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Meeting differing psychosocial needs in Sri Lanka
2 February 2005
by Bandula Jayasekara in Colombo; pictures by Till Mayer
A wide variety of psychological needs amongst affected people has been left in the wake of the tsunami which struck Sri Lanka and the Danish Red Cross is seeking to address these.

The Danish Red Cross has been running a psychosocial programme in Ampara and Jaffna in Sri Lanka, assisting people caught up in the conflict. It now plans to provide psychosocial assistance to people in tsunami affected areas on the east coast stretching from Trincomalee in the north down to Hambantota in the south.

Dr Margriet Blaauw works for International Federation’s Reference Centre for Psychosocial Support, which is based in Denmark. It is housed at the Danish Red Cross which pays special attention to psychosocial programmes.

Dr Blaauw was in Sri Lanka recently on an assessment visit, meeting with affected people, volunteers and Red Cross staff in several districts.

She says the disaster has affected various groups in different ways and all need to be catered for when designing the programme for assistance.

For example, Dr Blaauw says fishermen face the conflicting emotions of now being scared of the sea, but knowing it is essential to their livelihood. They are concerned about providing for their families but also face personal fears. She says men are as psychologically vulnerable as anyone, but can be hard to reach.

“Most of them were agitated. They wanted to talk. They were happy to talk about anything but not about the sea. We explain to them that their emotions are normal,” Dr. Blaauw explains.

While men have to learn to cope with fears of returning to their trade, the women onshore face their own traumas. Dr. Blaauw says women who have lost husbands, fathers and brothers are feeling unsafe and uncertain.

“The concerns about their future are very strong. Many women told us that they cry themselves to sleep at nights. A group of women complained about headaches, neck pain, sleeping problems and nightmares,” she said.

The needs of children present special challenges. Dr Blaauw says many are afraid to return to their homes. Others have anxieties as they return to school without books or proper clothing.

“Adults are busy with their own experiences and worries. There are activities for children but, more must be done for them,” she adds.

While victims of the tsunami obviously need assistance, Dr. Blaauw says it is important not to neglect the psychological needs of those involved in the relief operation such as volunteers.

"They keep going and going and feel what they are doing is not enough. They see terrible things and destruction and these worry them as well,” she says.

As a result of her visit, Dr Blaauw has come up with a series of recommendations:

• General support, psychological first aid and activities with the affected population.

• Counselling for people having particular difficulty coping.

• School-based activities for children.

• Psychosocial activities for both men and women with the help of selected local counsellors.

• The training of carefully selected volunteers to provide counselling.

Dr Blaauw believes it is crucial to get affected people involved in providing psychosocial support and this is reflected in her recommendations.
Among their many tasks, Sri Lanka Red Cross volunteers have been assisting with counselling and comforting victims (p12341)
RELATED LINKS
Activities in Sri Lanka
Tsunami operation
Psychological support
Tsunami appeal
More news stories
Dr Margriet Blaauw of the Danish Red Cross has been formulating a psychosocial programme for victims of the tsunami (p12578)
p-LKA0084
Children are being provided with counselling, such as at this Sri Lanka Red Cross centre in Hambantota (p-LKA0084)