SAMU Annual Report 2023/2024 [ENG]

1 HEADING TOWARDS A SAMU WITHOUT BORDERS

DR. CARLOS GONZÁLEZ DE ESCALADA President and CEO of SAMU

Excellent organizations plan for the long term, while also taking advantage of unexpected opportunities. This produces a certain loss of balance, since when almost everyone is living in the effervescence of the present, there are minds that are designing SAMU will be like ten years from now.

In 2023, we have continued to implement policies that were planned two decades ago: generational transition; professionalization; digital transformation; financial efficiency; internationalization; internal training; promotion of management talent and portfolio expansion. All these measures pursue a clear strategy: to be the best in everything we do. Wanting to be better will never make you worse, so we maintain a nonconformist spirit of constant evolution that drives us every day in SAMU’s more than 100 workplaces.

Corporate jargon may sound odd to my older colleagues, but, thanks to the profound modernization we are undergoing, SAMU is still afloat 42 years after its foundation. Our organization remains in tip-top shape while managing new projects, growth and ever-challenging economic conditions. Adapting to the 21st century is perfectly compatible with strengthening our core values.

Our long-standing motto, “We love saving lives”, is more relevant today than ever before. It is no longer just about the critical patient we transport by ambulance, but also about saving the life of an orphaned girl at the border, a person with serious mental health problems or a woman who has been abused. In 2023, almost 50,000 people have benefited directly or indirectly from SAMU’s action. We are a great force for good.

Based on the planning currently in place, it is possible to predict the future. With the implementation of the 2030 Agenda, we are working hard to make SAMU a fully international and modern organization that will compete with the best in the world.

The vision is that the SAMU of ten years from now will be established in many countries in Europe and America, offering services of the highest quality thanks to its elite professionals. This new “SAMU without borders” will offer extraordinary opportunities for personal growth: we will relentlessly nurture talent so that everyone improves in technical quality, management skills, languages, social skills, financial control and entrepreneurial talent.

The SAMU family is dynamic, ambitious and will always offer us the opportunity to improve individually as a first step to expanding our great common home. A SAMU without borders will also generate new job opportunities, exchanges and educational travel. In a successful organization, everyone wins. I am also aware that in an employment relationship there is a very important value that goes beyond salaries or conditions: the conviction that each of us will grow in the position. An organization must offer the opportunity to be the best. A manager, a SAMU professional is unlike any other, for they know that the treatment they receive includes extraordinary training and nurturing in the highest standard of quality.

We have even more exciting years ahead of us, if that is possible, in which SAMU will continue to embark on extraordinary ventures. God willing, we will continue to help thousands of people, create more jobs, establish ourselves in more countries and continue to be that great school ship of personal development for all of you.

That is my dream and I strive to achieve it every day.

2 EN CIFRAS

1,558

114

50,000

70%

80,7

million euros in annual turnover of employees are women employees

2,800 work centers workers have attended inhouse training courses educational guides against gender-based violence to be distributed in schools by 2024 people assisted by the Dependency and Social Inclusion area.

4,405

5,796

inter-hospital and primary transfers from the Emergency Department psychiatry and psychology consultations in SAMU Wellness

2,176

600

minors served by the Childhood and Family area interventions carried out by SAMU Foundation teams after the earthquake in Morocco

87

managers trained in Excellence in the Management of Social Services and Social Centers

3,640

12,000

migrants attended to by SAMU First Response

287

students enrolled in vocational training and postgraduate courses at the SAMU School

3 THE ORGANIZATION

Global expansion, internal modernization and talent development map a journey that transcends strategic goals

With its sights set on the 2030 horizon, SAMU has implemented a series of fundamental changes that make the organization a benchmark in the field of health, emergency and social services. From its foundations to its global expansion, every step it takes reflects a deep commitment to excellence and innovation. Already present in 11 autonomous communities, SAMU also stands as a benchmark in the care and reception of migrants for its intense work in the various migration crises that occurred in 2023.

This year, the SAMU brand has made a significant leap towards internationalization. Growth in the United States, where migrant care has quadrupled, demonstrates a successful strategy aimed at increasing SAMU’s presence in the Americas.

The SAMU Ecuador Branch continues to work in various programs on chronic child malnutrition, addictions and actions to eliminate the scourge of gender violence in this country with MAIS, the Prefecture of Guayas and the Development Bank of Ecuador.

Internally, SAMU has embarked on a comprehensive modernization process. Digital transformation and corporate social responsibility are not just strategic concepts, but concrete actions. The implementation of advanced economic management and control systems is a testament to SAMU’s adaptability. Tools have been implemented that provide accurate indicators on the economic and financial situation of the entity. Furthermore, working with indicators provides a detailed and reliable view, facilitating decision-ma-

king to ensure sustainability and growth.

In the R&D&I area, true to the unwavering confidence in the development of the talent of the organization’s staff, both the SAMU Institute for Scientific Research (ISIC) and the SAMU Academy have created innovative programs ranging from leadership to financial management and digital transformation.

SAMU’s commitment to continue its scientific and research production has led it to develop initiatives with universities and institutes worldwide and to create the Alliance for Migration Research, whose objective is to generate a space for scientific academic collaboration in migration research.

In 2023, SAMU created the International Development Cooperation and Humanitarian Aid area, which lays the foundations for the planning and execution of cooperation actions, continuing a 40-year track record of interventions in emergencies and disasters.

Earthquake relief in Morocco and Turkey has demonstrated the organization’s responsiveness and solidarity. And SAMU’s participation in literacy programs for women in Morocco and Bolivia or social integration initiatives in neighborhoods with a migrant population on a local level reaffirm SAMU’s commitment to social inclusion and cohesion.

SAMU continues to weave a complex but harmonious tapestry towards 2030. Its global expansion, internal modernization, talent development and training actions map a journey that transcends strategic objectives.

Assistance at the field hospital of the XXXVII Zurich Marathon in Seville. \ J. J. ÚBEDA [FEBRUARY 2022].

SEVILLA

Sede Central

Sevilla

Escuela SAMU

Gelves

Base 07

Dos Hermanas

Infancia y Familia

ARB Miguel de Mañara

Montequinto

Inserción sociolaboral Alcalá de Guadaíra

Alcalá de Guadaíra

Inserción sociolaboral Nervión

Sevilla

Discapacidad El Olivar

Dos Hermanas

Conflicto social Sanlúcar La Mayor

Sanlúcar La Mayor

Conflicto social San José

Dos Hermanas

ISL Valencina

Valencina de la Concepción

JEM La Macarena

Sevilla

IRPF Sevilla / Sevilla

JEM Lamarque de Novoa

Sevilla

JEM Sevilla Este

Sevilla

JEM Pino Montano

Sevilla

JEM San Juan de Aznalfarache

San Juan de Aznalfarache

JEM Mellizas / Dos Hermanas

JEM Soria / Dos Hermanas

Inserción sociolaboral Las Cabezas

Las Cabezas de San Juan

Intervención Socioeducativa y de la Mujer

ISE SEVILLA

Sevilla

ILSE Escuela Artesanos de Gelves

Gelves

Guías de sensibilización: el desafío de convivir en igualdad

Sevilla

Dependencia e Inclusión Social

Pisos de inserción sociolaboral para personas sin hogar

Sevilla

Residencia San Sebastián

Cantillana

Residencia Santa Ana

Sevilla

Unidad de estancia diurna San Lucas

Sevilla

UED de Mayores Isla Mayor

Isla Mayor

Servicios de emergencias

Críticos Sevilla / Sevilla

Área Hospitalaria

SAMU Wellness / Sevilla

Centro de atención temprana Utrera / Utrera

HUELVA

Servicios de emergencias

Críticos Huelva Huelva

Infancia y Familia

ISL SAMU Huelva Huelva

Intervención Socioeducativa y de la Mujer

ILSE HUELVA

Huelva

GRANADA

Infancia y familia

Coisl Motril

Motril / Granada

ARB San Elías Motril / Granada

Inserción sociolaboral Dúrcal Dúrcal / Granada

IRPF Granada Granada

CÓRDOBA

Infancia y Familia

IPC Moriles / Moriles

JEM Córdoba / Córdoba

JEM Córdoba / Córdoba

JEM Córdoba / Córdoba

JEM Córdoba / Córdoba

IRPF Córdoba / Lucena

ISL Lucena / Lucena

Dependencia e Inclusión Social

Pisos de inserción sociolaboral para personas sin hogar / Córdoba

MÁLAGA

Servicios de Emergencias

Críticos Málaga / Málaga

Intervención Socioeducativa y de la Mujer

ISE Málaga / Málaga

ILSE Málaga / Málaga

Infancia y Familia

IRPF Málaga / Málaga

ALMERÍA

Infancia y Familia

Inserción sociolaboral Serón / Serón

JAÉN

Infancia y Familia

PACS JAÉN / Jaén

Intervención Socioeducativa y de la Mujer

ILSE JAÉN / Jaén

ISE JAÉN / Jaén

CÁDIZ

Infancia y familia

ARB El Bosque

Algeciras

RECEP Campo de Gibraltar

Algeciras

Inserción sociolaboral Jimena (Jimena 1)

Los Ángeles (Jimena de la Frontera)

Inserción sociolaboral Ruiz Tagle

Algeciras

Inserción sociolaboral Arcos

Arcos de la Frontera

Inserción sociolaboral El Castillejo

El Bosque

IRPF Algeciras

Algeciras

Intervención Socioeducativa y de la Mujer

Proyecto +HOMBRE / Cádiz

Dependencia e Inclusión Social

Pisos de inserción sociolaboral para personas sin hogar / Cádiz

CEUTA

Infancia y Familia

Centro Esperanza / Ceuta

CATALUÑA

Intervención Socioeducativa y de la Mujer

Proyecto SIAD Atención a mujeres víctimas de violencia de género en Esparreguera / Barcelona

Cardiopatías congénitas en el ámbito educativo en Cataluña / Barcelona

ISE Cataluña / Barcelona Dependencia e Inclusión Social Servicio alojamiento temporeros / Lleida

MADRID

Infancia y Familia

Preparación para la vida adulta

Piso Tutelado Ramón y Cajal

Melilla / Madrid

Piso Tutelado SAMU Brenes

Madrid

Piso Tutelado El Vellón El Vellón // Madrid

Piso Tutelado SAMU Canillejas

Madrid

Piso Tutelado SAMU Tres Cantos

Trescantos / Madrid

Centro Residencial El Pinar

Madrid

C.E. Tutelado SAMU Ramón y Cajal Madrid

Piso Tutelado SAMU Clarín

Madrid

Piso Tutelado SAMU Esperanza

Madrid

Piso Tutelado SAMU Rivas 2 Rivas Vaciamadrid / Madrid

Intervención Socioeducativa y de la Mujer

Espacio de reflexión para la convivencia escolar en el distrito de Puente de Vallecas

Madrid

ILSE Madrid

Madrid

Plan de promoción del éxito escolar, prevención del absentismo y mejora de la convivencia en los centros educativos del distrito de Usera

Madrid

Servicio de interpretación de lengua de signos Excmo. Ayto de Móstoles

Madrid

Servicio de derivación de mujeres víctimas de violencia de género (SAVG)

Madrid

Dependencia e Inclusión Social

CEPI Alcalá de Henares

Madrid

IRPF atención psicoeducativa CONVIVE

Madrid

Servicio de asesoramiento jurídico a personas en riesgo de exclusión social Alcobendas

ARAGÓN

Infancia y Familia

Servicio de intervención educativa de calle

Huesca

Centro 17+ Huesca

Huesca

Centro de atención inmediata Huesca

Huesca

PTVI de Zaragoza Zaragoza

Intervención Socioeducativa y de la Mujer

ILSE ARAGÓN Zaragoza y Huesca

ISLAS CANARIAS

Infancia y Familia

ARB Guayadeque Telde / Gran Canaria

UATE Farabella

Bartolomé de Tirajana / Gran Canaria

UATE Roque Nublo

Bartolomé de Tirajana / Gran Canaria

ARB Roque Nublo II (Fataga)

Fataga (San Bartolomé de Tirajana) / Gran Canaria

Centro Terapéutico Estancia Breve Valsequillo Valsequillo (Las Palmas) / Gran Canaria

Centro Terapéutico Larga Estancia Las Palmas

Las Palmas // Gran Canaria

Centro de menores Tinajo Tinajo / Lanzarote

Centro DEMENA Mar de Lanzarote / Arrecife

Centro DEMENA Mar Fuerteventura

Puerto del Rosario / Fuerteventura

Centro de Menores César Manrique

Arrecife / Lanzarote

Centro de Menores Arrecife / Lanzarote Arrecife / Lanzarote

Centro de Menores Timanfaya

Arrecife / Lanzarote

Centro de día de menores Maneje

Arrecife / Lanzarote

Dependencia e Inclusión Social

Residencia Mayores Taliarte Norte Telde / Gran Canaria

Unidad de estancia diurna Salud Mental Puerto del Rosario / Fuerteventura

ISLAS BALEARES

Infancia y Familia

AI SAMU Kamal / Ariany

AI SAMU Palma I / Palma

SAMU Margalida / Santa Margalaida

SAMU Sira / Mancor de la Val

ILSE BALEARES / Mallorca, Menorca e Ibiza

AI SON GIBERT / Palma

AI S´OLIVAR / Inca

Dependencia e Inclusión Social

Servicio personas sin hogar Sa Jovería / Ibiza

Intervención Socioeducativa y de la Mujer

ILSE Islas Baleares

TOLEDO

Dependencia e Inclusión Social

Residencia Santa Teresa Villafranca de los Caballeros (Toledo)

RIOJA

Dependencia e Inclusión Social

Centro de día Mayores Alfaro

INTERNACIONAL

Oficinas SAMU

SAMU Washington / Washington DC

Montgomery County / Maryland

Marruecos

/ Tánger

Ecuador / Guayaquil

Bélgica / Bruselas

Central Services

DEVELOPMENT DIRECTORATE ADMINISTRATION AND FINANCE DIRECTORATE

PEOPLE AND TALENT DEVELOPMENT DIRECTORATE

ICT SERVICES DIRECTORATE LEGAL COUNSELING

SAMU’s annual executive convention held at the Hotel Ilunion Alcora, in San Juan de Aznalfarache (Seville). \ PHOTO: V. HIDALGO (NOVEMBER 2023)

DEPENDENCY AND SOCIAL INCLUSION AREA

CHILDREN AND FAMILY AREA

Operational areas

EMERGENCY AREA SAMU SCHOOL

SOCIO-EDUCATIONAL INTERVENTION AREA

HEALTH AND HOSPITAL SERVICES AREA

The Team

2023 has been a crucial year for the organization’s internationalization and digital transformation. These 12 months have been key in consolidating the foundations for the future, as well as for the implementation of a strategic plan that has its sights set on 2030. With this roadmap, SAMU aspires to become a multinational health, social services and emergency services company that remains true to its foundational legacy.

During this fiscal year, the entity has continued to make progress in the provision of integral social assistance and health care services. In addition, it has increased its activity in most of its lines of action. It has also launched new programs and services for new vulnerable groups, such as the homeless. And it has extended its presence in new autonomous communities.

In 2023, SAMU’s workforce experienced a slight reduction due to the suspension of some services and the opening of others that required less staff. The organization currently has 2,800 workers, 10% less than in 2022, when it reached the highest number of professio-

nals in its history, 3,100. However, the current workforce is 18.7% higher than in 2021 and 54.6% higher than the workforce in 2020.

With respect to gender, women clearly predominate in the workforce. They represent more than 70% of the total number of professionals hired. There is also a significance presence of women at the top of the organization. In fact, 63% of the management positions at SAMU and its foundation are held by women. And there are 33% of women on the executive committee (the highest governing body).

The increase in resources and services has been extraordinary in the last year, going from 70 centers in 2021 to 106 in 2022 and 114 in 2023. In addition, 135 services have been added to this figure. Through its work, SAMU has been present this year in eleven Spanish autonomous communities, two more than in 2022, and in six other countries besides Spain (Morocco, United States, Ecuador, Turkey, Chile and Belgium).

SAMU’s turnover in 2023 amounted to some €69,7 million, without counting the revenues of SAMU First Response, which account for a further €11 million.

SAMU is present in eleven Spanish communities and has been active in six countries

The organization remains committed to the continuous training, recycling and updating of its employees. In 2023, the organization offered its employees a total of 42 subsidized courses and 14 private courses of different types and on different subjects. A total of 2,031 hours of training were given and 1,558 workers participated (703 in subsidized courses through Fundae, the State Foundation for Employment Training, and 855 in private training). SAMU, the SAMU Foundation, SAMU Wellness and NUMED received a total of 63,205 euros in subsidized training.

