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Update as of 19 October
2006
Psychosocial
support programmes | PSP in Indonesia
| PSP in Sri Lanka | PSP in
the Maldives |
Operational highlights by country | PSP
in Indonesia photo gallery |
Printable version (PDF Document, 222kb, 6 pages)
| Previous facts sheets
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| Psychosocial
support programmes (PSP) |
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Psychosocial traumas are the invisible wounds suffered by
many people caught in the wake of large-scale disasters.
The recovery process for these traumas often takes much
longer and is less visible than the more tangible physical
reconstruction of homes and communities. Preparedness is
vital to be able to provide quality services that address
the psychosocial needs of the affected population.
Psychosocial support programmes (PSP) are an on-going process
that aim to meet the mental, emotional, social and spiritual
needs of individuals who have experienced deep emotional
shock. To address the long-lasting and often harmful effects
of trauma and stress, the Red Cross and Red Crescent (RC)
psychosocial support programmes place particular emphasis
on the emotional and psychological aspects of the recovery
process, using creative approaches designed for different
target groups to help affected people, individually and
collectively, renew social interactions, and take adequate
and appropriate steps to address and control their situational
responses in the decision-making processes.
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| PSP
in Indonesia |
In the days, weeks and even months
following the tsunami, many people in Indonesia’s
Aceh province showed few obvious signs of their loss and
suffering. Yet, with more than 167,000 lives lost, there
was not a family untouched by this sweeping tragedy.
The Red Cross and Red
Crescent Movement is renowned for its effectiveness in
disaster response. Less obvious, however, is the specialty
of some Red Cross and Red Crescent Societies in providing
post-disaster psychosocial services. In Aceh, three national
societies – the Turkish Red Crescent, and the American
and Danish Red Cross Societies have been playing a lead
role providing psychosocial support. response) teams recovered
some 45,000 bodies from the mud and debris along Aceh's
inundated west coast. Danish Red Cross PSP delegates offered
psycho-social counselling to help these dedicated PMI
volunteers programme (PSP) team arrived at the joint Indonesian
Red Cross (Palang Merah Indonesia or PMI) and Federation
emergency operations centre in Banda Aceh to deliver PSP
services. This Movement partner set a precedent by working
with PMI to start a radio programme that aired in the
spring of 2005, where people phoned in to share their
tsunami experiences with fellow listeners. This initiative
has evolved into “Rumoh PMI” (PMI House),
a popular radio show supported by the Irish Red Cross
community outreach programme.
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During
the emergency phase following the tsunami, PMI Satgana
(disaster response) teams recovered some 45,000 bodies
from the mud and debris along Aceh's inundated west
coast. Danish Red Cross PSP delegates offered psycho-social
counselling to help these dedicated PMI volunteers
cope with the tragedy in their midst.
Photo: International Federation (p12963) |
The TRCS is making a
long-lasting contribution to psychosocial well being in
and around Banda Aceh with the construction of a community
centre specializing in PSP services. The centre’s
facilities include meeting rooms, a disaster studies library
and a multi-functional sports field.
A professional team
has been locally hired to train PMI Aceh branch staff
and volunteers to deliver psychosocial activities in their
own communities.
Activities include handicrafts,
computer literacy and language training, as well as health-related
courses such as psychological first aid, maternal child
care and personal hygiene – to reintroduce a sense
of normalcy and opportunity into the lives of people affected
by the tsunami. One of the TRCS most effective outdoor
courses was “nature is still my friend”, where
children cleared debris from the shoreline to help overcome
their fear of the sea.
The PSP community centre
built, equipped and staffed by TRCS will be officially
handed over to PMI on 26 December 2006 to commemorate
the 24-month mark after the tsunami. The Danish Red Cross
(DRC) is well-known for its PSP expertise. During the
tsunami emergency response phase in Aceh, the DRC focused
their efforts on assisting people in the hard-hit towns
of Meulaboh and Teunom. The DRC’s practical approach
to help communities return to a sense of wellbeing included
the provision of school kits for children as well as the
construction of traditional meunasa (gathering
places), and livelihood-based establishments of coffee
shops and tea stalls for social interaction.
