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Mediterranean Migration CrisisThe migrant boat shipwreck occurring in Italy on February 26, 2023, serves as a reminder that stronger action is necessary to address the Mediterranean migration crisis. Thousands of migrants attempt to cross the Mediterranean Sea by boat with the hope of a better future. However, the Mediterranean is a deadly route for migrants, with more than 26,000 people missing or dead since 2014.

The EU’s response to the migrant crisis in the Mediterranean has been criticized for falling short in addressing and collaborating on the issue. Numbers of experts posit that the prioritization of borders over human lives is an uncomfortable truth that must be confronted as the deadly waters continue to claim the lives of those seeking a future free from poverty, war and violence.

Migrant Boat Shipwreck in Italy

The migrant boat shipwreck in Italy led to at least 63 confirmed deaths, including women and children. The migrants had hoped to land near Crotone in search of a new life free from poverty. About 200 migrants from Afghanistan, Pakistan, Somalia, Syria, Iraq and Iran boarded the boat, which had set out from Izmir, Turkey a few days before the shipwreck.

Due to high poverty rates and extreme living conditions in countries like Afghanistan, people are seeking better opportunities through migration. The economic collapse in Afghanistan, worsened by the Taliban’s seizure of power and international donors suspending non-humanitarian funding has created a humanitarian crisis. As of mid-2021, the U.N. Refugee Agency reported that 2.7 million Afghans were displaced across borders worldwide. 

The loss of lives in this incident serves as a reminder of the urgent need for comprehensive solutions to the ongoing migrant crisis in the Mediterranean.

Recent data shows a noteworthy surge in migrant arrivals in Italy compared to the same months in 2021-2022, with the figures tripling. While the peak of the migrant crisis in the EU was witnessed between 2014-2017, this year has seen a steep increase in arrivals, with Ivorians, Guineans, and Bangladeshis being the most represented nationalities.

Many migrants originate from countries with high poverty rates, including Cote d’Ivoire, which experienced a 6.7% rise in GDP in 2022, yet more than 11% of its population lived below the international poverty line. Similarly, extreme weather events and other factors have led to 35 million people continuing to live below the poverty line, as per recent reports.

Taking Action to Resolve the Mediterranean Migration Crisis

The Global Route-Based Migration Programme, initiated by the International Federation of Red Cross and Red Crescent Societies (IFRC) in 2021, aims to improve the safety and dignity of people on the move, including migrants, refugees, asylum seekers, and other displaced individuals, along land and sea-based migration routes in Africa, Europe, the Middle East and North Africa and the Americas.

The program seeks to support 4.7 million people on the move and people in host communities annually by utilizing the expertise and reach of 57 Red Cross and Red Crescent Societies worldwide. It is a tool that can be used to address the migration crisis and improve coordination and collaboration among organizations and governments, while also enhancing support and access to essential needs such as food, water, shelter, information and health care.

The Path Forward

Addressing the root causes of migration and providing support to those in need requires a collaborative effort. In a bilateral meeting on the aftermath of the migrant boat shipwreck in Italy, during a March 2023 EU summit in Brussels, French President Macron and Italian Prime Minister Meloni discussed the need for a common European solution to manage migration and aid those in need. While migration policy has been a point of tension between the two countries in the past, this meeting signifies a step toward finding common ground and working together to address the complex challenges of migration in Europe.

– Elena Maria Puri
Photo: Flickr

For 12 years, Syria has suffered from grinding internal conflict and war. This has strained Syrians and their economy. More than half of Syria’s population has been displaced, both internally as well as in neighboring countries. According to the World Bank, socioeconomic conditions in Syria are deteriorating rapidly. Due to the depreciation of its currency, inflation is “rampant” and real wages are “eroding” which is constantly forcing individuals into poverty. Furthermore, the economic crisis of Syria negatively affects its neighboring countries of Lebanon, Turkey and Jordan. And as the war and conflict continue, poverty reduction in Syria remains minimal.

Poverty and Everyday Struggles

The United Nations International Children’s Emergency Fund (UNICEF) reports that 90% of Syria’s population lives in poverty and struggles to make ends meet for their families. Since the start of the conflict, access to housing, chances for employment, health, education, water and sanitation have all significantly deteriorated. And the COVID-19 pandemic has only intensified the current susceptibility of the population. As a result of extreme poverty, with Syria’s GDP and GNI per capita declining, the World Bank officially reclassified the country as a low-income country in 2018. With this reclassification, the damage done to Syria’s economy since 2011 is emphasized, making the country eligible for funding from the International Development Association (IDA).

In 2022, food insecurity and hunger in Syrian households reached historic highs, with 12.4 million people (more than half the country’s population) reporting some level of food insecurity and 1.3 million reporting severe food insecurity. According to Euro-Med Monitor’s Chief Operations Officer Anas Jerjawi, “the humanitarian response plan for Syria has received only 25% of the necessary funding, which clearly means that the international community has failed millions of Syrians who are exhausted by poverty and conflict.”

