In Iraq’s disputed territories, a health services vacuum
http://www.irinnews.org/Report/97771/In-Iraq-s-disputed-territories-a-health-services-vacuumKANDAL, 2 April 2013 (IRIN) - At 9am in the northern Iraqi village of Kandal, female residents are gathering in the leafy courtyard of the local mosque. But they have not come to pray; they are here to see the doctor - a rare opportunity in this part of the country.
Kandal sits on a busy main road connecting Erbil, capital of the northern autonomous Kurdish region of Iraq, to Kirkuk, one of several disputed territories. Located in Makhmour District, in Kirkuk Governorate, the land Kandal sits on is claimed by both the central government in Baghdad and the Kurdish Regional Government (KRG).
Although the status of the disputed territories was supposed to be resolved by a referendum before the end of 2007, the vote still has not taken place. Meanwhile, their residents have been caught in between, with neither side willing to provide basic services.
“This place is not a country,” said Jwan Abdullah, an English teacher at the small village school. “We have no government; there is no doctor, no hospital. We don’t have a [phone] number for emergencies, and we need this.”
There is only one small clinic in the nearby town of Makhmour to service the area’s nine villages, which have a total population of around 300 families. The clinic is a small general practice, ill-equipped to handle many cases.
“My son broke his arm playing football,” said the local mukhtar, or village leader. “And they just gave him a pain killer and said we had to go to the emergency hospital in Erbil,” some 100km away.
Falling between the cracks
KRG would like to build a permanent hospital in the area, says Raad Najmadeen, director of medical services at the Erbil Directorate of Health. But the political situation in the region means any attempt to do so would be seen as a land grab.
“The problem is, as I see it, if you build a health centre, this land will be allocated to the [KRG] Ministry of Health, so you will make this land permanently for the ministry… They may see that we are taking the land by this process. So it’s sensitive.”
Instead, these villages depend on visits from KRG’s mobile hospital - which has an operating unit, a dental unit, a lab, an x-ray, and ultrasound and gynaecological support - and a mobile team with ambulances stocked with simple medication and equipment. But these visits occur only once or twice a year.
The Kurdish government has plans to set up an emergency unit halfway between Makhmour and Erbil that would service the district and give residents access to an emergency number and to ambulances.
But in the meantime, the lack of any emergency services means transportation is a problem, particularly for women in Kandal, none of whom knows how to drive.