Health Facilities

Last December, the United Nations General Assembly passed a resolution affirming protection from violence for medical personnel, patients, and health facilities. The resolution reveals the extraordinary challenges of providing care in conflict zones. The Reporter talked with Widney Brown, director of programs at Physicians for Human Rights, about the problem of violence against health workers and the importance of committing to medical neutrality.

To the Editor: “Doing Good in Harm’s Way” (Giving section, Nov. 7) points out that though medical and relief workers should be protected, in fact they often become targets. I have had the opportunity to meet many doctors working in Syria, who tell me that they are targeted because they are medical professionals. Doctors, nurses and other health workers are often perceived to be the enemy because they treat people on all sides of the conflict. Since the start of the Syrian war, we have documented the deaths of 578 medical personnel and 207 attacks on medical facilities, with government forces overwhelmingly responsible for these crimes.

Alongside the host of human tragedies, conflicts challenge efforts to ensure health, security and access to basic health care for the world’s poorest and most vulnerable populations. Such populations are disproportionately represented in conflict-affected regions: chronic conflict causes chronic poverty and poverty causes conflict.

Since last December, health services in the country have been overstretched. "The lack of security has caused many health workers to flee. There have also been reports of health workers being attacked or killed," said Kerry Page, an ICRC health programme coordinator in South Sudan. "In addition, several care facilities have been damaged or looted, and since it's extremely difficult to bring in medical supplies to the places that need them most, the basic health needs of many people simply cannot be met."

In the Donetsk and Luhansk regions, some 15 hospitals have been damaged in the fighting and so far 20 health facilities have closed. Up to 70 per cent of health care workers have fled while the crisis prevents patients from accessing much needed health care. It is estimated that 5,000 people in that region have been wounded.