The lack of humanitarian response from donor countries halts poverty reduction in Syria. Nearly 14.6 million Syrians require humanitarian assistance and half of them are children. Despite the lack of help from outside entities, there are organizations working to help poverty reduction in Syria as well as provide a humanitarian response.

UNICEF’s Humanitarian Work in Syria

To help poverty reduction in Syria, UNICEF, which focuses on helping children and their families, is applying multiple strategies that aim to reduce poverty and restore educational, health and water systems in Syria. According to its website, the organization is investing in repairing water systems cost-effectively, making sure further degradation of these systems comes to a halt. Along with supporting local supply networks, UNICEF will incorporate climate resilience into its programming. To support learning and maintain the resilience of families, schools and communities, UNICEF will refocus the majority of its investments in education toward initiatives that develop cognitive and capacity-building efforts. It will continue to take the lead in assisting with school rehabilitation, curriculum development and staff training to keep kids learning and catching up.

UNICEF intends to expand its preventative nutrition programs to stop the longer-term detrimental effects of malnutrition on children’s growth and cognitive development. Additionally, this will increase the ability of community volunteers and front-line health workers to educate parents about proper infant and early child feeding techniques. Carrying on with support for partners, especially in the most severely affected areas, UNICEF will work to assist health workers and community volunteers to deliver an integrated package of primary health care.

Oxfam’s Water Rehabilitation in Syria

Oxfam is “a global organization that fights inequality to end poverty and injustice.” Similar to UNICEF, the organization does support work in other areas that poverty impacts. Oxfam, with the help of partners, delivers development initiatives, public education, campaigns, advocacy efforts and humanitarian aid in emergencies and conflicts.

Noting that Syria has the largest refugee crisis in the world, Oxfam has a multi-pronged approach to Syria. This includes the provision of clean water, focus on hygiene and distribution of cash, food and agricultural supplies. Its water infrastructure rehabilitation efforts are benefiting at least 1.5 million people. Additionally, Oxfam intends to assist with solid refugee management and wastewater disposal, as well as promote public health and secure the basic necessities of life for Syrians. Oxfam also focuses on Syria’s neighboring countries that have been affected. In Lebanon, Turkey and Jordan, the organization works to help refugees access clean water and opportunities that can help improve their living conditions.

Looking Ahead

In the face of immense challenges, organizations like UNICEF and Oxfam are working tirelessly to combat poverty in Syria and provide vital assistance to vulnerable communities. Through their efforts, initiatives to repair water systems, improve education, enhance health care and promote nutrition are being implemented, offering hope for a brighter future. Despite the limited funding and lack of support from donor countries, these organizations continue to make a significant impact on poverty reduction and contribute to the overall well-being of the Syrian population.

Brianna Green
Photo: Flickr

Vaccines in SyriaDuring the Eid holidays, the number of border crossings in and out of Syria drastically increased. As a result of such rising travel, the subsequent transmission of COVID-19 and reported cases additionally increased. With the remnants of the aforementioned influx continuing into late August and September 2021, vaccines in Syria are desperately needed, due to Syria being home to one of the fastest increasing rates of infection in the world. Thus, the early September shipment of over 358,000 vaccinations from WHO Turkey came as a welcome respite.

A Broken Healthcare System

As Syria nears the peak of its second infection curve, outside reporters and internal government agents look back at the path that brought Syria to its position of viral precarity. Syria entered the pandemic in a state of civil war that suffered the healthcare system as the most severe casualty. Since the inception of the Syrian civil war, there have been nearly 600 documented attacks on medical facilities. Of these, Physicians for Human Rights attributes over 90% to the state government. As a result of such unabashed violence, nearly 70% of healthcare workers fled the country. The shortage of workers placed yet another strain on an already damaged healthcare infrastructure. Such was the initial state of Syrian healthcare at the genesis of COVID-19.

A Worsening Crisis

Syria, the home to the largest population of Internationally Displaced Persons (IDPs) in the world, found itself massively unprepared for the ills of COVID-19. In the Northwest, nearly 4 million IDPs were equipped with a total of 212 ICU beds designated for pandemic patients. Such a dearth of medical supplies represented the norm across nearly all of Syria.

According to the WHO, COVID-19 transmission in IDP camps increased 200% since August 2021, with over 1,000 new daily cases. Dramatically ill-equipped to address the initial wave of COVID-19, this infrastructure proved similarly ill-equipped for the dissemination of vaccines.

Early estimates of the Syrian government’s capacity to vaccinate its population suggest that as of October 2021, only 2.6% have received both doses. At such a pace, the medical system would require a further 490 days simply to achieve a 10% vaccinated threshold. These predictions arrive in tandem with Syria’s highest infection rate to date, with a daily average of 347 reported on October 20.

