
Sonita Khalil, Cordaid psychosocial worker in Seje, talks to Khalil Ibrahim (42). Khalil, his wife and their 4 children fled from Sinjar when it was attacked by ISIS in 2014. They now live in an unfinished house in Seje, near the Primary Health Centre.
Like so many Yazidi's Khalil's family fled to the mountains, stayed there for days, saw many atrocities and survived on the little food and water they could find. "We saw the wounded, people who had fought with ISIS. There were no doctors. Women delivered their babies out in the open, with medical assistance. Some parents even forgot their children in the mountains, while running for their lives. Such was the chaos and the madness", he remembers. "Good people dropped food and solar chargers for our mobiles from the air", he continues.
The past 5 years Khalil and his family have lived in Seje. They live in an unfinished house. The owner allows them to stay there for free. "That is generous. But we don't know how long we can stay. I raise geese and sell them. That is our main income. And one son works in a wood carving shop nearby."
Going back to Sinjar is a constant pint of discussion. "I would like to one day. But it is still unsafe there", he says. "The fact that we now have an primary health centre here in Seje is very helpful. It improves our lives."
The Primary Health centre in Seje was set up two years ago and is still fully supported by Cordaid .
Seje is a christian village near the city of Duhok, in the Autonomous Kurdistan Region in Iraq. The village took in thousands of Yazidi IDPs after Sinjar was captured by ISIS in 2014.
Cordaid decided to start it’s health care intervention in Seje, at a time when the war with ISIS was still undecided, more than two years ago.
“This was the right spot to start”, says Albert van Hal, Cordaid’s Health program manager based in The Hague. “At the time we couldn’t enter Nineveh province, because of the war. Back then and still today, Kurdistan welcomed hundreds of thousands of IDPs. Many resided in camps. But a lot stayed inside and around villages like Seje. We knew the only health centre in Seje had been abandoned. So we decided to rebuild, re-equip and re-staff it, in collaboration with the Dohuk District of Health. Not only to provide health care for the displaced, mostly Yazidi families. Also for the host communities who were outnumbered and could hardly cope with the situation”, van Hal continues. “The idea was that if we do well in Seje, we can later expand to other locations.”
Today, the primary health care centre of Seje is the main health facility for many miles around. It has a doctor’s room, two nurses have their own unit, there’s a pharmacy, clean toilets, a waiting room, a room for psychosocial support. All chronic and common diseases are being treated here. The centre also has a well-equipped and staffed mobile clinic, that visits the surrounding villages on a daily basis.
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After the military defeat of ISIS in Northern Iraq, in 2017, traumas of the terror years came to the surface on a scale that far overstretched the existing health system. There were next to no mental health care or psychosocial support services for the many hundreds of thousands of traumatized displaced persons as well as the affected hosting communities.
All communities in Northern Iraq were indiscriminately traumatized by ISIS rule and the ensuing war, whether Arab, Kurdish, Christian or other groups. Nevertheless, the extent of targeted and organized brutalities against the Yazidi’s – especially against women and children – is unprecedented. Yazidi history knows many persecutions. This one stands out. It is reckoned that of the 550.000 Yazidi’s in Northern Iraq, 100.000 have fled abroad and 350.000 live a life in limbo in IDP camps. In the Yazidi capital of Sinjar alone, more than 70 mass graves have been unearthed so far.
In 2017 Cordaid started providing primary health care services to displaced Yezidi and Christian host communities in the village of Seje (in the Kurdistan Region of Iraq). By that time IDPs in and around Seje already far outnumbered the host population. As of yet, most Yezidi families still fear to go back home. The health center – which also has a mobile clinic – is the only medical facility in a 10 km radius.
Gradually, Cordaid started adding mental health services and psychosocial support (MHPSS) to the primary health care services in Seje. By then, the need to address mental health issues such as depression and anxiety – especially among Yezidi women and children many of whom had been kidnapped, enslaved and abused by ISIS for months if not years – had become acute. Cordaid trained and recruited new staff to provide psychosocial support as well as psychiatric medical services and medication. The District of Health psychiatrist that comes weekly is one of only 24 in the whole of Iraq. The Cordaid social worker is a young Yezidi woman who can closely relate to the survivors she supports.
Since the start of 2019 and parallel to our work in Seje, Cordaid finances and staffs a MHPSS department in the Clinic of Sinjar (Nineva province), right in the heart of former ISIS territory. It is one of the worst affected war zones. As displaced Yezidi families slowly begin to return to Sinjar, the need to provide psychosocial and psychiatric care is increasingly urgent. As prove the long waiting lines of patients as well as the overburdened psychosocial support and mobile teams.
In the town of Ba’ashiqa – known for its mixed Yazidi, Christian and Muslim population, also located in Nineva province, Cordaid has rehabilitated 4 health facilities that were previously plundered and dismantled by ISIS. Here as well staff basic health care services, as well as mental health and psychosocial support to ISIS survivors who have returned to their place of origin.
Lastly, in Tal Afar, another town on the former east-west ISIS axis toward Syria, mostly populated by Arab Turkmen, Cordaid is starting to provide MHPSS services as well as health care services for people with a disability. After years of warfare the need for these services has risen acutely.
By providing different types of care in different locations in and around former ISIS territory, Cordaid is strengthening a fragile health system in one of the most brutalized regions of the Middle East. In the longer run, by doing this and expanding our efforts, we aim to contribute to the social fabric and the feeling of trust, that is needed to return to a beginning of normalcy.