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Apr 2004

Russian Federation :: Medecins Sans Frontieres OPENS DAY CENTRE FOR MOSCOW STREET CHILDREN

Today, Thursday April 15th, Médecins Sans Frontières is opening a new day centre providing occupational and pedagogical activities for street children in Moscow. Aimed principally at developing their potential, the centre will also offer basic health education as well as psychosocial assistance.

Moscow has more than 10,000 street children, and many of them- often living in abject poverty- have fled terrible living conditions, displacement or neglect, but fare little better in the streets of the Russian capital where the risk of violence and substance abuse is high. Their health is often problematic, including injuries, side-effects from drug usage, sexually transmitted diseases (STDs) and unwanted pregnancies. While they are predominantly boys, the number of girls is increasing.

“These teenagers need a place to turn to”, explains Médecins Sans Frontières project coordinator Gabriella Muretto. “They come from all over the former Soviet Union and have ended up on Moscow streets, where they face harsh conditions and are vulnerable to abuse. If we can build a relationship with them and improve their physical and mental well-being, these children will have a much better chance of both coping with their current life and developing an alternative to living on the streets.”

The program aims at establishing a confidential relationship with the children through a network of Médecins Sans Frontières social workers, to share every day life with them and offer improved social relationships as an alternative to those built in street gangs. The close relationship with the Médecins Sans Frontières street workers offers the children better protection as well because they have improved access to direct assistance when confronted with illness and violence for example.

Parallel to the work on the streets, the new day care centre offers the children a place to go, providing occupational and pedagogical activities complemented with basic health education and psychosocial assistance. If the child asks for it, Médecins Sans Frontières can additionally facilitate family, institutional, school or social integration.

The 12- strong team of Médecins Sans Frontières doctors, psychologists, pedagogues and social workers, will collaborates with Moscow city program “Deti Ulitsi” and regularly coordinates with other organizations working with street children.

Médecins Sans Frontières has worked for 11 years with homeless people in Moscow and St Petersburg, where it has gained thorough knowledge of the system in place in terms of health, social aid, laws and decision-making. When Médecins Sans Frontières’ homeless program was handed over to Moscow City in 2003, Médecins Sans Frontières decided to focus on another specific group with its specific problems, the street children.

Médecins Sans Frontières continues to focus much of its energies in the Russian Federation providing assistance to people affected by ongoing conflict in the republic of Chechnya. In Siberia, our tuberculosis (TB) program in the region of Kemerovo was halted after Russian medical authorities demanded that we use an incomplete and inappropriate treatment for multi-drug resistant TB that is in complete contradiction to treatment recommended by the World Health Organization; we had no choice but to end our assistance. More than 10,000 TB patients had been enrolled in the program since its inception in June 1996. Médecins Sans Frontières’ work providing assistance to homeless people in Moscow also drew to a close, though we will continue advocacy to ensure social integration of this vulnerable group. This successful project was taken up by the Moscow City Government. In 11 years, Médecins Sans Frontières had provided more than 200,000 medical and 65,000 social consultations.

Russia map

COUNTRY PROFILE
RUSSIAN FEDERATION
Population: 143,752,000
Life expectancy: 66 years
MSF expatriate staff:11 (not including staff for North Caucasus)
MSF national staff: 87 (not including staff for North Caucasus)

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