By May Haddad MD.MPH
This paper was presented at 12th. Congress on Poverty and Health, Berlin, Dec. 2006-
Dedicated to the people of Lebanon for their resilience, dignity and solidarity that they had shown during the Israeli invasion of Lebanon in summer 2006
Publications of May Haddad in Health, Education and DevelopmentMay Haddad MD.MPH
May Haddad has developed dozens of resource materials and publications in health and development. She also designed and provided visuals and art materials in the process of authoring, pretesting and development of the materials. She mobilized dozens of educators/experts/field workers in the process of production, crediting all contributors for their specific inputs
The materials have been published by Arab Research Institute, Arab Resource Collective, UNICEF (Regional Office, Lebanon, and Yemen); the Maram project (Palestine), Save the Children (Sudan), ARCPA/Al-JANA, ANERA, MAP, UNRWA, SCF and several other NGOs (Lebanon, Palestine), Welfare Association (Lebanon) and the Hesperian Health Guides (Berkley, California) etc.
Several of the materials were published in big quantities and/or re-printed several times. Examples: (1) 45,000 copies, 15,000 copies and 10,000 copies of the Arabic adaptation of the international resource books of “Where There Is No Doctor” كتاب الصحة للجميع, “Where Women Have No Doctor” كتاب الصحة لجميع النساء and Training for Transformation أفكار في العمل مع الناس were printed/re-printed; (2) 1,250,000 pieces of the Creative Health Campaign’s 34 sets of materials (games, activity manuals, calendars, cards, posters etc.) were printed/reprinted and widely distributed. Topics on anti-smoking, infant and young child feeding practices, healthy nutrition, iron deficiency anemia, smart use of medicine etc.
Agenda and people of Health Now Mahrajan
Conceptualized and coordinated by visiting scholar Dr May Haddad (Liu Institute for Global Studies, the Green College at UBC and People's Health Movement-Canada)
http://www.phmovement.org/en/node/7532
http://www.phmovement.org/sites/www.phmovement.org/files/PHM%20Lebanon_%20FLYER_HEALTHNOW_MARCH27-1.pdf
Publications of May Haddad in Health, Education and DevelopmentMay Haddad MD.MPH
May Haddad has developed dozens of resource materials and publications in health and development. She also designed and provided visuals and art materials in the process of authoring, pretesting and development of the materials. She mobilized dozens of educators/experts/field workers in the process of production, crediting all contributors for their specific inputs
The materials have been published by Arab Research Institute, Arab Resource Collective, UNICEF (Regional Office, Lebanon, and Yemen); the Maram project (Palestine), Save the Children (Sudan), ARCPA/Al-JANA, ANERA, MAP, UNRWA, SCF and several other NGOs (Lebanon, Palestine), Welfare Association (Lebanon) and the Hesperian Health Guides (Berkley, California) etc.
Several of the materials were published in big quantities and/or re-printed several times. Examples: (1) 45,000 copies, 15,000 copies and 10,000 copies of the Arabic adaptation of the international resource books of “Where There Is No Doctor” كتاب الصحة للجميع, “Where Women Have No Doctor” كتاب الصحة لجميع النساء and Training for Transformation أفكار في العمل مع الناس were printed/re-printed; (2) 1,250,000 pieces of the Creative Health Campaign’s 34 sets of materials (games, activity manuals, calendars, cards, posters etc.) were printed/reprinted and widely distributed. Topics on anti-smoking, infant and young child feeding practices, healthy nutrition, iron deficiency anemia, smart use of medicine etc.
Agenda and people of Health Now Mahrajan
Conceptualized and coordinated by visiting scholar Dr May Haddad (Liu Institute for Global Studies, the Green College at UBC and People's Health Movement-Canada)
http://www.phmovement.org/en/node/7532
http://www.phmovement.org/sites/www.phmovement.org/files/PHM%20Lebanon_%20FLYER_HEALTHNOW_MARCH27-1.pdf
Bilateral and Multilateral Organizations in NepalPrabesh Ghimire
Declaration: The materials incorporated in this document have come from variety of sources and compiler bears no responsibilities for any information contained herein. The compiler acknowledges all the sources although references have not been explicitly cited for all the contents in this document.
