Healthcare in Danger Toolkit

Healthcare in Danger Toolkit

Transformation of the Massive Open Online Course “Violence Against Healthcare” by the International Committee of the Red Cross and Universite de Geneve Into a Peer to Peer 3 Day Workshop

IFMSA Imprint Vice-President for External Affairs Marian Sedlak

The

International

Federation

of

Medical

Students’

Associations (IFMSA) is a non-profit, non-governmental organization

representing

associations

of

medical

students worldwide. IFMSA was founded in 1951 and

Liaison Officer for Human Rights and Peace issues Hiba Ghandour

currently maintains 133 National Member Organizations

Layout Design José Chen

IFMSA envisions a world in which medical students unite

from 123 countries across six continents, representing a network of 1.3 million medical students.

for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally, so to shape a sustainable and healthy future.

IFMSA is recognized as a nongovernmental organization within the United Nations’ system and the World Health Organization; and works in collaboration with the World Medical Association.

Publisher International Federation of Medical Students’ Associations (IFMSA)

This is an IFMSA Publication

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Contents

Foreword Introducing your SCOPE and SCORE Regional Page 4 Assistants for Europe Page 3 Introduction and Background

Page 6 your SCOPE and SCORE Directors About Page 4

Objectives and Success Indicators About IFMSA Page 8

Page 6

AboutAudience SCOPE & SCORE Target Page10 7 Page

Introducing the SCOPE and SCORE International Team

Methodology Page 8

Page 10

Welcome message from your Sessions Team Page 10 Schedule Sample

Page 13

www.ifmsa.org

Your SCOPE & SCORE Sessions Team Page 11

Trainer Tips and Tricks EuRegMe General Agenda Page 15

Page 14

SCOPE SCORE sessions Agenda Annex SECRET&BLUE MISSION Page Page 15 Page15 19

Code of Conduct Page 20

What to bring to survive Mother Russia?

Page 20

IFMSA Dictionary Page 22

How to get involved?

Page 23

Contact Information Page 23

Healthcare in Danger

Foreword Dear Advocate for the Protection of Health Services, I hope you are as excited as we are to embark on this great journey of training or being trained on this very much needed topic: attacks against healthcare.

This toolkit has been the product of several months of effort of transforming the Massive Open Online Course the International Committee of the Red Cross has produced in collaboration with Universite de Geneve.

Our aim is to introduce you to the concept of the Healthcare in Danger in a fun yet educational manner.

Whether you are a medical, nursing, pharmaceutical, dental or veterinary student, current resident or healthcare professional, are a member of a national Red Cross Society or work for the Department of Health or Defense in your country, this workshop is for you.

Get ready for 3 fun days of capacity building that will leave you with a lot of responsibility to do your part of saving the world!

Some of the things you will cover in this training are: -Introduction to Healthcare in Danger -Legalities around war crimes. What is International Humanitarian Law? What are the Geneva Conventions?

-State Armed Groups and Non-state Armed groups -Ambulances & checkpoint in times of war -Military medical ethics -Violence against healthcare in times of peace -How do we hold perpetrators accountable after the violations take place?

Once you’re done with these three days, it’s not over.

It’s just the start.

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HCiD Toolkit

What will you do with the information you gained and how will you contribute to upholding human rights and the implementation of the laws of war?

You are the next step in our chain of changing the world.

Don’t let it stop at your turn.

Thank you for using this toolkit.

All my love, Hiba Ghandour Liaison Officer for Human Rights & Peace Issues, 2018-2019 International Federation of Medical Students’ Associations

Contributors to this toolkit (in alphabetical order): Adham Osama Hiba Ghandour Leen Makki Sara Medina Kasasni

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Healthcare in Danger

Introduction and Background Has the concept of Healthcare in Danger (HCiD) occurred to you before? What it means, what it encompasses, what it could lead to? HCiD is an increasingly present issue our world is facing however, there is a lack of awareness on this topic among Healthcare students and the general public.

A violent incident against health care may consist of one or several acts or threats of violence that hinder or adversely affect the provision of and/or access to health care. When we are talking about attacks on health care, we have facts like violence against health workers, even to the patients, the resources, ambulances and the insurance system with safe access to and delivery of health care; for example in an armed conflict or disaster. As medical students and SCORPions, it is our duty to relay the correct acquisition of knowledge, firstly to ourselves, secondly, to our peers and because our countries in the world have the risk to feel the effects of the attack, when possible regarding the increasing incidence of threats to health care.

