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Mental Health in ArmeniaHundreds of thousands of civilians fled in search of safety when violence broke out in Nagorno-Karabakh on Sept. 27, 2020. Following these first violent clashes, organizations stepped up to provide humanitarian assistance for displaced civilians arriving in the capital Yerevan. The extensive damage to infrastructure and disruption of daily life, coupled with a harsh winter climate and COVID-19, will require help from the international aid community for many months to come. One area that this incoming aid will go to is mental health education and support. In 2019, the World Health Organization reported that one in five people in conflict-affected areas lives with a mental health issue. The longer a person lives with acute stress, anxiety or other mental health challenges, the more difficult it is for them to successfully secure basic needs. Aid groups are addressing the issue of mental health in Armenia with various programs.

Mental Health Support for Armenia

The Armenian Red Cross Society is providing humanitarian assistance to help people with basic necessities. This includes psychosocial support for returning soldiers and civilians. As of late December 2020, it had provided around 1,000 psychological services to wounded soldiers and their families.

The International Medical Corps, another emergency aid response group, is working with the Armenian Ministry of Health to assess current needs. In October 2020, the organization expressed its plans to provide training in psychological first aid for frontline healthcare workers. The organization will also provide mental health and psychosocial assistance to people who need it.

UNICEF Addresses Child Trauma

The UNICEF Armenia team and a local arts and music school called the Nexus Center for the Arts offer art and music-based support groups. These support groups give children and teenagers a chance to express themselves without having to talk. UNICEF reported testimonials of students who upon arriving were too afraid to open up but after participating in the support groups felt ready to talk about the trauma they had experienced. The groups also give students a chance to hang out, decompress and enjoy music in a comfortable and safe environment.

To help school teachers, UNICEF partnered with several civil society organizations to teach them how to address trauma in the classroom. UNICEF offered virtual lessons on trauma-informed teaching. The lessons gave 150 school psychologists and 900 public school teachers the skills to work in high-pressure situations and strategies to provide better psychological support to their students.

UNICEF Armenia also put together a psychological first aid guide. This guide has clear and concise information on how to respond to children in a mental health crisis. It emphasizes the importance of responding to children in an age-appropriate and individualized way.

The Increased Need for Mental Health Support in Armenia

Mental health in Armenia, especially following the conflict, is an issue that requires prioritization. The conflict and displacements have left 39,000 children out of school. The trauma caused by displacement has affected children in multiple ways. Ensuring the well-being of these children is a top priority for UNICEF and other organizations addressing mental health in Armenia. The hope is that these initiatives will combat the negative impacts of traumatic experiences in conflict-ridden areas like Nagorno-Karabakh.

Caitlin Harjes
Photo: Flickr

Humanitarian Aid in Nagorno-KarabakhNagorno-Karabakh is a region in the country Azerbaijan and is home to an Armenian majority. While the region is within Azerbaijan’s borders, Armenia has claimed the region for itself. The first intense conflict between Armenia and Azerbaijan over the Nagorno-Karabakh region was in 1988 when the Soviet Union was nearing the end of its existence. Recently, conflict in the region began again in late September 2020 and lasted for about a  month until a ceasefire was brokered by Russia. Additional ceasefires were brought into fruition by France with the help of Russia and the United States. Despite the ceasefires, the conflict in the region is continuing. The fighting in the region has drastically impacted the civilian population of the region. This has in turn created a strong need for humanitarian aid in Nagorno-Karabakh.

The European Union Assists

The European Union (EU) is actively providing aid to the civilian populace affected by the conflict and has done so since early October 2020. The initial amount of aid provided by the EU was €900,000. Then, in November, the EU commissioned an additional €3 million to the civilians in the Nagorno-Karabakh region. According to the EU, this humanitarian aid will provide the necessary assistance that humanitarian organizations partnered with the EU need to carry out their duties. This includes providing food, winter clothing and medical assistance.

The United States’ Aid

The United States is also providing its share of financial assistance. In total, the United States has provided around $10 million in humanitarian assistance to Armenia and Azerbaijan since the 2019 fiscal year. Of the $10 million, $5 million has been allocated to the International Committee of the Red Cross and similar humanitarian organizations to help civilians caught in the crossfire of the conflict. Assistance coming from the U.S. Department of State and the U.S. Agency for International Development (USAID) will also be used for humanitarian aid in Nagorno-Karabakh. The support these two institutions will be providing will come in the form of food, shelter and medical support for the people impacted by the conflict.

People in Need

There are also NGOs that have provided humanitarian aid in Nagorno-Karabakh as well. One organization, People in Need, has done just this. People in Need is an organization dedicated to providing immediate aid to countries should a natural disaster or war take place.