Candid assessment of u.s. response to the ebola crisis at home and abroadWale Idris Ajibade
FEATURING REPRESENTATIVES FROM GLOBAL SCIENTIFIC; COMMUNITIES, US POLITICIANS, INVENTORS, ECONOMISTS,CIVIL SOCIETY, CARE GIVERS, PHYSICIANS, MEMBERS OF THE PRESS, EBOLA SURVIVORS, AND REPRESENTATIVES FROM AFRICAN COMMUNITIES.
This report was a collaborative effort of the following entities:
Millennium Development Goals on AVTELEFORUM | African Health Dialogues
(AVTELEFORUM) | African Community Public Health Coalition | Diaspora Liberian Emergency Response Task Force on the Ebola Crisis
Philanthropists who seek to improve health often find themselves torn between efforts to identify cures for disease and projects that strive to improve the social conditions that lead to better health. As this remarkable book shows, over a hundred years, The Rockefeller Foundation’s efforts to balance these sometimes competing objectives have fundamentally shaped the fields of public health and medicine along the way.
Notes by Artista en residencia (May Haddad)
About being with artists/educators Cam Lecce & Jorg Grunet at Hausegallerie 5+, Spoltore, 19 May-2 June 2015
Contents of the 56 pages:
• Art works by May
• Loving the works of Cam and Jorg
• Other happenings
• Photos from the art processes
• Posing in Spoltore
Bilateral and Multilateral Organizations in NepalPrabesh Ghimire
Declaration: The materials incorporated in this document have come from variety of sources and compiler bears no responsibilities for any information contained herein. The compiler acknowledges all the sources although references have not been explicitly cited for all the contents in this document.
Candid assessment of u.s. response to the ebola crisis at home and abroadWale Idris Ajibade
FEATURING REPRESENTATIVES FROM GLOBAL SCIENTIFIC; COMMUNITIES, US POLITICIANS, INVENTORS, ECONOMISTS,CIVIL SOCIETY, CARE GIVERS, PHYSICIANS, MEMBERS OF THE PRESS, EBOLA SURVIVORS, AND REPRESENTATIVES FROM AFRICAN COMMUNITIES.
This report was a collaborative effort of the following entities:
Millennium Development Goals on AVTELEFORUM | African Health Dialogues
(AVTELEFORUM) | African Community Public Health Coalition | Diaspora Liberian Emergency Response Task Force on the Ebola Crisis
Philanthropists who seek to improve health often find themselves torn between efforts to identify cures for disease and projects that strive to improve the social conditions that lead to better health. As this remarkable book shows, over a hundred years, The Rockefeller Foundation’s efforts to balance these sometimes competing objectives have fundamentally shaped the fields of public health and medicine along the way.
Notes by Artista en residencia (May Haddad)
About being with artists/educators Cam Lecce & Jorg Grunet at Hausegallerie 5+, Spoltore, 19 May-2 June 2015
Contents of the 56 pages:
• Art works by May
• Loving the works of Cam and Jorg
• Other happenings
• Photos from the art processes
• Posing in Spoltore
2- صورة الطبيب و الممرض image of doctors & nurses- 2May Haddad MD.MPH
صورة الطبيب و الممرض
في صبحية صحوية –الجزء 2
مقتطفات عن "صبحية صحوية"- إعداد د. مي حداد
may_haddad@hotmail.com
يونيو/حزيران 2012 إلى يونيو/حزيران 2013
هذا المقال المصور يستكمل المقال الأول "صورة الطبيب
و الممرض في صبحية صحوية "-1 و الذي غطى مقتطفات من الفترة الزمنية نوفمبر- تشرين الثاني 2011 إلى مايو- أيار 2012
الجزء الثالث: عن بناء المجموعات والمؤسسات والحركات، والإدارة والتمكين، وتخطيط ورشات
العمل المختلفة مع ملاحق وكشاف.
