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Resolution 4: Health Care in Danger: Continuing to protect the delivery of health care together

Report on resolution 4:

– Date: 31.07.2019

– Country: Canada

– Type of entity:  National Society

Which measures have you put in place in order to enhance the secure functioning of health care facilities and medical transport? 
The Canadian Red Cross is currently examining specific recommendations produced from the expert workshops with a view of identifying which measures to implement in support of our programming internationally. The CRC’s focus is on working in the last mile and fragile contexts, we recognize that in high risk contexts there are many potential HCiD issues.
In CRC’s project with the Afghanistan RC, in order to enhance the security of female health care workers (Midwives) who are part of our mobile clinic, we have included a MEHRAM (male member of their family) to join them. We provide the MEHRAM with training in CBHFA so they have a complimentary role in the team.

ii) What strategies has your National Society adopted to promote and implement the HCiD recommendations throughout the country?
The Canadian Red Cross’s focus on HCiD has been in support of our international work and operations. Our focus has been on ensuring that our operations in higher risk contexts are well protected, especially in support of our National Society partners in the field. In regards to promotion of the HCiD recommendations, the CRC has integrated HCiD as a main theme within our work on International Humanitarian Law, and committed to awareness raising. This includes hosting academic conferences across the country which have been focused on HCiD. For example, in the year 2016 the CRC held eight conferences which either directly or indirectly focused on HCiD. These conferences bring together leading academics and other experts to engage with young Canadians and other stakeholders (i.e. from government or other NGOs), raise awareness but also generate dialogue on key IHL issues including HCiD.
CRC has signed an Advanced Partnership in Health with ICRC working on jointly delivering community health care in complex contexts. The first two pilot countries identified are South Sudan and Central African Republic. A fundamental component will be working on HCiD, ensuring that all recommendations for the safety of security for patients, staff and volunteers, particularly local, are considered as the concept note is developed to ensure safe and secure way of service delivery for women and children
CRC has also spoken and promoted the HCiD project and the concrete recommendations generated in numerous health related conferences/events including at the Canadian conference for Global Health and most recently the WADEM conference in Toronto, Canada in 2017. We will continue to discuss HCiD related themes in upcoming conferences in 2019.

Which concrete actions have you conducted to collect and analyze data related to violence against health care? How did you use this information to develop practical measures to address such violence? 
At this time, the CRC does not have a data collection mechanism that looks at these issues specifically.

What decisions have you taken to enhance your staff and volunteers’ understanding of the rights and responsibilities of health care personnel? In addition, have you implemented concrete measures (e.g. Safer Access Framework) to ensure the safety of health care delivery? 
The CRC has integrated HCiD into the training we provide for delegates sent to the field. This includes using the training module on the rights and responsibilities of health care personnel as well as distributing a hard copy of the guide. This is in addition to existing training and materials provided on the importance of abiding by the Fundamental Principles and other relevant RCM frameworks. Moving forward, the CRC is in discussion with IFRC to fund a standardized learning module on HCiD and SAF to train surge delegates.
This training would aim to provide information on why these issues are important in their operations, looking at the implications for service delivery.

As an auxiliary to your government, which activities have you initiated to promote, advocate for, and address the issue of violence against health care with your government? 
Within our work on IHL, the CRC engages in dialogue with authorities, including the Canadian Armed Forces. We work closely on training and have a dialogue on the protection of the medical mission. CRC also has encouraged the Government of Canada to speak about HCiD, calling out attacks when they occur and working to strengthen understanding of and provisions for ensuring the safety of health care workers, facilities and patients.