Dr. Anakiev: Eating beans soup in my improvised clinic in camp Trnovi, Velika Kladuša, BiH but MSF failed to see me. It is interesting that MSF doctors never crossed the line of camp, I suppose for security reasons. Their vehicle was always parked by police vehicle on the other side of the river. But how you can practice medicine if you are afraid of your patients?
MSF IN BOSNIA: HOW TO KEEP GOOD NAME
WITHOUT GOOD WORK? A FACEBOOK CONVERSATION WITH MSF OFFICIAL
STEPHANE MOISSAING
Following talk took part on the FB wall
of S.O.S, Krajina volunteer Adis Imamamović Pixi in the evening of
15th, December and continued in the morning December 16th,
Then the whole discussion by some miracle disappeared after my last
comment. It is of professional interest because it shows the
character of relationships in the field of humanitarian medicine.
Perhaps it shows some other things too. That is why I documented it.
As a tool of education. (For the sake of authenticity I did not
correct English mistakes).
Dimitar
Anakiev Thanks Nina Peschi and Moissaing
Stephane for you readiness to discuss important issues. But let
me step a little bit aside - I think it is wrong to understand Adis
Imamovic Pixi comment personally, as an insult. It is a kind of
emotional screaming because from June to December nothing is done to
improve the situation in Kladuša...We all see that and the question
is what we did to change the situation? So what can we discuss
without screaming if we are humans and not only professionals? That
is the question of personal sensibility too. It seems that only
screaming can attract some attention (and make people thinking a bit)
sometimes on the base of personal resentment. Pixi spent days and
days with refugees in the field living in very similar conditions as
refugees and migrants. So there is no other way for him to express
his feelings but screaming - refugees and migrants speak through his
emotions. That is important to understand. It will be terribly wrong
to suppress Pixi's screaming. That is my opinion.
Moissaing
Stephane Dimitar
Anakiev i do not take it personally. I am not screaming neither.
We paid a part of the items he distributed in VK. Good Job. We paid a
part of the needed answers that he and Dilan made in the barracks in
Belgrade. Pixi supported us when we needed. I was in Sarajevo street
last winter too.
I do not take things personally.
I just find
unjustified getting angry and getting in crusade against every one by
frustrations. Their are quite a number of organisations doing what
they can and NGOs based on volunteering that kill themself at work
who could get frustrated too.
Dimitar
Anakiev My I ask you something like a professional Moissaing
Stephane? Also all others who are interested in the discussion of
NGO role in humanitarian crisis. Until June 2018 the refugees and
migrants had healthcare solved in local Health Centers of BiH. The
healthcare law in FBIH explicitly allows access to both refugees and
migrants to local healthcare system. Why then MSF came to BiH? Let me
remind you that humanitarian standards explicitly ban complicity.
What way you see the situation?
Moissaing
Stephane Dimitar
Anakiev yes exactly; i red your blog full of non-based evidence
information and had try to contact you for many months now; please
check your inbox. Like the information you give above; not based
evidence.
They rules of laws take in consideration emergencies and
migrants who are registered. Nonetheless the practice after the
ministry of security indicated was that outside of the camps people
will not be entitled and no refund will be done. Therefore MSF came
to support as plenty of cases where not any more supported. At first
we did pay the drugs at pharmacy level, then when no health care
where given anymore (first in Bihac) we came.
Now the EU del gave
some money and we will leave fast as we are not for duplicates.
The
lobby is that somewhat an universal access to health be given and
accepted by donors and state.
I think you confuse MSF to do a
business, MSF is trying to exit any crisis as fast of possible in
terms of not removing the states and donors liability.
MSF is
independent and does not receive institutional money. MSF will keep
neutrality and invest where their are gaps and aim for fast phase
out.
Dimitar
Anakiev Moissaing
Stephane DfA blog (Doctoctors for Asylees), where I published
"non-based evidence" is PUBLIC and connected with FB page
and other different pages, so anyone who want to comment can do it
PUBLICLY and offer evidence if missing or better evidence if my
evidence is not correct... So sending private messages to one who
offers public communication about public and professional things do
not seem to me really professional approach. Even more incorrect is
publishing instead in communication on FB - without any proofs-
opinion that my blog is "full of non-based evidence". That
is classical labeling, which is tool of disqualification of
interlocutor. A political tool. All this is not picture of
professionalism... I do not want to comment other of your statements
because FB is not the place to do it but just short thanks for
introducing the MSF. What I was able to see in Bosnia is that level
of your work is not very high but I suppose that is because of
circumstances and not because of corruption. BTW: corruption is not
related only to the money and sources of money. Very often corruption
can be accepting some politics and similar moods.
Moissaing
Stephane Dimitar
Anakiev clearly not based evidenced. We can discuss it privately,
this is an invitation. (Not the first invitation but this one cannot
be ignored)
And invitation to discuss is not disqualifying is just
to understand other perspectives. Regarding qualities and neutrality
we are not afraid to be challenged since challenges open rooms for
improvements.