with gratitude to Arab Resource Collective for downloading the book on the web
Arabic modified publication of Anne Hope's Training for Transformation-part 1
دليل لقاءات أقوى دنيا (Combating cigarettes and arghileh)May Haddad MD.MPH
A guide about our sessions in combating the dangers of cigarettes and arghileh- The sessions were organized during the JANANA summer encounter 2009 (Brumana-Lebanon). Review also https://www.youtube.com/watch?v=jVZbggu-YU4
The activities were conceptualized and designed by Dr May Haddad and Yara Qutteina- Yara had prepared this guide.
Tributes of love to all the activists from Palestine, Lebanon and Egypt who joined us then.
Reducing the number of people living in extreme poverty throughout.docxcatheryncouper
Reducing the number of people living in extreme poverty throughout the world is clearly one of the great moral challenges of our time. Although the issue is by no means absent from what we study and teach, as educators in the United States we appear to be falling short in the task of ensuring that our students are adequately informed about world poverty, its consequences, and the ways in which it can be reduced. Is it possible that some of the reluctance to deal with the topic stems from the fact that it may have uncomfortable conclusions for our own lives?
If we take seriously the idea that the value of a human life does not diminish when we cross national boundaries, then we ought to be giving a much higher priority to reducing world poverty. I have in mind a broad re-envisioning of what we teach.
We should not limit so important a topic to specialized courses on international development (valuable as they are). The issue should be prominent in anthropology, cultural studies, economics, ethics and sociology. In political-science courses, we should ask why we pay so little attention to people living in poverty outside our borders. Psychology courses could take up the factors that limit our willingness to give to distant strangers. Engineers might increase the amount of class time they devote to how their skills can be applied to assist the world's poorest people. Medical schools could focus more on the global burden of disease and how it might be reduced, and law students should be prompted to think about an international legal regime that allows American oil companies to buy oil from dictators who pocket most of the proceeds. Programs could also be produced to help to educate the broader public.
Nor should we shy away from reconsidering our emphasis on teaching in fields that have timeless artistic and cultural value. It is legitimate to ask: In a situation in which more people die each year from poverty-related causes than died in any one year during World War II, how much should we be spending on the refinement of our artistic sensitivities and those of our students?
I began to think about our obligations to the poor in 1971, when I was a graduate student in philosophy at the University of Oxford. A few years earlier, such a question would not have been considered one for philosophers to discuss. The prevailing view then was that the business of philosophy was to analyze the meanings of words. The linguistic analysis that preoccupied philosophers was supposed to be ethically neutral. We would discuss whether the statement "You ought to return the book you borrowed" expressed an attitude or stated a fact, but not whether it was always obligatory to return a borrowed book -- let alone to give to the poor.
The student movement of the 1960s demanded that the university become "relevant." In response, with war raging in Vietnam and civil disobedience against it at draft offices across the United States, a few philosophers began to revive ...
CRITERION Explain the role of international and altruistic organi.docxwillcoxjanay
CRITERION: Explain the role of international and altruistic organizations in providing health care services during a global event.
DISTINGUISHED
PROFICIENT
BASIC
NON-PERFORMANCE
Basic
Explains the role of either international or altruistic organizations in providing health care services during a global event, or the explanation lacks key elements.
Faculty Comments:“
Your paper does not explain the role of either international or altruistic organizations in providing health care services during a global event. Your paper currently discusses governmental contributions. Please define what an altruistic organization is and name specific organizations and discuss the role of nursing within the organizations. To earn a distinguished grade, you need to explain the role of international and altruistic organizations in providing health care services during a global event and consider how professional nursing can play a greater part within the organizations.
