External referrals In 2018, the MSF team on Lesvos made 834 referrals to local health services, of which 72 percent where to the local hospital, two percent to the local clinic (IKA) and 26 percent to private practitioners due to long waiting times for the public services. The referrals were done for medical, sexual and reproductive care specialists and the psychiatrist. Social work In 2018, 294 cases were referred to MSF social workers. The main needs identified by social workers on their first assessments included legal aid (64 percent) and accommodation assistance (63 percent). There were 45 sexual violence incidents seen in our SRH activity, including 24 which took place in Greece. MSF only took cases within 5 days of the incident. In 2018, 14 cases presented in < 72 hours in our clinic. This may indicate good sensitisation on early presentation following the SV incident. 9 of the total SV cases were male and the rest female. Sexual violence is suspected to be more common, particularly in Moria camp, where protection is poor and the women frequently report fear and harassment. Health promotion In 2018, the MSF health promotion team on Lesvos conducted more than 5,300 health promotion education sessions. Health promotion sessions for parents and women on key topics, including hygiene, antibiotic resistance and other paediatrics issues, are an important complement to the Moria clinic activities. In total, more than 11,380 patients and caretakers received health promotion messages. 11 © Anna Pantelia
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