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Refugee and Asylum Seeker Support, Serbia

Reporting period: January 1, 2017 – March 31, 2017

Prepared by: Reporting Officer Marjan al Mahamid, with input from RMF Program Director N’Deane Helajzen,

Program Manager Žarko Stanić, and RMF Serbia’s Medical Officers: Dr. Marija Ilievski, Dr. Andrijana Ljubojević,

Dr. Dragana Marković, Dr. Daniel Pejković, Dr. Jovana Milić, Dr. Miljana Stojiljković, Dr. Vinka Stojković, and Dr.

Sofija Manjak

Organization: Real Medicine Foundation Serbia (www.realmedicinefoundation.org)

Project title: Refugee and Asylum Seekers Support

Project location: Belgrade and Adaševci, Serbia

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1. OVERVIEW

1.1. Current Context in Serbia

The first quarter of 2017 saw an influx of unaccompanied and separated refugee children (UASC) from Afghanistan

and Pakistan, as well as high numbers of pushbacks from the Hungarian border into Serbia. The overall number of

refugees, asylum seekers, and migrants counted in Serbia averaged around 7,800, with 6,700 (86%) being

sheltered in 17 heated government facilities. The others were sleeping rough (homeless) in the Belgrade city center,

northern Serbia (near the Hungarian border), and western Serbia (near the border with Croatia).

Serbia-Hungary Border

Construction of Hungary’s new detention camps and a second electrified fence, which stretches 108 miles along its

border with Serbia, are now underway despite virulent opposition from the UN, human rights groups, and a

European Court of Human Rights ruling, which many hoped might halt the country’s determination to imprison

refugees.

Many refugees face violence along the Hungarian border; humanitarian organizations say the treatment has

become a feature of Hungary’s policy toward refugees, with warnings from the United Nations falling on deaf ears

of the country’s government. Lydia Gall, Balkans and Eastern Europe researcher for the Human Rights Watch, said

they have received numerous reports of police taking selfies with abused migrants and filming them, compounding

the beatings with humiliation.

Western Serbia, near the Croatian Border

Tragic incidents again highlighted the need for greater access to safe pathways and the serious risks that refugees

and migrants face at the hands of smugglers. On the 2nd of February in Šid, four Algerian men sustained life-

threatening injuries after accidentally triggering an explosion on a cargo train transporting fuel. The incident ended

tragically for one of the victims, who passed away after more than two months of intensive care. The other three

survivors applied for assisted voluntary return home to Algeria.

During the reporting period, transit centers (TCs) in the west sheltered an average of 1,876 refugees and migrants:

1,005 in Adaševci, 551 in Sid, and 320 in Principovac. The population is mainly from Afghanistan, followed by

Pakistan, Iraq, Syria, and Iran. Up to 200 unregistered migrants and refugee men were observed squatting in

abandoned buildings near the Šid train station, preparing to cross irregularly into Croatia.

Greater Belgrade

Over 3,000 refugees and migrants were counted in Belgrade. UNHCR surveyed refugees and migrants in and

around the abandoned buildings behind Belgrade's central bus station. 1,395 refugees and migrants were counted,

primarily from Afghanistan (85%), followed by Pakistan (11%), with the remainder coming from other refugee-

producing countries.

Krnjača Asylum Centre accommodated 1,008 asylum seekers, mainly families from Afghanistan, Iraq, and Syria.

1,046 male refugees and migrants, including 375 unaccompanied or separated boys, were sheltered in Obrenovac.

Most are from Afghanistan, followed by Pakistan, and very few from Iraq, Syria, and other refugee-producing

countries. Obrenovac Collective Centre accommodated 850 asylum seekers, primarily male refugees from

Afghanistan and Pakistan.

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The number of refugees and migrants requiring medical care and support has overstretched health services in the

Belgrade area, where refugees are settling in “the Barracks” behind the bus station, and increased numbers of

refugees are accommodated in Krnjača and Obrenovac.

1.2. Project Challenges and Operating Environment

A combination of factors has made the provision of support to refugees and asylum seekers more challenging

during this reporting period:

• Banning of massive distribution of blankets, clothing, and other non-food items in public areas

• Logistics of accessing and supporting project beneficiaries in the field in low temperatures, sometimes as

low as -16°C

• Shortage of basic supplies in government administered facilities

• High numbers of refugees are unable or unwilling to successfully register themselves with the police.

