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.
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.
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.
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 next time accept my phone call and answer messages. I am
always happy to learn.
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?
Moissaing
Stephane Dimitar
Anakiev in 2014 and part of 2015 i was calling MDM (for which i
worked too) as problems where even bigger than now. Where were you?
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.
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.
Yes; maybe contradicting myself. But direct contact is avoided. Then??? Answers have to be given while people are not willing to discuss individually.
Moissaing
Stephane Dimitar
Anakiev call me tomorrow and we can have all the times we need to
be informed.
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.
Moissaing
Stephane Dimitar
Anakiev cannot wait after so many months!
Dimitar
Anakiev Moissaing
Stephane Probably in January if everything is OK. Until then -
All the best in New Year!
Moissaing
Stephane Yes because you are not there.
Dimitar Anakiev
Because you are not my top priority
Moissaing
Stephane Dimitar
Anakiev yes what I said you are not there.
Moissaing
Stephane Dimitar
Anakiev check in first.
Moissaing
Stephane Dimitar
Anakiev easy to be a critics philosophic man when not even able
to check in and be there.
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.
Moissaing
Stephane I am in the field. And you fail to be.
Dimitar
Anakiev Drink one beer for me, please!
Moissaing
Stephane Dimitar
Anakiev I am not, sorry to disappoint. Go to the field before the
next 15 days, we will be happy to listen to you.
Moissaing
Stephane Dimitar
Anakiev Check in first.
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 check in first. You like too much the social media but
not the cold :-)))
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
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
These comments are from Dimitar Anakiev Facebook wall where discussion "continued" in strange way:
OdgovoriIzbrišiMoissaing Stephane DimitarAnakiev did not go to the field for many months :-).
Nidzara Ahmetasevic Dr Dimitar Anakiev is present in the field as much as his presence is needed. He is helping with much needed donations and helping volunteers to learn how to give first aid (even more than that) to people in the field. It is quote a lot, and more then useful in these circamstances.
Moissaing Stephane Nidzara Ahmetasevic Sorry to contradict he is not present. & thanks for the donations.
Nidzara Ahmetasevic Moissaing Stephane Donations are not for you, so nothing to thank for :) I do not have intention to go into discussion with you. I wrote this for the others. But, I have to notice - it is interesting to see MSF representatives comunicate in this way with the public. Never seen something like this before. Or I did, with the IOM representative. Interesting PR approach.
Moissaing Stephane Nidzara Ahmetasevic He is not there. No-one seen him since summer which he was doing one visit every 15 days. I know the donations is not for MSF.
NNK, SOS are operational every day in the field doing a lot. You are not there too and Dimitar is not there. It is important that right level of information is given, not imaginations that are put public.
Ahmed Ashour Moissaing Stephane are you there?
Nidzara Ahmetasevic MSF representative blocked me and I cannot see his comments any more. Which is again, a very interesting PR strategy. But, I am happy since there is nothing to discuss about. This is not competition or a game. It is childish even to go into this conversation.
Dimitar Anakiev I am also blocked. The representative of MSF likes to attack volunteers, spread lies and labels but does not like reading answers.
This case is interesting to be commented from the viewpoint of healthcare in Bosnian Frontier. Perhaps MSF have information what way the boy was treated? Days of abdominal pain without any treatment? We were recently talking with the representative of MSF about poor quality of medical help in Bosnian Frontier. The death of minor in camp in Bihać is not proof of quality health care work.
OdgovoriIzbrišiFEATURE — Death in a camp
Residents of the BIRA camp, Bihać, informed an AYS volunteer that a boy aged 16 died under still unclear circumstances on December 13.
Before the ambulance was called, they say, he complained about abdominal pain. The cause of death is not clear, and the information was not mentioned in public. According to some of the residents, he died of overdose, while some others have doubts about this cause, mentioning he had pain in his stomach for days and could not eat. He died in the hospital in Bihać. IOM, which runs this center, released no information on the event. The boy lived in the part of the camp where only minors are placed, in one of the containers. The area is guarded by a private security agency and does not resemble what an area for minors should probably look like. There are around 2,110 people living in this camp, including over 100 minors, but reportedly none of them were informed of what happened within the camp in this case. ("ARE YOU SYRIOUS")