New Vaccines, New Hope

Amidst all of this difficulty, NGOs and global organizations such as WHO and the U.N. have sought to aid nations struggling to vaccinate their citizens. One example is the shipment of over 358,000 vaccinations from WHO Turkey, a much-welcomed respite in Syria. In early September 2021, WHO reported the delivery of these vaccines to Northwest Syria by way of the Adana airport. These doses represent more than double the number of previously administered vaccines before their arrival. This arrival resulted from a collaboration between WHO Turkey, UNICEF and the Syrian Immunization Groups.  Their massively helpful collaboration presents just one example of the necessity of international aid in vaccinating the global population, and subsequently, beating this pandemic.

– Jonah Stern
Photo: Flickr

women in the Olympics

The 2020 Tokyo Olympics was highly anticipated for many reasons. One of the most historic reasons is that it was the most “gender-balanced” Olympics in the history of the global competition. With all 206 National Olympic Committees sending “at least one female and one male” athlete from their country, women made up just under half of all competing athletes at the Tokyo Olympics. This Olympics produced many role models for children across the world, but young girls are seeing firsthand the empowerment of women in sports.

Women from across the world broke barriers and became the face of change for women in sports forever. These Olympians left a lasting legacy in their respective sports and represented progress toward gender equality for their home countries. Hundreds of women broke barriers at the 2020 Olympics, but Shelly-Ann Fraser-Pryce, Hend Zaza and Yulimar Rojas were three women whose stories are just as notable as the history they are making.

Shelly-Ann Fraser-Pryce

Earning the nickname “second-fastest woman in history” is no small feat, and Shelly-Ann Fraser-Pryce has left her mark on the world by doing more than just running. Growing up in one of the poorest areas of Kingston, Jamaica, she first discovered the sport by running to primary school every day while barefoot. Fraser-Pryce dedicates her life to more than her sport and has a passion for working with underprivileged kids. Even with a silver medal in the women’s 100m and a gold medal in the women’s 4x100m relay at the 2020 Tokyo Olympics, Fraser-Pryce’s legacy extends beyond the Olympic finish line.

Since 2010, she has served as a UNICEF National Goodwill Ambassador for Jamaica. At the start of the COVID-19 pandemic, she coordinated a fundraiser through her resource center, The Shelly-Ann Fraser-Pryce Resource Centre in Waterhouse. As a result, the Centre supplied computers to allow education to continue during the pandemic for local children. Shelly-Ann Fraser-Pryce is a role model to more than just girls hoping to run as fast as her one day. She also proves to underprivileged kids with upbringings similar to hers that anything is possible when it comes to achieving your dreams.

Hend Zaza

Hend Zaza was the youngest person competing in the 2020 Tokyo Olympics and was also the youngest since the 1992 Barcelona Olympics. At 12 years old, the Syrian native left a mark on the world as a table tennis prodigy with invitations to train in China by the Chinese Olympic Committee. Zaza did not have a conventional upbringing, being born just two years before the civil war began in Syria.

Because of the conflict in Syria, it was difficult for Zaza to train or even travel between cities. Another barrier for Zaza was the lack of funding for competitions and equipment, like paddles and balls. This left her competition experience limited before her qualification for the 2020 Tokyo Olympics. Her training for the Olympics occurred primarily at the Al Faiha Club in Damascus. With little or no air conditioning and frequent power outages, Zaza defeated many odds to make strides at the Olympics. While Zaza did not receive an Olympic medal this time around, her mark on the sport of table tennis and the story of her determination and passion will last for many years.

Yulimar Rojas

Awarded Female Athlete of the Year by World Athletics, Yulimar Rojas makes history as the first Venezuelan woman to win this honor. Rojas won the gold medal while breaking the world record for the women’s triple jump at the 2020 Tokyo Olympics.

Born in a rural and poorer region of Venezuela’s capital Caracas, Rojas grew up in a house known as a “ranchito.” Aside from her impoverished upbringing, Yulimar Rojas was originally not allowed to compete and travel to international competitions due to her father’s disapproval. The societal standard of women competing in sports is a hurdle athletes like Rojas fight to overcome. Venezuela has a long way to go when it comes to gender equality, but Rojas continues to push for her change through her life and impressive athletic career.

The 2020 Tokyo Olympics brought the world together during an unprecedented time. The women on this global stage were not just sources of empowerment to girls who look up to them. They were also representatives of resilience, passion and drive for the world. Gender equality and women’s representation in the 2020 Olympics is just another reason these historic few weeks were something to remember for generations to come.

Annaclaire Acosta
Photo: Wikimedia Commons

Iceland’s Foreign AidIceland, located in the North Atlantic Ocean, has a population of fewer than 400,000 people. The small Nordic island is home to some of the most sought after natural landmarks and tourist attractions such as the northern lights. Although small, the country has provided big backing to countries triple its size through its foreign aid programs. In 2008, Iceland experienced what economists considered to be the most severe economic downturn in its history. After years of hard work, Iceland was able to rebuild its economy and rebounded successfully. Aside from the financial crisis in 2008, the country has been able to maintain relatively low poverty rates with rates remaining at 0.10% from 2013 to 2015. Iceland has paid its good fortune forward by offering assistance to countries experiencing economic fragility. The Icelandic government is committed to fighting poverty by providing support to nations in need. The main objective of Iceland’s foreign aid pursuits is to reduce poverty and hunger while advocating for human rights, gender equality and sustainable development. Three countries, in particular, have been supported by Iceland’s foreign aid.