A promotion of humanitarian ideals among medical students is one of the core principles of our Federation. Hence, as future healthcare professionals, we have an undisputed duty to raise awareness and increase knowledge of attacks on healthcare among our peer health students. This workshop aims to deliver the core knowledge of violence against health services, with particular emphasis on the impact of these attacks on the sustainability of health systems.

The mission of SCORP states: To empower and motivate medical students to actively promote and protect human rights and peace through advocacy, capacity building, and awareness raising, and by supporting the students in carrying out activities and projects that contribute to creating a fair and peaceful world. We hope with this workshop, to deliver on our mission statement by providing a workshop which both topical and practical to our role as healthcare professionals while also helping participants to take back the knowledge and skills gained to raise awareness and advocate at a local, national, regional and international level for the protection of health services.

This workshop is organized and supported by the International Committee of the Red Cross (ICRC) project Healthcare in Danger (HCiD), with whom IFMSA has a long and fruitful collaboration on this matter. HCiD already supported the Healthcare in Danger workshop conducted during IFMSA-QuĂŠbec SRT 2017, and with this

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HCiD Toolkit

proposal, we aim to create a sustainable, peer-to-peer training model based on the ICRC’s and University of Geneva’s MOOC on Violence against healthcare. This peerto-peer toolkit will serve as an educational tool for other NGOs, which will be able to use the modules and adjust them according to their specific national and local settings.

This workshop has never been facilitated at a Pre-General Assembly which means it offers a workshop which will be new to many SCORP members both old and new.

However facilitating this workshop again in Quebec allows us to make use of the long-standing collaboration we have with external partners there which will give the workshop an added element of experience and quality.

Looking long-term, the workshop will aspire and empower attendees to share the gained knowledge and experience with their peers and communities, increasing the involvement of medical students and IFMSA’s NMOs in the area of attacks on healthcare.

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Healthcare in Danger

Objectives & Success Indicators Module 1: Challenges of working in conflicts and other emergencies: • 100% of the participants know the challenges in human resources and aid delivery during conflicts

Module 2: Data collection, the ethical issue and the mental health of care providers: • 100% of participants know the importance of neutrality in delivering healthcare • 80% of participants know the Rights of Health Care Providers in Violent Situations • 100% of participants know the consequences of data collection and its dilemma • 80% of participants know what is potentially “sensitive” information • 80% of participants know the responsibilities of Health Care Providers in Violent Situations

Module 3: Circumstances surrounding the ambulance services in risk situation: • 100% of participants should see the risk imposed on paramedics in risk situations.

• 80% of participants should have a good background on pre hospital management.

• 100% of participants should Identify common misconceptions of ambulance services • 80% of participants should identify the potential misuses of ambulance service.

Module 4: Hospital managers: ensuring the preparedness and security of healthcare facilities in armed conflict and other emergencies • 80% of the participants acquire the skill of Identifying the challenges hospitals face in conflicts and other emergencies • 60% of participants are able to select appropriate responses in relation to the risk analysis • 80% of the participants recognize the levels of safety that can be identified in the hospital safety index

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HCiD Toolkit

• 80% of participants can relate the emergency context solutions to a peaceful context

Module 5: Weapons bearers: military operational practice to ensure safer access to and delivery of health care • 80% of the participants develop an understanding of the nature of key practical measures that military personnel put in place to ensure safe access to and delivery of health care.

• 80% of participant can identify measures that allow to mitigate the impact of searchers on medical vehicles • 90% of participants can identify the laws and provisions that offer protection to health-care facilities and that armed forces must respect through practical measures at all times during armed conflict • 100% of participants can identify some of the coordination and prioritization measures that can be applied in the field in order to reduce negative impact of military operations on health care

Module 6: Members of the civil society: communities, National Societies, Religious Leaders, Health organizations and others: • Principles and rules of ICRC and MSF

o 100% of participants know the different way these two organizations operate and the advantages/disadvantages of each.

• The auxiliary role of the national societies in armed conflict

o 100% of participants know how national societies can have an impact on healthcare delivery in armed conflict.

• The role of the community in armed conflict

o 100% of participants know how a community can be engaged in finding solutions to improve healthcare • The role of religious circles in armed conflict

o 100% of participants know the important role of religious circles during armed conflicts

9

Healthcare in Danger

Target Audience IFMSA members (medical and health students) will directly benefit from attending this workshop, and the international community, in turn, will benefit from our efforts to make a change.

