The Praesidium Project: a multi-agency approach Alessandra Diodati Italian Red Cross Health Director Migrations activities BACKGROUND E OVERVIEW PRAESIDIUM Arrivi per Regione 70.000 60.000 Numero persone 50.000 2007 40.000 2008 2009 2010 2011 30.000 2012 20.000 10.000 0 2007 2008 2009 2010 2011 2012 Lampedusa 12.177 31.252 2.947 459 50.483 5.034 Sicily 4.698 3.288 5.335 805 6.698 3.454 Calabria 1.971 663 499 1.280 1.944 2.056 Apulia 61 127 308 1.513 3.325 2.719 Sardinia 1.548 1.621 484 318 207 4 Regioni Lazio 0 0 0 31 0 0 Friuli 0 0 0 0 35 0 TOTAL 20.455 36.951 9.573 4.406 62.692 13.267 Arrivi via mare e domande di protezione internazionale 2007-2011 Arrivi via mare Domande di protezione 68,000 62,692 64,000 60,000 56,000 52,000 48,000 N. persone 44,000 37,350 36,951 40,000 36,000 31,723 32,000 28,000 24,000 20,455 19,090 20,000 16,000 13,310 12,121 9,573 12,000 17,000 13,267 8,000 4,406 4,000 0 2007 2008 2009 2010 Anno 2011 2012 The island of Lampedusa (AGRIGENTO) constitutes Europe’s farthest southern border, being geographically more distant from Sicily (about 205 km from Porto Empedocle) than from Tunisia (about 167 km from Ras Kaboudia). Il 2013 2013 - arrival by sea From 1 of January to 31 of Dicember 2013 People Totale 42925 Men 29112 Women Minors 5477 Fonte Ministero dell’Interno A.M.:Accompanied Minors N.A.M.:Non Accompanied Minors 8336 A.M. * N.A.M.* 3104 5232 Il 2013 2013 - arrival by sea Calabria Landing People Men Women Minors Total 58 438 Puglia Landing People Men Women Minors Total 37 35 Fonte Ministero dell’Interno 3980 1030 2499 897 1043 98 A.M.* N.A.M.* 273 770 A. M. * N.A. M* 22 76 Il 2013 2013 - arrival by sea Sicilia Landing People Men Women Minors A. M.* N.A. M.* Total 385 25692 5004 2809 4381 37886 Lampedusa Landin g People Men Total 149 14739 Fonte Ministero dell’Interno 7190 Women Minors A. M.* N.A. M.* 110734 1972 2033 540 1493 Who arrives by sea? MIXED MIGRATION FLOWS Include economic migrants, asylum seekers, unaccompanied minors, victims of trafficking. According to law, foreign nationals having entered Italy without a regular entry visa are considered illegal immigrants. The illegal immigrants must be rejected at the border or deported. However they cannot be expelled immediately if: - they are in need of rescue; - there is the need to inquire about their identity or nationality A foreigner who is denied in his country the effective exercise of the democratic liberties guaranteed by the Italian Constitution, has the right of asylum in the territory of the italian Republic, in accordance with the conditions established by law. PRAESIDIUM Project In 2006, the Italian Ministry of Interior launched the Praesidium project. Goals are the enhancement of humanitarian reception and assistance to irregular migrants who arrive by sea via the southern border (so-called “mixed migration flows”), as well as the promotion of reception standards for migrants landing on the islands of Lampedusa, Sicily, and other coastal areas in southern Italy. PRAESIDIUM Project The Praesidium Project titled “Strengthening of reception capacity in respect of migration flows reaching the island of Lampedusa” was launched in 2006 by the Ministry of Interior, in partnership with: the Italian Red Cross (CRI), the International Organization for Migration (IOM) and the United Nations High Commissioner for Refugees (UNHCR). As of February 2008, the project was extended to Save the Children Italy, due to the increase in flows of unaccompanied migrant children PRAESIDIUM Projec These humanitarian agencies are internationally recognized for their historic commitment in the field of managing migration-related humanitarian and social emergencies, as well as for their role in promoting and defending the human and civil rights of migrants, asylum seekers or beneficiaries of international protection, victims of trafficking and minors. The strengths of Praesidium include the successful joint activities carried out by the four organizations’ teams The multi agency approach Given the complexity of arrivals by sea and the overlap in beneficiaries’ needs, the four organizations working in accordance with their respective mandates, has been able to reach a diverse group of beneficiaries, with a overall “take in charge” of the migrants. IOM IOM provides information and legal counseling to migrants and displaced people on Italian immigration regulations, on human trafficking and on the consequences of anyone staying in the country irregularly. A particular focus is placed on identifying and providing assistance to vulnerable persons such as victims of trafficking for sexual and labor exploitation and other vulnerable groups. Further, along with other project partners, IOM monitors landing and reception procedures at immigration centres and, more broadly, provides technical assistance to institutions and local authorities on immigration issues.. The multi agency model UNHCR The Agency’s objective is to provide protection to refugees in the broader context of migration flows. Within the context of the Praesidium Project, the UNHCR’s activities have been geared toward the improvement of the immigrant reception system, and toward guaranteeing access to the asylum procedure for those who travel to Italy by sea in search of protection from persecution, other serious violations of human rights or armed conflict. The UNHCR has provided information and legal advice, especially targeting the identification of asylum seekers. Moreover, it has monitored the adequate functioning of the reception system and contributed to the identification of vulnerable people. Save the Children Within the Praesidium project, Save the Children Italy provides information and legal advice to migrant children arriving by sea, monitors reception conditions of migrant children and supports the development of an operating system for the identification and assistance of migrant children which respects their rights. Italian Red Cross The multi agency model Providing social and medical assistance to refugees, displaced and migrant populations is one of the institutional tasks of the Italian Red Cross. In accordance with it, the Italian Red Cross carries out a number of activities, including reception, advocacy, socio-medical