2,800 workers, 10% less than in 2022 and 19% more than in 2021

114 work centers compared to 106 in 2022

70% of SAMU staff are women

63% of managerial positions are held by women

69,7 million euros in revenues, plus 11 million euros from SFR

135 services rendered by the different areas of the entity

56 private in-house training courses

1,558 workers participating in internal training courses

Carlos Álvarez Leiva addresses the participants of the 2023 Seville Marathon. \ HIDALGO (FEBRUARY 2023)

SAMU’s annual executive convention held at the Hotel Ilunion Alcora, in San Juan de Aznalfarache (Seville).

\ PHOTO: V. HIDALGO (NOVEMBER 2023)

Alliances and agreements

Deploying and sustaining strong institutional partnerships at a national and international level is a differentiating strategy for navigating the complex and globalized world that lies ahead. In 2023, SAMU, following its commitment to the 2030 Agenda for Sustainable Development, which calls for revitalizing the global partnership, has continued

to build stable, inclusive and integrated partnerships at all levels with public institutions and scientific and academic entities, in addition to other organizations in the health emergency and social action sectors.

The partnerships established in 2023 by SAMU and its foundation include:

Agreement with the City Council of Fuentes de Andalucía (Seville) to develop training actions and activities related to the socio-educational field and with a gender equality perspective.

Agreement with the City Council of La Nava (Huelva) to develop training actions and activities related to the socio-educational field and with a gender equality perspective.

Agreement with ONG Solidarios. Collaboration in social initiatives targeted at vulnerable groups, especially women, in order to promote their empowerment and improve their quality of life.

Collaboration agreement with the City Council of Morón de la Frontera (Seville) to provide workshops related to equality in order to raise awareness among the population of this municipality..

Collaboration agreement with the City Council of Posadas (Córdoba) to provide workshops related to equality in order to raise awareness among the population of this municipality.

Agreement signed with American University for research on the migration process of people arriving by bus to Washington, D.C. (USA).

Agreement with ALA-11 of the Spanish Air Force (Ministry of Defense of the Government of Spain) for the training of its personnel in SAMU ambulances.

Agreement signed with the City Council of Lebrija (Seville) and the municipal Fire Station for the training of Emergency and Civil Protection Technicians at the SAMU School.

Agreement with the Public Utility for Healthcare Emergencies-061 for the training of students of Emergency Health Technicians (TES) and of the master’s degrees in Nursing and Emergency Medicine SAMU in the assistance services of the 061 service.

Agreement with Vithas Hospital in relation to training internships for SAMU School students.

Dentaid also offers specific oral health training for SAMU School students.

The State Security Forces and Corps collaborate in different training activities and SAMU drills, in addition to training their canine units in the SAMU School facilities.

Partnership Agreement between the Office of the President, Internal Affairs, Social Dialogue and Administrative Simplification of the Regional Government of Andalusia and SAMU in situations of Serious Risk and Emergencies.

Training internship agreements with the Sevillian companies Agujoter, Alejandro Sánchez Bernal, Álvaro García Ruiz, Bodega La Doma and Il Duomo Italiano, targeted at young residents in the DISL Nervión resource.

Training internship agreements with the Sevillian companies Barbero’s Peluquerías, JAYC Peluqueros, Aurocahs, Zurera y Pineda, Borja Lavan dería, Semsilimp, Jeise Verticales, Talleres Móvil Car La Negrilla, Reyes Morón, Velasco Otero, La Crème de la Crème, La Barca de Calderón, Neumáticos Flamante, Vitolavado, Jardinería Japón, Taberna Almazara, Restaurante Hermanos Cerballos, Euroxanty, Carpintería Muchamiga, La Gitana de Aluche, Chocolatería Pernia, Perro Viejo Tapas, Método y Montaje, Mulesa Supermercados Española and Paman Sara, targeted at young beneficiaries of the JEM (Young Migrants who are Formar Wards of the State) program in Seville managed by the SAMU Foundation.

Training internship agreements with the Sevillian companies Paladar, Cafetería Obrador La Trufa, Bernardo Herrera, Sanabria y Marín, Rafael Moviauto, Muebles Villanueva, Embalajes Guadaíra, Morilla del Valle Lacados y Barnizados, Alcalá Automotor, Bar La Paraita II, Alcalá Móvil (Ford), El Pelotazo, Restaurante Casa del Duque, Gastrocervecería Meji, Tallerez Fridex, Iberflor, Caramelo Café y Copas, among others. All of them targeted at young beneficiaries of DISL Alcalá, a resource managed by the SAMU Foundation.

Training internship agreements with the Sevillian companies Agujoter, La Buena Tierra, Laval 82, Gimerril Food and Wine. Targeted at young beneficiaries of DISL Valencia, a resource managed by the SAMU Foundation.

Training internship agreements with the Cordoba-based companies Restaurante

El Sabor de Carmen, Talleres Norauto, Cervecería Tabú, O’Mundo de Alicia, Hotel Ayre, Kebab Pan Pita, Bodegas Mezquita and Restaurante la Antigua, among others, targeted at young beneficiaries of the JEM Cordoba program managed by the SAMU Foundation.

Entities collaborating with SAMU’s Childhood and Family Area in Western Andalusia: Cáritas Parroquial, La Caixa Foundation, Arcos de la Frontera City Council, Márgenes y Vínculos, Puerto de Sotogrande, Serescol, Diagrama Foundation, Don Bosco Foundation, Algeciras Chamber of Commerce, Comisiones Obreras, Prolibertas Foundation, UNHCR, CEAR, Save the Children, Jimena de la Frontera City Council, Andalusian Employment Service, Ciudad de Algeciras Handball Club, Red Cross, Las Cabezas de San Juan City Council, Andalucía Orienta, CD Cabencense, Civil Guard, CEPAIM Foundation, El Bosque City Council and Ecoherencia, among others.

SOCIO-EDUCATIONAL AND WOMEN-SPECIFIC INTERVENTIONS

The Regional Minister of Presidency, Interior, Social Dialogue and Administrative Simplification of the Junta de Andalucía, Antonio Sanz, visits the SAMU School. \ V. HIDALGO (FEBRUARY 2022)

SAMU Companies Corporation

SAMU’s business diversification strategy has led the entity to develop auxiliary activities from two of its subsidiaries: NUMED (Nuevos Medios Logísticos) and RECURSAM (SAMU Recursos Asistenciales).

NUMED was established in 2021 to cover the service needs of the SAMU organization itself such as cleaning, governance and other auxiliary services, including the feeding of groups and the provision of supplies for campaigns and emergencies.

The company opened its first catering service in the Canary Islands and, over time, its work was also outsourced. Today, NUMED offers catering services through Kata Universo Catering, bar/ restaurant, events, cleaning, logistics and laundry, among others, distributed in four Spanish provinces: Seville, Ceuta, Lanzarote and Gran Canarias.

In 2023, the company provided catering and cleaning services in Tenerife and

Ceuta, and also grew in Seville and Gran Canarias with the opening of Kata Canarias (take away) and a cafeteria at the Faculty of Pharmacy of the University of Seville. In addition, the opening of an Active Participation Center for the Elderly (CPA) in Dos Hermanas and another in Utrera, both in the province of Seville, is planned.

The second auxiliary company promoted by SAMU in 2023 is RECURSAM, which provides maintenance support to SAMU’s own buildings and carries out construction work and projects.

RECURSAM has a strong commitment to sustainability and makes a firm commitment to renewable energy and energy efficiency, hence its specialization in the study and design of prefabricated housing using the steel framing system and the installation and maintenance of photovoltaic panel plants for self-consumption.

RECURSAM specializes in the design of steel framing housing and photovoltaic panel plants.

In 2023, the renewable energies area focused on the first contacts with companies installing solar panels and electric chargers. In addition, we negotiated the contracting of the supply of electricity with renewable energy companies for all SAMU companies, thus ensuring significant savings in the Group’s energy consumption.

Work also began in Seville on the construction of solar panel farms for agricultural use, using the heat generated during the day and selling the surplus energy generated by the absorption of the panels. This project is currently moving towards its second phase.

Kata Universo Catering kitchens in Seville.

\ PHOTO: VICTORIA HIDALGO

Social work

The SAMU Foundation, committed to building a more equitable and supportive society, deploys its social work through a variety of programs and actions with the aim of breaking the transmission circles of social inequalities. Since its creation in 1998, the Foundation has been a pioneer in the development of programs for child care, dependency and health care for those most in need.

The social work of the SAMU Foundation encompasses a wide range of initiatives that transcend the essential care of dependent or disabled people, as well as the social and labor insertion of those who, on reaching the age of majority, face significant challenges on their way to a promising future.

During the year, the Foundation has continued with two of its most important programs: SAMU Idilio, the promoter of the inclusive popular race, and Disfrutamar, which promotes social integration through nautical activities. Various workshops have also been held in the centers for vulnerable groups, addressing different typologies to promote inclusion and personal development.

On the other hand, more than 146 young people have benefited from the programs carried out by the SAMU Foundation for their social and labor insertion.

The general objective of the High Intensity Programs (PAI) is to promote the social and labor inclusion of those young people who have, in some way, been under the protection of the juvenile protection service of the Junta de Andalucía (immediate foster care, guardianship or tutelage) ena -

bling their emancipation and autonomy process through the development of their personal, labor and social skills, as well as their training for employability.

The intervention is approached from five areas: daily living activities; health; training-labor; psychological/personal and social inclusion and citizen participation.

In the last fiscal year, the SAMU Foundation’s social actions have included projects to help with mental health treatment, training in highly employable trades, support programs for prisoners, and shelter and assistance for the homeless.

In terms of humanitarian missions, the SAMU Foundation has extended its impact through interventions in Turkey, Chile, Morocco and El Hierro (Canary Islands).

The organization also demonstrates its humanitarian vocation in projects and knowledge exchanges in Latin America, where it is breaking new ground and consolidating its role as a committed global player.

Labor integration, training and employment programs are transversal to all these initiatives and are complemented by comprehensive interventions with children and their families, providing school reinforcement services, psychological care and help with feeding and child hygiene.

Over the years, the SAMU Foundation has demonstrated its resilience, its commitment to the community and its ability to make a positive impact on people’s lives. As circumstances evolve, the foundation continues to be a beacon of hope and support for those most in need.

4 humanitarian missions: Turkey, Chile, Morocco and the Canary Islands

50 dependent people have sailed thanks to Disfrutamar

96,450 € in treatments and programs for people with addictions

300,010 € in inter- national humanitarian aid projects

328,000 € in emancipation and insertion programs for young people

165,000 € in recreational and training activities with minors

Disfrutamar’s voyage with young SAMU Foundation users. \ SAMU (JUNE 2023)

4 EMERGENCIES

The emergency service is the origin of the organization, its raison d’être. SAMU has three Mobile Intensive Care Units in Seville, Malaga and Huelva

In the 42 years of SAMU’s history, the organization has broadened its horizons and extended its area of influence to fields of action that were unsuspected, even by its own founder. Today, SAMU is an international organization that goes far beyond emergencies. Migration, minors, disability, the elderly and the homeless, mental health, education, equality, cooperation, training, research and innovation. The list of areas in which SAMU is present has grown steadily in recent years, but we should bear in mind that SAMU saw the light of day in an ambulance. Emergencies are the origin of the entity, its raison d’être.

The emergency area has also progressed over the years and today has a wide portfolio of services in the transfer of critical patients, training, deployment of medical devices and foreseeable risks, and worldwide humanitarian action.

Through the Mobile Intensive Care Units in Seville, Malaga and Huelva, SAMU attends to the needs of critical patients thanks to the contracts in force with EPES-061, which depends on the Ministry of Health of the Regional Government of Andalusia.

In total, from January 1 to September 30, 2023, there were, between interhospital and primary transfers (in which the patient does not receive prior care), 5,796 transfers, with a fall of 3.6% compared to the data for the same period in 2022, when there were 7,333 in total (6,014 up to September 30).

On analyzing these figures by province, in Seville 2,988 transfers were carried out up to September 2023; in Malaga, 1,866; and in Huelva, 942. Despite attempts to improve the service and the efforts of the staff, transfers continue to be lower than those recorded in pre-pandemic times.

In parallel, SAMU has a Basic Life Support Service in Seville to meet the needs of patients who wish to avoid excessive waiting times to be taken home after hospital discharge. Up to October 2023, 130 transfers (19,567 kilometers) were made. Forecasts indicate that, by the end of the year, the figure for the previous year, when 149 were recorded, will be exceeded.

In addition, in January 2021, the company was awarded a tender promoted by the National Institute of Aerospace Technology (INTA) and provides foreseeable risk assistance for the maneuvers that this organization promotes at its facilities in Huelva. This service has grown notably year after year, to the point that in October 2023, it had already surpassed the number of services provided for the whole of 2022 (90).

Up to this date, SAMU has recorded 97 activations.

The organization has also provided various medical and foreseeable risk coverage to ensure the health of citizens attending diverse religious, cultural or sporting events such as the Zurich Marathon of Seville 2023, the Titan Desert Morocco, music concerts, fairs and Three Kings parades in different Andalusian municipalities.

Interhospital transfer of a neonatal patient by the SAMU team. \ SAMU

5,796 tinterhospital

2,988 1,866

942

130

Sanitary teams at the XXXVIII Zurich Marathon of Seville. \ VICTORIA HIDALGO (FEBRUARY 2023)

Emergency units

Skoda Titan Desert Morocco

SAMU formed part of the Skoda Titan Desert Morocco 2023, which was held from April 30 to May 5. The sporting event had 527 participants, most of them Spaniards aged between 18 and 70 years, and about 150 people were part of the organization.

The mountain bike race took place over 627 kilometers, between Merzouga and Maadid, with a total elevation gain of 7,725 meters. The race was divided into 6 stages.

The SAMU team consisted of 13 professionals, three of them from SAMU Tangier: a health coordinator, a medical commander, a doctor, seven nurses and three health emergency technicians. The team also had two vehicles, a mobile ICU and a medicalized all-terrain vehicle.

SAMU provided medical assistance to the staff and participants both in the race, with 5 nurses distributed at different points as the stage progressed, and in the camp at the medical post, always on the alert.

Zurich Seville Marathon

A total of 107 healthcare professionals, including doctors, nurses, Health Emergency Technicians (TES), Auxiliary Nursing Care Technicians (TCAE), logistical support technicians, physiotherapists and SAMU School trainees, in addition to 29 vehicles, formed part of the SAMU healthcare team at the XXXVIII edition of the Zurich Marathon of Seville, one of the most prestigious and multitudinous races on the national scene, which was held in the Andalusian capital on February 19, 2023.

Once again, at this 37th edition, the SAMU team took care of the almost 12,000 participants of the marathon, in coordination with the emergency services of the City of Seville.

On this occasion, 1,055 health assistance interventions were carried out, 842 on men and 213 on women, with an average age of between 41 and 50 years. With respect to the previous year, there were 27.24% fewer assistances. Trauma injuries accounted for 93.55%. The rest of the interventions, with very low percentages, were for cardiovascular, digestive or respiratory pathologies.

Other events

+ Cabalgata de Reyes Magos de Su Eminencia (Sevilla). 5/1/2023. 1 assistance.

+ Cabalgata de Reyes Magos de Espartinas. 5/1/2023. 2 assistances.

+ Cabalgata de Reyes Magos de Bollullos. 5/1/2023. 0 assistances.

+ Cabalgata de Reyes Magos de San Juan de Aznalfarache. 5/1/2023. 0 assistances.

+ Alcaldía PSOE. 14/1/2023. 0 assistances .

+ Sonrisa de Rafa. 21/1/2023. 1 assistance.

+ Concierto de Fernando Costa. 10/2/2023. 26 assistances.

+ Concierto de Guitarrica de la Fuente. 11/2/2023. 8 assistances.

+ Evento deportivo en la Universidad Pablo de Olavide. 17/2/2023. 0 assistances.

+ Rugby San Jerónimo (Sevilla). 25/2/2023. 9 assistances.

+ Snake Trail Gelves. 25/2/2023. 3 assistances.

+ ATP Pádel Setas. 7/3/2023. 1 asistencia.

+ Concierto de Kanka. 10/3/2023. 4 assistances.

+ Concierto de Natos y Waor. 11/3/2023 y 22/9/2023. 14 assistances.

+ Carrera popular en Espartinas. 12/3/2023. 0 assistances.

+ Evento deportivo en la Universidad Pablo de Olavide. 14/3/2023. 6 assistances.

+ Evento de animación del IMD del Ayuntamiento de Sevilla. 25/3/2023. 10 assistances.

+ Fiesta municipal en Carmona. 25/3/2023. 0 assistances.

+ Evento deportivo en la Universidad Pablo de Olavide. 15/4/2023. 0 assistances.

+ Evento escolar en el Polígono Sur de Sevilla. 15/4/2023. 2 assistances.

+ Cruz Berrocal. 30/04/2023. 4 assistances.

+ Cartuja Center. Concierto de Fondo Flamenco. 21 y 22/4/2023. 1 assistance.