Running Head: NATURAL DISASTER RESPONSE 1
NATURAL DISASTER RESPONSE 2
NATURAL DISASTER RESPONSE
Alexander V Chacon
Capella University
January, 2019
Introduction
World disasters are happening more intensely and frequently, demonstrating a critical need for the enhancement of risk management and response. High-profile disasters are increasing worldwide consciousness to strengthen national and regional capacity to mitigate, respond to and manage these disasters. Developing countries such as in the Caribbean islands, the middle east, and Africa are particularly vulnerable to natural disasters for reasons of lack of infrastructure, resources and exacerbated by geology, tectonic setting, topography and location, poor environmental management practices and land use among other reasons related to the country and respective natural or man-made disasters that frequent it (Veeneema, 2018).
Earthquakes, hurricanes, and wildfires are some of the most common natural disasters that have even affected developed nations such as the United States crippling small and large communities, killing thousands and destroying any infrastructure around where they occur. The disasters being experienced today worldwide are some of most devastating and strongest in the last 100 years of the human history and have been argued to be a just mere precedents for the worst that are yet to come in the near future in the face of climate change and global warming as well as other destructive human activities.
Local, state and national response
The use of technology has been employed in response to these disasters enabling rescue operations and recovery allowing cities to rebuild after each event in the wake of these disastrous happenings and empowering the rescuers to help save more lives and others to intervene. Under normal circumstances worldwide, disaster repose in high-income cou.
A guide for the media on communicating in public health emergencies Jamaity
A public health crisis or emergency is characterised by its ability to cause ill health and death among hundreds, thousands or sometimes millions of people.
In a health crisis, the media has the power to save lives.
Effective communication can help to prevent or reduce the
spread of disease, and guide those affected towards health
services and treatment.
This manual provides tips for media practitioners on how to
help audiences during health emergencies.
It can be read in conjunction with BBC Media Action’s
Lifeline Production Manual (available online) which provides
more general guidance on how to communicate with
people affected by humanitarian crises in order to help save
lives and reduce suffering.
Public health emergencies can start quickly or very slowly.
This manual will address those that start relatively quickly: rapid onset public health emergencies.
State of Maternal and Children's Health and Nutrition During Pandemic and Cal...KABAYAN Partylist
We are looking forward to sharing with you the highlights of the recent stakeholder consultation of KABAYAN Partylist and Development Academy of the Philippines on the State of Maternal and Children’s Health and Nutrition During the Pandemic held last December 03, 2020.
The presentations made during the event are summarized in the attached report entitled “Second Stakeholder Consultation on the State of Maternal & Children’s Health and Nutrition During Pandemic and Calamities” which brings together the reports, excerpts, and key findings given by Cong. Ron P. Salo, Cong. Stella Quimbo, Department of Health Usec. Rosario Vergeire, Philippine Center for Population and Development Former Executive Director Dr. Jondi Flavier, DAP Family Medicine Consultant Dr. Jewehl Salo, and representatives from the Department of Social Welfare and Development during the event.
As part of my document.perputuate process, I have compiled lists of links to on-line events that we have implemented during the Janana summer encounters 2007-2021. Included are Sa7seh La Se7a Asa7 2007, Powerful World 2009, Sob7ye Sa7aweye 2010, A Sa7awe celebration 2011, Earth is My Passion 2012, Celebrating Sob7ye Sa7aweye 2014, Smart and Joyful 2016, Masaweya 2017, Gaza is Here 2019, Corona: Towards best practices 2020 and Masa Times/Amitofa 2021. As you explore, please click on the links that will take you into numerous materials. Download the document at
This compilation is dedicated to hundreds of activists who have participated in the eleven events listed above, other members of the Janana network and to Al-JANA team.
My statement: Transformation and Joy
Active learning, Creative Arts, Community health and Social Activism constituted the contents of these eleven events that have been implemented to date. Joy has been overarching as our choice to challenge the downs. I have also aimed that these events be transformative, for if we do not become the change that we aim at, we will not achieve it.