In the current recovery
phase, DRC is conducting a well-planned programme for
introducing PSP techniques into schools. Beginning by
gaining acceptance from school authorities, the DRC then
works with local PSP specialists to prepare teachers for
delivering PSP-related curricula (inventing games, acting-out
plays and drawing). This Children traumatized by the tsunami
gather outside their school for a "drawing picnic"
where they create a collective mural that helps them express
their feelings and also reinforces a sense of cooperation
need special attention for onward referral to amongst
them. professional counsellors.
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| Children
traumatized by the tsunami gather outside their
school for a "drawing picnic" where they
create a collective mural that helps them express
their feelings and also reinforces a sense of cooperation
amongst them.
Photo: Ayu Ovira/American Red Cross (p14802) |
DRC is also making a
strategic contribution to the development of PSP capacities
of PMI. DRC support of PMI PSP began six months prior
to the tsunami, responding to an initial expression of
interest from PMI, and has continued with assistance in
the development of a standardized PSP training curriculum
for PMI volunteers, including the Satagana disaster response
teams positioned in PMI branches across the archipelago.
The American Red Cross
(ARC) is also working with PMI to build the national society’s
PSP capabilities. PMI staff and volunteer training programmes
are underway in the Banda Aceh and Aceh Besar branches,
and are expanding to include the Calang branch in Aceh
Jaya district.
The ARC’s collaboration
with PMI allows them access to schools, where teachers
are trained to deliver PSP-related creative and expressive
activities such as drawing, mural painting, traditional
dancing and team sports, with the intent to help traumatized
children express their anxieties in safe and accepted
ways. One innovative activity is the preparation of a
school-based disaster response plan by teachers together
with their students, which involves risk assessment and
evacuation routes, as well as physical and psychological
first aid.
A third component of
the ARC programme is an effort to help rebuild the community’s
social fabric – to address the disruption of traditional
support systems. Activities include the facilitation of
burials according to local customs and the subsequent
grieving process and related rituals, as well as the establishment
of informal education so that school dropouts and students
needing remedial teaching can have a safe alternative
to continue their learning.
Psychosocial support
training is now an integral part of PMI’s disaster
preparedness programme. There is much work ahead to maximize
PMI’s capacity for delivering PSP as an integral
part of disaster recovery throughout PMI’s branches
in all 33 Indonesian provinces.
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| PSP
in Sri Lanka |
Providing knowledge and skills
for the effective implementation of community-based PSP
to affected populations is an essential part of the Red
Cross Red Crescent Movement’s activities in Sri
Lanka.
In the days and weeks
following the tsunami, Red Cross and Red Crescent psychosocial
support staff visited dozens of schools and affected populations
in Sri Lanka to help people overcome their emotional trauma.
American Red Cross (ARC),
in cooperation with the Sri Lanka Red Cross Society (SLRCS),
is running school and community-based psychosocial programmes
in the south of the country.
Because of the sheer
number of students needing assistance, Red Cross staff
began training teachers in psychosocial first aid - how
to identify common stress reactions, how to help people
open up without pressuring them and how to listen, comfort
and help people deal with their emotions. So far, 75,000
people have benefited from these activities, which also
includes renovating community centres, training community
volunteers as PSP facilitators, and developing community
maps to identify and prioritize community resources and
risks.
In order for this type
of psychosocial first aid to be most effective people
must have opportunities to express themselves, With the
help of SLRCS, ARC is working with the Ministry of Education
to train hundreds of pre-service teachers at the Kalutara
National Teacher’s College in south west Sri Lanka.
This collaboration aims to encourage a shift in attitudes,
from merely relaying information to developing information
with students, and to make an impact on the education
system as a whole.
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| The tsunami
had an enormous negative psychological impact on survivors.
Volunteers from Sri Lanka Red Cross gave psychosocial
support to children affected by the tsunami. children
are between 5 - 16 years of age.
Photo: International Federation (p14816) |
The training programme
has seen teachers adapt their role to better observe and
communicate with students and in turn to help students
express themselves better. The ministry of education has
been impressed with the early results and the Red Cross
has been asked to expand its programme to cover the 17
teacher’s colleges across the country. Over the
next three years, the programme will train over 2,200
teachers, and because it is taking place within the teacher
training colleges, the impact on the education system
will be long lasting and sustainable.
In June 2006, the Danish
Red Cross (DRC) and SLRCS launched a schools-based psychosocial
training manual, “We Are Little Children”
that has been translated into Sinhala, Tamil and English.