Registration is essential for legal visibility and at times (the policies rapidly change) is required for a place

in the refugee camps throughout the country. Some avoid going to the camps for fear of being expelled

from the country by authorities.

• Refugees heading for Western Europe risk beatings and other forms of violence inflicted at Hungarian

border crossings, as reports of police violence rise. There is a need to strengthen our teams’ capacity to

respond to the provision of formal medical reporting of human rights abuses. This will be done by issuing

formal medical certificates which can be used as evidence in court if required.

• The unprecedented scale of refugees and asylum seekers is placing increased stress on an already

overburdened health system.

• Body lice infestation remained a challenge, especially in Belgrade and Šid.

• Due to winter temperatures, the number of medical referrals have increased, with frequent cases of frostbite

and respiratory illnesses.

• As new camps open to support the increased population of refugees and migrants, there are gaps in access

to primary medical care.

• Insufficient dental care access, with poor oral hygiene, is leading to other health complications.

• Incidents of violence inflicted on refugees by authorities is on the rise, and efforts to formally document

cases for human rights advocacy groups and lawyers is necessary.

• Integration mechanisms are absent.

• There is urgent need for professional psychosocial support within the camps.

Working Locations:

• Greater Belgrade

• Adaševci Transit Centre in Adaševci, Šid, Western Serbia

Please see Annex 5.1 for a more detailed list of institutions and locations where RMF Serbia’s team is currently

working.

1.3. Emergency Health Coordination

During the first quarter of 2017, RMF Serbia maintained its support by cooperating with other humanitarian actors

(UN agencies, NGOs, and civil societies) involved in emergency and crisis preparedness at the national and sub-

national levels. In particular, RMF Serbia revitalized and supported the health coordination task force in “the

Barracks” behind Belgrade’s main bus station to respond to acute emergencies.

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RMF participated in monthly health cluster meetings conducted in Belgrade by the Ministry of Health and supported

by the World Health Organization. The coordination meetings aim to improve the coordination of emergency health

responses throughout the country. While it can be said that these coordination meetings require more targeted

facilitation, they have been beneficial in acting as a platform for RMF to raise awareness of our current work. The

meetings aim to support joint rapid health assessments, identify current health service provision gaps, and support

the development of joint strategies to effectively respond to the current health crises among the refugee and migrant

population in Serbia.

RMF Serbia worked to maintain and build partnerships through the following activities:

• Participated in the Health Working Group, co-chaired by WHO and the Ministry of Health (MOH)

• Participated in the Refugee Protection Working Group (RPWG), co-chaired by UNHCR and the Ministry of

Labor (MOL). This is the key coordination mechanism for agencies/NGOs operating in the country, as well

as a source of information for donors and diplomatic missions that attend the meetings as observers. RPWG

has over 90 members and meets on a monthly basis.

• Participated in the monthly Partner’s Briefing on the Refugee and Migration Situation in Serbia, where

UNHCR/UNRC, Ministry of Foreign Affairs, and Ministry of Labour/Chair of Government WG on Mixed

Migration update the diplomatic corps/donors and NGOs on the refugee and migrant situation and the

response of UN agencies and their partners in the previous period.

• Participated in monthly medical actors’ coordination meetings with MSF, MDM, and WHO

• Provided monitoring and follow-up services for our patients, and received referrals from UNHCR/DRC

doctors, Palilula Health Center doctors working within Camp Krnjača, Doctors of the World (MSM), Médecins

Sans Frontières (MSF), Save the Children, Praxis organization, Info Park, Miksalište, and the Asylum

Information Centre (AIC).

2. ACHIEVEMENTS AND IMPACT

2.1 Summary of Accomplishments

RMF Serbia’s team continued to provide holistic medical care and support to persons of concern:

• RMF's mobile medical clinic arrived from Germany and was released by Serbian customs in February 2017.

After a period of preparation, which involved the development of protocols and fully stocking medical

supplies within the clinic, we commenced operations in the mobile medical clinic in March 2017. The mobile

clinic helped strengthen our response to the acute emergencies in the area of “the Barracks” behind the

main Belgrade bus station, providing a climate-controlled (safer in winter months), versatile space from

which our frontline medical workers and cultural mediators and translators can provide primary healthcare

services.

