In today's contribution , Professor Antonia Makosky (School of Nursing) describes her experience in dealing with a woman and her children in the Congo, while serving with Doctor Without Borders. Antonia draws an important parallel to the current crisis in the US, citing the United Nations High Commission for Refugees' position on family unity. I found the statement to be an important beacon in this discussion. Thanks to Antonia for sharing this important message and for her service in the Congo.
Childhood Detainees, Part 3
Antonia Makosky, DNP, MSN, MPH, ANP-BC
Assistant Professor, School of Nursing
In my last trip to the Eastern Congo with Doctors without
Borders I was posted in an area where the war had just recently ended. Rebels still hid in the forests with their
families. One day, as we prepared to
head home from a community health center, the nurse manager asked if we could
take a family back to our hospital. The
family consisted of a woman and her three children; the woman was the wife of
one of the rebels. They had been hiding
in the forest but now her middle daughter, age 3, was severely malnourished,
and would die without special care. The
woman, her 8-year-old, and her infant son, were also malnourished. The woman and her 8-year-old daughter were
quiet and shy.
It was against the usual policy to admit a family with
multiple children unless the woman was pregnant. However, the staff felt very strongly that we
must take in and provide shelter and care to this whole family. The staff said to me repeatedly, “they have
nothing.” There was never a question of
separating the family; of only taking the sickest child to care for. In African hospitals, the patient is always
accompanied by a family member.
Initially the hospital staff was concerned for the life of
the 3-year-old child. She was cared for
in the pediatric ICU. Slowly she
improved. Meanwhile the health of the
woman and her other two children improved as well. The eldest daughter became less shy and more
interactive.
This family was fleeing from violence, as so many Central
American families are now. These
families have suffered untold hardships and trauma as they make their way north
to escape drug and gang violence in their home countries. The United Nations High Commission for
Refugees (UNHCR) espouses a policy of family unity. According to the UNHCR: The right to family life and family unity is
a right that applies to everyone, including asylum seekers whose status has not
yet been determined. There are many
benefits to maintaining the family unit, including returning a sense of
normalcy, easing a sense of loss, attempting to ensure safety and protect
against danger. In particular, keeping
the family together helps protect against human smuggling trafficking, common
in both the Eastern Congo and along the Mexico-America border.
I am relieved by the recent decision to end this cruel and dangerous
policy of separating parents from children on our southern border. We must do our best to reunite those children
already separated from their parents, and prevent this practice from recurring
in the future.
Reference:
Nicholson, F.
2018. The “Essential Right” to Family Unity of Refugees and Others in Need of
International Protection in the Context of Family Reunification. United Nations High Commission for
Refugees. Retrieved from http://www.unhcr.org/en-us/protection/globalconsult/5a8c413a7/36-essential-right-family-unity-refugees-others-need-international-protection.html?query=family%20policy
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