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Improving Germany's Refugee Camps, One Global Grant at a Time
- 1. Improving Germany’s Refugee Camps One Global Grant At A Time Tuesday, June 14~A402-403
- 2. GG1640362 Refugee Health Care The peak of the refugee crisis in Berlin A Global Grant for the 100th Anniversary of the Rotary Foundation Gerhard Lögters, District Governor 1940 13.06.2017
- 3. How it all began
- 4. “ I still remember exactly the moment I first opened the door to the gymnasium, where several hundred refugees had found shelter one day before. It was the first day of Christmas, 2014, at 9 o'clock in the morning. It was a cold, windy day. I had planned to drop some warm clothes and shoes for children before our family started with the Christmas celebration. My first contact was with a group of teenagers, who were standing outside in the snow wearing flip-flops. They helped me to carry the bags inside.” How it all began
- 5. “In the entrance hall, there two children sitting on chairs who looked very pale and sick. When I asked I was told that there were indeed not feeling well and were having fevers for a few days, but there was no doctor around. Security people in the hall explained to me they were not allowed to give them any medical help, not even pain relievers or drugs against fever. In case of life- threatening medical emergencies, they were supposed to call an ambulance. This is why I returned the same afternoon, carrying medical equipment and medicine. I was accompanied by my husband, who is a also a Rotarian and a pediatrician. It turned out that this had just been the beginning.” How it all began
- 6. “We spent the whole Christmas vacation to see more and more refugee patients, because the camp managers called us all the time. We realized that we had to organize help. By contacting many friends and colleagues, it was possible to build a network that was constantly growing with the increasing inflow of refugees into our city. By the summer of 2015, we were more than 100 people working in coordination - doctors, nurses and other helpers. Just in the year 2015, there were 100,000 refugees coming into the city of Berlin, which is a city of 3.5 million!” How it all began
- 7. “Since 2014, we have been able to organize medical treatment for thousands of refugees in several camps distributed across Berlin. We organized vaccination campaigns and are now trying to help them to integrate in the German health system. We received tremendous support by the Protestant church and by Rotary. But especially the support given by Rotary showed me that we are not only a group of professionals - we are a network of friends who are ready to give a helping hand when it is needed for a good, humanitarian cause! “ Pia Skarabis-Querfeld, MD RC Berlin Tiergarten Teamleader of all voluntary teams How it all began
- 8. Host Club, Berlin Tiergarten, District 1940 Rotary - Global Grant Dr. Pia Skarabis-Querfeld, MD Teamleader of volunteer Teams
- 9. How everything began – the refugee crisis in Germany
- 10. Numbers and Facts • Germany took in approx. 1.2 million refugees (2015-16) • 100.000 refugees arrived in Berlin in 2015, at times 1000 people arrived per day • Not all of them stayed; currently approx. 80.000 refugees are living in Berlin • Monthly new arrivals since 2017: 700-900
- 11. Syria biggest group (depending on the period 30-50%) Iraq, Iran, Afghanistan ca. 20% Eritrea 6% Russian Federation Turkey Asylum applicants – where they come from
- 12. State Office for Refugee Affairs (LAF), Berlin, Fall 2015
- 13. Refugee medicine
- 14. Refugee medicine
- 15. Video of a little patient
- 16. Hours of hands-on medical help by volunteers: • 6000 working hours by doctors • 5000 working hours by nursing staff • 5000 working hours by interpreters and translators • 12000 working hours by other helpers • = 28.000 hours of hands-on medical help • (100-150 volunteers) Hands-on 2014-16 (before the GG started)
- 17. International Club, Morehead City Lookout, District 7730 Rotary - Global Grant Brady Way, MD President elect (president 2017/18), PHF
- 18. Host Club, Berlin-Tiergarten, District 1940 Rotary - Global Grant Prof. Dr. Wilhelm Bürklin, President 2015/16
- 19. Global Grant - Budget # Funding method Organization Contribution + Extra support* 1 Cash from Club Berlin-Tiergarten $18,795.00 2 Cash from Club Berlin-Potsdamer Platz $4,454.10 3 Cash from Club Berlin-Unter den Linden $1,113.00 4 Cash from Club Berlin-Nord $5,600.70 5 Cash from Club Berlin-Brandenburger Tor $3,454.50 6 Cash from Club Berlin $16,275.00 7 District Designated Fund (DDF) 1940 $10,050.00 8 Cash from Club Paris Champs-Elysées $1,113.00 9 Cash from Club Morehead City-Lookout $2,000.25 10 District Designated Fund (DDF) 7730 $20,000.00 11 District Designated Fund (DDF) 7000 $3,000.00 12 District Designated Fund (DDF) 7770 $3,000.00 13 Cash from Club St. Veit an der Glan $1,113.00 14 Non-Rotarian contributions to be matched by TRF Private Donor WLCM $5,709.90 15 Cash from Club Morehead City $500.85 16 Cash from Club Morehead City-Noon $1,002.75
