Aid groups fill health care gaps in failed states, WHO says

Humanitarian workers are scrambling to fill a void left by the collapse of governments in three of the world's hotspots amid an unprecedented demand for help in the past year.

In Syria, the Central African Republic and South Sudan, the World Health Organization is having to step in with other humanitarian groups to provide basic health services that would normally be delivered by a functioning government.

Amid the desperate need for help, officials have been hampered by a severe lack of access due to the bitter fighting and a shortage of funds, and in turn have increasingly become targets themselves.

"The idea of the sanctity of , the neutrality of health care, has been lost in a lot of these crises," WHO director of emergency risk management Richard Brennan said Wednesday.

"We've always seen this to some degree. We've never seen it to the degree we are seeing this right now."

He pointed to wanton destruction and looting of health facilities in all three countries, noting that even were "not off limits any more."

Stretched to the limit

Scant resources have been stretched to the limit with three Level 3 emergencies, as termed by the WHO, erupting from November to February. And that's apart from the need to deal with the ongoing devastation of the war in Syria.

The typhoon that hit the Philippines, as well as the outbreak of sectarian fighting in Central African Republic and hostilities in South Sudan were all such Level 3 "emergencies that completely overwhelm local capacities."

But they have also "stretched the capacities of the global system to support the affected communities," Brennan told a handful of reporters at a briefing held by the UN Foundation.

In the Philippines, the WHO coordinated closely with the government in Manila after November's Super Typhoon Haiyan, which killed or left missing about 8,000 people.

But in the CAR and South Sudan, "the entire state has collapsed, so now we're asking humanitarian actors to fill the space of an entire government," said his deputy, Michelle Gayer.

"Our role is to make sure that those gaps are filled, but when there isn't anyone we're the provider of last resort and we have to find means to address gaps," she added, admitting that it was not possible to reach everyone in need.

The figures are staggering. There are an estimated 9.5 million people in need in Syria, with 2.5 million refugees in neighboring countries and 6.2 displaced internally.

Around 140,000 people are thought to have been killed in Syria, which by conservative estimates probably means about 600,000 have been injured, said Brennan.

In both the CAR and South Sudan, there are about 700,000 displaced and 200,000 refugees.

Appeals for funds have also fallen on deaf ears, with a call for South Sudan raising only 23 percent of the required $8 million. while the CAR has largely been forgotten with a $16 million appeal bringing in only 11 percent of the money needed.

The WHO is now trying to get creative with solutions, such as paying directly the salaries of local health care workers to ensure they come to work, while also drawing up longer term strategies to fill the void.

"Food can be airlifted and dropped, and the average person knows what to do with food. You can't just drop medicine. You need to be diagnosed, you need to be treated, you need to be followed up," said Gayer.

add to favorites email to friend print save as pdf

Related Stories

More than 300,000 affected by Sudan floods: WHO

Aug 22, 2013

More than 300,000 people across Sudan have been affected by floods which killed almost 50 people this month, the UN's World Health Organisation said in a statement received Thursday.

UN alarmed at polio threat in Sudan border region

Oct 12, 2013

The U.N. Security Council is expressing alarm at the imminent threat of the spread of polio through Sudan's violence-wracked South Kordofan and Blue Nile states and the continuing outbreak of polio in the Horn of Africa.

Khartoum allows polio vaccine in troubled states

Oct 24, 2013

The Sudanese government has agreed to let United Nations workers vaccinate tens of thousands of children against polio in the violence-wracked South Kordofan and Blue Nile states, the world body said Thursday.

Recommended for you

Study reveals state of crisis in Canadian foster care system

20 hours ago

A new study of foster care in Canada led by a researcher at Western University reveals a shrinking number of foster care providers are available across the country to care for a growing number of children with increasingly ...

Researchers prove the benefits of persimmons for diet

21 hours ago

Alba Mir and Ana Domingo, researchers from the Department of Analytical Chemistry of the University of Valencia, under the supervision of professors Miguel de la Guardia and Maria Luisa Cervera, from the same department, ...

Hand blenders used for cooking can emit persistent chemicals

21 hours ago

Eight out of twelve tested models of hand blenders are leaking chlorinated paraffins when used according to the suppliers' instructions. This is revealed in a report from Stockholm University where researchers analyzed a ...

User comments