Syria

Syria has a long history of political turbulence with numerous uprisings dating back to the 20th century. One event, in particular, was especially tumultuous. In 2015, Syria had experienced a major political uproar in one of the largest and oldest cities in the country, Aleppo. “The Battle of Aleppo” began in 2011 in the city of Deraa. Citizens who opposed the leadership of President Bashar al-Assad decided to rebel. This led to a civil war between the Syrian government and protesters who the Syrian government referred to as rebels. The civil war that lasted six years had a detrimental impact on the citizens. There were massive food and gas shortages. Multiple buildings were victim to mass bombings, including schools and hospitals. Civilians were caught in the crossfire and suffered greatly as a result. Iceland stepped in to offer assistance and allocated $600,000 to support civilians impacted by the war in 2015. The country continued in its efforts by supporting Syria with $4 million worth of humanitarian aid in 2016.

Malawi

Malawi holds one of the highest rates of poverty in the world, at 51.5.% in 2016. Malnutrition and infant mortality impact Malawi’s 18.6 million population. The country has experienced notable economic growth in the past three years, with a 4.4% increase in economy in 2019. Unfortunately, these economic gains have been stalled as a result of the COVID-19 pandemic. In early November 2020, the Icelandic government donated $195,000 to the World Food Programme to assist with the COVID-19 response in Malawi.

Uganda

Uganda and Iceland established their relationship in the year 2000. The Icelandic government is committed to enhancing the livelihood of Ugandan fishing communities located in the Kalanga and Buikwe districts. Uganda is one of the largest recipients of Icelandic foreign aid with an annual distribution of $6 million. Iceland’s contributions have seen monumental success with safe water coverage now standing at 77%, up from 58% in 2015. The primary school completion rate in Buikwe is up from 40% in 2011 to a staggering 75.5%.

Iceland: A Foreign Aid Leader

While Iceland may be small in comparison to its peers, Iceland has been tremendously influential in its foreign relations. The three countries above are just a few of the nations that Iceland has assisted. Humanitarian efforts continue to provide support to countries in need through Iceland’s foreign aid.

– Imani Smikle
Photo: Flickr

Child Hunger in IdlibThe Syrian conflict continues to rage through this pandemic. The locus of fighting has shifted to the provinces of Idlib and Aleppo. Since 2019, the Syrian government — with support from Russia — has engaged in various bombing campaigns in the region and sent ground forces as well. Idlib is clearly feeling the effects of this violence. The need for aid in the province grows alongside the increasing size of the humanitarian crisis. One particularly important but overlooked aspect of the devastation in Idlib is the rising cost of food. Child hunger in Idlib is a result of the rise in levels of food among the youth due to price increases.

The Issue

Child hunger in Idlib — for infants in particular — has become an area of concern as COVID-19 has become more prevalent throughout the country. One big factor is that food has generally become much less accessible. According to The New Humanitarian, “‘An infant needs one container of formula per week, but the price has risen to $12,’ up from $9 three months ago … For many parents, that sum is out of reach.” This increase in price manifests itself often in the form of Severe Acute Malnutrition (SAM). The disease primarily affects children under the age of 5, is highly dangerous and often turns life-threatening. Effects of SAM include a process known as “stunting,” which limits the physical growth in very young children. Stunting and other effects of SAM lead to other problems later in life for these children.

Another frequent issue is malnutrition in pregnant and breastfeeding women. It not only affects them personally but impacts the growth of their infants as well. The New Humanitarian also reports a rise in SAM hospital cases over the summer of 2020. The ratio jumped to 97 out of 1,692 people screened from the January status of 29 out of 2,199. This is likely a lower estimate given the number of people who cannot get screened or don’t have access to testing. Time is of the essence after receiving a SAM diagnosis. Once a child with this condition reaches 2 years of age, they will likely deal with the consequences of SAM for the rest of their life.

Fighting Worsens the Problem

Child hunger in Idlib — and in Syria more widely — is deeply concerning. The issue is compounded by the broader poverty levels and violence that plague the entire country. As a result of the fighting, the majority of  Syrians are internally displaced from their homes.

There is no clear end in sight to the fighting between rebel forces and the Syrian state military. Refugee camps are essentially at capacity and can’t withstand an influx of people if the civil war persists. Additionally, COVID-19 continues to ravage the country, which will likely increase the number of Syrian refugees and displaced persons.

In addition to the housing issue, food scarcity is prevalent in the country. Food options are usually unavailable or unaffordable. As such, many Syrians rely on foreign assistance and aid from NGOs as resources for food.