+ Concierto en Bollullos. 15 y 16/4/2023. 0 assistances.

+ Club Natación Mairena. 27 y 28/5/2023. 9 assistances.

+ Cartuja Center. Tributo a Queen. 25/5/2023. 3 assistances.

+ Cartuja Center. Concierto de JC Reyes. 13/05/2023. 7 assistances .

+ Cartuja Center. Raule. 5/5/2023. 1 assistance.

+ Cena Gala Anatomía Patológica. 4/5/2023. 0 assistances .

+ Romería de Arroyomolinos de León. 21/4/2023. 0 assistances.

+ Evento Deportivo Atlas. 27 y 28/5/2023. 7 assistances.

+ Velá de Espartinas. 23/5/2023. 0 assistances.

+ Animación en Tiro de Línea (Sevilla). 15/6/2023. 2 assistances.

+ Cartuja Center. Antonio José. 10/6/2023. 3 assistances .

+ Torneo Basket Huelva. 9/6/2023. 0 assistances.

+ Fiestas patronales de San Juan de Aznalfarache. 22/7/2023. 13 assistances.

+ Bollullos. Día de Santiago. 25/7/2023. 0 assistances.

+ Boda en Esparragal. 8/7/2023. 0 assistances.

+ Velá de Valencinas. 14/7/2023. 1 asistencia.

+ Cartuja Center. Trueno. 25/7/2023. 0 assistances.

+ Feria de Gelves. 30/8/2023. 7 assistances.

+ Piscina de Espartinas. 25/8/2023. 0 assistances.

+ Romería de El Viso . 17/9/2023. 4 assistances.

+ Feria Bollullos de la Mitación. 14 y 16/9/2023. 7 assistances.

+ Feria Castilleja de la Cuesta. 14 y 15/9/2023. 12.

+ Feria de Espartinas. 10/9/2023. 6 assistances.

+ Romería de Alajar . 8/9/2023. 0 assistances.

+ Cartuja Center. Concierto de Juanes. 3/9/2023. 0 assistances.

El Hierro Mission

From October 10 to October 24 2023, a team of healthcare workers from the SAMU Foundation stayed on the island of El Hierro as part of the Canary Islands Government’s plan to care for migrants in the midst of the worst crisis in the region since 2006. The archipelago surpassed all historical statistics, with more than 15,000 migrants arriving in just one month (more than 30,000 during the year), putting the logistical and operational capacities of the autonomous community to the test.

The SAMU Foundation contingent consisted of five specialists: two nurses, two emergency health technicians and an operational commander, Carlos del Pino, also an emergency health technician. All these volunteers were in addition to the Foundation’s existing personnel in the Canary Islands. The team traveled from Seville equipped with first aid equipment to receive and provide assistance to the people arriving in open boats.

The healthcare workers worked mainly in the port of La Restinga, although they also made some trips to La Estaca, from where the immigrants depart for other islands, mainly Tenerife, and to the San Andres service center. The boats arrived daily, in an incessant trickle. On some days, up to five arrived at port and on other days, there were boats with up to 320 people on board.

The SAMU team performed more than 200 interventions during their two weeks of work. The main types of assistance were for wounds, cuts on feet and hands, burns, hypothermia, dizziness, headaches and hypoglycemia, as well as what is known as patera foot syndrome, a severe swelling of the foot caused by the position in the boat and the conditions of the crossing.

For the deployment of this mission, SAMU management worked in coordination with the Department of Social Rights, Equality, Diversity and Youth and with the General Directorate of Child and Family Protection of the Canary Islands Government and with the Health Services Directorate of El Hierro.

On the field, the SAMU health workers coordinated with the Red Cross and the Canary Islands Emergency Service (SUC) in an optimal collaborative environment.

SAMU and the Government of the Canary Islands have worked in collaboration on various assistance fronts. This relationship became stronger after the Canary Islands migration crisis of 2020. In November of that year, SAMU deployed in the area an emergency unit and initiated a care and assistance campaign for unaccompanied migrant minors through the commissioning of a Temporary Emergency Shelter Unit (UATE) in the town of Puerto Rico (Gran Canaria) with capacity for 150 minors.

Throughout October, an average of 550 people arrived on the coasts of the Canary Islands per day (in some cases up to 1,000 in just 24 hours), crammed into precarious boats. Unlike previous crises, on this occasion the majority of arrivals were registered in El Hierro.

The President of the Government of the Canary Islands, Fernando Clavijo, said that the origins of the crisis lay in the political conflict in Senegal as well as in drought and famine due to the Ukraine war (among other factors), the good sailing conditions of the sea and the increase in migratory controls imposed by the European Union on the northern shores of the Mediterranean.

200 interventions by health care teams

health professionals participated in the mission

First response intervention

the

in

port of La Restinga (El Hierro) \ SAMU (OCTOBER 2023)

5 SAMU SCHOOL

The SAMU School has broken its all-time record this year in the number of students enrolling in Vocational Training cycles, with 241 students

The SAMU School ends 2023 as a record year. During the Covid-19 pandemic, intensive courses related to this virus were intensified, which caused a drop in the number of students enrolled in the regulated Vocational Training (FP) cycles. The changes implemented at that time in the dynamics of the center as well as in its management and academic offer led to a change in the trend during the beginning of the 2022-2023 academic year, when the highest number of new students enrolled in VET in the last decade (109), as well as the highest number of degrees awarded (4), were recorded.

This academic year 2023-2024, which started in September, the above figure has once again been surpassed, reaching an all-time record in the total number of VET students at the SAMU School: 241 people compared to 186

last year (an increase of 29.5%). Of this total, 153 of them are new entrants, an increase of 40% over the previous year.

These students are divided into 12 groups (face-to-face and blended learning) with five degrees, also the highest number so far: Intermediate Level Health Emergency Technician Degree (TES), Intermediate Nursing Assistant Degree (TCAE), Social Integration Technician Degree (TSIS), Higher Emergency Coordination and Civil Protection Technician Degree and Intermediate Emergencies and Civil Protection Technician Degree, which is being taught for the first time this year at the SAMU School.

This formal training is in addition to the students from the two postgraduate programs that were started on October 9, 2023: 21 students in the Master’s Degree in Emergency

SAMU School

Nursing, Emergencies, Disasters and Humanitarian Action (2 fewer than the previous year); and 25 in the Master’s Degree in Medical Emergencies (6 more).

In total, 287 students, including vocational training and postgraduate courses, started their classes in September and October 2023. Another new development this year was the reinforcement of joint activities with other entities, mainly the public emergency service 061 (training exchange, lessons learned and logistical support).

Taking into account the entire academic offer of the SAMU School beyond the VET cycles, during the 2022-2023 academic year there were a total of 1,073 students distributed as follows: 42 postgraduate students; 104 VET students; 261 in intensive courses; 194 in training days; and 472 in training courses in institutions outside SAMU. These 1,073 students represent an increase of 16.7% compared to the 2021-2022 academic year, which is, once again, a change in trend after the fall in the number of students following the pandemic.

A total of 37 degrees or courses were imparted: 2 postgraduate courses (Master’s Degree in Emergency Nursing, Emergencies, Disasters and Humanitarian Action and Master’s Degree in Medical Emergencies); four cycles

of Professional Training; 13 intensive courses (two of them PHTS [Prehospital Trauma Life Support], one in March 2023 with 24 students and another in June with 18 students); two training days; and 16 courses in institutions outside SAMU.

During the 2022-2023 academic year, the Higher Degree in Social Integration Technician (TSIS) was resumed with 12 students (suspended in 2020 due to lack of demand) and the Higher Degree in Emergency and Civil Protection Coordination Technician was launched with 14 new students.

Among the courses and events developed in the 2022-2023 academic year, the following are the most important: the Expert Course in Healthcare Assistance to Multiple Victims and Disasters imparted in the Canary Islands Emergency Service (public utility) in October 2022; the course on Coordination of Medical Teams in International Missions for the Madrid Public Emergency Medical Utility (SUMMA 112) in February 2023; the lessons learned from the incident with multiple victims on the Almonte bus (Huelva) in which one woman died and ten other people were injured in May 2023; and the International Conference on Social Innovation in February 2023.

In June 2022, the SAMU School set up the

In-House department. Since then, this new area has continued to grow, consolidating in 2023, a year in which the school significantly increased the services it provides to companies and institutions outside SAMU.

From January to September 2023, 31 courses were imparted in which 902 workers were trained. The training actions most in demand were: Basic Life Support and AED (Semiautomatic External Defibrillators); first aid and fire extinguishing.

Among the school’s achievements in 2023 in this area are the design and delivery of customized training to meet the needs of large companies such as CLECE, SUMMA 112 and the Canary Islands Health Service (061). It has gone one step further in the design of online training, conducting live classes, online seminars and simulation exercises in live streaming, responded to international companies that have requested training in English such as Global-Ed and Caterpillar and it has created a new line of training for local Civil Protection groups.

One of the school’s challenges for the coming year is to be able to provide specific fire protection training in order to continue to respond to market needs.

The Regional Government of Andalusia as an ally

With respect to the new synergies and collaborations carried out this year, the most relevant is the signing of a partnership agreement between SAMU and the Department of the Presidency, Interior, Social Dialogue and Administrative Simplification of the Regional Government of Andalusia in situations of serious risk and emergencies.

The agreement includes cooperating in the development and implementation of training programs targeted at professional personnel and students called upon to intervene in emergency situations, through the design and delivery of training activities, simulations or practices in a joint and coordinated manner.

EMT

The SAMU Foundation continues on its path to becoming an EMT, i.e., to be internationally recognized as an Emergency Medical Team, which is essential for a greater involvement in humanitarian action missions.

In 2023, SAMU took part in four humanitarian missions: the earthquake in Turkey, the syncytial virus outbreak in Chile, the earthquake in Marrakech (Morocco) and the latest migration crisis in the Canary Islands.

In all these missions, the operational and logistical planning of tasks and execution as a delayed element were carried out at the SAMU School facilities. Students from the Master’s Degree in Nursing and the Health Emergency Technician Vocational Training courses (TES) and Emergency Coordination and Civil Protection Technician participated in these missions. In addition, in the field, 16 Emergency Health Technicians graduates with Master’s Degrees in Nursing participated in the missions in Turkey, Morocco and the Canary Islands.

Team maneuvers against the clock at the 2023 SAMU School TES Olympics. \ VICTORIA HIDALGO

287 students start the 2023-2024 academic year in vocational training and postgraduate courses

241

46 VET students graduates

36 degrees or courses offered in the year 2022-2023

+40% increase in the number of new students enrolling in VET courses

Transfer of patients in one of the TES Olympics exercises.

\ VICTORIA HIDALGO

SAMU School

1,073 students trained throughout the school’s academic offerings

902 workers trained in companies by SAMU In-House

31 SAMU In-House courses

17 students participating in humanitarian missions

6

DEPENDENCY AND SOCIAL INCLUSION

The area has risen to the challenge of working with new vulnerable groups

The Dependency and Social Inclusion area has experienced significant growth in 2023 with the opening of new resources and services aimed both at caring for dependent people or people with physical or intellectual disabilities, as well as new vulnerable groups or those at risk of social exclusion with whom the SAMU Foundation had not worked until now; for instance, homeless people or job seekers.

In 2022, the SAMU Foundation began to take on new challenges and extend its influence to other groups such as the elderly and adult migrants. In 2023, the organization wanted to go a step further in its redefinition and expansion of areas of influence by opening five new resources, three in the Seville municipality of La Rinconada and two in Las Palmas, for people with disabilities and problems related to mental health, as well as two new social programs: the Labor and Social Insertion Service for the Homeless, present in four

The entity has expanded its area of influence with five new resources and two social programs

Andalusian provinces, and the employment program Sevilla Integra, subsidized by the City of Seville.

This unit currently has a total of 19 resources or services, 13 in the area of dependency and six related to social inclusion, which accounts for five more resources or services than in the previous year.

In addition, the opening of a day-care center for the elderly in Isla Mayor is foreseen in the coming months. This will be possible thanks to an administrative concession by the City Council of Isla Mayor of a public building. The day-care center will accommodate 30 people.

Thanks to all these units, SAMU’s Dependency and Social Inclusion area has assisted more than 4,405 people in 2023, almost 5% more than the previous year. To this end, SAMU has employed 399 workers in this area.

Among the most significant activities carried out in 2023 was the celebration in November of the 4th Inclusive Popular Race, which for the first time was held in the city of Seville and not in Mairena del Aljarafe, as had been the case until now. More than 500 young people and schoolchildren took part in the race.

We should also mention one of the star activities of the SAMU Foundation; Disfrutamar, which has allowed 50 users to enjoy a boat ride along the coast of Rota or on the Guadalquivir River.

Youngsters playing at the 4th Inclusive Race of Seville. \ VICTORIA HIDALGO (NOVEMBER 2023)

Santa Ana Home for the Severely Affected ANDALUCÍA \\ SEVILLA

The Santa Ana Home, in the heart of the Triana district of Seville, opened its doors 15 years ago. The main objective of the activities carried out in 2023 was to promote the inclusion of its 36 users into their environment. To this end, different activities adapted to their preferences and tastes have been implemented, including participation in different workshops in the Triana district, such as the Triana Route and Initiation to Computers, to increase the personal growth of the center’s users, as well as their own personal satisfaction with themselves and with their environment.

The SAMU Sports Union Initiative was established as a physical and rehabilitative resource. Through this project, the users of various SAMU centers located in the province of Seville are able to do sport, especially soccer, in addition to participating in social activities and interacting with their peers.

We should also mention the implementation of different programs aimed at raising awareness and transforming our environment, such as the awareness talks given in different primary and high schools in the area to give visibility to both the work of SAMU and those who benefit from its actions.

To encourage the participation of families and friends in the life of the center, interactions on Facebook and Instagram have been organized.

In addition, users enjoy different cultural outings coinciding with Easter, the Seville Fair or the Velá de Santa Ana, in order to promote the personal autonomy of residents in all areas of daily life, improve their self-esteem and provide them with effective tools for social interaction and communication.

San Sebastián Home for the Severely Affected

The San Sebastian Home has become a center of reference in Andalusia in caring for people with severe behavioral disorders and autism spectrum disorders, after thirteen years of work. Its objective is to offer comprehensive and professionalized care to people with behavioral disorders. The aim is to reduce or if possible, eliminate these disorders so that users can be referred to other care resources and live in more normalized contexts.

Among the activities launched in 2023 is the Women’s Circle project, a mutual support group for women with mental disorders and intellectual disabilities.

It is a safe space where the participants share experiences, feel free and work together to establish solid social bonds to foster relationships among them.

Individual workshops have also been held twice a week related to communication and language. These sessions are focused on working with the residents on communicative attitudes, linguistic structuring, initiation to reading comprehension and comprehension of orders.

Another of our annual objectives is to promote care for our environment, and for this reason we have organized activities related to waste collection.

This type of initiative raises awareness not only among our residents, but also in society in general. This year, in addition, the use of public transport was promoted in 60% of the outings carried out. Not only does this show commitment to the environment, it also promotes the social skills of the residents.

San Lucas Day-Care Unit ANDALUCÍA

The San Lucas day-care center for people with intellectual disabilities has been operating for more than 15 years. It is the oldest resource in the area of Dependency and Social Inclusion. This year, the team of this Sevillian resource has achieved four major improvements in user care: the incorporation of Instagram as a means of external communication; the implementation of the San Lucas with Agenda 2030 program, whose purpose is to include the center’s activities in the 2030 Agenda for Sustainable Development; the implementation of a program of leisure outings whose main objectives are inclusion and family respite and the creation of a home family intervention program, through which professionals from the center intervene in the user’s behavior at home for the purpose of improving family relations.

Partnerships have also been set up with other entities such as the Special Olympics, the Seville Food Bank and Ecoherencia, among others.

PHS Andalucía

In February 2023, the SAMU Foundation launched a program for homeless people. It is a social and labor insertion service through basic supervision apartments for people without economic resources who have access to jobs that allow them to live independently. This project, which was included in a public tender by the Regional Government of Andalusia, is financed by the European Social Fund. The aim of this initiative is to provide support to these people, most of whom are foreigners between 19 and 55 years of age, in their social and labor insertion itinerary by providing support in training, internships and partnership agreements with companies.

The project has apartments in Seville, San Juan de Aznalfarache, Castilleja de la Cuesta, Brenes and Los Rosales; Córdoba and Lucena; Algeciras, La Línea de la Concepción, Puente Mayorga, San Fernando, Sanlúcar de Barrameda, Jerez, Cádiz and Huelva.

Home, Day-Care and Occupational Center Torrepavas

ANDALUCÍA \\ LA RINCONADA-SEVILLA

In January 2023, the SAMU Foundation put into operation three new resources that are specialized in the care of dependent and disabled people in the Sevillian municipality of La Rinconada. These include an adult residence for people with disabilities, a day-care center and the Torrepavas occupational center. The three resources complement each other and users benefit from their advantages.