• In February 2017, RMF began operating the medical clinic in Adaševci. We provide health care at the clinic

from 4:00 PM to midnight, 7 days a week.

• RMF Serbia continued to support the Institute of Public Health (IPH) of Serbia, the Ministry of Health,

relevant health institutions, and partner NGOs in the coordination and provision of health care.

• RMF Serbia provided 3,103 health consultations to men, women, and children refugees and migrants

in the Belgrade city center.

• RMF Serbia provided 2,836 health consultations to men, women, and children refugees and migrants

in Adaševci Transit Centre in Western Serbia.

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• RMF Serbia continued to provide medical services, interpretation, translation and cultural mediation,

escorting, and transportation to secondary medical and other facilities in 89 cases.

• RMF Serbia identified unaccompanied and separated refugee children (UASCs), who were referred to the

Centre for Social Work in 25 cases.

• RMF provided assorted drugs and medical care, as well as hygiene packs, safety kits, and children’s kits

to support the response to refugees.

2.2 Individual Cases

Holistic Care Provided to Baby and Family

A 9-month-old boy was referred to RMF doctors by the medical team working in a state-run refugee camp. The boy

had presented with a fever, cough, and trouble breathing for more than a month. On various occasions, the infant

was treated in the camp with oral antibiotics, but they had no effect. Over a period of three days, the boy’s symptoms

became worse, and doctors from the camp requested support from our team. After examination and assessment,

our team escorted the boy and his mother directly to the University Children’s Hospital in Belgrade. There, he was

diagnosed with bacterial pneumonia and was immediately admitted to the hospital. Doctors also noted that the

infant was neurologically underdeveloped for his age.

According to hospital regulations in Serbia, the mother should stay in the hospital with her child. As she was a single

mother traveling with two children, it was a challenge to provide facilities and accommodation for the second, healthy

child.

The mother reported that her older son was being molested by the other family that they share space with in the

camp. RMF’s team reported the incident to Serbian Social Services. We also provided provide diapers for the infant.

After two weeks, he was discharged, full recovered. The family was transferred back to the camp. RMF provided a

comprehensive report regarding the case to the camp officials, who were advised to call RMF in case the boy’s

medical condition deteriorated.

Severe Frostbite

In January and February of 2017, the weather and living conditions for refugees and migrants in Serbia were

extremely hard. This was due to the low temperatures, sometimes as low as -16°C, and our beneficiaries’ ongoing

exposure to the cold weather. During January, refugees and migrants in the Belgrade city center suffered severe

forms of frostbite. Below is just one example of our cases:

A 16-year-old boy from Algeria was diagnosed by RMF’s team with frostbite on his right index finger. Due to the

clinical appearance of second to third-degree frostbite, he was taken directly to the Clinic for Plastic Surgery at the

Clinical Center of Serbia. In the clinic, the wound was cleaned, and ongoing dressings and follow-up indicated. We

followed up with the patient for a month. Due to his age, situation of traveling alone, and fear of possible surgery to

his finger, he did not comply with the prescribed wound dressing and other therapy, which resulted in deterioration

of his condition.

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The case was further compounded by the boy’s unresolved legal status in the country, which meant that hospitals

refused to treat him. These factors led to further necrosis of the finger.

In February, it was assessed again, and decided that his finger required amputation. We feared that he could lose

his whole hand. Surgery was scheduled and the amputation performed mid February.

Sports Injury

In Belgrade city center, there are a number of young refugee boys who play their favorite sport: cricket. Our mobile

medical team has treated a number of sports injuries. In this case, an 18-year-old boy from Afghanistan was playing

cricket and fell on his right hand.

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On examination, the wound was clean. However, it was three centimeters long, two centimeters wide, and one

centimeter deep. Because of the wound's depth, he was taken to the ER, where he received an anti-tetanus shot,

antibiotics, and stitches.

Skin Infection

At the end of March, we were engaged in treating many cases of skin infection, due to poor hygiene conditions in

the informal, self-organized refugee camp “the Barracks.” One such case is of a 16-year-old boy who was bitten by

a mosquito on the lower left leg. Despite antibiotic therapy, the bite developed into an abscess.