Aid

There are, however, numerous aid organizations and NGOs working to provide food security and address the growing refugee crisis. They are especially targeting the northwest, where Idlib is located. The Syrian American Medical Society (SAMS) is an organization working to expand health care access to those who need it. SAMS also provides meals to both children and adults at risk of food insecurity. Yet another part of their work focuses specifically on care for those with Severe Acute Malnutrition.

SAMS fights against child hunger in Idlib and throughout the rest of the country. They report that in 2019, the last year for which data is available, SAMS performed more than 2.5 million medical services for the Syrian population, at no or greatly reduced cost. Since 2011, they have provided more than $207 million worth of aid and medical resources as well.

SAMS and other similar organizations are vital to the survival of millions of Syrians. However, there is still more to be done. The international community must redouble their efforts to provide resources to those displaced and malnourished. Everyone must work to end the violence that has been a constant in the country for so long.

Leo Posel
Photo: Flickr

Refugee CrisesWars, persecution and horrific conditions caused by extreme poverty created 36 million refugees around the world. 24 million of these refugees come from just 5 countries: Syria, Venezuela, Afghanistan, South Sudan, and Myanmar. Here’s a look into the five largest refugee crises of our time.

Syria

Syria has 5.6 million refugees and is among the largest and most well-known refugee crises today. When the government cracked down on peaceful student protests, the Syrian Civil War started March 15, 2011 and has now killed 500,000 people.  Bombing infrastructure destroys living conditions resulting in 6 million people being displaced. With 70% of Syrians living in extreme poverty, nearly 11 million Syrians need humanitarian aid. Due to conflict, aid groups are struggling to access the areas that need assistance.

One-fourth of the world’s refugees are from Syria. Turkey and Germany host many Syrian refugees. The neighboring country of  Turkey hosts the most refugees in the world, totaling 3.6 million Syrian refugees. To handle the large influx of refugees in its country Turkey is working to improve refugee conditions. Germany hosts 1.1 million Syrian refugees. Germany recently obtained the EU presidency and plans on reforming the asylum rules so there will be a more equal number of refugees among EU states. The Syrian refugee crisis has lasted a decade and affects over 17 million people globally. If Turkey and Germany continue to work to adjust laws regarding asylum, more Syrian refugees will be able to find a safe haven in those countries.

Venezuela

Venezuelan refugees number 3.7 million. In 2014, oil prices fell and created an economic collapse. The current inflation rate of 15,000%  has pushed 14 million Venezuelans to live in extreme poverty on less than $1.90 a day. Shortages of food, water, and medicine constantly threaten the health of Venezuelans. Hyperinflation and lack of resources drive refugees from this crisis into bordering countries such as Columbia.

Columbia hosts the second most refugees in the world with 1.8 million Venezuelan refugees. The Columbian government is working to include Venezuelan refugees economically by providing Special Stay Permits that allow more than 100,000 refugees to earn a living working in the country.

Afghanistan

Forty years of conflict following the Soviet invasion in 1979 created 2.7 million refugees from Afghanistan. Political uncertainty and conflict have led to 2 million people being displaced in Afghanistan. Natural disasters and attacks on aid workers prevent those displaced from receiving much-needed support. Pakistan and Iran host most of these refugees.

With one out of every ten refugees being from Afghanistan, this crisis needs immediate attention. Pakistan hosts 1.4 million Afghan refugees and is working with the UN to provide more schooling opportunities. However, if conditions improve in Afghanistan, it is possible that 60,000 refugees could return to Afghanistan.

South Sudan

Around 2.2 million refugees are from South Sudan. South Sudan is the youngest nation in the world after becoming independent from Sudan in 2011. In 2013, a civil war broke out causing 383,000 deaths due to violence and hunger. Meanwhile, 4 million people became displaced from their homes. Food insecurity caused by famines and war has left 5.5 million people hungry.  Malnourishment greatly affects the development of children, who make up 63% of this refugee population. This is the largest refugee crisis in Africa, with most refugees fleeing to Ethiopia and Uganda.

Uganda hosts 1.7 million refugees and works to integrate them into society by providing them with land.
Currently, there is a mental health crisis among refugees. Suicides are on the rise, and COVID-19 puts an even bigger strain on the health of South Sudanese refugees. If Uganda gains more funding, it can improve the mental health of refugees by providing more support. Uganda’s progressive approach to refugees can help South Sudanese refugees start a new life.

Myanmar

The Rohingya Crisis has created 1.1 million refugees from Myanmar. Myanmar is a Buddhist country, but the Rohingya Muslims are a minority group. The Myanmar government refuses to recognize the Rohingya people as citizens, therefore they are a stateless people. In 2017 the Myanmar army burned up to 288 Rohingya villages and carried out mass killings.  To escape persecution, over 700,000 people have fled to Bangladesh and now stay in the largest refugee camp in the world: Cox’s Bazar. In 2020 the United Nations International Court of Justice has called for an end to the violence against the Rohingya and for the government to recognize the Rohingya as citizens.

