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Introduction
Since 1994, Green Cross organises social-medical projects
for children and their families living in the Chernobyl area
or around chemical weapons stockpiles. In 1999, two camps in
Belarus and one in Russia hosted a total of 800 children for
four weeks. The camps' program does not only consist of medical
treatment but also includes environmental education and psychological
support.
Previous projects
Green Cross Switzerland and Green Cross Belarus (former NTF)
cooperate since 1995, Green Cross Russia joined in 1997. The
program is based on local needs and the experience made by Green
Cross Belarus in the fields of health care and (environmental)
education. The projects were:
Therapy-Camps (1995-99):
Since 1995 in Belarus and since 1998 in Russia. Since 1997, children
from the Ukraine take part; and in 1998, refugee's children from
Afghanistan.
Mother and Child (1998/99):
Mothers and their little children are trained in food cultivation
and preparation techniques that lead to minimising the intake
of radio-nuclides.
Rechytsa rehabilitation pilot project (1998/99):
In a pilot project, a comprehensive health rehabilitation program
was implemented in four communities in the Rechytsa region.
Publications (1998/99):
Population and specialists are informed about the results of
the different research and health projects.

Goals and Strategy
Overall programme goal for the period of 2000 to 2001
Additional goal:
- Development of local structures (de-centralisation) and improvement
of co-operation with existing local institutions;
- Introduction of all-year prevention and rehabilitation programmes
in addition to the seasonal ones (as for example therapy camps).
- Information of population and specialists about prevention
measures, improvement of exchange of experiences between Belarus,
Russia and the Ukraine;
- Improvement of the institutional capacities of the national
and local Green Cross partner organisations.
Strategies for the programme 2000/2001

The Projects
Institution building
Countries: Belarus, Russia and the Ukraine
Goals of this project:

Children Therapy camps
Countries: Russia, Belarus and the Ukraine
The catastrophe of Chernobyl as well as the massive arms race
has led to an increasing number of chronic diseases in Belarus,
Russia and the Ukraine. In Belarus and the Ukraine children of
the Chernobyl Zone will take part, whereas in Russia, there will
also be camps with children come from the seven regions with
chemical weapons stockpiles.
Aims:
Activities
- Medical observations at the places of residence;
- Therapy camps of four weeks in Belarus, Russia and the Ukraine
(Chernobyl region) with a total of 1'000 participants annually.
Camp's programme: diagnostics, therapies, observations and treatment
but also education and motivation;
- Final medical observations and treatment of the more ill
children at their places of residence.

Mother and Child Nutrition
Countries: Belarus, Russia and the Ukraine
The population in the contaminated areas will have no choice
than to live in a contaminated area and thus in a hostile environment.
Especially mothers and their children are exposed to a huge health
stress.
Basing on the experiences made in the Mother and Child project
in the past two years, there will be carried out also training
courses in the Ukraine and in Russia (2001). The project shall
be expanded and be implemented also in other contaminated areas.
Aims:
Activities
- Medical expeditions to high-contaminated villages, health
examination, consultancy and prescriptions for mothers and pre-school
children;
- Sanatorium stay for 350 (annually) mothers and their children:
Training for mothers in preparation of food with contaminated
vegetables and fruits and education in children and upbringing
matters; if necessary medical treatment in specialised sanatoriums;
- Initiation of mothers (family) clubs in villages: Training
and support of the most active mothers from each village. They
shall start a mother-consulting network.

Training for the Trainers
Countries: Belarus, Russia and the Ukraine
For building youth structures, it is important that young
people get responsibility and necessary knowledge. They need
competence in management and the ability to implement concrete
action. Training and education raises motivation, and in the
same time, the basis of the Green Cross movement will be enlarged.
Aims
- Involvement of young people in the process of social improvement
in communities in contaminated areas;
- Involvement of students and post-doctors in development of
rehabilitation methods on a scientific base;
- Participants of the three countries should get to know each
others and keep contact across borders.
Activities
- Selection and training of youth activists and leaders in
workshops and training camps;
- Building of local youth groups.

Information and publication
Countries: Belarus, Russia (2001) and the Ukraine (2001)
To gather special information is a very difficult and time-consuming
task in the countries of the former Soviet Union. All the knowledge
in health care, nutrition and environmental matters of the different
Green Cross-organisations shall be offered to the public and
other organisations. This includes population, government institutions,
specialists, other organisations and of course the Green Cross-organisations
themselves.
Aims
- Information of population, state committees and specialists
about the results and experiences obtained in the Socmed programme
Activities
- Publishing of education and training books, newspapers or
leaflets for people living in con-taminated areas;
- Information of specialists working in contaminated areas;
- Setting up an information network (database, Internet, Intranet)
to facilitate information ex-change

Between Season Residential Programme
Countries: Belarus, Russia (2001) and Ukraine (2001)
The
Chernobyl
region and other contaminated areas are more and more threatened
by social degradation. Social life is going pretty slow and boring
in villages. The process of human exchange between cities and
villages is cancelled. High unemployment in cities stopped migration
of villagers there. On the other hand no young specialist wishes
to go for a job to a village especially in the contaminated areas.
This concerns young doctors, school and kindergarten teachers,
culture workers and agronomists.
Aim
- Activation of social life in cities and villages
Activities
- Organization of sport, culture, education and games events
in villages;
- Initiation of clubs of activists in villages and cities;
- Grant system for local social micro projects;
- Development of a network of distance education of children.

Village Health Care
Countries: Belarus
The medical consequences of the large-scale contamination
is first seen with children as they have the most sensitive organism.
An increased level of various psychosomatic disorders is observed,
like dysfunctions of thyroid, pancreas, adrenal glands, and kidneys.
Currently villagers don't pass health control for many years,
existing clinics are able only to serve first aid. In fact villagers
live without any health. There is another serious problem: the
existing old health control system. In fact children, teenagers
and adults constitute of three different categories of medical
accounting. When children become teenagers and leave their group,
all records are left in the children department and only a short
record goes to a new de-partment. This means that teenagers start
their health state from blank sheet. And nobody controls and
serves family health care.
The strategy includes two steps of assistance: health screening
with first aid, training and preparation of local clinics for
doing health-monitoring job. The health care service approach
is based on principles of family medicine.
This is a follow-up project to the Rechitsa rehabilitation project
of 1998/1999.
Aims
- Rehabilitation and improvement of health protection of families
in contaminated villages.
- Initiation of permanent health monitoring of risk groups
and health control of risk categories of villagers.
Activities
- Selection of two villages in the highly contaminated area;
- Health-screening of villagers with serving first aid and
doing individual prescriptions;
- Handing-over of the obtained health information to local
clinics, training of their staff;
- Finding partners for support of particular risk villages
all over the year.
Remo Gubler, June 6, 2000
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