RMF provided referral services to a clinic, where incision and drainage of the abscess were performed. We

provided daily wound dressing and therapy, and he made a full recovery.

Violence among Refugees

After the closure of the Western Balkan route, refugee camps in Serbia are counting, every month, a higher number

of refugees spending a longer time in Serbia or looking at an indefinite stay. Due to the lack of integration programs

and psychosocial support in the camps, refugees are left alone to struggle with life in isolation and uncertainty. We

are faced every day with a high number of violence reports, which are a reflection of the poor living conditions that

refugees are forced to endure.

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A male patient came to us during the night, between the 30th and 31th of March. He told us that he was beaten by

three unknown men inside the camp. Local findings included deformity of the bones of the face, especially the nasal

bone. He also had blood contusions around his nose and eyes. We took him to the ER, where he was examined,

and head scans and an x-ray of the facial bones were performed. He was diagnosed with multiple fractures of the

nose, which required an operation. We requested support to relocate the patient to another camp due to protection

concerns.

Note: Due to privacy and safety concerns, many patients do not wish to have their photo taken.

3. MORBIDITY REPORT JANUARY–MARCH 2017

The first morbidity report for 2017 covers a period of three months, from January 1st to March 31st. During this

period, the outreach mobile medical team was operating 24 hours a day, 7 days a week. The medical clinic in

Adaševci is operating from 4:00 PM to midnight, 7 days a week, and the period covered is from the 1st of February

to the 31st of March. (RMF began providing medical care at Adaševci on February 1st, 2017.)

3.1. Demographic Distribution

Over the period of three months, with an average daily OPD of 67 patients, RMF provided a total of 5,939 health

consultations to men, women, and children in Belgrade and Adaševci.

PATIENTS’ SEX AND COUNTRY OF ORIGIN

Afghanistan

Algeria

Bangladesh

Cuba

Egypt

India

Iran

Iraq

Lebanon

Morocco

Pakistan

Palestine

Somalia

Sri Lanka

Syria

136

2

11

15

3

4

3

21

4697

27

13

3

7

6

45

65

5

14

780

2

7

4

74

female male

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3.2. Primary Health Care Statistics

A total of 3,103 men, women, and children were examined and received primary, secondary, or tertiary healthcare

services in Belgrade. A total of 2,836 men, women, and children were examined and treated at the medical clinic

within Adaševci Transit Centre.

The most commonly presented illness during this three-month period (January–March 2017) was the common cold,

affecting 1,378 patients, who presented with symptoms such as a runny nose, headache, and fatigue. The high

number of cases is due to the exceptionally cold winter period, with refugees residing mostly outdoors, exposing

themselves to harsh weather conditions over an extended period of time.

The second most commonly diagnosed condition was various types of wounds to the body, at 1,012 patients. In

this category, our team considered wounds caused by trauma, self-inflicted wounds, burns, and frostbite. The high

number of wounds can be attributed to the ongoing abuse suffered from border police, post traumatic stress

disorder, and the rough living conditions exposing our beneficiaries to the extreme cold. To keep warm, refugees in

the Belgrade city center were making unsafe fire pits, which caused many second and third-degree burns.

The third most common illness was fibromyalgia, which is characterized by widespread musculoskeletal pain,

fatigue, and issues with sleep, memory, and mood. Symptoms sometimes begin after a physical trauma or

significant psychological stress. Since the winter and strict border and police control have made further movement

of refugees through Serbia and across borders virtually impossible, they are now “stuck” in Serbia. In the reporting

period, refugees were left alone in the cold, with a limited food supply and an uncertain future. They have lost hope.

This combination of factors contributed to the 724 cases of fibromyalgia treated during the reporting period.

During the reporting period, we treated 167 patients that were suffering from pharyngitis. As with the common cold,

pharyngitis is an illness that is typical for the winter months and highly contagious. We used clinical findings to

differentiate between viral and bacterial pharyngitis.

Additional common illnesses presented at the clinic are also represented in the graphs below. Rare or occasional

illnesses are categorized as “other.”