The Torrepavas Occupational Center is where the activities of SAMU services are carried out in La Rinconada. This center has four workshops on different themes, including handicrafts, DIY, gardening and modeling.

During the day, activities are carried out using different materials and trying to recycle as much as possible to promote sustainability. In addition, men and women are encouraged to work in the same way to promote equality. Therapeutic walks are also organized to encourage mobility and socialization. The center also has a vegetable garden.

In summer, activities such as excursions to the beach, boat trips, swimming pool, cinema or shopping mall were organized to promote the integration of the users in the environment. Outings to stores and supermarkets were arranged to promote basic activities of daily living, and the most autonomous users were given money to pay for their purchases.

In 2024, the aim is to participate in the town’s flea market to sell the items made in the workshops. Through this activity, the users are rewarded for their work and effort with the money they earn and the compliments they receive when the local residents recognize the work they do.

Emplea Sevilla Integra Program ANDALUCÍA \\ SEVILLA

The Emplea Sevilla Integra program was set up in November 2023 and is included in the public call for grants

Sevilla Integra 2023-2024, which is managed by the area of Cartuja, Innovative Parks, Employment, Economy and Commerce of Seville City Council.

The purpose of this program is to facilitate the social and labor insertion of people who are unemployed or employed for less than 50% of the working day.

During these 18 months, the program will operate in accordance with seven lines: dissemination and awareness of the program, initial assessment of participants’ skills, socio-labor orientation, training workshops in key and transversal skills, training courses in technical skills, training internships in companies, and support for insertion.

The City Council of Seville will provide 4.35 million euros to promote labor integration within this program in which 10 different entities participate, including the SAMU Foundation.

In the case of SAMU, its areas of action are Triana, Los Remedios and Casco Antiguo. For this purpose, the entity has an office located at Calle Juan de Pineda, 112.

To participate in this employment program, those interested must be registered in Seville and unemployed or with a part-time employment contract of less than 50% of the working day, as established in their collective bargaining agreement and who, due to various economic, social, family and personal circumstances, have a greater degree of social vulnerability and, hence, more insertion difficulties.

Santa Teresa Home

CASTILLA LA MANCHA \\ VILLAFRANCA

The Santa Teresa Home first opened in March 2015 and specializes in the care of people with intellectual disabilities.

Many activities have been carried out in 2023 with the ultimate goal of promoting the inclusion of users in society, such as reading and painting workshops. Residents have also participated in solidarity walks like the Masoreto or Las Lagunas walks and the Villafranca de los Caballeros Popular Race.

Meetings have been held with associations such as Zaragüelles, as well as a solidarity dinner with Manos Unidas and a visit to an animal shelter. In addition, many local and regional inclusive outings have been organized during the holiday season. The residents visited the towns of Calella, Cullera and Toledo to enjoy the atmosphere and see the Christmas lights. On the day of the Autonomous Community of Castilla La Mancha, the users visited the windmills.

In 2023, the SAMU Foundation established three new units in Puerto del Rosario (Las Palmas de Gran Canaria) targeted at mental health. These include a Day-Care Center for Psychosocial Rehabilitation with 20 places and two sheltered accommodation programs with 5 places, one of them in a house and the other in a boarding house.

The three services started operating on October 28. One month after their startup, 24 people were already benefiting from these three services, which employ a total staff of 8 workers.

As for the activities carried out with the users since its opening at the end of October, the most important activities are the implementation of workshops related to ecological gardening, activating the body, social skills, new technologies, handicrafts, equality, cooking, domestic skills and the furthering of personal autonomy.

Open day at the Isla Mayor Day Care Center (Seville). \ V. H.

Taliarte

CANARIAS \\ TELDE-LAS PALMAS

The Taliarte Ala Norte Home for the Elderly and Day Care Center opened its doors in October 2022 and specializes in the care of elderly people with important and intermediate needs, depending on the degree of dependency of the person.

The home has 104 workers and 100 places, and 182 elderly people have spent time in its facilities in 2023. On the other hand, the home has 5 places for people with greater autonomy, an initiative that 14 people have enjoyed this year. And the day-care center, with 20 places, is a complementary resource on which the other two facilities rely when carrying out activities.

The objective is to promote the autonomy of the elderly, improve their quality of life and provide dignified care tailored to the needs of each individual.

Service for seasonal workers

CATALUÑA \\ LLEIDA

A service provided by the City Council of Lleida through the SAMU Foundation. In 2023, it was provided from June 12 to August 31. It caters for the accommodation and reception needs of people who come to this area to work on farms. Shower, laundry, locker, dining room and lodging services are provided. The facility has 122 places and last summer, it accommodated 818 people, 39% more than in 2022.

As a novelty this year, charging tables with power outlets and chargers were installed to allow users to charge their mobile devices.

Sa Joveria Basic Needs Center

ISLAS BALEARES \\ IBIZA

The Sa Joveira Provisional Basic Demand Center (Ibiza, Islas Baleares), which was opened in November 14, 2022, is targeted at homeless people with drug addiction problems, people who, for various reasons, have no access to other specific resources on the island. It is a temporary resource with capacity for 56 people. In 2023, 71 people were assisted in Sa Joveira Provisional Basic Demand Center.

The objective of this service is to cover the accommodation, food, hygiene and laundry needs of people referred by the local authorities of the island.

The activities carried out include assemblies, as a weekly dynamic to provide space for dissemination about the areas of coexistence and welfare of the service users.

They are provided with a suggestions box where they can make suggestions for improving the service.

Before the assembly, the technical team analye the suggestions in order to give an immediate response to the people attending, while also providing an open space for people to talk and express their needs. The participation rate is around 75% of the service users.

English, Spanish and Arabic classes are also imparted. These classes are directed by the people staying at the center.

In addition, sports activities, gardening workshops, social and labor activities, film forums and solidarity markets are organized.

Center for the participation and integration of inmigrants (CEPI)

C. DE MADRID \\ ALCALÁ DE HENARES

In 2023, the Center for Participation and Integration of Immigrants (CEPI) provided more than 2,711 services, including employment guidance, psychosocial care, insertion reports, housing suitability reports and legal counseling, mainly related to immigration.

More than 300 group activities were also carried out, with more than 1,300 study hours, highlighting job training activities and actions related to employment (food handler, basic support for the mobility of the elderly, psychosocial skills for the care of the elderly and customer service), computers, Spanish courses, languages for employment, school support, urban camps, parenting classes, psychosocial support groups, and legal workshops, among others. In addition, exhibitions on different themes were held throughout the year, making the center a space for meeting, participation and promotion of intercultural values.

In addition to a wide range of group activities, special attention has also been paid to individual interventions and counseling tailored to the needs of the beneficiaries.

As part of SAMU’s commitment to facilitate and guarantee continuous access to training and education for users, online courses have been organized, giving the participants unlimited access to the different course materials during their duration.

On the other hand, the SAMU Foundation hosted the official Cervantes Institute CCSE exams. More than 600 candidates took the exams last academic year.

13

Legal counselling for migrants and nationals at risk of exclusion

C. DE MADRID\\ ALCOBENDAS

The legal counseling service for migrants and nationals at risk of exclusion, in collaboration with the City Council of Alcobendas, was first set up in April 2022. A total of 203 people benefited from this service between January and October 2023.

The direct intervention with the beneficiaries of the project is individualized, focused on their specific case and circumstances and with the key purpose of facilitating their social inclusion. The legal service is included in the overall situation of the person, and in the assessment of their possibilities and options at this level, we do our best to guide and provide accurate assistance in relation to that unique circumstance that each person experiences and presents.

Workshops are also imparted for the professionals of the social services of Alcobendas and to citizens on topics of interest such as social roots or the right to receive medical care.

14

City of Alfaro Day-Care Center

LA RIOJA\\ ALFARO

The daily efforts of the workers of the Ciudad de Alfaro Day-Care Center for Dependent Elderly People of the Regional Government of La Rioja, managed by the SAMU Foundation, are aimed at keeping users active and promoting their autonomy. In all cases, respecting their tastes and priorities, the Center implements a monthly program of activities from its different Integral Care departments, coordinated by the Social Work department. The interest and selfless participation of the associative-cultural network of the municipality of Alfaro and of the local and regional public institutions that support our elders, is noteworthy.

It has been a year full of activities but one in particular has attracted the attention of everyone, including the media; the Yayacletas, an initiative included in the En bici sin edad project that has permitted the elderly to relive the thrill of riding a bike.

Users and workers of the Santa Ana Home in Seville. \ SAMU

7

SOCIO-EDUCATIONAL AND WOMEN-SPECIFIC INTERVENTIONS

This is the area that has grown the most over the past year in terms of projects and resources

The Socio-Educational and Women-specific Interventions area is SAMU’s largest department and the one that has grown the most during the past year in terms of projects and resources. Its director, Concepción Pérez Carrera, unites and coordinates the tasks of a workforce of 1,504 people (June 2023 data), which represents a growth of 53.7% compared to its beginnings in 2021, and 13.4% versus last year.

This area implements services and programs in Andalusia, Madrid, Catalonia, Aragon and, as a novelty in 2023, also in Ceuta and the Balearic Islands. It has also set up general initiatives with national coverage and specific actions in Ecuador. In this respect, three international projects should be mentioned. The first of these is the Killawayra House (Samborondón, Ecuador), which consists of comprehensive shelter for women victims of gender-based violence and their children (accommodation, personalized comprehensive care and protection).

The second project is the presentation of a comprehensive management proposal for the Guayas Integra center in Ecuador, focused on the social inclusion and rehabilitation of people with functional diversity (children), as well as care for their families. The third project is the presentation of an integral proposal for the start-up and management of a trade school in Daule (Ecuador).

Major milestones in 2023 at the national level include the start of a new service for

students with special educational needs in state schools in Catalonia; the start of a new service for students with hearing difficulties in the Balearic Islands; and the renewal of the Sign Language Interpreter (ILSE) contract in Aragon.

Another significant event was the subsidization of the coeducational guides implemented by this area for their expansion and dissemination. This financial boost not only broadens the scope of the guides, but also demonstrates SAMU’s firm commitment to inclusion and diversity.

Looking ahead to 2024, the area is studying the possibility of translating these guides into the different official languages that coexist in Spain, which would further expand their accessibility and usefulness for a more diverse public.

The challenge of living together in equality

The alarming data on situations of inequality and violence against women and girls has led the SAMU Socio-educational and Women-specific Interventions team to develop the project entitled The challenge of living together in equality. It consists of the development of coeducational guides aimed at public, subsidized and private schools (pre-school, primary and secondary stages) and children’s centers managed by the SAMU Foundation.

The main objective of this project is to raise awareness and prevent different forms of

Workers from the Socio-educational and Women-specific Interventions area pose at the headquarters of the Three Cultures Foundation in Seville. \ V. HIDALGO [OCTOBER 2023

Socio-Educational and Women-Specific Interventions

violence against women and to promote values of equality, diversity, respect and tolerance through coeducational guides.

This project was set up thanks to a grant awarded by the Ministry of Equality. With this grant, in 2022 it was possible to design the guides and distribute them to some educational centers in Andalusia and the minors’ centers run by the SAMU Foundation as a pilot project. In 2023, the amount subsidized was doubled, making it possible to extend the dissemination to educational centers throughout Spain. In addition, the guides have been adapted for people with hearing impairments and they have been subtitled and include sign language.

These guides will soon be disseminated through an online platform that is currently under construction. A password will be provided to access this platform. This will make it possible to calculate the impact of the guides through statistics.

The guides are designed to be disseminated in physical and audio-visual formats. Their content is as follows: Las pistas de la violencia de género (Primary Education); En búsqueda de la igualdad (Primary and Secondary Education), El desafío de los Objetivos del Desarrollo Sostenible (Secondary Education); the designing of an app on sexual and emotional education (Secondary Education); and a podcast against gender-based violence (Secondary Education).

The materials that make up the coeducational guides are designed to complement the prevention and detection work that is already being done in educational centers. The aim is to eliminate the inequalities that occur during the process of socialization and that, to a certain extent, sometimes lead to discrimination and different forms of violence against women and girls.

So far, the coeducational guides have been distributed to 20,122 schools in Andalusia, Catalonia, the Balearic Islands, the Canary Islands, the Community of Madrid, Extremadura and Castilla-La Mancha. It is estimated that the dissemination will reach approximately 50,000 educational centers throughout Spain by 2024.

More projects

Another initiative launched in 2023 was Resurge Mujer, in the Community of Madrid. It is a comprehensive program for social and labor insertion targeted at women in vulnerable situations. It offers guidance, training and emotional support to women to strengthen their empowerment, skills and personal wellbeing.

The Mareta Social Action Point is another project with national coverage that consists of the creation of a center for the promotion of good practices related to the Sustainable Development Goals (Agenda 2030). The aim is to promote a culture of gender equality and empowerment of women. Although this center is mainly focused on women, it is a multipurpose space open to meet the diverse needs of the community.

Coeducational guides seek to prevent violence against women and promote values of equality and respect

Another project is Aurora del Sur, which has a national scope and is subsidized by the Ministry of Equality. This center deals with the needs of women and minors who are victims of human trafficking for the purpose of sexual exploitation and their children to help them in their physical and psychological recovery by fostering their personal, social and economic autonomy and promoting their empowerment.

1,504 professionals are part of the area’s workforce

+Hombre

6 autonomous communities have on-going projects

14,000 students attended to every day in the Balearic Islands by sign language interpreters

50,000 coeducational guides against gender violence to be distributed in schools

676 students benefiting from the plan against absenteeism in Usera (Madrid)

One of the major projects developed in 2023 and subsidized by the Ministry of Health, Consumer Affairs and Social Welfare is +Hombre, which provides training to companies and other organizations on equality. This training not only addresses fundamental issues to promote an inclusive and diversity-friendly organizational culture, it also places special emphasis on promoting positive masculinity.

Issues such as harassment at work, the wage gap or gender discrimination are addressed, with a focus on positive masculinity, thus promoting respectful and egalitarian models that contribute to the development of healthier work and personal relationships.

This positive masculinity approach brings benefits. It contributes to reducing inequality at work; it addresses workplace harassment by changing power dynamics and fostering more equitable relationships; and it boosts diversity by involving all people in its promotion.

The project was started in the last quarter of 2023 and seven training sessions have already taken place.

It includes a comprehensive intervention with medical, psychological and social support services (in the center), as well as awareness, prevention and on-site care activities to address the problem (in a mobile unit).

The Nido project is an innovative initiative that seeks to provide comprehensive support to pregnant women and mothers of children from 0 to 3 years of age with no resources. The novelty of this project is its holistic approach, combining home care and housing resources to address the specific needs of these women in different circumstances. This project is carried out in Andalusia with the support of the Department of Social Inclusion, Youth, Families and Equality of the Regional Government of Andalusia.

Lastly, the implementation of projects with a gender perspective is also noteworthy. Through subsidies granted mainly by Public Administrations, the different Ministries of the Spanish Government and European Funds, projects are being developed to implement actions and services that promote gender equality and the fight against all forms of violence against women.

These projects range from the management and implementation of services to the execution of specific actions such as the development of workshops or the elaboration of didactic materials, with the fundamental purpose of creating an equitable and safe environment for all women.

The Nido project is a comprehensive support initiative for pregnant women and mothers of children from 0 to 3 years of age

Socio-Educational and Women-Specific Interventions

Comunidad de Madrid

The Socio-educational and Women-specific Interventions area has implemented eight services in the Community of Madrid. It is the region with the most active programs. One of them is SAVG 24 Horas, an emergency accommodation and maintenance service in hotels in the city of Madrid for women victims of gender violence and their children. The service is provided in different languages and the victims are provided with drinks and light meals during the first moments of their stay at the hotel. The main objective is to act urgently to isolate the person from their situation of vulnerability and ensure their safety.

SAMU also has a personal assistance service for people with reduced mobility at the King Juan Carlos University. The aim of this service is to provide support for the performance of basic activities of daily living related to the toilet and well-being of users, accompaniment to the bathroom, transfers, support in dressing and undressing, consumption of liquids and food and any other activity that the user may require, such as travel within the university facilities. These actions are extended to seminars, summer courses and congresses held within the University.

Another service offered is sign language interpreting to help people with hearing impairments carry out formalities with public and private organizations in the Autonomous Community of Madrid. SAMU provides all persons who are deaf or hard of hearing with a sign language interpreter who will interpret and translate from Spanish sign language to oral or written language, and vice versa, in order to ensure communication between users and their social environ -

ment. The only requirement to be met by the persons applying for this type of intervention is to be over 18 years old and reside in the Autonomous Community of Madrid. A total of 1,278 users have been assisted through this service.

There are also private Spanish sign language interpretation services. These are provided through private contracting by individuals, public agencies and companies for sign language interpretation at meetings, events and various public events.