People in Need has provided support, not to Nagorno-Karabakh, but to the city of Goris in Armenia. People in Need directed its humanitarian aid to this Armenian city because many of the displaced civilians in Nagorno-Karabakh have gone there for refuge. The displaced people either move on or stay in the city. People in Need have been able to provide hygienic supplies to 1,200 displaced families in Goris. Additionally, People in Need have provided 480 children, 600 women and 110 seniors with their own individual hygienic kits. People in Need have also taken into consideration the psychosocial needs of children impacted by the conflict. To help these children, People in Need opened a child-friendly space in the city library where children can engage with other children and partake in other activities.

While the conflict in Nagorno-Karabakh continues, international institutions, individual countries and humanitarian organizations are trying to provide all the support possible to help the civilians impacted by the conflict.

– Jacob E. Lee
Photo: Flickr

The HALO TrustRussian intervention may have ended the latest bouts of fighting in Nagorno-Karabakh on November 10, 2020, but landmines from the region’s post-Soviet independence war, coupled with the recent use of cluster munitions by Azeri forces, make the mountainous region one of the most perilous areas to inhabit in the post-Soviet world. Luckily, de-mining initiatives led by The HALO Trust, a British charity, are steadily working to make everyday life safer.

The Bloody History of Landmines in Nagorno-Karabakh

Nagorno-Karabakh, also known as Artsakh, has been a site of geopolitical contention since the Soviet collapse. When the region seceded from Azerbaijan by referendum in 1988, neighboring Azerbaijan and Armenia engaged in protracted fighting to wrest control of the border. The two former Soviet Republics each lay rival territorial claims to Nagorno-Karabakh. While a majority of its 130,000 inhabitants are ethnically Armenian, Soviet districting placed it within Azerbaijan’s borders for decades, which Azerbaijan has sought to maintain.

Because of prolonged fighting between 1988 and 1994 and intermittent skirmishing since, tens of thousands of landmines in Nagorno-Karabakh remain scattered throughout the region. Estimates from 2005 placed the count at upwards of 50,000. Unexploded ordinance (UXO) and abandoned munitions were also noted. Meanwhile, fighting from October and November of 2020 introduced unexploded rockets and cluster munitions to civilian areas including the capital, Stepanakert, which Azerbaijan repeatedly shelled with artillery.

An Explosive Threat

Together, the explosives riddling Nagorno-Karabakh pose a serious public health risk to its local population. Tens of thousands fled the latest fighting as refugees, but the danger is residual and longstanding. The World Health Organization (WHO) calls landmines “a health threat not to be ignored” and claims that the global burden of disease linked to them is historically underreported. WHO estimates that landmines cause 11 to 12 casualties daily worldwide.

In Nagorno-Karabakh, there are more landmine accidents per capita than anywhere else in the world. When victims of these accidents survive, they are often missing limbs and can take months, or even years, to recover. These dangers force communities to disband as families relocate to safer areas. They also cause food insecurity. Nagorno-Karabakh is mountainous and many of its flat, open areas are unworkable minefields that farmers must avoid.

Because children are less educated or tend to engage in riskier behavior than adults, they make up more than a quarter of all landmine victims in Nagorno-Karabakh.

The HALO Trust: Relief Efforts

To address this longstanding public health risk, a British charity, The HALO Trust, has carried out operations targeting landmines in Nagorno-Karabakh. With teams often made up of local volunteers, it has surveyed thousands of acres and organized the removal of nearly 500 minefields since 2000. HALO teams have also supported communities in the wake of border skirmishes between Azerbaijan and Armenia that have left explosives in streets, homes and backyards.

In the latest bouts of fighting, Azerbaijan fired cluster munitions on residential areas in four separate incidents, as reported by Human Rights Watch. Cluster munitions are banned in international humanitarian law because they cannot be directed at a legitimate target, harming civilians and combatants indiscriminately. HALO teams have been responding to local alarms in the wake of these attacks. “In the last five days alone,” HALO reports, “our team has used its expertise and equipment to safely destroy over 150 explosive items.” Teams also delivered relief supplies to sheltering families throughout the fighting, including hygiene kits, blankets and fuel.

In addition to providing relief from landmines in Nagorno-Karabakh, HALO volunteers educate local communities on how to remain safe around landmines and other explosives. Its members frequent schools because of landmines’ disproportionate impact on children.

Landmine Removal Success

Conflict, unexploded ordinance and 30-year-old landmines in Nagorno-Karabakh, continually threaten lives in the mountainous region. Thanks to the work of the HALO, however, de-mining projects have worked to mitigate the risk of explosives and serve local communities. The 4,000 landmines and 8,000 items of ordinance removed since 2000 are a testament to the success of de-mining efforts.

– Skye Jacobs
Photo: Flickr