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Flu and Respiratory Infections Treated in Adaševci: February 1st – April 2nd, 2017

Age OSG (Flu) Respiratory Infection

0–4 0 185

5–14 2 126

15–29 3 173

30–64 4 119

65+ 0 1

Nepoznato (Unknown) 0 0

Total 9 604

4. TOTAL NUMBER OF CONSULTATIONS JANUARY–MARCH 2017

Patients Treated by RMF Serbia Medical Teams: January 1–March 31, 2017

Patients

Number

A Female 195

B Male 5,744

1 0–5 Years 157

2 6–14 Years 399

3 15–24 Years 3,969

4 25–39 Years 1,054

5 40–59 Years 353

6 60+ Years 7

Total Patients 5,939

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Symptoms Number Presented

1. Dry Skin 94

2. Blisters 101

3. Skin Problems 68

4. Drainage of Pus 27

5. Skin Rash 82

6. Bumps on the Skin 71

7. Jaundice 3

8. Skin Itch 171

9. Peeling Skin 9

10. Depigmentation 5

11. Wounds (all types caused by trauma) 927

12. Burns 19

13. Pale Skin 7

14. Confusion 3

15. Dizziness 169

16. Fainting 12

17. Headache 743

18. Pus on the Tonsils 31

19. Difficulty Swallowing Food 13

20. Red Throat 598

21. Neck Pain 89

22. Swollen Glands of the Neck 9

23. Pain while Swallowing Liquid 11

24. Sore Throat 929

25. Change in the Voice 3

26. Mouth Problems 2

27. Dry Eye 8

28. Red Eye 12

29. Eye Discharge 6

30. Eye Twitch 3

31. Swollen Eye 9

32. Watery Eye 12

33. Itchy Eye 21

34. Eye Pain 9

35. Ear Discharge 4

36. Earache/Pain in the Ear 27

37. Hearing Loss 18

38. Ringing in Ear 4

39. Pain in the Nose 9

40. Nosebleed 18

41. Sneezing 49

42. Runny Nose 1,084

43. Stuffy Nose/Blocked 188

44. Swollen Lip 2

45. Dry Mouth 6

46. Bleeding Gums 13

47. White Tongue 4

48. Dry Lips 2

49. Swollen Tongue 1

50. Mouth Sores 9

51. Painful Gums 18

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52. Toothache 525

53. Wheezing 16

54. Chest Pain while Breathing 176

55. Dry Cough 183

56. Chest Pain 23

57. Losing Breath 8

58. Breast Pain 4

59. Productive Cough 311

60. Tachypnea 3

61. Tachycardia 2

62. Upper Back Pain 3

63. Back Pain 192

64. Chronic Back Pain 24

65. Distended Stomach 7

66. Diarrhea/Liquid Stool 29

67. Tenderness in Abdomen 3

68. Constipation 8

69. Heartburn 29

70. Vomiting 18

71. Abdominal Lump 30

72. Blood in the Stool 2

73. Stomach Cramps 26

74. Pain in the Abdomen (dull) 11

75. Nausea 33

76. Pain in the Abdomen (sharp) 24

77. Dyspepsia/Indigestion 182

78. Frequent Urination 5

79. Missed Menstrual Period 3

80. Vaginal Itch 3

81. Urine Odor 1

82. Discharge from Penis 5

83. Penile Itching 5

84. Frequent Urination 8

85. Pain in the Lower Abdomen 4

86. Swollen Glands of Groin Area 8

87. Cloudy Urine 13

88. Dark Urine 6

89. Testicular Pain 1

90. Burning Urination 16

91. Blood in Urine 8

92. Buttock Pain 2

93. Anal Pain 11

94. Pain in the Bone Area 174

95. Swelling and Redness over the Joint/Bone Area 18

96. Inability to Use an Affected Limb 1

97. Warm Skin over the Joint/Bone Area 7

98. Pain in the Limb 27

99. Pain in the Joint 195

100. Dislocation 5

101. Paranoia 3

102. Sleep or Appetite Change 5

103. Chills 4

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104. Fever 598

105. Fatigue 476

106. Excessive Sweating 12

107. Weight Loss 2

108. Dehydration 7

109. Muscle Pain in Whole Body 345

Diagnosis Number Diagnosed