In the City Council of Móstoles, SAMU has set up a sign language interpretation service for specific acts, events and leisure activities for deaf people in Móstoles. The aim of this service is to facilitate the participation of deaf people in Móstoles in local government bodies and in all those activities that are planned by the City Council.

The Absentismo Usera program promotes school success, prevents absenteeism and improves student relations in schools in the Usera district of Madrid. The fundamental principle of this plan is to make the universal right to education a reality, with a gender-based, inclusive, democratic and equitable perspective, focused on the promotion of all students in the district, through enhancing their learning abilities and the development of emotional intelligence. A total of 676 students were referred to this program in 2023.

Lastly, the Convive Madrid-Vallecas program, which consists of the creation of a space for reflection on coexistence with the aim of promoting the development of academic and personal skills among primary and secondary school students in the Vallecas district. The aim is to promote co-responsibility for peaceful coexistence in schools and the provision of tools for conflict resolution. In 2023, 174 students were referred to this service.

Islas Baleares

The Socio-educational and Women-specific Interventions area made its debut in the Balearic Islands in 2023 with a sign language interpreter service aimed at deaf and hearing-impaired students who require support related to autonomy and learning. The program is implemented in non-university educational centers and is publicly funded for the 2023-2024 and 2024-2025 academic years. The purpose of this service is to eliminate the communication barriers that exist within the classroom, facilitating access to the curriculum and teaching activities and fostering educational inclusion through participation in the center’s activities. On average, 14,000 students receive this service every day.

Ceuta

he SAMU Foundation has set up a digital and language literacy project in Ceuta, commissioned by the State Public Employment Service (SEPE), which has enabled 21 unemployed women in Ceuta to acquire key skills for their educational and professional integration and, above all, for their personal development.

The General Directorate of the State Public Employment Service (SEPE) considers the project developed by the SAMU Foundation in Miramar a “good practice” at national level, as pointed out by the provincial director of the organization, Mr. José Simón.

Participants in the digital and language literacy program in Ceuta implemented by the SAMU Foundation in 2023. \ SAMU

Andalucía Cataluña

In Andalusia, two major services developed by the Socio-educational and Women-specific Interventions area of the SAMU Foundation are worth noting: ISE Andalucía and ISLE Andalucía. The first is a school support and assistance service for students with special educational needs in state schools in the provinces of Cadiz, Huelva, Jaen, Malaga and Seville.

Social integration technicians play a fundamental role in the educational stage of students with special educational needs.

On a daily basis, they are responsible for supporting and caring for them during their activities in the educational center, and in all activities of daily life, such as going to the toilet and washing, working to provide them with autonomy when dressing, ensuring the achieving and maintaining of the most suitable conditions in terms of health and safety, serving as a communications link between the center and the family and collaborating in individual curricular adjustments to ensure their academic success and integration with the rest of the student body.

On the other hand, ILSE Andalucía is a sign language interpreting service for hearing-impaired students in state schools. The figure of the sign language interpreter is essential in all schools that have students with hearing difficulties.

They work together to overcome the different stages of their academic life successfully and help them feel that their condition does not really matter when it comes to achieving all those goals that they set themselves and that they have the same opportunities as other students.

SAMU has implemented three programs in Catalonia. The first is the Information and Care Service for Women (SIAD) at the Esparreguera City Council. Its purpose is to offer psychological support to women in the municipality who face situations of gender violence and to show them how to increase their autonomy and personal self-esteem.

The second is the support service for students with congenital cardiopathy, as well as for teachers, professors and other professionals who care for students affected by this pathology in schools throughout Catalonia.

This service performs interventions consisting of informing, advising and guiding education professionals, monitoring the specific educational support needs of the student through an individualized study of each case and organizing meetings and work sessions with the professionals directly involved, in addition to providing information and guidance to the educational community in relation to the disease and its repercussions, and preparing psycho-pedagogical reports, among other activities. A total of 351 interventions were carried out.

The last one is the support monitors service for primary and secondary school students in state schools in Catalonia with special educational needs and difficulties related to personal autonomy and behavior. Support is also provided to minors with special needs in the healthcare area. SAMU provides service to these children in the schools, in the school canteens and in all additional or extra-curricular activities that are scheduled by the school to facilitate educational inclusion.

Aragón

An on-going socio-educational program is under way in the Intervention area of the Autonomous Community of Aragon, consisting of a Sign Language Interpreter service to meet the needs of students who are deaf or have hearing impairments in primary and secondary schools, vocational training and education centers.

This service is also provided to facilitate the adaptation of students in their last year of primary school to help them face the change, depending on the personal resources available.

This sign language interpreting service seeks to eliminate communication barriers that may exist in the classroom, thus facilitating access to the curriculum and teaching activities, as well as educational inclusion in the school context through participation in school activities.

The SAMU Foundation’s Socio-educational and Women-specific Interventions Team. \ V. HIDALGO [OCTOBER 2023].

8 CHILDHOOD AND FAMILY

The SAMU Foundation has provided care to more than 1,700 minors and foster children in a year marked by the migration crisis in the Canary Island

The unprecedented migratory crisis in the Canary Islands during the last quarter of 2023 has marked the development of the SAMU Foundation’s Childhood and Family area, which immediately set in motion its machinery to support the Regional Government and take in the hundreds of children arriving in the archipelago unaccompanied by an adult.

In 2023, the Canary Islands relived the 2006 open boat crisis, exceeding the 31,678 people who arrived aboard small open boats that year. In October alone, more than 4,200 unaccompanied children and adolescents reached the islands.

The SAMU Foundation has been a prominent entity in the campaign for the immediate reception of minors. A total of 660 young peo-

ple received care from SAMU in one of its 12 facilities in the Canary Islands from January 1 to October 30, 2023.

SAMU’s first contact with unaccompanied migrant minors was in 2007. That year, the organization immediately heeded the emergency call from the Regional Government of Andalusia in response to the massive arrival of migrants on the region’s coasts, many of them minors. Sixteen years later, the SAMU Foundation is one of the main global operators in the care of minors in residential and emergency foster care. The objectives of the Childhood and Family area have grown to respond to each of the needs of migrant minors and those in foster care with new coming-of-age programs and always focused on the same line of action: achieving the full inclusion, autonomy and emancipa-

tion of these young people in society.

SAMU ended 2023 with 46 resources of different types for minors (two fewer than in 2022) in 14 Spanish provinces. This is in addition to a program of assistance, auxiliary support and intercultural mediation in public homes for the protection of minors in the Autonomous Community of Madrid and a socio-educational intervention project with minors at risk of exclusion through street education financed by the City Council of Huesca.

In addition, SAMU manages 19 different coming-of-age resources for young people in foster care in seven of the eight Andalusian provinces. With respect to the previous year, the existing resource in Huelva has disappeared.

Of the numerous initiatives developed by SAMU in this area, the most relevant is the Barrio concienciado: juventud migrante en El Cerezo, a project implemented in the Macarena district of Seville with the support of Seville City Council and the International Cooperation and Humanitarian Action area of the SAMU Foundation.

The main objective of this project, which has now been completed, was to raise awareness among the citizens of Seville in general and, in particular, among the residents of the El Cerezo neighborhood, about the reality of young migrants who are also ex-wards. The project concluded with the exhibition Historias de vida: 10 historias reales de superación, in which each of the young people tells their own personal success story.

ANDALUCÍA CENTRO

01\\ ISL -SAMU Huelva

Huelva. Sevilla

02\\ ISL Alcalá de Guadaíra

Alcalá de Guadaíra. Sevilla

03\\ ISL Nervión (Polanco)

Sevilla

04\\ DISC (discapacidad)

El Olivar (Fuentequintillo)

Dos Hermanas. Sevilla

05\\ Conflicto Social (CS) Sanlúcar

Sanlúcar La Mayor. Sevilla

06\\ Conflicto Social San José

Dos Hermanas. Sevilla

07\\ ISL Valencina

Valencina de la Concepción. Sevilla

08\\ RB Miguel de Mañara Montequinto. Sevilla

ANDALUCÍA OCCIDENTAL

09\\ ISL Las Cabezas

Las Cabezas de San Juan. Sevilla

10\\ RB El Bosque

El Pelayo-Algeciras. Cádiz

11\\ RECEP El Jardín (Campo de Gibraltar)

El Pelayo-Algeciras. Cádiz

12\\ ISL Cortijo Jimena

Los Ángeles-Jimena de la

MADRID AND ARAGÓN

01\\

02\\

11\\ Piso 17+ Zaragoza

12\\ PTVI de Huesca

CANARIAS

01\\ DMENA Farabella Maspalomas. Las Palmas Gran Canarias

02\\ DMENA Roque Nublo

San Bartolomé de Tirajana. Las Palmas

03\\ ARB Roque Nublo II (Fataga)

Fataga (San Bartolomé de Tirajana)

12\\ Proyecto de intervención socioeducativo menores en riesgo de exclusión con educación de

15\\

ANDALUCÍA ORIENTAL

16\\ Coisl SAMU Motril Motril. Granada

17\\ RB SAMU Motril Motril. Granada

18\\ ISL SAMU Dúrcal Dúrcal. Granada

2,030

970

830 *

The SAMU Foundation has set up six resources in the area of Eastern Andalusia with 4 different modalities for minors who are wards of the Public Administration. One of these resources is COISL SAMU Motril (Granada), a Social and Occupational Guidance and Insertion Center for minors between 16 and 18 years of age who are in shelters, using this residential environment to provide them with the tools, skills and attitudes they need to face independent life as successfully as possible. In 2023, this unit provided service to a total of 33 minors, with a total of 10 people leaving due to coming of age.

The resource has a total of 24 residential places distributed in 5 cohabitation units managed by the Social and Occupational Guidance and Insertion program.

At present, the number of minors receiving the service is 12, occupying 50% of the places offered. This situation has led the center to provide much more individualized and multidisciplinary care throughout the year 2023.

The second resource is the SAMU Motril Basic Residential Center. In 2023, it provided service to 19 minors. Currently, the residential occupancy is 13 (11 boys and 2 girls), all of them aged between 10 and 17 years.

Since it was first started up in 2017, the center has for the most part provided care to foreign male minors, but, in recent years, the trend has changed and several groups of siblings of national origin have been admitted. Moreover, in 2023, one of the admissions included three girls, which was a challenge and a learning experience in terms of care and the intervention to be carried out.

The intervention focuses on comprehensive care for children and adolescents in terms of their basic needs (housing, food, health, education, clothing, leisure and culture) with the aim of promoting their adequate physical, psychological and social development, in an environment of coeducation and respect for diversity, affection, understanding and emotional and material security.

The IPC Moriles (Intervention Center for Behavioral Problems), in the province of Cordoba, was opened in July 2020.

Since its opening, it has served 30 minors, 11 of them in 2023. It serves young people from 13 years of age, whose specific needs and behavioral conflicts prevent them from living together in a basic residential care center.

They are places arranged with the territorial delegation of Social Inclusion, Youth, Families and Equality of Cordoba.

Finally, there are three programs for the care, reception and social and labor insertion of unaccompanied foreign minors: ISL SAMU Lucena, ISL SAMU Serón and ISL SAMU Dúrcal.

In addition to assisting adolescents in all their basic needs for housing, food, health, education, clothing, leisure and culture, actions are carried out aimed at the acquisition of skills for independent living and training in job skills, facilitating their participation in the various training activities that are developed within the scope of the Vocational Training System for Employment.

The main objective of this program is to provide children and adolescents with the necessary tools for their future inclusion in society.

Through this program’s three devices, the SAMU Foundation has assisted 94 adolescents.

Andalucía Central SEVILLA \\ HUELVA

In the Central Andalusia area, SAMU has eight resources for boys, girls and adolescents (NNA), seven in the province of Seville and one in the province of Huelva. In total, these resources have 108 places, which has enabled 158 young people to be attended in 2023. Most of the children and adolescents assisted were Spanish (46.9%), followed by Moroccans (34.2%). The rest came from sub-Saharan Africa (11.4%), Latin America (4.4%) and Eastern Europe (3.1%).

In order to promote integration and full development within the community, 74% of the children attended school, both in formal training and in specific or vocational courses.

This area has a basic residential care facility managed by the SAMU Foundation and linked to the territorial delegation of Inclusion, Youth, Families and Equality of Seville, called Miguel de Mañara. This center, located in Montequinto (Seville), has 20 places.

There are also two centers for social con-

flict, CS Sanlúcar, in Sanlúcar la Mayor, and CS San José, in Dos Hermanas. Their philosophy is based on the care of minors in social conflict. This is a provisional measure, with an estimated duration of between 6 and 24 months, in a non-segregated and highly normalizing environment, to promote psychological and behavioral recovery based on a methodology aimed at emotional and affective repair.

In addition to these resources, there are four social and occupational insertion centers (DISL or ISL) for comprehensive care and accompaniment during the transition to adult life of unaccompanied foreign children and adolescents in situations of social exclusion and/or conflict. These resources are ISL Alcalá de Guadaíra, ISL Nervión, ISL Valencina (women’s center) and ISL SAMU Huelva. A total of 56.6% of the children and adolescents receiving assistance have completed internships in companies in different sectors. Of this total, 13.25% signed an employment contract.

Last of all, the DISC El Olivar Protection Center is a basic residential facility for children and adolescents with some degree of disability or dependency.

Young people participating in the “Barrio concienciado: juventud migrante en El Cerezo” project in Seville. \ V. HIDALGO [JUNE 2023].

Childhood and Family

Andalucía Occidental CÁDIZ \\ SEVILLA

SAMU manages seven resources for minors in Western Andalusia, six of them in the province of Cadiz and one in Seville. These included a basic residential center, a program for the urgent care, reception and first reception of minors (RECEP) and five social and labor insertion units.

At ISL Las Cabezas, 27 young people were attended to in 2023 (as of September 30), of whom 6 have been transferred to adult resources. In addition, 4 young people have been successfully inserted into the labor market.

At ISL Arcos, 21 young people received care up to September 30, and five of them have found jobs and become emancipated. At ISL El Castillejo, 16 young people were attended to and of these, six have found jobs, three have obtained the ESA (Secondary Education for Adults) diploma, three have enrolled in an intermediate cycle and one minor receiving a prize for personal effort in Andalusia.

Eleven minors have passed through ISL Ruiz Tagle and 33 through ISL Cortijo Jimena. Of the latter, there have been seven placements; four have obtained the ESO (Compulsory Secondary Education) diploma; two have obtained the Basic Vocational Training Diploma in Gardening; and 14 minors have completed one or more training internships.

At Recep Campo de Gibraltar, 197 minors were admitted, 178 of whom are Moroccan and from Ceuta. In addition, 13 young people have carried out training internships and three were hired. Meanwhile, at RB El Bosque, 26 young people were attended to, with five of them obtaining their ESO diploma and six finding jobs.

Canarias

LAS PALMAS DE GRAN CANARIA \\ LANZAROTE

The migratory crisis in the Canary Islands during the last quarter of the year, especially on the island of El Hierro, has marked the activity of the SAMU Foundation in this archipelago. In October, 4,200 children and adolescents reached the Canary Islands aboard open boats.

The SAMU Foundation manages a total of 13 resources in Las Palmas de Gran Canaria, Fuerteventura and Lanzarote: four emergency shelters (two of them were opened during the last migration crisis), two residential centers, two therapeutic centers and five day-care centers. In all these facilities, 660 minors were cared for in 2023 (up to October 31).

Currently, 90% of the minors served are enrolled in the Spanish Educational System, both in Primary Education and Compulsory Secondary Education, as well as in Basic Vocational Training cycles. In addition, these minors benefit from the courses offered by the Canary Islands Health Service.

25% of the minors assisted completed internships in the hotel and catering sector, and approximately 30 of the young people who were placed in foster care were able to sign an employment contract.

We continue to work in collaboration with entities such as Radio ECCA, where the minors have been able to obtain food handler and occupational risk prevention certificates. Other entities with which we work are the Adsis and the Don Bosco Foundations.

In 2023, we worked in partnership with the Directorate General for Child and Family Protection of the Government of the Canary Islands to process several applications for family reunification.

Aragón y Comunidad de Madrid

MADRID \\ ZARAGOZA \\ HUESCA

In this geographical area, 12 resources for minors were managed in 2023 (ten of them supervised apartments) and two resources for children in out-of-home care. In addition, a program of accompaniment, auxiliary support and intercultural mediation was implemented in public residences for the protection of minors in the Community of Madrid, which ended on February 28, as well as a socio-educational intervention project with minors at risk of exclusion through street education, with the support of the City Council of Huesca. A total of 253 minors (219 in residential centers and 34 in street education) and 16 young people of legal age received care.

During this fiscal year, the SAMU Foundation was awarded the contract for the El Pinar Residential Center, maintaining the management of this resource for two more years. The bid for the SAMU Rivas Sheltered Apartment for adolescents has also been renewed for two years. Both facilities are located in the Community of Madrid.