The manual is designed
as a practical training guide for teachers to support
psychosocial well-being of children and has been approved
by the Academic Affairs Board of the Sri Lanka National
Institute of Education. The manual aims to increase
children’s natural resilience in everyday life
by involving their teachers and family members in structured
extra curricular activities such as plays, games and
creative arts.
The DRC has extensive
psychosocial experience in Sri Lanka. In the months
following the tsunami, PSP teams working in the north
and east of the island made more than 150,000 contacts
with people affected by the tsunami and by conflict.
Currently in Jaffna district, 2,901 children and their
parents have been participating in a project to improve
the psychosocial and physical wellbeing of school children
affected by armed conflict in the The tsunami had an
enormous negative psychological impact area. The children
actively participate in psychosocial and on survivors.
Volunteers from Sri Lanka Red Cross gave preventive
health workshops after school and their skills psychosocial
support to children affected by the tsunami. in creative-expressive
activities have improved. children are between 5 - 16
years of age.
As a result of this
initiative, positive feedback has been received from
teachers and parents that attendance at school is more
regular and children are more attentive.
As the security situation
in the north of Sri Lanka remains unstable, it is difficult
to ensure regular attendance in the workshops both by
beneficiaries and project staff. For the time being,
all project activities have come to a standstill and
it is currently not possible to be certain when project
activities will resume.
The Canadian Red Cross
(CRC) has responded to the psychosocial and health needs
of people affected by disaster in Sri Lanka through
a comprehensive, community-based approach that focuses
on creating safe environments for children and families.
Through SLRCS community health networks and partnerships
with community agencies, CRC is building individual,
family, and institutional and community capacity to
prevent and manage psychosocial impact from crises and
adverse situations. In accordance with RC/RC initiatives,
the CRC regards PSP work as a priority and is committed
to taking a long-term approach.
Based on community
consultations, the main activities of the CRC-supported
SLRCS volunteers in Galle, Anuradhapura, Vavuniya and
Polonnaruwa districts have included: Psychological first
aid training; Child protection; Family violence prevention;
HIV/AIDS prevention; Suicide prevention; Community enhancement
Together with SLRCS,
the Canadian Red Cross has reached approximately 10,000
affected people, helping to provide them with PSP knowledge,
skills and resources.
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| PSP
in the Maldives |
Within days of the tsunami
the American Red Cross, in partnership with UNICEF and
the Government of the Maldives, began providing psychosocial
support to survivors on islands across the Maldives. In
the first three months, the programme focused on helping
survivors cope with the emotional impact of the disaster.
Emotional support brigades
were established on 23 islands and trained counselors
dispatched to provide psychological support services to
over 22,000 people. Hundreds of teachers were trained
to provide psychological first aid and to lead creative
and expressive activities to help students share their
grief. Many of them used large “school kits”
which contained much-needed supplies for lessons and creative
activities.
Since the emergency
phase, the programme has expanded to include schools and
communities on 80 islands in the most tsunami-affected
atolls of: Laamu, Meemu, Thaa, Dhaalu, Gaafu Alifu and
Gaafu Dhaalu. The programme is successfully bringing people
together to rebuild their lives and their communities
by:
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Addressing survivors’
psychological state and re-establishing normal social
networks and activities within the community: 25 volunteers
from two islands in Laamu Atoll have been trained to
convene community representatives, identify challenges
facing the community and then mobilize residents to
address the identified needs.
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Fostering cooperation
between island communities to address common needs for
livelihoods, health care, education and transportation.
A particular challenge is working to integrate displaced
and host communities.
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Helping the Maldivian
government develop its own long-term psychosocial support
programme: 69 volunteers from various government agencies
involved in emergency response have been trained and
a referral system for mental health and social protection
issues has been initiated together with UNICEF and government.
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Learning successful
approaches and tools to promote psychosocial well-being
that can be shared with other humanitarian agencies
and countries, and applied in the event of future disasters.
Over the next three
years, the project will directly benefit 50,000 teachers,
students and community members, helping them recover from
the tsunami and preparing them to meet future challenges.
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| Operational
highlights by country |
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Relief activities
in all operational areas have been completed. In response
to a special relief request by the PMI Aceh Selatan
Branch, a further 200 hygiene parcels and 50 family
tents have been distributed from remaining stocks for
families affected by a recent flash flood in Labuhanhaji
Timur sub-district.