With love
May
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
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Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Turning Relief Into Self Reliance
1. Gesundheit Berlin (Hrsg.): Dokumentation 12. bundesweiter Kongress Armut und Gesundheit, Berlin 2007
Seite 1 von 6
May Haddad
Turning relief into self reliance?
Tribute
To people living in Lebanon for the resilience, dignity and solidarity that they have mani-
fested during the latest Israeli war on Lebanon, July 12-Aug. 14, 2006
War on Lebanon
July 12 marks the beginning of unacceptable, extremely brutal & violent 5 weeks1
: One mil-
lion people (almost one third the population) flee their homes2
, 1184 civilians are killed &
4059 are injured3
, many children are among the victims4
, tens of massacres are reported5
,
tens of thousands homes are destroyed & damaged, 73 bridges are bombed all across the
country, tens of fuel stations are burnt, & a major breakdown occurs in the public health
infrastructure including water & sewage, power supply & generators etc. More than one
quarter of the health facilities are badly damaged & dysfunctional6
; two hospitals are de-
stroyed as well as hundreds of schools. Oil spill on more that 150 km of shore, damage not
limited to Lebanon but threatens all Mediterranean Sea. Gigantic mine fields are created with
over one million unexploded cluster bombs7
…
People living in Lebanon demonstrate solidarity & spontaneous support to each other despite
their religious, political & class differences: 735,000 people find refuge with families, schools,
and centers located in relatively safer areas in Lebanon8
. Almost everybody offers help within
1
During the campaign, Israel's Air Force flew more than 12,000 combat missions. The Navy fired
2,500 shells, and the Army fired over 100,000 shells [43]
, destroying large parts of the Lebanese
civilian infrastructure. 400 miles of roads, 73 bridges and 31 targets such as Beirut International
Airport, ports, water and sewage treatment plants, electrical facilities, 25 fuel stations, 900
commercial structures, up to 350 schools and two hospitals were destroyed, as well as some 15,000
homes. Some 130,000 more homes were damaged, Wikipedia
2
According to High Relief Commission about 130,000 people found shelter in about 760 schools, more
than half a million found shelter with families, friends, churches, mosques, etc and about 270,000 fled
Lebanon to neighboring countries (mainly Syria).
3
GOL & Higher Relief Council, Aug. 24, 2006
4
As one example, 28 of the new Qana massacre (July 30) are children
5
Many massacres happened when Israeli planes bombed people who are fleeing their homes, in-
cludes caravans that The Israeli themselves have authorized
6
WHO, Oct. 11, 2006
7
The most disturbing act was that 90% of these bombs were dropped in the last 72-hours of the
conflict when it was clear that a cease-fire was eminent (UN report)
8
230,000 person fled to neighboring countries
2. May Haddad: Turning relief into self reliance?
Gesundheit Berlin (Hrsg.): Dokumentation 12. bundesweiter Kongress Armut und Gesundheit, Berlin 2007
Seite 2 von 6
his/her capacities9
. Civil society, NGOs & humanitarian agencies form platforms & coalitions
to complement each other & meet basic survival needs10
.
Lebanon witnessed a humanitarian shortcoming with departure of senior UN staff from Le-
banon & delay in emergency response (The UN response comes after two weeks of crisis
initiation). It is to note that international relief agencies (who are new to Lebanon), para-
chute into the country with different agendas without proper consultation/ coordination with
local counterparts.
My life froze…
My life froze on July 12; all activities that I have planned become irrelevant…
I am devastated with the killing, massacres, bombing & massive destruction happening. Ad-
ditionally, I fear other unseen bombs that can be masked under Relief.
Despite the need for relief, we have not been prepared for such emergency nor have we
mechanisms to coordinate the efforts of the different stakeholders. Lebanon does not have
national policies, protocols nor plans for emergency operation despite the fact that this has
not been the first catastrophe of the kind.
This implies that relief can be chaotic, unplanned & haphazard. People in charge can inflict
harm despite good intentions…
Indeed, my fear proves real…
To date, the Ministry of Environment is still unable to disperse tons of expired medicines that
have been dumped into Lebanon.