1. Allergic Rhinitis 18

2. Anemia 3

3. Syncope 2

4. Tension Headache 25

5. Migraine Headache 26

6. Seizure Disorders 3

7. Dysphagia 6

8. Constipation 21

9. Gastritis 237

10. Gastroesophageal Reflux Disease 11

11. Diarrhea 559

12. Food Poisoning 3

13. Diverticular Disease 4

14. Peptic Ulcer 3

15. Hemorrhoids 17

16. Hypothyroidism 2

17.Diabetes Mellitus 22

18. Obesity 2

19. Pharyngitis 167

20. Sinusitis 4

21. Conjunctivitis 10

22. Laryngitis 4

23. Varicose Veins 3

24. Hypertension 22

25. Influenza 6

26. Mononucleosis 2

27. Candidiasis 3

28. Common Cold 1,378

29. Fibromyalgia 724

30. Lower Back Pain 348

31. Sprains and Strains 184

32. Osteomyelitis 5

33. Tendonitis 169

34. Anxiety 6

35. Post-Traumatic Stress Disorder 8

36. Hypochondriasis 3

37. Urinary Incontinence 7

38. Urethritis 7

39. Amenorrhea 5

40. Herpes Simplex 2

41. Asthma 8

42. Cough 458

43. Psoriasis 5

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44. Bronchitis 32

45. Insect Bites and Stings 29

46. Acne 17

47. Wounds 1,012

48. Dermatitis 3

49. Cellulitis 6

50. Erythema 9

51. Eczema 1

52. Frostbite 13

53. Burns 5

54. Warts 1

55. Body Lice 37

56. Scabies 54

57. Mosquito Bites 7

58. Insomnia 5

59. Fever of Unknown Origin 37

Distribution of Medications: January–March 2017

Skin Distribution

Vaseline Cream 100g 22

Pantenol Cream 5% 30g 47

Gentamicin Cream 0.1% 15g 116

Didermal Cream 15g 15

Diklofen Gel 1% 50g 83

Diklofen Gel 1% 40g 271

Daktanol Cream 2% 30g 15

Acyclovir Cream 5% 5g 22

Sinopen Cream 1% 20g 34

Sumpor Cream 15% 100g 40

Faktu Cream 20g 17

Triderm Cream 15g 13

Hydrocyclin Cream 20g 4

Hepathrombin Cream 40g 11

Benzyl Benzoate 20% 12

Flogocid Cream 50g 211

Jekoderm Cream 25g 5

Nystatin 20g 10

Gastrointestinal Tract (GIT) Distribution

Bulardi Probiotic with Zinc for Adults, 10 Capsules 201

Gastroperidon 10mg 20

Klometol 10mg 28

Activated Charcoal Elephant 12

Ranisan Tablet 20 x 150mg 43

16

Panlax Bisakodil Tablet 23

Omeprazole Capsules 15 x 20mg 141

Rehidran Oral Sachets 20 x 11.3g 748

Ranitidine 20 x 150 mg 83

Enterofuryl 30 x 100mg 5

Enterofuryl Syrup 90ml/200mg 3

Rupurut 500mg 1

Espumisan Tablet 40mg 2

Buscopan Tablet 20 x 10mg 56

Hepathrombin Suppository 2

Bulardi Probiotic with Zinc for Children, 10 Capsules 28

Analgesics Distribution

Analgin Tablet 10 x 500mg 20

Diklofen Tablet 20 x 50mg 343

Defrinol Forte 10 x (60+400mg) 257

Defrinol Syrup 100ml 5

Brufen Syrup 100mg/5ml 14

Brufen Syrup 200mg/5ml 25

Baralgetas Tablet 2

Nimulid 100mg 212

Fervex for Adults, Sugar-Free 51

Paracetamol 20 x 500 mg Tablet 886

Brufen 30 x 200mg Tablet 10

Brufen 30 x 400 mg Tablet 624

Brufen 30 x 600 mg Tablet 10

Paracetamol Syrup for Children 100ml 42

Efferalgan Supplement 10 x 80mg 10

Efferalgan Supplement 10 x 150mg 10

Diklofen Suppository (Adults) 8

Antihistamine Distribution

Pressing Tablet 10 x 10 62

Dexason Tablet 50 x 0.5mg 10

Pressing Syrup 120ml 5

Aerogal 10 x 5mg Tablet 10

Esradin 5mg 1

Antibiotics Distribution

Amoxicillin 16 x 250mg Tablet 20

Amoxicillin 16 x 500mg Tablet 49

Ospamox Amoxcillin 100mg Tablet 8

Ospamox Syrup 500mg/5ml 20

Amoksiklav (875+125 mg) Tablet 16

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Amoksiklav (500+125 mg) Tablet 14