SAMU has also been invited by the Department of Social Policies, Families, Equality and Birth of the Regional Government of Madrid to manage a center with 10 places for foreign migrant minors, which will start operating in December 2023. The tender for the street education service of Huesca City Council has also been renewed for a further two years.

On the other hand, 6 minors from the supervised apartments SAMU Rivas, SAMU Esperanza and SAMU Brenes were awarded by the Autonomous Community of Madrid for their academic performance during the 20222023 school year; 37 young people were referred to “emancipation flats” when they come of age; and 35 minors have signed their first employment contract.

In addition, SAMU has set up the El Pinar Specific Center in the Autonomous Community of Madrid, where minors with behavioral problems and addictions are cared for. In 2023, 50 minors spent time in this center. In addition, the organization has renewed the grant with the Autonomous City of Melilla for the management in Madrid of the public residential care service for girls between 5 and 18 years of age with family problems who are wards of the Government.

A child plays with an instructor at the El Olivar center in Dos Hermanas (Seville). \ V. HIDALGO [SEPTEMBER 2023]

Islas Baleares

Isla de Mallorca

In November 2021, SAMU started up the immediate reception service for unaccompanied foreign minors in the Balearic Islands, but it was not until October 2023 that the emergency service started with the first resource provided by the public authorities. Since then and to date, six services have been initiated, of which three are immediate reception services, two are specifically for the care and accompaniment of foreign minors and one is a pre-emancipation service. Of the six services, three are in the process of accreditation. In 2023, 122 minors were cared for in the different homes managed by the SAMU Foundation, 7 of them girls and 115 boys. In November alone, 30 new minors were taken in. Most of them are from Algeria (55), Morocco (20), Guinea (16) and Mali (15). There are also children from Benin, India, Burkina Faso, Gambia, Liberia and the Ivory Coast.

Childhood and Family

Ceuta

In May 2021, Ceuta was hit by a major migration crisis. SAMU had to attend to 940 minors at the same time in four different facilities. In 2022, the situation stabilized and, although SAMU’s work in the area was still of the utmost importance, resources and places were adjusted to the existing needs and demand. Today, SAMU still maintains the La Esperanza Temporary Emergency Shelter Unit (UATE La Esperanza) through an agreement with the Government of Ceuta. In the 2023 fiscal year, 342 minors received care at UATE La Esperanza, which has 60 places and 29 workers..

Programas + 18 ANDALUCÍA

The beneficiaries of the High Intensity Programs managed by the SAMU Foundation are young people who have been wards of the Regional Government of Andalusia. When the minors come of age, the protective measures are withdrawn, and all the efforts and investments made throughout the minor’s career may prove to be useless if they are not prepared to leave the protection system and, above all, embark on the transition to adult life and lack without receiving the individualized support that they need.

Its objective is to promote the social and labor inclusion of these young people, enabling their emancipation and autonomy through the development of their personal, labor and social skills, as well as their employability training.

SAMU manages three types of resources in the +18 Andalusia program. Firstly, the Program for the Acquisition of Socio-labor Skills (PACS).

There are three, two in Jaén (one of them was opened in 2023); and another one in Almería, for girl, which is targeted at diversity. Each of these resources has 6 places and a total of 18 young people have been attended in 2023.

The second is the Horizontes Autonomy Program, funded by Tax Aid. In 2023, this program had five resources located in the municipalities of Granada, Malaga, Seville, Lucena (Cordoba) and Algeciras (Cadiz), with a total of 25 places. 44 young people received care from January 1 to October 15, 2023.

Specifically, 10 in Seville; 5 in Granada; 11 in Cadiz; 9 in Malaga; and 9 in Lucena.

CEUTA

08\\

(Sevilla)

The latter was expected to have two admissions in the month of November.

All the activities and actions carried out with the young people who have participated in this program have been focused on achieving the acquisition of sufficient autonomy to provide them with independence and secure emancipation.

Finally, there is the Program for Young Migrant Juvenile Extruders (JEM), which is implemented in Seville (42 places distributed into 7 housing units) and Cordoba (24 places in 4 housing units), all of them for males.

In total, 55 young people have recei -

10\\ JEM Córdoba Fray Martín 7 Córdoba (Córdoba)

11\\ JEM Córdoba Fray Martín 12 Córdoba (Córdoba)

12\\ JEM Córdoba Berenguela Córdoba (Córdoba)

13\\ JEM Córdoba Torquemada Córdoba (Córdoba)

14\\ IRPF Horizonte Córdoba Lucena (Córdoba)

18\\

ved care in the different JEMs in Seville throughout 2023. This year, the SAMU Foundation signed more than 20 new agreements with companies for training internships.

It has also networked with other entities such as the Red Cross, the Don Bosco Foundation, the Diagrama Foundation and the Cruzcampo Foundation, among others.

As of October 13, 2023, a total of 29 young people had been assisted in the JEM Cordoba Program, and of the 15 emancipations taking place during the 2023 fiscal year (up to October), all of them were with a fixed term contract in local companies, specifically in the hotel, maintenance and gardening sectors.

9 SAMU WELLNESS

The SAMU Wellness hospital complex consolidates its position as a private center of reference in mental health and psychosocial rehabilitation in Andalusia

The SAMU Wellness clinic is consolidating its position as a private center of reference in mental health and psychosocial rehabilitation in the province of Seville and in the Andalusian community in general. In the 2023 financial year, up to September, SAMU Wellness invoiced a total of 924,633 euros.

Most of this income came from the Hospitalization area, which billed 673,083 euros, followed by consultations (71,011 euros).

The total number of consultations up to the end of September 2023, in psychiatry was 61 initial consultations (5 more than in the whole year 2022), and 350 follow-ups. In psychology, there were 15 initial consultations and 587 follow-ups.

With respect to consultations of patients admitted and followed up until September 2023, in psychiatry there were 1,193 compared to 2,307 patients seen in 2022, and, in terms of psychology, 2,447 compared to 2,655 patients seen in 2022. It should be borne in mind that the 2023 data only cover the

period up to the end of September.

In the dietetics and nutrition services, there were 513 appointments with patients admitted to the SAMU Wellness clinic, the same as in 2022. These included routine appointments for new admissions and those derived from both chronic and sporadic pathologies.

The pathologies requiring nutritional treatment included constipation, diarrhea, diabetes, overweight or obesity, metabolic syndrome, underweight, anorexia nervosa, bulimia nervosa, irritable bowel syndrome, allergies and intolerances, dysphagia, liver protection due to alcoholism and chronic gastritis.

There were also 66 outpatient visits. The pathologies treated were for eating disorders (anorexia and bulimia nervosa and binge eating disorder), obesity and weight gain due to constitutional syndrome.

Work continues on home care , where comprehensive and specialized care is provided

This year we have continued to work on home care, where comprehensive care is provided at home by a team of health professionals according to the patient’s care needs and pathologies.

In addition, in 2023, care was provided to six patients who required daily nursing care and occasional nursing and medical attention that were scheduled during the week for patient assessment and follow-up.

In terms of emergencies, there was only one emergency appointment up to September

The Vice Director for Health of the Regional Government of Andalusia, Miguel Ángel Guzmán, and the Director General for Social and Health Care, Mental Health and Addictions, Trinidad Rus, on an institutional visit to SAMU Wellness (Montequinto, Seville). \ V.HIDALGO (JULY 2023)

2023 compared to 23 during the same period in 2022; 33 emergency admissions (14 fewer than in the previous year) and five patient ambulance transfers to SAMU Wellness (six fewer). There were also 27 voluntary discharges, with May being the month with the highest incidence (five fewer).

With respect to the annual hospitalization summary, new admissions fell by 23% compared to 2022. Bed occupancy also fell by 10% compared to the same period of the previous year. The most relevant data are 106 new admissions, 4,429 inpatient days, 245 occupied beds and 3 transfers to other facilities. There were also 27 voluntary discharges, 10% less than in the previous year, and 73 discharges due to improvement, 25.5% less.

In the day-care hospital, the number of patients also fell by 22.4% compared to 2022, in addition to a 65.9% drop in the number of hospitalization days.

Occupational therapy

The figure of the occupational therapist is designed to attend to different pathologies presented by people with mental, physical and emotional functional diversities. The work of the therapist at SAMU Wellness focuses on conducting various occupational workshops, adapting to the needs of patients and making changes and rotations according to the demand detected.

We must not lose sight of the specific objective of achieving individualized positive results, and the overall goal of achieving a greater mental, physical and emotional balance, enhancing self-esteem and self-knowledge through a therapeutic service focused on activities that provide a better healthy lifestyle habit.

The average number of patients participating is around 14, and the workshops held are: physical exercise (pilates, stretching, sports and traditional games and swimming), cognitive stimulation, handicrafts, creative writing, relaxation, music therapy, debates, cooking workshop, languages, cultural awareness workshop, pre-labor workshops and photography workshop. Therapeutic outings are also held every Tuesday and Saturday with different objectives. The Lazos program is a free alternative leisure initiative that focuses on the creation of social relationships between people in a situation of isolation. In order to promote the creation of such relationships, enriching cultural activities are proposed, sometimes proposed by the users. Some examples of activities carried out are: a visit to the Museum of Illusions, breakfast at the Alamillo Park, a visit to the Museum of Arts and Customs or visits to different exhibitions at the Caixafórum.

On average, about 7 people participate in each activity, although the number varies depending on the availability of each user, the price of the activity and the type of activity.

The team aims to improve the quality of care with more services and to expand indoor and outdoor spaces

The objectives set for 2023 have been met by 72.3%. With a view to 2024, the SAMU Wellness team has set itself the challenge of improving 85% of the quality of care by the expansion of services, such as treatment with esketamine (an antidepressant) or the implementation of a children’s and youth unit; improving the infrastructure of the complex by 50% through the project to expand the center (building B), the creation of new outdoor spaces or the installation of electronic doors inside the center. The third objective is to increase turnover to 1,350,000 euros.

33

urgent admissions up to September

Training internships

513

appointments in dietetics and nutrition up to September

76

first appointments in psychiatry and psychology up to September

937

follow-up appointments in psychiatry and psychology up to September

924,633

euros in revenues up to September

Ten trainees have passed through SAMU Wellness to train in the field of psychology, all of them studying the Master’s Degree in General Health Psychology. Two of these students were from the University of Huelva, two from the Centro Universitario Superior Europe (CUSE), one from the University Isabel I and five from the International University of Valencia.

Year after year, the feedback received from students has been positive. The students have been grateful for the work, showing considerable predisposition and commitment. They appreciate being able to observe the psychopathology studied during the degree and the master’s degree programs in the interaction with patients, not only in the surgery, but also in other contexts such as occupational workshops or outdoor areas.

Students from other professional categories such as auxiliary nursing care technicians (eight students from MEDAC and Ilerna), orderlies (seven students from the Contreras center and one student from ADECO), health emergency technicians (23 students from the SAMU School), an administrative assistant from the Contreras center, a health documentation technician from the Ilerna center and two nutrition students from the Ilerna center have also carried out internships, in addition to four volunteers.

10 INTERNATIONAL

In 2023, SAMU activated three humanitarian missions in Turkey, Morocco and Chile, and has developed cooperation projects in Ecuador and Europe

International cooperation

Since 1998, the SAMU Foundation has been going to crisis areas caused by natural disasters or armed conflicts in all parts of the world to provide care to the local population. In all these years, a path has been established from humanitarian action to international cooperation for development, which has been possible thanks to the support of different public and private allies: civil society organizations in the South, international organizations and Spanish decentralized cooperation agencies.

Thus, in 2023, the International Cooperation

and Humanitarian Aid area of the SAMU Foundation was consolidated, bringing together both the organization’s previous experience and specialized human talent for project management. In this way, the organization tacitly embodies its commitment to the 2030 Agenda and the development of the Global South, mainly in countries in priority regions of Africa and the Andean area of Latin America.

This year, SAMU has focused on developing projects oriented to the healthcare, education, social inclusion, economic develop-

Estados Unidos

Ecuador

Marruecos

Chile

Turquía

Bélgica

ment and water and sanitation sectors.

In partnership with local organizations, SAMU is present in Tetouan (Morocco), where it contributes decisively to the care and autonomy of more than 280 people with intellectual and motor disabilities. These services benefit 1,360 family members, who are supported by 120 professionals. The capacities of local governments and NGOs are also strengthened to provide the necessary care. Thus, while promoting their inclusion and recognition as subjects of rights, the role of more than 800 caregivers is made visible, protected and facilitated.

In Burundi, together with local organizations, SAMU has identified important needs in the population of Bujumbura that are a clear sign of the violation of fundamental rights. The SAMU Foundation works to improve hygiene and sanitation conditions and health services. Specifically, it has promoted strategic actions to address water and sanitation problems in two schools in the Ntahangwa Commune through the construction of latrines and the provision of two water points in each of them. This would guarantee access to safe water for more than 4,000 students.

Progress has also been made on a project

proposal for the implementation of a humanitarian clinic that will serve some 9,000 people from the most vulnerable communities in the northern districts of Bujumbura. In Bolivia, we have taken steps to support the Hogar San José, in Santa Cruz, in order to improve the conditions of care in its physiotherapy and respiratory therapy rooms. This action will benefit 53 children and adolescents with multiple disabilities and their families. At the same time, its human resources will be trained to guarantee better quality care.

In addition, in the Molle district of the city of Cochabamba, technical and productive training will be provided to 60 young people, who will learn to use new productive technologies to increase their job opportunities.

The SAMU Foundation’s commitment to a fairer world is also evident in Spain. The activities implemented through the Education for Development projects are an example of this.

With more than 1,500 participants, awareness-raising activities were carried out on the growth of the world population based on the 8 billion study and on the precarious reality of the countries of the South that force people to emigrate.

Other activities have also been developed to encourage reflection on the exercise of a global citizenship that is critical of reality, promoting co-responsibility for inequalities, injustice and all types of discrimination or stigmatization.

Morocco

Following the conclusion of the first response phase to the emergency in Marrakech after the earthquake of September 9, 2023, SAMU has taken steps to help affected families who, having lost their homes and livelihoods, continue to rely on humanitarian assistance.

With the support of Huesca Provincial Council, Cáceres City Council and the

Sinergos Association, SAMU has provided aid to 1,250 people from 250 families in the affected area, who have been provided with personal hygiene products such as baby diapers, soap, detergent, toilet paper, toothbrushes, toothpaste and sanitary towels.

The above demonstrates the SAMU Foundation’s commitment to humanitarian action in all its phases and also the value of the people who make it happen. From prevention and preparedness, to response and recovery, our organization is present in all areas affected by humanitarian crises. In this report, we would also like to thank those who responded quickly to SAMU’s call to make a difference together.

SAMU is fortunate to have fundamen -

tal partners who share its commitment and who have put their trust in our Foundation to promote the projects we are developing: the Andalusian Agency for International Development Cooperation (AACID), the Provincial Council of Huesca, the City Council of Seville, the City Council of La Rinconada and the City Council of Cáceres, through Sinergos. Relations have also been established with the Government of the Canary Islands, the Government of Aragon, the Provincial Council of Seville, the Parliament of Andalusia, the City Council of Malaga and the Agency for International Development Cooperation (AEXCID) of Extremadura, among other institutions, with whom we hope to work on common projects in the future, thus strengthening rela -

tions for the exercise of decentralized cooperation.

In the countries where SAMU intervenes, we work with the Hanan Association (Morocco), the Center for Development Initiatives (Bolivia), the Alirio Henao Foundation (Bolivia), Global Peace Chain Burundi and the Burundi Youth House.

The International Cooperation and Humanitarian Action area of the SAMU Foundation is a clear example of the organization’s commitment to achieving fairer and more egalitarian societies, following the path set out by the Sustainable Development Goals and the United Nations 2030 Agenda to strengthen the promotion of sustainable human development.

SAMU volunteers explore a building in ruins in the city of Adiyaman (Turkey). / PROJECT HOPE

Turkey

At 4.17 am on February 6, 2023, when almost the entire population was asleep in the early morning hours, two consecutive earthquakes shook the south-eastern provinces of Turkey and northern Syria, one of the most active seismic zones in the world. The quakes, measuring 7.8 and 7.5 on the Richter scale, toppled entire cities in what Turkish President Recep Tayyip Erdoğan called the biggest tragedy suffered in the country since the 1939 Erzincan earthquake. The devastation was similar in Syria, a country that also has the aggravating factor of being in the throes of a long civil war.

Shortly after dawn on February 6, when thousands of people were already dead and missing in both countries, SAMU activated a crisis cabinet and launched a mission to send a three-man search team to the area: Juan Gutiérrez, who was in charge of the search; Juan Hidalgo, as the rescue head; and the canine guide Antonio Miranda. Together with them was a key element in the expedition: Homero, a sixyear-old Belgian shepherd trained for res -

A cynological team consisting of three people and one dog left Seville for Turkey 48 hours after the earthquake

cue work. They left the SAMU School (Gelves, Seville) on February 8 for Turkey, where Borja González de Escalada, vice-president of the SAMU Foundation, was already making arrangements with the local authorities.