•The selection of participants will take into account gender and regional representation to ensure a proper level of diversity and allow for intercultural learning between the participants under the context of the workshop.

Methodology

• Planned Reading: Basically, planned reading is pre-stage preparation for more formal methods of training. Some trainees need to grasp specific issues before heading into the classroom or the team-building session.

Planned reading will provide trainees with a better idea of what the issues are, giving them a chance to think of any questions beforehand.

• Technology-Based Learning: The forms of training with technology are almost unlimited. A trainer also gets more of the trainees’ involvement than in any other environment and trainees have the benefit of learning at their own pace.

10

HCiD Toolkit

• Interactive Presentations: In these sessions, content will be introduced initially through visually engaging powerpoint presentations before using other methodologies such as discussions and group activities.

• Films and Videos: Films and videos can be used on their own or in conjunction with other training methods.

To be truly effective, training films and videos should be geared towards a specific objective. Only if they are produced effectively, will they keep the trainees’ attention.

They are also effective in stimulating discussion on specific issues after the film or video is finished.

• Whole Group Discussions & Tutorials: The whole group will be able to discuss and exchange ideas and thoughts on a topic, this is particularly useful after watching videos or seeing a role-play.

11

Healthcare in Danger

• Role Plays/Theater: Role-playing allows trainees to act out issues that could occur in real life. Key skills often touched upon are negotiating and teamwork.

• Simulators: Simulators are used to imitate real life experiences.

• Management Games: Management games simulate real-life issues faced in the workplace. They attract all types of trainees including active, practical and reflective participants.

• Debates: We use this so that participants begin to think critically about different viewpoints and help with their persuasion and advocacy skills.

• Ideas Cafés During idea cafes, participants will be able to exchange thoughts, experiences, and knowledge in smaller groups. The exchange of ideas between participants is a key factor throughout the training; therefore, idea cafes will be used to introduce a number of topics.

• Case studies: The participants will be divided into small groups to discuss a different case, this is particularly useful when discussing ethical issues..

• Outdoor Training: A nice break from a regular classroom or computer-based training, the usual purpose of outdoor training is to develop teamwork skills.

12

HCiD Toolkit

Sample Schedule

Day

Time

Session

Day 1

9:00- 11:00

Welcome session / Pre- Assessment

11:00-11:15

Coffee Break

11:15- 13:00

Introduction to Healthcare in Danger

13:00-14:00

Lunch

14:00 - 15:30

Module 1: Health-care personnel: ethical principles of health care in times of armed conflict and other emergencies

15:30-15:45

Break

15:45 - 17:15

Module 2: The legal framework on the protection of health-care delivery

17:15-18:00

Break

18:00-18:45

Empathy

9:00- 10:00

Disaster Management + HWK (country case studies)

10:00-11:30

Module 3: Ambulance and pre-hospital services in risk situations

11:30-11:45

Coffee Break

11:45 - 13:15

Module 4: Hospital managers: ensuring the preparedness and security of health-care facilities in armed conflict and other emergencies

13:15-14:15

Lunch

14:15-15:30

Simulation game - safety managers of a hospital!

Day 2

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Healthcare in Danger

Day

Time

Session

Day 2

15:30-17:00

Module 5: Weapons bearers: military operational practice to ensure safer access to and delivery of health care

17:00-17:45

Coffee Break

17:45-18:45

Peace-building

9:00- 10:30

Movie screening: The New Barbarianism + discussion

10:30-11:00

Break

11:00-13:00

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

13:00-14:00

Lunch

14:00-15:00

Team Building & Leadership

15:00 - 16:00

Translational HCiD: How Can I Take This to my NMO?

16:00-17:00

Wrap up session

Day 3

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HCiD Toolkit

Trainer Tips and Tricks 1. Engagement: Such a workshop has loads of important information and data in it but that also can make it heavy on the pax, so the trainer should always make sure to become interactive by applying as many role plays/games and SWGs as possible to keep the pax interested.

2. Real life experience: The trainer should focus on real life scenarios and videos of people who already experienced such a tragedy.

Annex Sample Module Sessions are available on request.

15

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Serbia (IFMSA-Serbia)

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Hungary (HuMSIRC)

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