Motions 2020

Three motions were voted and carried:

Motion 1: Female genital mutilation

Background and explanation:
200 Million women and girls have undergone FGM. 91% of women in SL between 15-49 years old, have undergone FGM.
We need to address this from a medical point of view
This is a very important topic within MSF and is being discussed in other parts of the movement.
This is a very sensitive and important topic in SL (and other countries) that was debated well and a big majority of NS wanting MSF to really engage in working on to proactively promote solutions and change. This is a big issue where MSF can make a difference.

A similar motion has been presented at the FAD in Kenya 2020.

The FAD in Sierra Leone

"We call on MSF to design and implement health promotion and advocacy strategies to reduce female genital mutilation with particular emphasis on its medical consequences. This should be done in appropriate contexts and in partnership with local and other key actors".

In favour: 151  -  Against: 3  -  Abstentions: 14

Motion 2: Migration and the left behind

Background and explanation: 
Forced displacement and migration are a major source of humanitarian and medical needs in today's world. MSF has been responding to the needs of refugees and migrants, as well as the host population, since its inception and has developed over the years an increasingly comprehensive response to the complex needs of these vulnerable groups. However, the ripple effects of mass displacement and migratory movements on other population groups have been overlooked.

In different contexts, with deteriorated health systems and critical socioeconomic conditions, migration disrupts family life and coping mechanisms to such an extent that those left behind, particularly elderly and children, become groups of high vulnerability.

Mourning for the departure of close relatives and friends; children left in the care of others children and adolescents, relatives and neighbours; elderly living alone, without access to medicine or food, and in some cases even unable to mobilized themselves; makes those groups vulnerable and in many cases victims of violence, human trafficking and prostitution; affecting their physical and mental health.

Therefore, migration must be considered not only from the point of view of the migrant, requiring comprehensive care and inclusion for children, adolescents and the elderly left behind, as a part of humanitarian crisis produced by the migratory phenomenon.

FAD in Venezuela

"When looking at the consequences of forced displacement and migration, MSF must not overlook the needs of those left behind, in particular the elderly, adolescents and children, providing them with comprehensive care adapted to the needs (for instance primary medical care, mental health, nutrition, sexual and reproductive health for teenagers) and health promotion; to reduce their high level of vulnerability and warranty their physical and mental health".

In favour: 133  -  Against: 5  -  Abstentions: 29

Motion 3: Protection of Survivors of Violence

Background and explanation:
It is proposed to redefine the comprehensive care of survivors of other situations of violence, to refer to these types of situations (civil unrest, riots, state repression, post-election violence, gang violence, demonstrations, etc.) and add to the integral attention the concept of prevention that consists in incorporating protection mechanisms (means to execute protection actions), and providing means to field staff to also care for survivors at risk.

Including training in safety plans, activation of support networks, identification/search for safe spaces, shelter, as the case may be, and providing awareness tools and protocols, without leaving aside the principles of MSF (transparency, humanity, independence, impartiality, neutrality, medical ethics).

FAD in Venezuela

"It is proposed that MSF redefines the comprehensive care of survivors of “other situations of violence” and, in particular, systematically includes protection mechanisms within the integral assistance currently offered (physical/psychological/social)".

In favour: 108  -  Against: 16  -  Abstentions: 45

Volle Gas was also presented to the Gathering as a strong expression but not voted as motion:

Volle Gas: Elimination of language barriers in MSF

Background and explanation:
Most MSF documents are in English and/or French. The interpretation that staff can give to them, if they do not handle these languages, may be affected. The processes for obtaining translations of these documents are lengthy, following a protocol that delays the availability of information in the field. Many of the documents, including care protocols, are not adapted to the context in which they are applied. All of this can affect the quality of care for beneficiaries, so strategies must be put in place to adapt these documents to the local languages in the contexts where we work.

Given the known impact on the quality of patient care, MSF must reinforce strategies to eliminate language barriers in the chain of aid to the beneficiary, from start to finish.
REPLAY their presentation at the pre-Webinar!
By: Sophie Guillaumie