- 20. Global Grant - Budget Funding Summary DDF contributions: $36,050.00 Cash contributions: $52,783.00 Non-Rotarian contributions to be matched by TRF: $5,438.00 Endowed/Term gift contributions: $0.00 Donor Advised Fund: $0.00 World Fund match maximum:: $65,161.00 World Fund match (requested): $64,869.00 Financing subtotal (matched contributions + World Fund): $159,140.00 Non-Rotarian contributions with NO match from TRF: $0.00 Total financing: $159,140.00 Total budget: $159,140.00
- 21. Budget for 159.000$, 18 months (till April 2018): • 1 Full-time coordinator 77.000$ • 2 Federal volunteers 4.300$ • 1 Head nurse (450 € base) 10.700$ • Rent for rooms 19.300$ • Interior renovations, furniture 15.000$ • Medications 19.000$ • Medical equipment 12.000$ • Office supplies 2.000$ Global Grant - Budget
- 22. • Installation of a Volunteer Medical and Consultation Center • Assistance in refugee shelters and accomodation facilities for refugees with mobile teams • Health Education and Health Information Campaigns (with translators, nursing staff, doctors) • Vaccination Campaigns Global Grant 2016-18
- 23. Voluntary work, only during duration of Global Grant (18 months): • 5000 hours by doctors • 5000 working hours by nursing staff • 5000 hours by translators and interpreters • 10.000 hours by other helpers __________________________ • 25.000 hours of hands-on medical help would have costed approx. 750.000 $ Hands-on time
- 24. Humanitarian aid Medical treatment of people without access to the health care system Our goals Social support In cooperation with our networks supporting people with a holistic approach to health promotion that takes account of social aspects Integration Empowerment to responsible behavior functions as multiplier for integration in other areas Advocacy work Data collection and publication of anonymized data to point out gaps in the health care system Referral into a network of medical specialists Equal and high-quality medical care Health competence Acquiring of competencies that enable a self- determined health-conscious behavior
- 25. What we do – the 4 columns of “Medicine for everyone” Board Project coordinator Volunteers “Medizin hilft Flüchtlingen“ In the accomodation facilities: • Medical care • Integration into the health care system Website WEBEBEB Low-threshold informations for • Patients • Health professionals • other initiatives 20162014 2015 2017 Volunteer Medical Center Drop-in center: • Medical Care • Integration into the health care system • Social Counseling Information campaigns Outreach Campaigns: • Health competence • Empowerment • Fostering of integration
- 26. “Medizin hilft Flüchtlingen” 2014 o Since the end of 2014: serving 8 refugee emergency shelters in Berlin, co-serving 2, supporting 20 o 2015: over 4000 patient contacts o 2016: approx. 2000 o Regular pediatric and general medicine consulation hours o Vaccination campaigns in emergency shelters (January 2015 till April 2016): more than 1000 vaccinations
- 27. • Anonymous and free of charge • Volunteer doctors • Referral into the network of medical specialists • Cooperations with pharmacies, laboratories und hospitals. • Hotline daily from 9 to 5PM Medical care Volunteer Medical Center • Social counseling (Re)- Integration into the health care system • Collection of anonymous data • Comprehensive assistance through a network of 50 partner organisations Social counseling
- 28. Volunteer Medical Center Hotline Monday – Friday 9AM - 5PM Open clinic (without advance reservation) for children and adults On appointment: psychiatric consultation hours For people without health insurance
- 29. Website o Hotline and e-mail address on the website o Important informations for patients, professionals and other organizations for free download www.medizin-hilft.org
- 30. Information campaigns o December 2016 till Mai 2017: 17 campaigns in 10 Berlin refugee accommodations for 3600 asylum seekers o Translated lecture (1h) in Arabic, Farsi, Russian and German o Translated information materials o Big demand for structured information, export to other federal states (i.e. Bavaria) o Mediation and translation through educated translators o Medical consultations (Follow-up care of complex cases at Volunteer Medical Center Berlin)
- 31. الخدماتالخارجية . طبيبعام طبيباطفال طبيبنساء 👓 أطباءمتخصصوناخرون عيادةالطبيب الخدماتالخارجية . • مساعدةطبية • الطبيب • وقتالعمل ااالستعالمقبلذلك • /بميعاد اوبدون تحديدميعادبالتليفون قبلذلك Gerhard Lögters, District Governor 1940, GG1640362, gerhard.loegters@gmx.net
- 32. 1. Health insurance and benefits 2. Search for doctors 3. Ambulatory care 4. Emergency 5. Dentist 6. Vaccinations, preventive health services 7. Psychotherapy 8. Applications for special benefits 9. Questions Information campaigns Reference to information materials for take away after the event 📄Info
- 33. • Expanding psychiatric und psychosocial care • Consultation hours only for women • Additional pediatric consultation hours • Information campaigns for women • Extending the reach of the information campaigns • Fundraising for projects starting 2018 Prospects
- 35. APPENDIX 2014
- 36. 2015: 2464 cases of measles! Measles in Berlin Germany 1000cases of measles only in Berlin Volunteer teams performed thousands of vaccinations among the refugee population.