Future of Refugees

Conflict and poverty are creating refugees in 2020. Most refugees originate from Syria, but Venezuela’s numbers are beginning to rise to the same level. Host countries need to continue to reform government laws to include refugees in their communities. Millions of people, both refugees and host countries, are globally affected by the current refugee crises.

— Hannah Nelson

Photo: Flickr

Top 7 Facts About Women’s Health for Syrian RefugeesSyrian refugees face a variety of hardships in their daily lives, especially those with families. Syrian refugee women often have trouble finding the care that they need for themselves and their children. This is often due to the fear of being sent back to Syria. However, many countries are making changes in order to help these women by creating policies specifically for refugees. Below are seven facts about women’s health for Syrian refugees.

Top 7 Facts About Women’s Health for Syrian Refugees

  1. Around 75 percent of Syrian refugees are women and children. The stresses of living life as a refugee bring on many of the conditions that require medical care in this group. The most common medical conditions Syrian refugee women report include gynecologic problems, “micronutrient deficiencies, sexually transmitted diseases and mental health” disorders.
  2. Many countries hosting a large population of Syrian refugees are making health needs a priority, especially for women. Iraq, Jordan, Lebanon and Turkey host a total of 5 million Syrians. This makes up to almost 95 percent of the registered Syrian refugees in the world. Studying the needs of refugees in each country can give organizations an idea of what aid is needed most and where. In studying the health needs of refugees, women’s health is the second-highest priority behind mental health.
  3. Many international organizations have begun to focus on getting Syrian refugee women better access to healthcare as well as health education. Hilfswerk International is an organization in Austria that is doing this. Hilfswerk focuses on bringing medical services and healthcare education to a specific city in Lebanon. These services include classes, an increase in the capacity of ambulances, pregnancy and delivery services, nutrition and mental health support. Hilfswerk hopes this initiative will enhance the health of many Syrian refugee women and their families.
  4. Non-governmental organizations have comprised enough data to provide relative care to Syrian refugee women in countries like Lebanon and Jordan. However, this is not the case for Turkey. Turkey has strict rules that do not allow organizations or journalists to report on the refugee camps. Consequently, there is not enough data on what Syrian refugee women need with medical care.
  5. Due to Jordan having a history of an open border with Syria, the country is relatively well off when caring for its refugee population. The government of Jordan has policies for reproductive health services and provides free primary healthcare as well as immunizations for children. All women in Jordan have access to maternal care, postnatal care and trained professionals present during deliveries.
  6. In 2012, U.N. Women created a cash-for-work program for refugee women called Oasis at the most populated refugee camp in Jordan. Oasis trains refugee women to do jobs such as tailoring and hairstyling in order to provide to their families. U.N. Women also teaches women how to secure a work permit. Furthermore, it has hosted job fairs for jobs outside of Oasis. The program gives refugee women skills and a way to provide for their families. In addition, Oasis helps refugee women to create a safe community and supports mental well-being.
  7. UNICEF has created an initiative called “Dining for Women.” Dining for Women includes a $100,000 grant that provides Syrian refugee women with safe jobs and addresses the need for an increase in maternal care in Jordan. UNICEF will provide kits to women and their babies that include clothing, diapers, blankets and hygiene products. They also provide monthly payments and prenatal/postnatal counseling.

These seven facts about women’s health for Syrian refugees show that there is important work to be done. Thankfully, there are organizations working on addressing the needs of refugees, especially women.

Alyson Kaufman
Photo: Flickr

Poverty and Violent Extremism
Addressing violent extremism requires going beyond a strictly military approach to address the root causes of radicalization. While many have argued that poverty is a leading factor behind radicalization, the relationship between poverty and violent extremism is complex. Poverty by itself does not necessarily lead to a rise in violent extremism. However, societal exclusion and marginalization, which poverty links to, have a significant capacity to propel people to violence.

Government Failure

A more accurate way of determining the relationship between poverty and violent extremism is to examine not just individual cases of poverty, but entire structures that lead to deprivation and exclusion. A variety of societal factors can drive people to extremism. Firstly, a failure of state governments to provide social services not only results in poverty but allows extremist groups to fill the service gap. Secondly, distinct economic inequality between social groups can lead to grievances and disillusionment which makes extremist viewpoints more attractive. Connected to this form of inequality is social exclusion, in which society relegates one group to its outskirts. Without an ability to fully participate in the community and take part in the political process, people may become desperate for a sense of belonging and empowerment, two things which extremist groups promise.

Feelings of abandonment and resentment are prone to occur in weak states which are unable to provide their citizens with security and basic services. This not only heightens inequality, but it also means that impoverished people may come to rely on terrorist groups to provide services. By filling this role of a social service provider, extremist groups can ingratiate themselves with the community and gradually recruit. Multiple terrorist groups have succeeded in proliferating through this welfare terrorism strategy.

