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2nd IAWG on RH in Crises MENA Regional Conference –Cairo
March 19-21 , 2012
Innovative approaches to providing SRH services to refugees & migrants in urban settings
An overview of activities in Egypt
Dr. Ashraf Azer – UNHCR Cairo
Refugee populations in Egypt
Refugees Hosting Areas In Egypt up to January-2012
Salloum 1544 70
1754 251
35900
3972
± 40,000 refugees mainly from Iraq, Eritrea, Ethiopia, Somalia, Sudan (North & South)
Cairo also hosts tens of thousands of migrants
Egypt transit country for people trying to cross Sinai into Israel and subjected to kidnapping, sexual violence and human trafficking
Refugees and migrants are particular vulnerable to social, economic and health related access issues including vulnerability to exploitation, SGBV and HIV/AIDS
Cairo urban context
Interventions aimed at refugees and other PoCs Refugees in Cairo have access to primary health care,
MCH and emergency obstetric care at NGO-based and public health services
Long standing cooperation and sustained advocacy by
MoHP National AIDS Program (NAP), UNAIDS and UNHCR has enabled an environment of universal access to HIV services for refugees
Since 2003, HIV VCT services and access to treatment of HIV-related illnesses is available through Refuge Egypt (NGO)
Since 2008, NAP supports access to ARVs for PLHIV among refugee community on equal footing to nationals, thus favoring a human rights approach
Inter-agency SGBV working group innovative approaches to enhancing SRH responses in urban Cairo
Study by Egyptian Initiative for Personal Rights (EIPR) identified services provider’s response gaps to SGBV in public and NGOs medical care settings (2011)
The study emphasized the importance of building capacities of care providers in public and private health facilities to standardize clinical assessment and treatment responses on medical consequences to SGBV
UNHCR coordinated with the SGBV Inter-agency medical sub-group a capacity building response supported by the Finnish Ministry of Foreign Affairs under the IOM Egypt Migration Health project
Responding with SRH capacity building initiative
SGBV and SRH in crisis training conducted in Matrouh governorate in Nov 2011 for the jointly operated MoHP/ IOM/ UNHCR health services at Salloum land port site
In 2012 a training initiative on MISP and STI syndromic management was started for MoHP, NCCM, Caritas and Refuge Egypt medical practitioners
The training will be rolled out over 6-months
The training is facilitated by UNHCR, IOM, FHI 360 (Family Health International), El Nadeem, Refuge Egypt and other partners
Key technical guidelines
IOM guidelines on survivors of trafficking, National STIs case management, Clinical guidelines on survivors of torture and Clinical management of rape survivors
will be rolled out during this training
Strength and Challenges This innovative capacity building response has
stemmed its strength from being rooted in an Inter-agency commitment involving international and national actors
However, knowledge of the humanitarian domain must be linked to the practices and networks of civil society partners and the national response capacity
To build and maintain these linkages remains the real challenge
THANK YOU