- 37. The registered society Medizin Hilft e.V. Medizin Hilft – a registered society Board, members, employees, approx. 100 volunteers Cooperation partners and network • Ärzte der Welt • Outpatient centers • Hospitals • Health authority Steglitz-Zehlendorf • approx. 50 other Berlin initiatives Sponsors Many individual donors
- 38. Volunteer Medical Center 2014 Gender Age Causes of flight and migration Origin/ Language Residence permit status Asylum procedure Difficulties accessing the health care system Reasons for uninsured status Life over/under poverty line Discrimination experience Family background Living conditions Employed/ Self-employed/ Recipient of benefits General/ psychological health condition Determinants for the social case history
- 40. From Global Grant to Global Grant
- 41. Maternal and Child Health in Conflict Settings Body copy Color brush treatments for heads. Delete this box from your working file. Without action, we not only risk their ability to pursue education and employment, but also their lives. KEY CHALLENGES Knowledge of available services and where to find them Physical accessibility and affordability of services Unique needs regarding language and cultural appropriateness of information THE PROBLEM Refugees lack access to reproductive health information that is local, reliable, and culturally appropriate.
- 42. 17,555 refugee visas granted by Australian government between 2015 and 2016 90% of urban refugees have 3G coverage A majority of refugees come from Arabic speaking countries such as Iraq and Syria The Market
- 43. mAdapt is an innovative mHealth platform, developed with feedback from refugee communities, and customisable to both users’ and partners’ unique needs to empower women’s reproductive health choices. REFUGEES Secure and discrete searches Location based information Easy to understand info vetted by refugees Increased confidence in health decision making and navigation of health services PARTNERS Local data collection Data visualisation and GIS capabilities Reduce resource wastage Increased access to target populations IMPACT Efficient resource allocation Female empowerment Demonstrated need by location and language group Improved refugee integration What we created together
- 44. Provide health information Reliable and culturally sensitive information concerning their most pressing reproductive health needs Collect data on search trends Anonymous data can help inform service delivery and policy development Mapped service locations Location-specific information directing them to accessible health care services Language Specific Reproductive health information available in both English and Arabic Community Informed Human-centred design workshops conducted with refugees and health and social support workers The Product
- 45. We work socially conscious, paying partners to provide users with accessible and reliable content. Deliver Content Provide Meaningful Data Business Model POTENTIAL REVENUE MODEL Monetising Data Advertising Sponsorships Subscription Licensing Perpetual Licensing White-labelling PARTNERS Local Councils Government (DHS) Universities & Research Hospitals Refugee Support Services Primary Health Networks USERS Refugees Refugee Health Workers Social Support Services Wider Population
- 46. ✓ Confirmed need, feasibility and support within US, European, and Australian refugee communities ✓ Formed partnerships with Monash University, Hitnet Innovations, Multicultural Centre for Women’s Health and InfoXchange ✓ Pilot funded by North Western Melbourne Primary Health Network starting June 2017 We listen to the community we serve and engage partners that care. Validation and Traction
- 47. How did we do this?How we did this
- 48. ✓ Evaluate, iterate and expand through capacity development of local communities ✓ Replicate in other languages and underserved communities ✓ Scale Up interstate, international and interdisciplinary Join Us On Our Next Steps? Next Steps
- 51. Dr. Brady Way Visits Germany
- 55. P DAVID BAGGETT BRADY WAY GERHARD LOEGTERS REBECCAH BARTLETT
- 56. Questions?
- 57. Contact Information PDG David Baggett dg7730.15.16@gmail.com DG Gerhard Logters gerhard.loegters@gmx.net Dr. Brady Way bcsfway@gmail.com Rebeccah Bartlett rebeccah.bartlett@gmail.com