Pharmaceutical dependency is a known issue in Lebanon with over-prescription by physicians
& demand by clients. The magnitude of the issue has most likely worsened during the war in
Lebanon with the irresponsible availability of the Relief medicines & the desired demand of
clients to store more & more quantities fearing of shortages. Unfortunately, the risk & dam-
age inflicted by the pharmaceuticals that have been widely distributed is been assessed (to
note that many of these drugs lacked instructions; & when present have been in languages
that very few can read11
).
9
People would draw sign maps next to bombarded bridges to show people fleeing their towns rela-
tively safe roads, artists & educators organize workshops & sessions with children of displaced fami-
lies, people donate clothes, food to other etc.
10
Such as Samedoun, NGO platform of Saida, Civil Campaign for Relief, the Collective of NGOs in
Lebanon etc.
11
I have seen many pharmaceuticals with instructions that are unreadable to many including Italian,
Spanish & Greek. Additionally, many drugs lacked instruction papers
3. May Haddad: Turning relief into self reliance?
Gesundheit Berlin (Hrsg.): Dokumentation 12. bundesweiter Kongress Armut und Gesundheit, Berlin 2007
Seite 3 von 6
Additionally tobacco & cigarettes donations have been included in the relief items. The mag-
nitude of the issue is under study12
.
Promoting & disseminating infant milk formulas goes on unchecked for weeks after the initia-
tion of the crisis without noting its’ hazardous impact on breastfeeding; it is to be noted that
multi-national milk companies hook mothers to using infant formula during its’ distribution
through relief 13
. Aid workers immediately handle the formula to the displaced mother who
thinks that her milk has turned bad because of the war & related tension or has experienced
a decrease in its’ flow; without counseling or advise that the mother can & should continue
giving her child the best, her own milk14
. Mass distribution of infant formula has been re-
ported15
. Sarcastically, the GOL & respective UN agencies succeeded in issuing a joint state-
ment in mid. Oct. after the damage has been incurred…
Relief agencies can create dependencies. Families, who initially have been reluctant to re-
ceive aid, request it as a right over time.
Turning relief into self reliance?
Minimizing the potential long term damage of relief & maximizing its’ short term benefits has
been an issue to many of us involved in community health actions during the war in Leba-
non.
With the delay in action (or its’ absence at a policy level), many of us developed strategies
that are people centered…
Here is a synopsis from one experience16
:
12
Researchers from Public Health Department at AUB have recently paid attention to the issue
13
The consequences of these in decreasing breastfeeding together with the low availability of clean
water contribute to increased incidence of diarrhea
14
Many organizations were reported to be involved in infant formula distribution to all mothers under
their catchment’s area. The magnitude of this distribution is not fully clear, although HRC was one of
the main agencies involved in this, and the consequences of such activity is not clear. Such practice,
in addition to the stress caused by the war, may have affected infant feeding practices. Thus, the
incidences of breastfeeding may have decreased and the low availability of clean water may have
contributed to an increase in the incidence of diarrhea, UNICEF report, Distribution of infant formula
during the Lebanon Crisis, 2006
15
UNICEF report, Distribution of infant formula during the Lebanon Crisis, 2006
16
Emergency response: Mother & Child Health, implemented by ANERA in partnership with IRAP,
Najdeh, Palestinian Women Humanitarian Organization, Amel, Jaber, & LFPA, July-Oct. 06. This inter-
vention succeeded in reaching out to over 15000 mothers & their young children through dissemina-
tion of under three kits & mothers kits & providing educational sessions whereby mothers learn practi-
cal skills such as home based oral rehydration mix & other.
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It is becoming obvious to us: The scale of the crisis is incredibly huge; most of the agencies
adopt traditional approach in distributing food items & non-food items; with minimal atten-
tion to the inherent resources of people themselves. “We do it for them…when we can… and
with what we have” has been a mainstream approach in relief delivery.