assistance and support to family reunification efforts, with a view to monitoring compliance with humanitarian standards, fundamental human rights and human dignity. Within Praesidium, CRI aims to monitor reception and assistance conditions, with particular reference to health-related and psychological aspects. In addition to medical and psycho-social interventions, the Italian Red Cross has been involved in information, education, health risk prevention and psychological support for migrant populations, with particular attention to vulnerable groups. Psychological support and health education are also provided for operators and those who work within reception contexts, in order to contribute to improving the overall reception and assistance conditions for migrant populations. Other Partnership In accordance with our respective mandates, the organizations have been working closely with the main institutions responsible for various aspects of the reception system, and with a number of other stakeholders involved in the management of migration flows: • the Coast Guard, •Provincial Police Headquarters,; •Prefects’ offices-central and branch offices in relation to migrants’ and asylum seekers’ reception centres, as well as centres for identification and expulsion; • the Protection System for Asylum Seekers and Refugees (SPRAR), through the secondary reception phase and the integration of refugees and the beneficiaries of subsidiary protection; • Ministry of health and local health institutions when dealing with healthcare and vulnerable cases; • local associations and civil society, for other services provided to migrants and asylum seekers. KEY WORD : MONITORING The Italian Red Cross is focused on health: The possibility/capacity to access to health care system it is used as an indicator of good reception system, and as indicator of good integration.The monitoring is intended to ensure that migrants could benefit from an active protection of his health in the manner provided by our legal system: KEY POINTS Recognition / expression of health needs Access to health services DIFFICULTY ' Cultural barriers, Stigmatization, Poor usability GOOD PRACTICE Information and awareness, orientation, advocacy Addendum to Praesidium VIII In 2013 we signing an integration of the partnership agreement to monitor all the centers for migrants to monitor all structures for migrantsof the country every three months: Monitoring is carried out by interviewing migrants and visiting the Centers. A specific form is used. •Detection Center : Milan, Turin, Gorizia Modena Bologna, Roma, Bari, Trapani, Caltanissetta, Crotone •Center for asylum seekers : Ancona, Rome, Bari, Foggia, Brindisi, Trapani Caltanissetta Crotone, Cagliari •Center for first reception: Lecce , Lampedusa •Joint Commission: Praesidium, the Police and the Prefecture •Identify problems, suggest possible solutions, long-term monitoring of the application of the solutions proposed •ItRC: Evaluation of health and social care offered to migrants in government centers Praesidium VIII (and Praesidim IX) Regional Team (field Officer and Cultural Mediator) Calabria; Puglia; 2 teams Sicilia. Calabria Puglia Sicilia and Team RFL National Team Facilitatore di progetto, Responsible psychosocial activities, Responsible project on stress, Responsible for communication Central Coordination National Coordinator Financial officer National Coordinator on RFL and Tracing Attività Progetto Praesidium VIII Activities carried out during the Praesidium Project Continuous monitoring in reception centers and landing areas to ensure appropriate assistance to migrants; Training events within the CRI at the national level, through the organization of courses for volunteers involved in the territories involved in the phenomenon of landings; Information / communication across the page dedicated to the project and built on the site www.cri.it; Information / communication with the IFRC; Participation in national events for the dissemination of good practices related assistance / reception of migrants; Participation in conferences / seminars outside of the ItRC; Public relations with the project partners, institutions, national press / international; Reporting, analysis of data on migration, Advocacy with the institutions responsible for of receptionri. The Praesidium Project results: tools FOR MIGRANTS ( 6 LANGUAGES) •First aid •Copying with pregnancy •Hygiene and Health •Rules for migrants’ access to health care assistance FOR THE OPERATORS •Manual on Hygiene •PROGETTO PRAESIDIUM Best practice •10 steps •Accordo stato regioni http://cri.it/praesidium The Praesidium Project results 1 monitoring of government structures Struttura Numero centri Monitoraggi CIE 10 17 CARA/CDA 12 22 Monitoring of the centers by Praesidium Team Struttura Regione Numero centri CIE CARA/CSPA/CDA Puglia 5 60 CIE CARA/CSPA/CDA Calabria* 4 21 CIE CARA/CSPA/CDA Sicilia** 7 116 Monitoraggi * Comprese strutture adibite per necessità a prima accoglienza * *Compreso il CSPA di Lampedusa, tensostrutture/strutture adibite per necessità a prima accoglienza The Praesidium Project results 2 We will monitoring reception centers ; the reports will be share to European Organization and Institutions Reports written by Agencies will be published A technical working group has been established at Ministry of Interior to define the guide lines for health assistance in the detection Center for migrant ; a similar group will be for the asylum seekers Centers Similar working group involving IOM, UNHCR and Save the children will work in writing new guide lines to manage the reception centers A leaflets with information for migrant about asylum, health, the reception system has been prepared with the Italian Police and the agencies of Praesidium: it will be shared on the boats of the Italian Navy after rescue and in the arbor after the arrival . Thank you for your attention, Alessandra Diodati Croce Rossa Italiana alessandra.diodatil@cri.it 2013-Activity of the ItRC local branches of Sicily Regione Sicilia* Totale Landing People Activities 12613 First aid, logistic support, human resources , supplies distribution, Transport 82 * Questi dati non comprendono gli arrivi dell’isola di Lampedusa