- 600 training manuals have been
distributed to strengthen branch capacities in health
programme in Aceh and North Sumatra provinces. The content
includes curricula on: first aid; family care; peer education;
community health; life skills and the standard community-based
first aid (CBFA) programme.
- The PMI/Federation water and sanitation
(watsan) team continues its support of the Banda Aceh
municipal water utility (PDAM). Current monthly production
is averaging 8.21 million litres of safe drinking water
in tankers to 29 distribution points.
- Watsan programme activities continue
to meet immediate local needs and to strengthen community
capacities. In Bireuen district on Aceh’s east coast,
the Federation is constructing rain water harvesting systems
and drilling boreholes to access groundwater sources.
A further 500 sets of latrines and septic tanks are being
distributed and installed in Bireuen.
- A watsan project is well underway
on Pulau Weh, an island just offshore from Banda Aceh.
Activities include: construction and rehabilitation of
wells; installation of latrines, washing areas, bathing
facilities and rain water harvesting systems in nine villages
benefiting some 3,600 residents.
- To date, the Transitional Shelter
programme has progressed with the Federation constructing
13,046 galvanisedsteel frames, with 11,177 of those now
clad with timber for walls and flooring. Some structures
have been completed and beneficiaries have moved in.

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The Federation
and its partners have mobilised relief items
from three strategically placed warehouses in
Galle, Colombo and Ampara for civilians displaced
from the conflict in the north and east of the
country. The Federation has started procurement
of an additional 14,500 hygiene kits to replenish
its stocks and to support further ICRC distributions.
See http://www.ifrc.org/cgi/pdf_appeals.pl?rpts06/SLcf01090603.pdf
for further details.
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Construction
of 3,893 houses is ongoing. So far, Red Cross
Red Crescent partners have supported construction
of 4,165 houses across 11 districts.
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Construction
is almost complete on an Australian Red Cross
funded water-supply project in Hambantota district,
which will provide piped water to a pre school
and 400 families living in Seenimodara and Moraketiya.
The project has involved construction of a 100,000
litre capacity water tower, a 50,000 litre ground
water collection tank, over 10km of high quality
polyethylene piping for water delivery to each
house and a high tech, low cost water treatment
plant.
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Hospitals,
supported by the Italian and German Red Cross
societies, are providing badly needed emergency
medical care to civilians affected by hostilities.
At Vaharai hospital in Batticaloa district Italian
Red Cross and ICRC, with support from SLRCS,
are providing treatment to around 200 patients
per day. In Mullaitivu district, a German Red
Cross medical team is treating conflict-related
injuries. ICRC is providing emergency medical
supplies and the team will also be working in
Kilinochchi hospital for two days per week.
These two national societies have been involved
in post tsunami recovery and rehabilitation
and German Red Cross has initiated a three year
capacity building programme in Mullaitivu involving
training for medical staff, maternity care,
general medical care and minor surgery.
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Ongoing
livelihoods projects include an Irish Red Cross
funded IT training programme for 200 school
leavers and young adults with basic computer
skills and English language knowledge, to improve
their employment prospects. Japanese Red Cross
is supporting a livelihoods project, training
150 women as nurse assistants and in the use
of industrial sewing machines. The district
involved has an industrial zone and several
garment factories, as well as a high density
of nursing homes.
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On the island
of Dhuvaafaru, foundations for 206 out of the
600 homes have been laid, and block work for 110
of the homes has been completed.
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Families
from the displaced community of Gemendhoo
have moved out of transitional shelters into
the first 50 homes on Kudahuvadhoo.
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The final
11 houses on Guraidhoo are almost ready and will
be handed over to the community in the first week
of October.
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The Vulnerability
and Capacity Assessments (VCA) carried out with
islanders from Meedhoo and Maduvvari have been
translated into Divehi and validated by the communities,
allowing them to move ahead with drawing up their
plans to address their vulnerabilities.
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Construction
of Supplementary Water Supply Systems (SWSS) are
now complete on four islands in Raa and Baa atolls.
Onsite training of the operators for the systems
has begun and initial community discussions have
been held to discuss the possibility and feasibility
of installing a SWSS system.
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The Federation
construction delegate and a government representative
took part in a phone-in radio programme on the
“Voice of Maldives” as part of efforts
to increase communication with beneficiaries.
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