International Day of Water

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Testimonial: Midwife Sarah Ibrahim in Ethiopia

For two years, Sarah Ibrahim has been working for Doctors of the World Germany in the Malayko Health Center (Somali Region, Ethiopia). Below she shares her experience working in the field.
 
What can happen to a woman if there is no midwife?
 
If there is no midwife, the situation can get dangerous. If there are complications, the mother can die while giving birth. There are sometimes dangerous signs like preeclampsia. Even if there is a TBA (Traditional Birth Attendant) and another skilled person, there could be a lot of different problems. 
 
To avoid these problems, you have provided training sessions. What do you teach other midwives?
 
We talk to pregnant mothers about how important it is that they come to the health facility when they feel that birth is about to begin. After birth, I consult and train the mother on how to take care of her baby and about hygiene for the baby and herself. I show this also to my colleagues and teach them for example how to detect preeclampsia and what to do in these cases. 
 
Do you have some words for our readers abroad?
 
I am greeting all the other women in the world. We are all family and we have to care about women and children regardless of the color of the skin or where they come from. It is a question of humanity and we have to take care of all of us.

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One year after the Russian invasion of Ukraine, Doctors of the World warns of unprecedented health crisis

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Earthquakes in Turkey and Syria: Update on our Emergency Response

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Earthquakes in Turkey and Syria: Our Emergency Response Already Underway

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Earthquakes in Turkey and Syria: Our Emergency Response Already Underway

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US-Mexico relations and their impact on migrant safety

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Doctors of the World suspends activities in Afghanistan and calls for the lifting of the ban on women aid workers

On December 24, Doctors of the World and other non-governmental organizations (NGOs) working in Afghanistan received a letter from the authorities stating that women were no longer permitted to work for national and international NGOs within the country. At Doctors of the World, we strongly condemn this decision and have decided to suspend our activities in Afghanistan.

As Afghanistan faces economic collapse and a severe humanitarian crisis, NGOs play an essential role in saving lives and bringing aid to the population. Banning women from working will only have a dramatic and devastating impact on the lives of millions of vulnerable women, men and children in the country.

By prohibiting women from working in NGOs, a red line has been crossed. Doctors of the World is taking the difficult decision to suspend its activities because an effective humanitarian response in line with humanitarian principles cannot be achieved without women. This choice has also been made by several NGOs in the country since the announcement on December 24.
DotW calls for the lifting of the ban on women aid workers so that we may resume our activities in the country. This decision made by the authorities comes just a few days after restrictions were placed on Afghan girls’ access to education. Doctors of the World has been present in this country for 30 years, from 1982 to 2012. In 2021, DotW decided to return and implement new humanitarian programs in the country. Until this month, Doctors of the World was supporting a district hospital in Kabul as well as working to address mother and child health needs. So far, 150,000 people have benefited from the medical services offered by this hospital. It is vital that the country lifts its ban on women aid workers so that they may return to provide much needed care to the country’s population.
 

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El Paso: Safe Haven

International Discord, Policy Change, and Crisis Abroad 
 

In 2022, there has been a record-breaking surge in migration. This significant influx has even shaken the USA and especially Southern Border states. The surge can be related to a multitude of issues that add further complexity to this already growing crisis. 

To begin, the lifting restrictions of COVID-19 has encouraged more to cross the border, as well as the ‘supposed’ termination of Title 42 on December 21, 2022. However, the Supreme Court decided to extend Title 42 just days before it was meant to end, despite the fact that this policy is in gross violation of international refugee law, as it facilitates discriminatory denials of access to asylum based on nationality and race. Furthermore, Title 42 allows border control to deport immigrants to Mexico or their home countries without verifying whether migrants would be safe to return. Many are forced into Juarez, one of the most dangerous cities in Mexico, especially for women where the rate of femicide has doubled in past years. 

Title 42 is also being attributed to the huge influx of unaccompanied minors. Many families have sent their children alone across the border since Biden’s ruling that minors would be excluded from the policy in hopes that they might finally find safety across the border. 

Despite the fact that Title 42 has been extended, many remain unaware or feel they have no choice but to try and cross the border as the circumstances at home are simply too precarious. The majority of migrants are coming from Venezuela, Ecuador, El Salvador, Haiti, Nicaragua, and Cuba. People are fleeing from oppressive governments, gang violence, poverty, and climate disasters. As a result, the US has seen a radical increase in immigration, with 2.76 million people crossing the border in 2022, breaking the previous annual record of more than 1 million.

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International Migrants Day: Influx of Unaccompanied Minors along the US Southern Border

How can the USA do better? 

The journey to the USA can already be incredibly traumatic for young children, who may have been exposed to violence and exploitation along the way. It is of the utmost importance that once they are put into U.S. custody, that further harm or trauma is prevented and that they receive care that they deserve. There are several parts of the U.S. immigration system that must be torn down and rebuilt. 

The CBP first and foremost must be held accountable for their actions. Over the years there have been numerous reports of physical violence, corruption, and verbal abuse at the hands of border patrol agents towards migrants across all ages. There must be stronger vetting of agents and any reports of abuse must be dealt with immediately, removing the agent from the field while an investigation is carried out. 

The U.S. government’s criminalization of entering or reentering the country without authorization has also led to a multitude of issues, including mass incarceration. The U.S. government jails more than 50,000 immigrants each day at a more than $3 billion annual cost to taxpayers. Mass detention centers, like the ones used for UAC, are incredibly expensive and riddled with corruption, abuse and neglect. Many investigations have repeatedly found evidence that detention centers are riddled with human rights abuses and should be phased out completely.

Experts argue that a community-based approach would be a much more progressive and cost-effective solution. Rather than spending billions on detention centers, the federal government could subsidize NGOs and community-led organizations to run safe, secure migrant programs. There already exists a broad array of community support services that can ensure that migrants receive the help they need on a variety of issues: legal, housing, transportation, social and medical services. In fact, Doctors of the World runs a border health clinic in collaboration with a local university and NGOs to provide essential health care to migrants.

At Doctors of the World, we have long fought for the rights of migrants, in the USA and abroad. Unaccompanied minors, as well as migrants of all ages, deserve better care than what they currently receive from the U.S. government. The current migration system is one that is fueled by fear and profit at the expense of migrants’ safety and wellbeing. Serious policy changes must be made to ensure that migrants rights are respected and that they receive a fair process in their court trial. Special care must be given to UACs, who are even more vulnerable to exploitation, abuse, and long-term trauma. It’s time that the USA drops its rhetoric against migrants, and recognizes them as human beings. 
 
Sources
Children on the Run – Full Report 
U.S. Detention of Child Migrants | Council on Foreign Relations
Nearly 130,000 unaccompanied migrant children entered the U.S. shelter system in 2022, a record – CBS News
This is what happens to child migrants found alone at the border, from the moment they cross into the US until age 18
U.S. shelters received a record 122,000 unaccompanied migrant children in 2021 – CBS News
 
Photography: 
Olivier Papegnies 
MdM Spain 

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