Hezbollah, for instance, has established schools, medical centers and agricultural programs among Shiite populations in Lebanon, while Hamas has made similar investments in education, health and cultural establishments in the West Bank. The Taliban and Al Qaeda have both established religious schools which are sometimes the only educational option available in poor regions, leaving parents with little choice but to send their children to schools that can teach violent ideologies. The failure of governments to provide education, health and social services aids this phenomenon. When terrorist groups provide these services, it not only encourages the population to accept extremists into their community, it also delegitimizes the state and political system.

Inequality and Discrimination

Additionally, it is necessary to evaluate poverty in context within a country in order to determine its relationship to violent extremism. Relative poverty tends to be more of a factor than absolute poverty in radicalizing someone towards violence. In other words, while poverty on an individual level is unlikely to prompt someone to become an extremist, the existence of societal poverty or marked inequality between social groups, can have that effect. People know inequality between groups, in which one group has privilege over the other, as horizontal inequality and it is particularly likely to lead to grievances and the perception of injustice.

One can find an example of horizontal inequality in Syria, where significant disparities have existed for decades between Sunni and Shia Arabs. Under the Al-Assad regime, Sunnis, who make up the majority of the population, have faced economic hardship and discrimination in favor of Alawite elites. Syria is one of the most economically unequal countries in the region with a GINI coefficient of 38.8, and regions of the country have experienced development in a very uneven way. Terrorist groups such as ISIS and Al Qaeda have been able to exploit Sunni anger at the state to recruit in Syria.

Social Exclusion

Social exclusion is also a crucial factor in driving people towards violent extremism. The U.N. defines social exclusion as a “lack of participation in decision-making processes in civil, socio-economic and cultural life” and the institutionalized withholding of rights which make it impossible to fully integrate with the broader community. When whole social groups receive systematic alienation, group members can become desperate for a sense of belonging and autonomy. This makes them ripe targets for recruitment into terrorist groups, which offer a sense of inclusion and identity.

As one young man in Kenya describes it, “poverty feeds terrorism by eroding a basic human need: the need to belong… Poor people have no stake in nations and economies that ignore them.”As he points out, a lack of economic resources means people are denied the chance to fully participate in and contribute to society. Instead, they spend all their time merely trying to survive. When young people are unable to find productive work and feelings of alienation and deprivation overwhelm them, it can tempt them to join gangs and terrorist networks. These provide not only money but a sense of belonging and utility. Additionally, an inability to enact change through undemocratic political systems may prompt people to turn to violence as an attempt to restore justice.

Activists in marginalized communities have worked to combat this problem through programs which provide not just economic assistance, but a sense of community. For instance, Shining Hope for New Communities (SHOFCO), works in Kibera and Mathare. The organization runs a school for girls that provides tuition-free learning as well as free nutrition and health services for students and their families. The organization also issues microloans which allow people to start small businesses and gain financial stability. Crucially, SHOFCO also works to provide a sense of community for residents through theater, soccer programs and employment advice sessions.

The Role of Foreign Aid to Reduce Violent Extremism

Beyond programs like these, foreign aid has significant potential to reduce the circumstances which can drive people to violent extremism. It is important that aid goes beyond economic assistance to address the sources of grievances which can lead to radicalization. Multiple studies have found that high levels of civil liberties and a strong rule of law correlate with a low number of domestic terrorist attacks. Repression and weak rule of law not only delegitimize the state, but they also deny citizens appropriate channels for addressing grievances through the political system, leading some to take up violent means. With this in mind, foreign aid which focuses on good governance and promoting civil society has the potential to reduce extremism.

One study which examined the number of terrorist attacks in countries from 1997 to 2020 found that governance and civil society assistance results in fewer terrorist attacks in countries that were not experiencing a civil war. As this study shows, investment in foreign aid has the ability to reduce violent extremism, which is one of the key priorities of U.S. national security policy. If U.S. policymakers want to stop the spread of violent extremism, they should support programs that promote providing people with basic needs, economic equality and give people a stake in their community.

Clarissa Cooney
Photo: Flickr

Health Costs of The Syrian Civil War
The Syrian civil war, which began in 2011, has led to a monumental refugee crisis, hundreds of thousands of deaths, the rise of the Islamic State of Iraq and Syria (ISIS) and destabilization in the Middle East. Yet another devastating effect of the war is the health consequences for people still living in Syria. Civilian doctors and nurses in active war zones face significant challenges not encountered in peacetime. These include a massive amount of trauma victims, shortages of medical equipment and personnel, infectious disease epidemics and breaches in medical neutrality. Here are 10 health costs of the Syrian civil war for the Syrian people.

