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Helping Bam's children to play again
13 January 2004
by Cristina Estrada in Bam
“Who would like to have a book?” Mohammad Reza Salah, an Iranian Red Crescent (IRCS) volunteer, asks the crowd of children, aged between three and 12 years old, gathered around him.

“I would like you to write down in this notebook what you do, who you play with, what you like, what you don’t like, how you feel,” he says. “I also want you to go to other tents, make friends with other children and write down what happens to them.”

Mohammad, who has been working with children for eight years, is one of the 95 volunteer psychologists and nurses from the IRCS who have been providing psychological support to children and their parents in Bam, trying to help them overcome the trauma of the earthquake that struck the city on 26 December.

The earthquake, which measured 6.5 on the Richter scale, claimed around 30,000 lives, left about 30,000 injured and an estimated 75,000 homeless.

Sharing problems

“In the first days after the earthquake people concentrate on survival, on trying to find their relatives, to get shelter, food and water, and cover their basic needs,” says Aghdase Kafi, an IRCS psychologist who is part of the psychosocial support team.

“But it is also very important for children and their families to have the possibility to talk about their feelings and share their problems, to see that there are others in the same situation as they are.”

“Through games and drawings we try to provide a space where the children and their parents can do this,” she adds.

When the team of six volunteers arrives at the improvised tent camps scattered throughout the city, they divide themselves up, some working with the children, and the rest approaching their parents, individually or in groups.

IRCS volunteers encourage the parents to come out of the tent and meet other people, partly to help them share their grief, but also to set a good example. “If the children see them do it, they will follow their example and play with other children,” Aghdase says.

“I’m very impressed with the programme and with the idea of combining care for the children with counselling for the mother and father,” says Rikke Gormsen, the International Federation’s psychosocial regional delegate deployed in Bam.

Health education

“This is a clear example of how with very simple means you can do lot of things to prevent the development of mental disorders, especially because they are encouraging mothers to recognise them,” she adds.

Counselling is combined with education on basic health care, hygiene and environmental issues.

“Before the quake they had everything, a house, a proper bathroom, all the hygienic and sanitary goods they needed. Now they have to be taught how to live with what they have got,” Gormsen explains.

Currently, around 75,000 people live in tents, sharing water sources and latrines.

The IRCS has been involved with psychological support in disasters for many years. It will develop this programme and take it to schools, getting teachers involved and reaching teenagers.

Gudbjorg Sveinsdottir, a psychiatric nurse from the Icelandic Red Cross also deployed in Bam, says feelings of distress, caused by a sense of helplessness, hopelessness, guilt and grief are a normal reaction after major disasters such as earthquakes.

“A consequence of all this can be the increase in conflicts between people and inside the families. It can also have a big impact in the production of the city,” she says.

The Iranian authorities say an estimated 30,000 persons affected by the disaster can be reached by mass distribution of information on how to deal with stress and trauma. However, an estimated 25,000 persons will need some kind of further support.
Three-year-old Mohammad Ali with his mother, Jamileh. "It is good for the children to play and forget their worries for a while," she says (p11028)
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