Strategic country mission to Libya advances health of migrants and displaced people

25 May 2018
A high-level WHO mission to Libya took place on 4–7 May 2018 to review the migrant health situation in the country, to identify the immediate public health needs and discuss the best ways to address them. The mission was led by Dr Ranieri Guerra, WHO Assistant Director General of Special Initiatives, and it included Dr Jaffar Hussain, WHO Representative and Head of Mission in Libya; Dr Santino Severoni, Coordinator of Public Health and Migration for WHO/Europe; and Dr Ali Ardalan, Emergency Coordinator WHO Libya. The high-level mission was a joint effort of WHO headquarters, WHO/Europe and the WHO Regional Office for the Eastern Mediterranean, in line with WHO’s interregional collaboration approach.

The aim of the mission was to actively promote an approach that emphasizes universal health coverage, ensuring that migrants and displaced people are not left behind. It also provided an opportunity for WHO to establish and strengthen cross-border, multicountry operations and collaboration between country offices in states that share borders or that are involved in the regional movement of migrants, refugees and internally displaced people (IDP).

As of February 2018, Libya had more than 700 000 international migrants according to the International Organization for Migration (IOM), with some sources citing a figure as high as 1 million. International migrants make up approximately 12% of the total population in Libya. Human Rights Watch reports that of the more than 200 000 migrants and asylum seekers that reached Europe by sea in 2017, most departed in boats from Libya. Migrants attempting to make the crossing to Europe are sometimes intercepted and detained by coastguard forces. As of 23 February 2018, more than 2500 refugees and migrants had been disembarked in Libya by the national coastguard following operations at sea.

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Strategic country mission... 1

The high-level delegation from WHO arrives in Tripoli. Due to the current security situation, armoured vehicles are used to move around the country.

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The mission was led by Dr Ranieri Guerra, WHO Assistant Director General for Special Initiatives. He was accompanied by Dr Syed Jaffar Hussain, WHO Representative and Head of Mission in Libya; Dr Santino Severoni, Coordinator of Public Health and Migration for WHO/Europe; and Dr Ali Ardalan, Emergency Coordinator WHO Libya. The mission began with a briefing at the WHO Country Office.

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The mission included meetings with several high-level stakeholders, such as the Minister of Health for Libya, the Special Representative of the United Nations Secretary General, the Minister of Internally Displaced People for Libya, the Commander of the Libyan Coastguard and the Director-General of the Directorate for Combatting Illegal Migration (DCIM).

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The delegation from WHO received a security briefing before site visits to detention centres and community health centres for migrants. Libya continues to present one of the most complex mixed migration situations, with different groups having different immediate needs and falling under different protection frameworks.

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The delegation visited the Gorgi Detention Centre and its medical clinic, run by the Libyan government. During the course of the visit, WHO staff had the chance to meet and interview managers at the centre, as well as detainees. This gave the delegation a chance to assess living conditions and health services. At the International Medical Corps (IMC) Community Centre, members of the WHO mission met with migrants and gained a first-hand understanding of the programmes and services offered at the centre. These include an outpatient clinic, immunization services, psychosocial and financial support services.

 

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Expanding health coverage to people at detention centres like the Gorgi Detention Centre, as well as to migrants living in communities, has been identified as a priority.

 

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A final briefing with the Minister for IDP provided the opportunity to discuss what had been experienced and learned during the mission, as well as the potential for future collaboration on the response for migrant health.

 

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