With the collaboration of Project Hope and Doctors of the World, the cynological team was deployed to Adiyaman, a city in the south-eastern part of the country with a population of around 330,000 people, which was completely devastated after the tremors.

The scene, according to Juan Gutiérrez, was horrific, with buildings turned into rubble, people sleeping in the streets or wandering aimlessly with nowhere to go after having lost everything, bonfires in the streets to alleviate the extreme cold, no running water and electricity, improvised street stalls handing out food or bottles of drinking water, and rescue teams trying to keep alive the hopes of finding survivors in the disaster. “I have seen some very important levels of solidarity,” emphasized Gutierrez.

The dog team spent their five days of work between the cities of Adiyaman and Antioch. They were unable to rescue anyone alive due to the magnitude of the earthquake and the extreme cold, a possibility that the volunteers were well aware of.

The mission ended on February 13, with no more hope of finding survivors in the rubble, and when rescue teams from all over the world were being replaced on the ground by bulldozers and trucks. The death toll from the earthquake between the two countries was well over 50,000 people.

A SAMU volunteer explores a ruined building in the city of Adiyaman (Turkey).\ PROJECT HOPE (FEBRUARY 2023)

Chile

The SAMU Foundation’s health mission in Chile came to an end on July 10, 2023 after 18 days of work in the field to deal with the outbreak of respiratory syncytial virus that had particularly affected infants under one year of age in the previous two months. This deployment once again demonstrated the organization’s responsiveness and expertise in response to the PAHO/WHO (Pan American Health Organization/World Health Organization) appeal and its vocation to help those in need, wherever they may be.

The mission was activated on June 23 in response to a request for support from the Chilean Ministry of Health (MINSAL) and PAHO/WHO, which mobilized international Emergency Medical Teams (EMTs) in response to the seriousness of the situation. The SAMU Foundation is one of these certified teams.

The four health workers sent to Coyhaique, a city in the Aysén region, provided 224 hours of nursing and 224 hours of general medicine, and attended to 18 children,

most of them suffering from respiratory pathologies, in the ICU of the regional hospital. They also offered five training sessions in pediatric ultrasound for the center’s professionals.

The SAMU team consisted of pediatric care specialist nurses Julia Ceballos and Alba Molina, pediatric critical care specialist Nils Casson and Alberto Ferrin (who took over on July 1), and the SAMU Emergency Area Director and head of the mission, Juan Gonzalez de Escalada.

The Undersecretary for Health Care Networks of the Chilean Ministry of Health, Osvaldo Salgado, and the International Advisor on Health Systems and Services of PAHO/WHO Chile, Mario Cruz, received the team and valued their decisive role as “highly specialized” professionals.

Juan González de Escalada highlighted the intensive work of the team sent to the country: “We have been able to work side by side with local professionals to help the children arriving at the hospital in a very complicated situation”. The SAMU commander also praised the effort and capabilities of the Coyhaique Hospital team, whom he thanked for “the generosity they have shown by sharing the details of their work”.

“We have worked side by side with local professionals to help children in very complicated situations.”

In its June 21 report, MINSAL reported that, as of that date, a total of seven children under one year of age had died in the country as a result of respiratory syncytial virus, a virus that causes serious illness by generating the destruction of lung tissue and respiratory failure in children. Authorities described the outbreak as “the most important in recent years” and declared a health alert.

Intensive care in the Coyhaique hospital ICU (Chile) in the midst of an outbreak wave of syncytial virus./ SAMU July 2023)

on-call hours

Morocco

After the earthquake in Turkey, another major earthquake with dramatic consequences focused international attention again in September 2023: this was in Morocco, with its epicenter in Ighil, located in the southern part of the country, where the SAMU Foundation was also present.

The entity once again demonstrated its operational and response capacity with the mission deployed in the areas most affected by the earthquake between September 9 and 29.

Two volunteer expeditions, supported by Project HOPE, were on the ground throughout the month. The first group focused on the search for survivors with the canine unit and on initial health interventions in and around Adassil, 100 km from Marrakech. The second group, based in Tigouga (Taroundant), provided medical assistance to the population in areas difficult to access. The SAMU teams carried out more than 600 interventions and their work, in many cases, saved lives.

SAMU volunteers reached the work area assigned by the country’s authorities within 36 hours. This immediate deployment was possible thanks to rapid decision-making, a high logistical and human response capacity, and the fact that SAMU has been present in Tangier since 2017, which facilitated timely authorizations.

The first mission was made up of 19 people: five doctors, two nurses, eight TES and four rescue specialists accompanied by two dogs, with Borja González de Escalada, vice-president of the Foundation, as the operational commander.

The first part of the mission focused on sear-

ching for survivors with the dogs Homer and Birka. They were confronted by a great problem, since in an area of adobe and stone buildings, most of the buildings were destroyed by the earthquake. Neighbors and relatives had managed to get some people out of their homes just after the quake, but after that it was no longer possible to locate anyone alive.

In addition to these search efforts, SAMU maintained an active medical outpost in Adassil and made daily expeditions to surrounding villages as the roads were cleared. More than 20 villages were visited. Ambulance transfers to hospitals in cities such as Marrakech or Tangier were also carried out. “We were unable to rescue any survivors, but we did save lives, which gives meaning and great value to everyone’s effort,” said the operational commander on his return.

The first contingent was immediately relieved by a second expedition, at the request of the local authorities and Project HOPE. It was made up of 10 people (two doctors, one nurse, five TES, one psychologist and one doctor), under the operational command of Andres Rodriguez Holst.

The mission went to the village of Tigouga, about 300 kilometers from Marrakech and close to the epicenter of the earthquake. The work of the SAMU health workers was key in providing continuity of immediate care. In addition, pregnant women, children and dependent adults or people with chronic illnesses were treated.

Following this second contingent, SAMU launched a psychological support mission by sending three specialists to the field with the local NGO High Atlas Foundation.

600 interventions carried out by health care teams

32 professionals participated in the different contingents

Searching for survivors in the rubble after the earthquake in Adassil (Morocco). \ BORJA GLEZ. DE ESCALADA (SEPTEMBER 2023)

European projects

SAMU has expanded its presence in Europe in 2023 through projects funded by the European Union (EU) and its humanitarian missions in border countries, as in the case of the earthquakes in Turkey in February 2023 and in Morocco in September of this year.

One of these projects was the Digital Transformation of SAMU, funded by the NexGen EU program. This initiative is part of the PERTE (Strategic Projects for Economic Recovery and Transformation) promoted by the Government of Spain. Specifically, SAMU’s project is part of the investment line called Plan for the Modernization of Social Services: Technological Transformation, Innovation, Training and Strengthening of Child Care, which is funded by the Ministry of Social Rights and Agenda 2030.

With more than two million euros in funding, this SAMU Foundation project promotes the modernization of all the organization’s digital systems and processes in order to propel it towards a present and future marked by Artificial Intelligence, virtual reality and 5G.

The planned digital transformation will make it possible, among other things, to have digital health and social histories with real-time information on each user and interoperable with Public Administrations (evolution of the SAMS program); Microsoft 365; Information and Communication Technologies in the pedagogical methodology, especially in rural areas (Storytelling, Quizzes and virtual reality); a strategic document, operational matrix and its monitoring and analysis; an integrated and interoperable economic, ad -

ministrative and human resources management system; social and healthcare management and toolkits to support professionals and users, as well as bases to be able to reach telecare and telemedicine (eHealth, eSocial and mSocial).

The SAMU Academy will increase the digital skills of its professionals, users and volunteers. To solve the problem of the rural dispersion of centers, the necessary tools will be acquired to carry out eLearning or tele-training with an equipped classroom in each center.

Horizon Europe: Bridge

In 2023 SAMU again participated in a Horizon Europe project through the Bridge initiative implemented by an international consortium led by the Centre for Research and Technology-Hellas (CERTH) in Greece, supported by Caritas Hellas (Greece), KMOP-Policy Center ASBL (Brussels) and the Cybervolunteers Foundation (Spain).

The Bridge project focuses on establishing a comprehensive methodological framework to identify the barriers that vulnerable people face in accessing health and care services, using public data, surveys and questionnaires to identify and quantify these barriers.

The identification of these barriers will shape the solution approaches to be developed at Bridge (mobile and web applications as well as courses) to inform and educate users with a view to improving their health and digital literacy and facilitating their access to public health services.

Strategic plan

SAMU has a professional, real and feasible strategic plan for attracting EU funds. European funds require a long-term resolution of almost a year. The deadline to apply for them is usually several months and the success rate is around 10-15%. It is necessary to apply through solvent consortiums with successful experience in order to increase our chances. This strategy involves the training of technicians in the knowledge of the different programs. This strategy requires the training of technicians in the operation of different EU programs and in

shaping the logical framework, budgets and justification.

SAMU’s determination in its already initiated process of internationalization (for the most part through the United States) and its access to EU funds involves all areas of SAMU that show their strongest support to this exciting process. Hand in hand with them and with the experience it has accumulated over the years, SAMU will successfully implement its service model and share its experience in other countries.

“Languages of welcome” activity program included in the EU Erasmus+ initiatives in Lecce (Italy).\ ALBA LÓPEZ

EU CERV: ‘Refugees Century’

The SAMU Foundation has also participated with its Italian partner OIKOS in the Century of Refugees project promoted by an international consortium formed by the Asociatia Profesionala Neguvernamentala de Asistente Sociala (Romania), Magyar Ujsagirok Szovetsege (Hungary), Hias Europe (Brussels) and GFC Generation for Change (Cyprus).

”Century of Refugees” aims to reinforce solidarity with immigrants through the diffusion of a new image of immigration, by not considering it an emergency phenomenon, but a structural aspect of our society.

The project aims to enhance the culture of solidarity between people and across borders among populations living in centers close to international borders with high migratory flows, and raise awareness among people and institutions about the need for a mature and sensible reception system that respects the dignity of migrants.

The aim is to increase the solidarity culture in relation to immigrants, establishing a common language and a shared glossary among civil society associations, journalists and institutions in partner countries and the exchange of models and practices of immigrant reception among associations and public institutions. The “Century of Refugees” is supported by the EU CERV program.

AMIF Project

With regard to the European funding program AMIF (Asylum, Migration and Integration Fund Projects), SAMU has been able to participate with two initiatives: Bridge the Gap and RiGhTs. The latter is formed by a consortium led by Fondazione ISMU (Italy) together with other Italian, Czech, Polish, Belgian, Greek and French institutions and entities.

The Reinforce guardianship project to support children in migration (RiGhTs) project is designed to share knowledge among actors involved in guardianship on a European and national level, in order to strengthen the role of guardians and ensure the protection of migrant children.

Bridge the Gap, on the other hand, is coordinated by Cidis Inlus (Italy) in consortium with foundations, universities and educational centers in Greece, Cyprus, Belgium, Malta, Italy and Poland. This plan is aimed at accelerating the process of acquiring the language of the host country for adolescents of immigrant origin through the participation of the community involved in the educational process. The target groups are adolescents between 11 and 18 years of age of foreign origin; teachers, educators and adults of reference; schools and academic institutions, organizations working with immigrant children and in the educational field; and policy makers.

POCTEP 2023

SAMU is also benefiting from the Spain-Portugal Cross-Border Cooperation Operational Program (Interreg Spain-Portugal Program), also known as POCTEP, through the Tsunami Culture project. The organization is a member of the technical scientific committee of the first phase of the project and expects to participate as a partner in the next two phases.

This committee is formed by the National Geographic Institute, State Ports, Universities of Huelva, Malaga, Cadiz, Coimbra, Lisbon and the Civil Protection Systems of Spain and Portugal.

The consortium is coordinated by M&R Consultora, which is interested in collaborating with SAMU and its emergency school, as well as with the municipalities of Isla Cristina, Lepe, Ayamonte, all of them in Huelva, and the Portuguese municipalities of Castro Marim, Vila Real de San Antonio and Vila do Obispo, in addition to the Portuguese Civil Protection System. The objective is to work with the Spanish-Portuguese local authorities of the Gulf of Cadiz and their citizens in the prevention of tsunami risks with local action plans for tsunami emergencies and communication, awareness and training programs for citizens. It focuses on anticipation, prevention and planning.

Other programs

Health emergencies are the lifeblood of SAMU, which is why one of the strategic objectives of the entity involves the European Humanitarian Aid Agency (ECHO), especially through the European Civil Protection Pool grants (UCPM).

ECHO aims to save and preserve lives, prevent and alleviate human suffering and maintain the integrity and dignity of populations affected by disasters, whether natural or man-made.

SAMU has also applied for the Framework Contract 2023 managed by the European Commission’s Directorate-General for International Partnerships (INTPA). SAMU’s participation is included in lot 13 of health, inclusion and social protection and inequalities, and it collaborates in the consortium led by the entity Conséil Santè (France).

On the other hand, the projects under study by SAMU’s International Development department includes the HaDEA framework contract, an EC agency that manages programs and initiatives related to digital and health projects. The object of this call for tenders is the design and delivery of training courses, the development of e-learning solutions and the design and implementation of simulation exercises on training and response in cross-border health emergencies and medical countermeasures.

SAMU FIRST RESPONSE

The U.S. provides assistance to more than 12,000 people in 2023 as part of its tireless commitment to assisting and supporting migrants arriving in the country

SAMU First Response continues its tireless commitment to assisting and supporting migrants arriving in the United States. The organization has worked hard in 2023 to provide essential assistance and resources to those who need them most. In the past year, efforts have been multiplied and more than 12,000 people (2,533 families) have been assisted.

In 2023, the Migrant Reception and Respite Center program has been transformed. SAMU First Response has moved its reception operation from the main bus station in Washington, D.C. (Union Station), and subsequently at several churches in the city, to a new reception and welcome center located in northeast Washington, DC. This new reception cen -

ter, which also serves as a respite space, has doubled the organization’s capacity to provide safe and dignified reception for people arriving in Washington, D.C.

Migrants arrive by multiple means, including in buses sent by border state authorities with the help of organizations and others by their own means after crossing into the United States. Having a reception center has given SAMU First Response the opportunity to provide more efficient and effective support to those in need, and to complement the efforts being made at its other center in Montgomery County, Maryland since June 2022.

On the other hand, SAMU First Response has worked in collaboration with the

authorities of the District of Columbia (Washington, D.C.) to open a second respite center at the end of May 2023 in the same city. At this new center, migrant families can stay longer while receiving a wide range of services, including case management and support from other organizations such as CARECEN and Catholic Charities.

SAMU First Response works in constant collaboration with the “Welcome to Montgomery County” initiative. This project provides support, through social workers (case management), to newly arrived migrants who require longer-term services, providing them with essential resources and further guidance to ease their transition to life in the United States.

In this context, partnerships with other support organizations such as Ayuda, Identity, CASA Maryland, CARECEN and Catholic Charities have been strengthened. These partnerships have been instrumental in providing more comprehensive support to migrants. In addition, in collaboration with different organizations, legal advice was provided to more than 700 migrants in Montgomery County, thus playing a crucial role in protec -

ting their rights and their search for a safe and stable life in the United States.

Since SAMU First Response began its mission to provide a safe, respectful and dignified reception service for migrants arriving in the United States, the organization has been at the forefront of helping the migrant community in the U.S. capital.

From June 21, 2022 to September 30, 2023, SAMU First Response has provided logistical assistance to 11,642 migrants (including 2,457 families), who arrived in 265 buses from the Texas and Arizona borders.

Nutritional support

Nutritional support has been an important need during this process. Over the past 16 months, the organization has served a total of 67,321 meals. It has also provided emergency overnight respite at centers located in Montgomery County, Maryland and Washington, D.C., which have been crucial in providing a safe space. In total, 4,969 migrants seeking temporary shelter have been given temporary refuge during their journey.

For those who need to reach a destination other than Washington, D.C., SAMU First Response has coordinated and purchased a total of 5,859 travel tickets for migrants who wish to build a new life or reunite with friends and family. Samu First Response’s commitment continues to be to support those in transit, ensuring their safety, nutrition, shelter and a smooth transition throughout their migratory journey.

During the summer months of 2023, the SAMU First Response team observed a notable upward trend in the number of families seeking assistance. In July, the organization’s facilities took in a total of 196 families. In August, there was a slight increase, with 198 families. However, in September there was a more substantial increase, with up to 298 families being received. This trend underscores the growing needs and challenges faced by the families.

Similarly, during this same period, there was a significant increase in the length of stay required by migrants seeking shelter at SAMU First Response. In July, the team recorded a total of 2,794 nights of accommodation. This figure increased in August to 4,507 nights. This growing trend continued in September, reaching a high of 6,295 nights.