10 Health Costs of the Syrian Civil War

  1. Because of the war, Syrian life expectancy has plummeted by 20 years from 75.9 years in 2010 to 55.7 years through the end of 2014. The quality of life in Syria has also worsened. As of 2016, 80 percent of Syrians are living in poverty. Moreover, 12 million people depend on assistance from humanitarian organizations.
  2. The civil war devastated Syria’s health care infrastructure, which compared to those in other middle-income countries prior to the war. By 2015, however, Syria’s health care capabilities weakened in all sectors due to the destruction of hospitals and clinics. The country faced a shortage of health care providers and medical supplies and fear gripped the country.
  3. The Syrian Government has deliberately cut vital services, such as water, phone lines, sewage treatment and garbage collection in conflict areas; because of this government blockade, millions of Syrian citizens must rely on outside medical resources from places like Jordan, Lebanon and Turkey. In 2012, the Assad regime declared providing medical aid in areas opposition forces controlled a criminal offense, which violates the Geneva Convention. By the following year, 70 percent of health workers had fled the country. This exodus of doctors worsens health outcomes and further strains doctors and surgeons who have remained.
  4. The unavailability of important medications presents another health cost of the civil war. Due to economic sanctions, fuel shortages and the unavailability of hard currency, conflict areas face a severe shortage of life-saving medications, such as some for noncommunicable diseases. Commonly used medicines, such as insulin, oxygen and anesthetic medications, are not available. Patients who rely on inhaled-medications or long-term supplemental oxygen often go without it.
  5. A lack of crucial medications has led to increased disease transmission of illnesses, such as tuberculosis. Furthermore, the conditions Syrians live in, for instance, the “tens of thousands of people currently imprisoned across the country… offer a perfect breeding ground for drug-resistant TB.”  Indeed, the majority of consultations at out-patient facilities for children under 5 were for infectious diseases like acute respiratory tract infections and watery diarrhea. According to data from Médecins Sans Frontières-Operational Centre Amsterdam  (MSF-OCA), the largest contributor to civilian mortality was an infection.
  6. In addition to combatant deaths, the civil war has caused over 100,000 civilian deaths. According to the Violation Documentation Center (VDC), cited in a 2018 Lancet Global Health study, 101,453 Syrian civilians in opposition-controlled areas died between March 18, 2011, and Dec 31, 2016. Thus, of the 143,630 conflict-related violent deaths during that period, civilians accounted for 70.6 percent of deaths in these areas while opposition combatants constituted 42,177 deaths or 29.4 percent of deaths.
  7. Of the total civilian fatalities, the proportion of children who died rose from 8.9 percent in 2011 to 19.0 percent in 2013 to 23.3 percent in 2016. As the civil war went on, aerial bombing and shelling were disproportionately responsible for civilian deaths and were the primary cause of direct death for women and children between 2011 and 2016. Thus, the “increased reliance on the aerial bombing by the Syrian Government and international partners” is one reason for the increasing proportion of children killed during the civil war according to The Lancet Global Health report. In Tal-Abyad’s pediatric IPD (2013-2014) and in Kobane Basement IPD (2015–2016), mortality rates were highest among children that were less than 6 months old. For children under a year old, the most common causes of death were malnutrition, diarrhea and lower respiratory tract infections.
  8. The challenges doctors and clinicians face are great, but health care providers are implementing unique strategies that emerged in previously war-torn areas to meet the needs of Syrian citizens. The United Nations (the U.N.) and World Health Organizations (WHO) are actively coordinating with and international NGOs to provide aid. The Syrian-led and Syrian diaspora–led NGOs are promoting Syrian health care and aiding medical personnel in Syria as well. For instance, aid groups developed an underground hospital network in Syria, which has served hundreds of thousands of civilians. These hospitals were “established in basements, farmhouses, deserted buildings, mosques, churches, factories, and even natural caves.”
  9. Since 2013, the Médecins Sans Frontières-Operational Centre Amsterdam (MSF-OCA) has been providing health care to Syrians in the districts of Tal-Abyad in Ar-Raqqa Governorate and Kobane in Aleppo Governorate, which are located in northern Syria close to the Turkish border. The health care MSF-OCA provided included out-patient and in-patient care, vaccinations and nutritional monitoring.
  10. New technologies have enabled health officials to assist in providing aid from far away. For instance, telemedicine allows health officials to make remote diagnosis and treatment of patients in war zones and areas under siege. One organization that has used this tool is the Syrian American Medical Society, which “provides remote online coverage to nine major ICUs in besieged or hard-to-access cities in Syria via video cameras, Skype, and satellite Internet connections.” Distance learning empowers under-trained doctors in Syria to learn about disaster medicine and the trauma of war from board-certified critical care specialists in the United States.

Conditions on the ground in Syria make it more difficult for Syrian citizens to receive vital medical aid from health care workers. Many people and organizations are working diligently to help injured and sick Syrians, however. These 10 health costs of the Syrian civil war illuminate some of the consequences of war that are perhaps not as storied as the refugee crisis. While aiding refugees is an undoubtedly worthy goal for international NGOs and governments, policymaker’s and NGOs’ agendas should include recognizing and alleviating the harm to those still living in Syria.

Sarah Frazer
Photo: Flickr