The situation in Greece: Medicins sans Frontieres (MSF)
Since 2015, five Greek islands received the highest number of migrants and asylum seekers arriving to
Greece. The so-called “hotspots” have been chronically overcrowded since the adoption of the EUTurkey Statement in March 2016 (the “Moria hotspot” on Lesbos hosts approximately 7500 people
but was built with a capacity of 2500 people).13 Humanitarian funding for Greece decreased, especially
throughout 2017, with many actors closing their programmes and operations. This despite the fact
that the situation remains worrying and that a new peak of arrivals from Turkey has been documented
in the first half of 2018. In terms of numbers, the number of migrants and refugees arriving on islands
as on the Greek mainland (through Evros, the Greek - Turkish land borders) is approximately the
same/equal. Many migrants and refugees are nationals of middle-Eastern countries, but there has
been a significant rise in numbers of people arriving from sub-Saharan African countries, such as the
Democratic Republic of the Congo in particular. The actual number of torture survivors among the
migrant and refugee population varies depending on the source.
Following the implementation of EU-Turkey Statement, Greece became a “slow transit country” for
migrants, refugees and asylum seekers, therefore the general concepts that should be taken into
consideration when designing programs for rehabilitation services such as the pre-migration period,
the migration period and the post-migration period cannot be easily applied. Most of the migrants
and refugees are heading through Greece to a third country. Therefore there is, on one hand, a high
level of drop-outs of programs. On the other hand, there are many that stay longer than intended
under inadequate living conditions, which makes it impossible for them to establish a network of valid
social relations, an essential basis for the reconstruction of their identity. As a result of their mental
and physical health deteriorates. It is therefore essential to create programmes that specifically
address additional stress factors such as the inadequate living conditions of survivors.
MSF operates on Lesbos with an emergency response programme and in Athens with a long-term
rehabilitation centre. On Lesbos, victims of torture are referred to the MSF rehabilitation clinic in
Athens. The MSF Athens project provides a more stable environment than Lesbos and is designed for
long-term assistance. At the time of the workshop, there were approximately 60 victims of torture
waiting on Lesbos to be moved to Athens. However, transfers have become increasingly difficult under
the EU-Turkey agreement but also due to the lack of accommodation capacity on the mainland.
Through the two centres, MSF is able to provide services to many victims of torture, restore their lives
and the lives of their families but more needs to be done in terms of advocacy and resources.
Regarding the monitoring and evaluation, participants discussed UNCAT’s General Comment No. 3
that provides that States should have mechanisms to oversee, monitor, evaluate and report on the
implementation of the right to rehabilitation for victims of torture. Such mechanisms should collect
data on the numbers of torture victims, their vulnerabilities, their rights and needs, and the services
and funding offered by the State to meet them. Having monitoring and evaluation mechanisms in
place also allows States to assess the effectiveness of services and ensure they remain sustainable by
13
As of June 2018.
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