Access to medical services and psychological condition of internally

displaced persons (according to the results of the social research

“Needs assessment among internally displaced women and aged people in Ukraine”)

International Academic and Research Conference“Internally displaced persons in Ukraine: fundamentals and opportunities”

February 27, 2015

IDPs’ assessment of their health condition

Very good, 2,2%

Rather bad, 22,8%

Satisfactory, 55,6%

Rather good, 16,2%

Very bad, 3,2%Very good + Rather goodF-HH – 18,4%F-P – 4,8%M (60+) – 1,1%F (60+) – 0,7%

Very bad+ Rather badF-HH – 6,7%F-P – 0,4%M (60+) – 4,8%F (60+) – 7,5%

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After displacement to another territory IDPs demanded governmental assistance in:

- receiving medical services (45,7%) ---- every 6th has not received- receiving medicine (26,9%) ---- every 4th has received

Experience of respondents’ and family members’ addressing to medical establishments, %

32.3% (N=323) – have not addressed personally or family members to medical establishments according to the current

place of residence

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Main reasons of non-addressingF-HH F-P

M (60+)

F (60+)

Among all

Are not sure that anybody would help 7.9 0.0 17.6 10.2 9.6

Hope that will be able to return to our permanent place of residence 8.3 0.0 5.9 16.3 9.0

Believe that this service is on a fee paid basis for migrants 9.3 0.0 5.9 6.1 8.0

Is situated far from the place of residence 5.6 0.0 3.9 16.3 6.8

It is necessary to stand in a huge queue 1.9 0.0 7.8 6.1 3.4

Diseases that complicate everyday life of IDPs, %

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F-HH F-PM

(60+)F

(60+)Among

all

Cardio-vascular diseases (high pressure, hypertension etc.) 18,4 5,9 58,6 74,7 31,6

Migraine or frequent headache 20,9 8,9 20,3 29,0 20,9

Chronic physic tension and depression 18,9 8,9 15,8 21,6 17,9

Joint and spine diseases 9,6 1,0 35,3 30,2 15,5

Eyesight and hearing problems 9,6 1,0 24,8 26,5 13,5

Digestive organ diseases 7,5 2,0 20,3 13,6 9,6

Endocrine system diseases 4,8 5,9 4,5 8,6 5,5

No diseases 42,7 66,3 9,8 3,7 34,4

Diseases that more than 5% of respondents have indicated

List of the most required medical specialists for regular supervision during the nearest six months, %

For adults:• General Practitioner• Cardiologist• Dentist ------- dental prosthetic rehabilitation• Ophthalmologist -------------- glasses

For children:• General pediatrician• Psychologist

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THERE IS A NEED

Spheres of demonstration of unfair, prejudicial attitude related to the migrant status (% of those who personally or whose family members have constantly experienced that)

6

F-HH F-PM

(60+)F (60+)

Among all

In search of a job, additional income 14,2 4,0 7,5 3,1 10,5

In solving accommodation problems (accommodation search/rent) 8,1 6,9 3,0 4,3 6,7

Upon salary agreement you were offered significantly lower salary 9,4 3,0 1,5 1,9 6,5

Upon drawing up welfare payments, subsidies etc. 3,3 1,0 2,3 1,9 2,7

Upon pension receiving 0,8 0,0 3,0 1,9 1,2

Upon medical services receiving 1,8 1,0 0,8 2,5 1,7

Upon bank services receiving 1,3 0,0 0,8 1,2 1,1

Upon legal services or consultations receiving 0,5 0,0 0,0 0,0 0,3

Proportion of respondents who faced various kinds of violence during the last 12 months, %

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Kind of violence

… TOWARDS ONESELF PERSONALLY

…TOWARDS OTHER PEOPLE

F-HH F-P M (60+) F (60+)Among

allF-HH F-P M (60+) F (60+)

Among all

Psychological 18 18 17 14 17 28 28 24 20 26

Physical 17 13 20 11 16 24 19 25 17 22

Economical 18 9 12 12 15 22 28 27 17 22

Sexual 0.2 0 0 0 0.1 1 2 0 0 0Faced other

kinds of violence

29.5 39.8

•Economical and physical violence (8,4%)•Psychological and physical violence (8,6%)•Economical and psychological violence (7,2%)

Respondent answer distribution: “Do you know where you can address in case of facing various kinds of violence?”, %

8(the alternative choices which were chosen by more than 2% of respondents are represented)

To police

To the representatives of volunteer (non-governmental) organizations

To social services (social workers)

To family members

To friends/acquainted

To a lawyer

To a psychologist

To a medical establishment (medical workers)

I do not know where to address

0 10 20 30 40 50 60

52,6

9.8

8.6

8.2

5.5

2.5

2.3

1.2

37,9

Reasons of refusal to ask for help in case of facing various violent actions, %

There is nobody to ask for help

Believe that they can solve the situation themselves

Shameful

Do not know where to ask for help

Believe that it is a normal occurrence

Are afraid to ask for help because they believe that it would get worse

Do not believe that anybody can help them

1

9.3

9.7

14.1

22.8

25.5

47.5

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CONCLUSIONS

• IDPs need medical care, especially the first team of specialists (internists, pediatricians)

• Respondents more often note on violence with respect to others than to themselves.

• The most common kinds of violence are mental, physical, and economical, only few people reported about sexual violence.

• The population needs to get information on institutions and organizations that help in the event of violent acts (reason of non-appealing – "I do not believe that anybody will help").

• People have experienced an unfair, biased attitude in connection with the status of migrants in finding a job or extra money and solving housing problems.

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RECOMMENDATIONS

To pay attention to IDPs access to necessary medical careTo focus on access to psychological support of IDPs’

families, including children. In this regard, to ensure appropriate personnel with additional training taking into account the needs of IDPs

To provide complete information about places where you can apply in case of acts of violence

To conduct outreach to the general population to reduce social pressure on IDPs, including taking into account regional features

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Thank you for your attention!!!!

Additional information:

Bondar Tetyana,

O. Yaremenko UISR,

Теl./fax: (044) 501 50 75; (044) 501 50 76

bondar@uisr.org.ua http://www.uisr.org.ua

Osaulenko Olga,

UNFPA Representation office in Ukraine,

Теl./fax: +38 044 253 00 53

osaulenko@unfpa.org http://www.unfpa.org

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