We decide to pay attention on the needs of mothers, infant & young children as we know of
their vulnerability & that other are not paying attention. We also decide to build on the as-
sets & to enhance partnership with mothers themselves.
We challenge Relief as an opportunity to build the capacity of relief /community workers to
understand better the health issues & develop skills of community health activists…
We challenge Relief as a time to reach mothers with doable actions that they can do to pro-
tect/promote health.
We challenge Relief by creating opportunities for change within structures, attitudes & prac-
tices.
Providing commodities that are useful, safe & culturally sensitive & that mothers & young
children need has not been a straight-forward task. It means that we need to continuously
reflect on our actions, examine the truth of our criteria & modify17
. It also implies that we
need to undo the damage of multinational companies & the impact of media in promoting
expensive & un-essential commodities & brand names. We discover in the process that
community workers themselves are un-sensitized & that there is a need to develop with
them critical thinking that helps them examine the impact of every relief commodity on
mothers & children. In addition to carry on the same process with mothers themselves…
We also discover in the way, that relief can be an experience that helps us realize real
needs; & that we can succeed in transforming relief into development, by simply paying at-
tention to what we do & how we do it.
We also realize that with minimal capacity building efforts, we can succeed in empowering
community workers & mothers. We note that interactive, participatory & hands on learning
process is effective in enhancing our capacities as community health activists & that of
mothers.
We are to examine our working principles that guide our work.
We list: cooperation, partnerships, building on assets, reflect & improve sensitivity to values
& traditions, hope, seeking better life, caring, love & respect.
17
As an example, when we have decided to include thermometers in the under three kits based on
feedback that mothers provided, we have been faced by new dilemmas; the available mercury ther-
mometer in the market can be unsafe to distribute & we are better off replacing them with digital
thermometers that proved to be non-existent i in the market.
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The following are actions that help us maintain achievements18
:
We are to establish platforms for continued communications, networking, sharing & learning
new skills among each other in a similar spirit to this experience
Developing & disseminating a production on our experience in learning helps us refresh our
information, adapt/apply contents to our community actions & provides a reference to help
other peers learn
We are to continue supporting mothers & children through many interactive approaches
We have developed best practice list of doable actions that mothers can do. We can use
such lists to plan our activities/interventions
We are to continue recruiting youth (both male & female) & volunteers (include moth-
ers/housewives themselves) in community actions & enforce their vital role in wider cover-
age & outreach
We are to integrate children in our community actions both as activists and as beneficiaries.
Doctors & nurses are to be addressed with an update of scientific health information particu
larly in infant nutrition & breastfeeding
Delivery/Birth facilities are to be updated with best practices to support breastfeeding.
All primary health care clinics within the reach of our structures are to be encouraged to ad-
vocate best practices that mothers can do & create supportive environments to promote
breastfeeding
We need to actively work in identifying/researching inexpensive /affordable /useful alterna-
tives to medicine, processed & canned food, infant food etc.
We are to explore creative approaches in our work, we can organize festive activities such as
health festivals/campaigns & present skills through entertaining & engaging skits, theater &
games. We can also utilize special events/dates to conduct entertainment education happen-
ings etc.
Developing/disseminating appropriate publications targeting mothers & community members
& engaging mothers themselves in developing learning materials are useful approaches.
18
Summary of Reflect & Improve Process that engaged over 150 decision maker & community work-
ers from 7 partner NGOs working in emergency mother & child health intervention during the crisis in
Lebanon (paper by May Haddad, Putting the element together, Towards Effective Actions in Commu-
nity Health, Nov. 06)
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NGOs are called upon to enhance cooperation among each other towards better health,
wider coverage & better outreach
We are to enhance networking among each other & among local groups & communities.
And finally, to conclude; as one community worker said:
ه ك ي إه ك ي إ......ﻥ و آ ﺡ ون اﻥ و آ ﺡ ون ا
......
Haddad, May
People’s Health Movement Libanon
Kontakt:
Mail: may_haddad@hotmail.com