Integrating rehabilition of torture victims into the public health of Iraq.
Author: Al Saffar S.
Source:
Torture: quarterly journal on rehabilitation of torture victims and prevention of torture, 17(2), 156-168.
For the last three decades torture has been highly prevalent in Iraq. Surveys
indicate that close to 50% of households have family members who have been
tortured. The traumas of two subsequent wars further add to the traumatisation of
the population as does the persistent violence. Re-traumatisation makes healing
difficult. As a result trauma-related disorders are likely to be the number one
public health problem in Iraq. In December 2004, the author was tasked with the
responsibility of planning and implementing rehabilitation activities for victims
of torture in Iraq. Basra, in southern Iraq, was chosen as the place for the
first clinical treatment and rehabilitation Centre, the Al-Fuad Centre for
Rehabilitation of Torture Victims (FRCT). The Centre was to function as a
training institution for the entire country. In a effort to bridge the gap
between vast needs and limited resources, the Centre has begun applying a public
health perspective, which means to develop its work in relation to the concepts
of illness prevention and health promotion. Treatment and rehabilitation, i.e the
secondary and tertiary levels of prevention, can be multiplied through the
training of professionals who will be able to establish treatment facilities in
new areas of Iraq. By training GPs, psychiatrists and physicians and by expanding
FRCT services to victims' families, signs and symptoms of trauma can be addressed
at early stages of disorder and long-term illness averted. Human Rights advocacy
and legal work at the Centre will address the primary level of prevention through
diminishing human rights abuses. Finally, engaging in the reconstruction of the
civil society alongside other NGOs and government authorities is to build
democracy, which is a cornerstone of health promotion, especially so when the
illness panorama is related to violence.