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Iraq

MdM tries to improve the response to medical emergencies in the governorates that are most affected by the conflict, and to strengthen capacity within local healthcare teams.


Story of Rizgar Abdul Rizaq, a paramedic


Following the invasion of Iraq in 2003, Medecins du Monde’s (MdM) Iraq Mission increased its focus on training in emergency medical response across the country.

In 2006, the MdM Iraq team implemented further training with a focus on: Emergency Management; Mental Health Care; and Mother and Child Health Care. All the training was conducted in conjunction with the Ministry of Health (MoH) of Iraq and the Kurdish Regional Government, and was aimed at Iraqi health professionals.

The most recent training was completed in Erbil, Kurdistan Iraq, in December 2010 with an overwhelmingly positive response from the trainees.


The experience of a paramedic from Erbil

Thirty-seven year old Rizgar Abdul Rizaq is a paramedic working in Erbil. Determined to improve his skills in emergency response, the MoH of Erbil signed him up for the MdM Emergency Management Training. Working on the road in his mobile clinic he is committed to increasing the accessibility of patients to medical care, and to providing the best service possible. However, prior to the MdM training, Rizgar struggled with some of the most basic life saving techniques, due to a lack of continued, comprehensive training. Skills such as CPR and intubation were but a few that Rizgar gained during his training sessions over the past two years with MdM – and these newly gained skills have saved lives.



The most difficult cases for Rizgar are the cases that have come as a result of the ongoing violence in Iraq that have affected him the most. Explosions in and around Mosul, sometimes every other day at the peak of the war, resulted in hundreds of emergency cases which Rizgar attended to. Often the wounded required treatment at the hospital in Erbil, 30 kilometres away, so it was up to Rizgar to keep them alive. In one case, a young man from Mosul had been hit in the chest by shrapnel and Rizgar used his EMT skills to put pressure on the wound and stop the flow of blood until he reached the hospital emergency department.


Rizgar is grateful to have received the MdM training, and he feels strongly about passing the information and skills he has gained on to his colleagues in the field. Some of his peers have commented that after 25 years in the field there are techniques that MdM has taught Rizgar that they did not know before.



Supporting emergency healthcare, mother and child health and mental health

Dohuk, Erbil, Kirkuk, Sulaymanieh, Ninewa, Tamim, Diyala, Bagdad, and Kerbala governorates- Long term


ACTIVITIES

MdM’s activities aim to strengthen the abilities of healthcare personnel. Training in pre-hospital medicine has been offered to doctors, in conjunction with the medical training centre Hamad Medical Corporation (HMC), which will enable them to respond to emergencies in Kirkuk, Ninewa, Diyala and in the KRG region (Erbil, Sulaymaniyah and Dohuk). Among other things, the training helps the integration of mental health into primary healthcare, with a view to improving diagnosis and providing better care for psychological problems and psychiatric illnesses.


RESULTS

19 paramedics benefited from Emergency Medical Technician (EMT) training, 50 midwives and traditional birth attendants were trained and equipped, 160 medical personnel participated in awareness-raising activities.


OUTLOOK

MdM plans to support primary healthcare centres in the rural areas of Ninewa, Erbil, Kirkuk, Sulaymaniyah and Diyala governorates. The programme has several components: training midwives, mental healthcare, training in emergency response, and health education for the population in general.

  Life expectancy : 65,8 yrs
IDH : NC ; rang : NC *
Population 
Beneficiaries : 230

Personnel

Local : 2

Expatriate : 1

Co-ordinators :
Programme : Marie-Ange Silicani
Field : Erwin Temmerman
HQ : Nathalie Godard

 Budget 2010 : €374,980

Funding : DAH, SDC, MdM


Rizgar
37 years old, paramedic in Erbil

“I am glad that I did the MdM training. I now feel that I am able to pass on the information and skills that I learned to my colleagues. Certain people have told me that, despite 25 years experience in healthcare, they have discovered, with MdM, techniques that they did not know before.”



November 2011


* Source : unpd 2010