylvia,

I know that the Kenya Red Cross is very active and have been very active in

the past in recent past also in promoting their respect for them and for the staff,

the medical staff in situation of emergency.

Final words what we, what would be your three main messages that you will

deliver to professionals, health professionals, those who were deployed

in field in difficult environments, in order to take in consideration,

what is the role of national society in this environment?

And how they can solicitate if needed in the national

society in improving the respect for health care in this environment?

>> I think in correlation number one would be for the professionals to understand

the role of the National society, or the Red Cross in their country.

Whether it's Red Cross, Red whatever, name that would be used for

the National society in their country from to understand the importance of being

engaged with the Red Cross.

And especially when it comes to [INAUDIBLE] success and

protection of their all, of themselves and they're providing services and also,

to understand the role of [INAUDIBLE] the emblem,

when it comes to protection of health care infrastructure and the personnel.

And also advise that different nation can be involve,

in the Red Cross as professional, you can either do it as a volunteer.

Some of the Red Crosses are well established,

you can be employed as a staff.

It actually gives you a better platform to be able to understand,

what the Red Cross does and be involved in the Red Cross in a more active manner.

But also I was advised the ones to [INAUDIBLE] government to really support

the Red Crosses in their country, because Red Crosses, come in very handy in terms

of emergency and especially in conflicts and difficult situations.

It is normally the Red Cross, [INAUDIBLE] community owned and

the community would normally trust the Red Cross.

With the Red Cross [INAUDIBLE] supports the government level, so

the government should really support [INAUDIBLE].

>> Excellent, thank you very much, Sylvia.

Thank you very much for your contribution.

I know that you are on daily basis engaged on this work and

I hope the learners has enjoyed as I did on your contribution and

testimony on this matter.

Thank you very much.

[MUSIC]

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