Moissaing
Stephane Dimitar
Anakiev public debates should not be done while non-based
evidence and assumptions goes to allegations. Discussions and
understanding of everyone limits should be favoured. For 21 years of
field work (among it volunteering too) it is the first time i comment
publicly... you guys are going a bit far in alleged short-cut. And
that brings not thoughtful insights in mobing.
Moissaing
Stephane Dimitar
Anakiev and i never seen you in the field. While i am reported
rare appearances of yourself in the field but never witnessed it but
always missed you when informed. What should it mean; you mostly
watch and complain?
Dimitar
Anakiev It is very contradictory invitation Moissaing
Stephane: at the same time you continue public labeling (even
being warned before) and suggest private discussion about public,
medical data. As a MD I am obliged to instruct you that medical data
are of public interest. I again invite you to correct my evidences at
the site where they are published. That is of public interest. It has
nothing to do with my private discussions... After such beautiful
introduction of yourself I am sure I will next time answer your
private phone call... It is not much tragic that you missed to see me
in the field, but it is really tragic that you missed to see the
situation in the field. You needed not to make private calls to me
but official calls to the Mayor (how many calls to Mayor of Kladuša?
How many meetings? How many calls to the Chief of Utility? How many
calls to the Chief of Water Supply? Etc. Etc. How many written
reports of proposals? To whom? How many official complains? To whom?
After you did couple of dozen of reports, proposals, meetings etc.
you can speak about "21 year of working in the field". If
you worked 21 year like you work in Kladuša it is not something that
you need to be proud... Sorry. And BTW: I am not playing hide 'n'
sick. I do not know who you was able to see in the field. Do not ask
me such questions.
Moissaing
Stephane Yes public interests, for this reason we report to the
health ministries and agencies. And are happy that pubilc health
issues are openly on the table.
Never seen you on the field while
i have seem every-one else. Sorry for that. It is not hide and seek.
It is because you are not there.
Moissaing
Stephane Dimitar
Anakiev you did some support though. Thanks for it. All should be
grateful for it.
Yes; maybe contradicting myself. But direct
contact is avoided. Then??? Answers have to be given while people are
not willing to discuss individually.
Dimitar
Anakiev Direct contact is not avoided just I am too busy right
now. We can talk when we meet in the field, or somewhere around. I
will call you and invite to be my guest. Be sure about that.
Dimitar Anakiev
Because you are not my top priority
Moissaing
Stephane Dimitar
Anakiev There are few groups in Bosnia that do amazing, they are
there from morning to evenings, check on vulnerabilities while
delivering services, keeping themselves high in spirits, go through
many challenges, and that in Sarajevo and USK. There are groups in
Montenegro, Albania, Macedonia, Hungary, Bulgaria who are holding
grounds. There are individuals who give their time for better, there
are a lot of challenges that normal people would like to resolve. But
they are there; I see them. Thanks for all of them, but when I do not
see someone who speaks in social media, mhhhh...
Dimitar
Anakiev You are just jumping from topic to topic. I have no time
to follow all your interests. .. About philosophy: you even do not
know that medicine is not philosophy... Simply you are not doing your
job well. People suffer because of your comfort. That is not
philosophy. You just need to be in the field and see it. And your
communication is not on the level we have in medicine. You are a
guest in medicine, that is the problem. You communicate like in
tavern, without a sense of responsibility. You are far from patients
and you cannot build empathy. You do not bring people suffering with
you. That is why you are so talkable. Yeah, you do not bring patient
suffering with you during the day, during the evening and night, you
do not wake up with people's suffering, that is the biggest point...
It is too many demerits. Sorry, nothing personal in all this. I just
try to help you understanding your job but some things you must feel
yourself. Medicine needs specific profile of people. You discuss
medicine with the doctor like drinking beer, without any respect to
the job. Not good, my friend.
Dimitar Anakiev
My field is named medicine. You are not in my field, that is why you
cannot see me. What is the name of your field I am not really
interested. But the effects of your work in medicine is not really
good.
Moissaing
Stephane Dimitar
Anakiev you talk and you do not come to the field. Please go
where migrants are and practice. Or come where migrants are and
research in academic manner. You are not where migrants are. You are
not in the field. You write things with a big gap with reality. You
only visit times to times but too rarely.
Moissaing
Stephane Dimitar
Anakiev stop justifying you. When you will come to the field
visiting Migrants and us; please give a ring. I guess it will not be
really soon since you do prefer the comfort of distance.
Then in
term of Medical monitoring and quality of care; y…See
More
Dimitar
Anakiev Moissaing
Stephane your only tool of communication is labeling. My dear, I
am a GP with 30 + year of medical practice mostly in field. I am
volunteer in SOS
Team Kladuša and I do not remember seeing you around. You, a
politician, dare to teach me how to practice medicine in cold? Shame
of you. You are not worthy of working in humanitarian field. Because
of people like you the situation in health care in BiH is such as
is-catastrophic. Before all with your style of thinking you are a
dilettante. You do not belong to the field of medicine. Probably Adis
Imamovic Pixi not failed much in his judgement about a
corruption. It is more and more obvious.
15/16 december 2018