The number of buses arriving from the southern border also increased. In July, 14 buses arrived; in August, 16; and in

September, the number rose to 26. In terms of gender, the records show that 4,828 men and 3,078 women received assistance since the beginning of this operation. Also noteworthy is the care provided to five transgender people and 3,731 children. These figures highlight the need for a comprehensive approach to address the diverse needs of the migrant population by ensuring that all people, regardless of gender or age, have access to the individualized support they need.

Demographic groups

A recent analysis of the data indicates a clear trend in the age groups predominantly served. The majority of those assisted fall within the 20-29 age group, making it the most prominent demographic group, followed by the 30-39 age group. Interestingly, the third largest demographic group served by the SAMU First Response team was made up of children aged from 0-9 years.

SAMU First Response is looking to the future and faces significant challenges during 2024. The U.S. team is confident that, with a vision for sustainable growth and a strong network of partners, the organization will be prepared to address the challenges the future presents, while always maintaining its commitment to SAMU’s missions and its fundamental goal of helping those seeking a better life in the United States.

TOTAL NUMBER OF BUSES RECEIVED PER MONTH

TOTAL

2,533 families receiving assistance in the USA

11,740 people receiving assistance in the USA

3,731 children receiving assistance

4,969 people receiving shelter

700 people receiving legal advice

5,850 tickets purchased

67,321 meals served

20 a 39 age group receiving the most assistance

11 RESEARCH AND INNOVATION

Through the SAMU Academy, the ISIC has been promoting research projects in health, social services and new technologies for the past two years

The ISIC (SAMU Institute for Scientific Research) will be celebrating its second anniversary in February 2024. This institution was launched by the SAMU Foundation and brings together all SAMU’s research projects in the areas of health, social services and new technologies. It was set up for the purpose of gathering, producing and transferring initiatives, projects and research carried out in the different functional areas of SAMU. This project has been consolidated thanks to the research agreements signed with different academic institutions, including the University of Seville, Loyola University and Pablo de Olavide University.

SAMU has demonstrated its excellent research motivation since its beginnings in 1981 with the Operational Research Group in the area of Emergencies. In addition, worth noting is its extensive scientific production throughout its 35 years of university postgraduate studies with an output of more than 1,300 academic papers.

The objectives of the ISIC are to promote research projects in the fields of health, social welfare and education; to bring together and coordinate existing research and scientific dissemination activities at SAMU; to publish scientific books and facilitate the publication of SAMU articles in indexed journals; to participate in working groups related to research and development; and to encourage the SAMU teaching body to undertake research activities with university support, among others.

The SAMU Academy was set up within the scope of the ISIC in January 2022 as a spa-

ce and agent of higher education for SAMU’s workforce. Its objective is to contribute to the training of the organization’s young talents and managers for leadership that will enable them to address current challenges, such as humanization, sustainability, innovation and digitalization.

The academy’s program includes training actions at various levels and on different topics in the form of courses, seminars, workshops and/or academic-scientific events. Among the training actions carried out in 2023, the most relevant are the course on High Institutional Representation, in which 23 executives and managers from all areas of SAMU participated, and the course on Excellence in the Management of Social and Social Health Services and Centers, in which 87 executives have already participated in its three editions.

Intensive training has also been imparted for junior and middle management to identify and promote talent. The aim was to detect talent among junior managers and to instil institutional values. Fourteen SAMU professionals took part in this course.

In addition, the 1st International Conference on Experiences and Initiatives in Social Innovation, in which 372 people participated online and the annual plenary meeting of heads and directors, which brought together 104 people.

With respect to external training, the most important are the course in Volunteering in Social Emergencies through the SAMU Social

Innovation Chair and the Pablo de Olavide University, and the course on Self-Care and Healthy Lifestyle Habits organized by the National University of Distance Education (UNED).

This year, the SAMU Academy has also promoted the development of five projects: the Lazos program, which aims to increase the support networks of people with mental disorders through recreational and cultural activities; a research project on homelessness; a mapping of the mental health and emotional wellbeing profile of university students; the Unwanted Loneliness project, born

from the union of the Cure and Care Foundation and the SAMU Foundation to work on the study of unwanted loneliness among the elderly; and another project that evaluates the effectiveness of wheelchair management from the perspective of the caregiver and the mental burden it generates.

The SAMU Academy also has a doctoral program, Mentoring Doctorando, with the main objective of increasing the number of SAMU professionals with doctoral theses. In 2023, 18 SAMU professionals from different areas participated in this program.

Research and Innovation

Social Innovation Chair

SAMU and the Pablo de Olavide University of Seville have joined forces to create the SAMU Chair of Social Innovation. Its objective is to establish a framework of collaboration for the development of knowledge in the social and healthcare area through social innovation. This Chair makes it possible to carry out formal and informal training activities, and to promote educational cooperation between both entities to improve the employability of students. Scholarships, grants and prizes will be awarded.

In research, we are promoting the development of new lines of work related to social innovation in the third sector and the preparation of reports and studies in the fields of health and social action. One of the projects developed is a mapping of the profile of mental health and emotional well-being of university students.

The activities carried out in 2023 include the 1st International Conference on Experiences and Initiatives in Social Innovation (February 23-25, 2023), for professionals in the social and healthcare field. A total of 174 people participated. 19 poster communications and 33 oral communications, 21 papers and 2 keynote lectures were presented. The University Volunteers in Social Emergencies course was also held from January 31 to February 14.

Alliance 4

The Alliance for Migration Research (Alliance 4) is an international initiative led by ISIC, which has agreements with universities in Europe, the United States and Latin America. It is funded by the SAMU Foundation and its U.S. affiliate, SAMU First Response, and aims to facilitate an international academic environment to foster research related to migration around the world and its impact on host nations. Universities, public administrations, businesses and charitable organizations can join this partnership for migration research free of charge. Professors, doctors and doctoral students may also apply individually.

The initial lines of research include the economic impact of migration, the mental and emotional health of immigrants, the gender perspective, immigrant minors, best practices in social services, racism, and migration as a factor in poverty reduction and development, among others.

The American University, through its Center for Latin American and Latino Studies (Washington DC, USA); ISIC (Seville, Spain); CISDE-International Campus for Security and Defense (Seville, Spain); and the Universidad Pablo de Olavide, through the Chair of Social Innovation (Seville, Spain) have already confirmed their presence at the alliance. And some thirty entities and institutions from around the world have been invited to the kick-off meeting scheduled for October 16 and 17, 2024 in Seville.

Digital transformation

The SAMU Foundation is committed to modernization and efficiency through a Digital Transformation Plan. The objectives of this plan include: optimizing internal processes for a faster and more effective response in all areas of intervention; modernizing service delivery through the implementation of innovative digital solutions; using digital technologies to maximize the efficiency of available resources; and facilitating communication and collaboration between teams through integrated digital platforms.

Within SAMU’s Digital Transformation Plan, the integration of SAMS (SAMU Advance Management System) represents a fundamental pillar. SAMS, a responsive web application, has been designed to provide the real-time digital health and social history of each user attended, and is interoperable with the Apps. In addition, the plan includes the incorporation of Microsoft 365 and the use of ICTs in the pedagogical methodology, especially in rural environments, with the aim of improving the efficiency and quality of services. This digital approach ranges from the management of medical records to the integration of technological tools in training and social and health care, thus demonstrating SAMU’s commitment to the modernization and optimization of its operations.

Directors’ Convention

On November 15 and 16, 2023, one hundred area directors and deputy directors, center directors and SAMU and SAMU Foundation project coordinators from all over the country participated in SAMU’s Annual Directors’ Convention, which, this year, was entitled Towards Digital Transformation. On this occasion, the event was held at the Hotel Ilunion Alcora in San Juan de Aznalfarache (Seville).

The main objective of this meeting, apart from allowing all the directors to meet, was to explain the present and future of SAMU and where the entity is headed in terms of digital transformation and to reinforce, through workshops, the new technologies developed in the Finance, People management, Motivation and Communication departments.

This convention was financed by the Next Generation European funds. Specifically, its organization was possible thanks to the award to the SAMU Foundation, by the Directorate General for Family Diversity and Social Services, of the grant to support the modernization of third sector entities funded by the European Fund for Recovery, Transformation and Resilience.

78 professionals attended the conference in person and 20 did so online. A dozen professionals who collaborate with SAMU in its digital transformation process were also invited. The program consisted of three plenary sessions and five simultaneous workshops in which all participants rotated.

12 SUSTAINABILITY

The Sustainability area continues its Strategic Plan to align the organization with the United Nations Sustainable Development Goals (SDGs)

This year, the Sustainability area has developed a Strategic Plan that has marked the organization’s steps towards a sustainable business model aligned with the UN Sustainable Development Goals (SDGs).

These objectives include consolidating the alliance with the e-City project led by the Regional Government of Andalusia, through the Andalusian Energy Agency and Seville City Council; improving the SAMU School facilities with the incorporation of sustainable elements; adding suppliers that pursue an ethical, social, egalitarian and environmental line in their work procedures; and collaborating with the Seville Food Bank’s food collection campaign.

Simultaneously, the alliances established since the creation of this area have continued with entities such as Recilec, Aeconova and Alternativa Ecológica, which have as their mission that of protecting

SAMU strengthens its recycling model for paper and electricalequipment with Aeconova, Recilec and Alternativa Ecológica

the environment through actions related to the recycling of paper, batteries, electrical waste and printer toner, promoting a circular economy. These actions have a direct impact on SDGs 3 (health and well-being), 12 (responsible production and consumption), 13 (climate action), and 17 (alliances to achieve the goals).

In 2023, we have insisted on disseminating the 2030 Agenda through publications in SAMU’s monthly magazine in order to raise awareness among the organization’s members, mainly related to the impact of our actions on the planet, and to achieve a higher degree of satisfaction about belonging to SAMU and its foundation.

SAMU has once again collaborated with the Food Bank during the Christmas campaign to alleviate the situation of need faced by many families in the city. This activity has become a tradition for the organization. This collaboration consisted of a financial donation and the participation of volunteers in different phases of the campaign.

In line with SDG 3 (health and well-being) and SDG 13 (climate action), the SAMU School has a new parking area for electric scooters. This has extended the options for students and teachers to move around in a more environmentally friendly way.

With respect to SDG 17 (alliances to achieve the goals), SAMU has put into operation a joint action with Ecoherencia, a

non-profit work cooperative whose main objective is to be a source of inspiration for action in the face of the climate emergency. The entity contemplates ecological awareness and education programs for sustainability.

Three SAMU Foundation centers specializing in the care of people with intellectual disabilities, behavioral disorders and brain damage have benefited from this collaboration. These are the San Sebastián Home, the Santa Ana Home and the San Lucas Day-Care Unit, all of them located in the province of Seville.

An environmental sustainability workshop was held at these three resources with the participation of an environmental educator. The activity also included a day of coexistence for users and workers of the three centers at the Laguna de Fuente del Rey, a natural site located in Dos Hermanas (Seville).

In September 2023, the bases were established for the 1st “For a Green Future” Competition organized by the SAMU Foundation through the Sustainability Area. The project is still in the development phase. This competition, which has a financial prize, will distinguish the best project applicable in the short or medium term that meets the following objectives: to promote sustainable and innovative awareness of all centers belonging to SAMU and its foundation; to guide business actions towards complying with the SDGs, and to encourage employees to participate in the project.

13 COMMUNICATION

SAMU’s deployment after major natural disasters and social action projects has been widely reported in national and international media

A year in the news

January

A burned school as a backdrop

SAMU School organizes its first major exercise of the year with 136 students participating and the collaboration of the Doña Rosa Fernández Primary School (Seville)

Reunion of the Lahmami brothers

The DISL Valencina (Seville) team makes it possible for the Lahmami brothers, who had been separated after their arrival in Spain three years earlier, to be reunited

February

The Foundation’s kitchen

Kata Universo Catering provides coverage to 13 Dependency and Childhood resources with more than 450 users per day

José Antonio Trujillo, Assistant General Manager

José Antonio Trujillo assumes the position of assistant general manager of SAMU, an appointment that represents a step towards the “professionalization” of the organization

March

Life and death under the rubble

SAMU sends a rescue team to southeast Turkey after humanitarian disaster caused by two earthquakes

The SAMU team at the Seville Marathon

More than 100 professionals and some thirty vehicles make up the medical team for one of the most prestigious races in Europe, with 12,000 participants

Carlos A. Leiva receives an award from the 061

April

The founding president of SAMU, Dr. Carlos Álvarez Leiva, receives an award from the Centro de Emergencias Sanitarias 061 for his efforts and dedication

When lives are at stake

The Emergency area is a cornerstone of SAMU, from the critical transfer service to training, deployment of medical devices and humanitarian action

May

June

Four days to explore the limits

Students from the SAMU School participate in a new edition of the Crisis Task Force, a logistic camp with nine workshops and stringent requirements

New resource for the elderly in Isla Mayor

The SAMU Foundation organizes an open day to inform the public about the new Day-Care Unit in Isla Mayor (Seville) built by the City Council, with a capacity for 30 users

Berrocal hosts the management talent course

The entity organizes training sessions in the municipality of Huelva for 20 managers from different work areas assigned to different locations

Next year, more and better

The SAMU School presents its new courses with more online and blended learning modalities and more relevance given to Civil Protection programs

The Washington, D.C. mission celebrates its first

anniversary

The SAMU First Response team celebrates the first anniversary of their mission in Washington, D.C. after receiving more than 7,500 migrants from southern border states

Caring for caregivers

Macarena Moreno, the new director of the People and Talent department, stresses the importance of digitizing processes and taking care of the human team

JulyHeading to Chile

The foundation starts a mission in Chile to join the fight against the respiratory syncytial virus, which is very dangerous for babies and is keeping the country on health alert

Face to face with young migrants

The SAMU Foundation and Seville City Council launch the program “Barrio concienciado: Juventud migrante en El Cerezo”, which promotes the social inclusion of young people living in exile in the city

A home for those who have lost everything

The entity launches a program that provides support to homeless people in their social and labor insertion itinerary through training, internships and employment

Chile Mission: specialization and vocation

August

The Coyahique Health Mission (Aysén, Chile), deployed in response to the respiratory syncytial virus, ends after 18 working days and 448 hours of nursing and general medicine

Training with practice and emotion

Nearly one hundred students finish their training at the SAMU School with the certainty of being prepared to face real-life situations and put into practice the learning they have accumulated over two years

A new awakening for language

The team at the San Sebastián Home (Seville) makes great progress with users with impaired language skills thanks to the use of communicators

September

October

SAMU Wellness, an intervention model

Representatives from the Regional Government of Andalusia visit the Montequinto clinic (Seville) to learn about its comprehensive mental health care model

A school that looks to the world

SAMU’s alliance with GlobalEd allows dozens of students from the United States to be trained each year at the SAMU School and other SAMU resources with a practical approach that makes a difference in their curriculum

New horizon for 20 unemployed women

The Foundation concludes the digital and language literacy and personal development program for women at risk of exclusion in Ceuta

The earth trembles in Morocco

The Foundation sends a search and rescue mission to Morocco in response to the earthquake south of Marrakech. Two teams perform more than 600 interventions

New sea of yellow vests

The school kicks off the 2023/2024 academic year with more than 200 vocational training students, one of the highest numbers in its history, and with five different degree programs

The”’yayacletas” of Alfaro’s day-care center

The elderly persons from this resource located in La Rioja enjoy bicycle-powered chair rides thanks to the work of two volunteers of the “En bici sin edad” project

El Hierro, al

NovemberCanary Islands relives the open boat crisis

A team of health workers travels to El Hierro for two weeks to join the Canary Islands Government’s plan for assisting migrants in the biggest crisis since 2006

SAMU, a strategic ally of Andalusia

SAMU and the Regional Government of Andalusia sign a partnership agreement to expand Andalusia’s emergency response capacity and provide a better service to citizens in crisis and disaster situations

CPR, a mandatory subject

Instructors and students from the school participate in the tenth edition of the Cardiomarathon 061 to train young people from Seville in resuscitation techniques.

December

The challenges are here

One hundred people participate in the Annual Convention of Executives, which focuses on internationalization, professionalization and digital transformation

Ten stories to change mentalities

The foundation organizes the exhibition “Historias de Vida in Seville: 10 historias reales de superación”, which tells the success stories of ten young migrants from different parts of Africa in breaking down cultural barriers and preconceived ideas

The importance of arriving together

More than 500 young people march through the streets of Seville at the 4th Inclusive Popular Race organized by the SAMU Foundation and the City Council of Seville

FOTO: CARLOS DEL PINO

porinte noviembre 2023

Psicólogos tras el terremoto

La escuela, en el Cardiomaratón 061 SAMU, aliado estratégico de Andalucía en emergencias Un

límite

In the media Morocco

El Hierro Chile

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