{"id":40894,"date":"2017-12-15T18:05:40","date_gmt":"2017-12-15T17:05:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40894"},"modified":"2017-12-29T15:42:22","modified_gmt":"2017-12-29T14:42:22","slug":"lulwa-al-kilansi-from-one-refugee-to-another-i-hope-you-can-go-home-soon","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/12\/15\/lulwa-al-kilansi-from-one-refugee-to-another-i-hope-you-can-go-home-soon\/","title":{"rendered":"Lulwa Al-Kilani: From one refugee to another, I hope you can go home soon"},"content":{"rendered":"<p><b><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-40897\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/Lulwa-Al-Kilansi-858x1024.png\" alt=\"\" width=\"150\" height=\"168\" \/>Since the start of the civil war, 165 000 South Sudanese refugees have fled the violence at home and crossed the border into Sudan&#8217;s White Nile state. Lulwa Al-Kilani, a Palestinian project manager with medical humanitarian organisation <\/b><b>Med\u00e9cins sans Fronti\u00e8res\/Doctors Without Borders (MSF), <\/b><b>has been working in the Al Kashafa refugee camp hospital in White Nile state for the past six months. She reflects on how refugees have adapted to their new home.<\/b><\/p>\n<p><span style=\"font-weight: 400\">Like many of those who have crossed the border from South Sudan into Sudan, I am also a refugee. My father was born in Palestine, but was forced to leave and I was born in Jordan many years later. Our family still keeps the key and the deeds to our old home in the hope of being able to return.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This has given me a strong connection to refugees around the world, including the South Sudanese I have met during my time in Sudan. Many of the South Sudanese now living in White Nile state&#8217;s refugee camps fled sexual violence, torture, murder, and the destruction of their homes and villages. From one refugee to another, I hope that they can go home soon. While Sudan has offered them protection, this is not where they want to be.<\/span><\/p>\n<figure id=\"attachment_40901\" aria-describedby=\"caption-attachment-40901\" style=\"width: 645px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40901\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Out-patient-1024x576.jpg\" alt=\"\" width=\"645\" height=\"363\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Out-patient-1024x576.jpg 1024w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Out-patient-300x169.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Out-patient-768x432.jpg 768w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\" \/><figcaption id=\"caption-attachment-40901\" class=\"wp-caption-text\"><em>Mothers wait for a consultation in the outpatient department in MSF\u2019s hospital, Khor al Wharal refugee camp<\/em><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">Living like this is not easy. Al Kashafa is one of the oldest camps for the South Sudanese in the area, but people there are still dependent on international agencies to provide food, water, healthcare, and education.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Those of us who have worked in similar camps in other emergencies see that the international community is not providing the same level of support in this crisis as it has in other more visible refugee camps. You don\u2019t have to be in the camp for long to realise that access to clean water is insufficient, which can cause many health problems. Similarly, sanitation is poor. Basic toilets are not emptied and this can be hazardous. <\/span><\/p>\n<figure id=\"attachment_40902\" aria-describedby=\"caption-attachment-40902\" style=\"width: 646px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40902\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Khor-Wharal.jpg\" alt=\"\" width=\"646\" height=\"419\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Khor-Wharal.jpg 540w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Khor-Wharal-300x194.jpg 300w\" sizes=\"auto, (max-width: 646px) 100vw, 646px\" \/><figcaption id=\"caption-attachment-40902\" class=\"wp-caption-text\"><em>A mother cooks a meal for her family in the Khor al Wharal refugee camp<\/em><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">Many other problems need to be addressed, especially in the new mega-camp Khor al Wharal. This is a crisis forgotten by the international community. Across the whole emergency, UN agencies have only received 14% of what they need to support South Sudanese refugees across the region. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The MSF hospital in Al Kashafa is a significant undertaking and is a referral point for most of the health centres in the area. It serves both refugee populations and the host community, who make up nearly half of the patients using the hospital.<\/span><\/p>\n<figure id=\"attachment_40903\" aria-describedby=\"caption-attachment-40903\" style=\"width: 645px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40903\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Clinical-Officer-1024x576.jpg\" alt=\"\" width=\"645\" height=\"363\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Clinical-Officer-1024x576.jpg 1024w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Clinical-Officer-300x169.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_Clinical-Officer-768x432.jpg 768w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\" \/><figcaption id=\"caption-attachment-40903\" class=\"wp-caption-text\"><em>An MSF clinical officer distributes medication to a mother for her young son in MSF&#8217;s hospital, Khor al Wharal refugee camp<\/em><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">In time MSF intends to build a more permanent structure that is capable of dealing with the increased demand. The local community has already provided us with land. Yet the system is currently under great strain. Earlier this year, over 50 000 new refugees came across the border when fighting enveloped the towns of Wau Shilluk, Kodok, and Aburoc in South Sudan. They settled in Khor al Wharal. Many arrived with little or nothing\u2014often just a few meagre belongings. Food and water are inadequate, but people make do with what they have.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sometimes I am asked, \u201cHow do you cope with the challenges of running a hospital in such a tough environment?\u201d To be honest, I get sucked into the tasks at hand and don\u2019t think about it too much.<\/span><\/p>\n<figure id=\"attachment_40904\" aria-describedby=\"caption-attachment-40904\" style=\"width: 646px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40904\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_examination_drupal-1.jpg\" alt=\"\" width=\"646\" height=\"419\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_examination_drupal-1.jpg 540w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/sudan_examination_drupal-1-300x194.jpg 300w\" sizes=\"auto, (max-width: 646px) 100vw, 646px\" \/><figcaption id=\"caption-attachment-40904\" class=\"wp-caption-text\"><em>An MSF clinical officer examines a young boy for signs of infection in the Khor al Wharal refugee camp<\/em><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">In the end, I am here to make sure that the hospital is providing the best quality care to the refugee and host communities. <\/span><\/p>\n<p><span style=\"font-weight: 400\">But, from time to time, I need a bit of a boost; I need to see the work we are doing in the hospital. The highlight for me is going to the maternity ward where I meet the mothers and play with the newborns and make them giggle. This makes me smile and I feel re-energised. I hope that these children will get to go home soon.<\/span><\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Lulwa Al-Kilani,<\/strong> a Palestinian project manager with Med\u00e9cins sans Fronti\u00e8res\/Doctors Without Borders (MSF), has been working in the Al Kashafa refugee camp hospital in White Nile State for the past six months.<\/span><\/i><\/p>\n<p><strong>Competing interests:\u00a0<\/strong><span style=\"font-weight: 400\">I have read and understood BMJ policy on declaration of interests and declare the following interests: <\/span><span style=\"font-weight: 400\">None.<\/span><\/p>\n<p>Please support <em>The BMJ<\/em>&#8216;s Christmas 2017 appeal for M\u00e9decins Sans Fronti\u00e8res, bringing medical volunteers to the world&#8217;s neediest people: donate at\u00a0<a href=\"http:\/\/www.msf.org.uk\/bmj\" target=\"_blank\" rel=\"noopener\">www.msf.org.uk\/bmj<\/a><\/p>\n<p dir=\"ltr\">\u00a3123 could pay for a blood transfusion for three people<\/p>\n<p dir=\"ltr\">\u00a365 could buy a stretcher to help move an injured person to safety<\/p>\n<p dir=\"ltr\">\u00a354 could provide antibiotics to treat 40 war wounded people<\/p>\n<p dir=\"ltr\"><strong>Donate online<\/strong>: <a href=\"http:\/\/www.msf.org.uk\/bmj\" target=\"_blank\" rel=\"noopener\">www.msf.org.uk\/bmj<\/a><\/p>\n<p dir=\"ltr\"><strong>Donate by phone<\/strong>:\u00a00800 408 3897 (UK only)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Since the start of the civil war, 165 000 South Sudanese refugees have fled the violence at home and crossed the border into Sudan&#8217;s White Nile state. Lulwa Al-Kilani, a [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/12\/15\/lulwa-al-kilansi-from-one-refugee-to-another-i-hope-you-can-go-home-soon\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":40898,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263,750],"tags":[],"class_list":["post-40894","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health","category-msf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Lulwa Al-Kilani: From one refugee to another, I hope you can go home soon - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/12\/15\/lulwa-al-kilansi-from-one-refugee-to-another-i-hope-you-can-go-home-soon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lulwa Al-Kilani: From one refugee to another, I hope you can go home soon - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Since the start of the civil war, 165 000 South Sudanese refugees have fled the violence at home and crossed the border into Sudan&#8217;s White Nile state. 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