Azithromycin (Hemomycin) 250mg Tablet 12

Azithromycin (Hemomycin) 500mg Tablet 11

Pancef 100mg Cefixime Syrup 3

Hemomycin Capsules 6 x 250mg 10

Hemomycin Film Tablets 3 x 500mg 20

Hemomycin Syrup 200mg/5ml 32

Cephalexin Syrup 100ml 250mg/5ml 40

Cephalexin 16 x 250mg Tablet 20

Cephalexin 16 x 500mg Tablet 63

Erythromycin 250 mg Tablet 12

Ciprocinal 10 x 500mg Tablet 10

Dovicin Capsules 5 x 100g 10

Erythromycin 20 x 250mg Tablet 10

Erythromycin 20 x 500mg Tablet 10

Palitrex 500mg 5

Pancef Tablets 10 x 400mg 10

Panklav Tablets 14 x 1000mg 25

Panklav Syrup 70ml (400+57mg) 15

Panklav 250+62.5mg/5ml Syrup 15

Sinacilin Syrup 250mg/5ml 100ml Bottle 40

Sinacilin 500mg Capsule 5

Eyes/Ears Distribution

TobraDex Eye Cream 5ml 3

TobraDex Eye Drops 13

Chloramphenicol Cream 1% 5gm 20

Artificial Teardrops without Preservatives 6

Marocen Solution 0.3% 5ml 5

Otol H Ear Drop Solution 10g 24

Nafazol 0.05% Solution 10ml 32

Bebisol Saline 5ml 99

Naphazol 0.1% Solution 10ml 66

Dexamethasone-Neomycin Drops 5ml 5

Dexamethasone-Neomycin Drops 10ml 6

Nose Distribution

Marisol Solution 10ml 10

Vitamins Distribution

Zdrovit Complex Tablet 123

Bedoxin Vitamin B6 18

Vitamin C EKO Tablet 10 x 500mg 1082

Sunlife A-Z Vitamin Complex 124

18

Referum Tablet 30 x 100mg 18

Pantenol Oriblete 676

Magnesium and Vitamin C Tablet 56

Folna Kiselina Tablet 30 x 40mg 5

Vigantol Solution 10ml 10

Cardiovascular System Distribution

Cardiopirin Tablet 30 x 100mg 5

Lasix Tablet 12 x 40mg 3

Methyldopa Tablet 20 x 250mg 2

Nifelat Tablet 30 x 20mg 4

Zorkaptil Tablet 40 x 25mg 3

Diunorm 25mg 2

Katopil 25mg Tablet 11

Antipsychotics Distribution

Elicea Film Tablet 28 x 5mg 1

Ksalol 0.25mg 1

Rissar Tablet 20 x 2mg 3

Sanval1 Tablet 20 x 5mg 1

Central Nervous System Distribution

Vazotal Tablet 30 x 5mg 1

Karbapin Tablet 50 x 200mg 1

Carbamazepine 200mg Tablet (Galepsin) 5

Monopril Tablet 28 x 20mg 1

Rivotril Tablet 30 x 2mg 2

Anti-Anxiety Distribution

Bensedin Tablet 30 x 5mg 5

Bensedin Ampule 100

Bromazepam Tablet 30 x 3mg 5

Ksalol 0.5mg Tablet 1

Lorazepam Tablet 20 x 2.5mg 5

Largactil Tablet 50 x 25mg 1

Zoloft Tablet 28 x 50mg 1

Expectorants and Antitussives Distribution

Fluimucil Expectorant Acetylcysteine 100mg 48

Omnitus Forte Tablet 10 x 50mg 158

Omnitus Syrup 4mg/5ml 200ml 10

Fluimucil Granules 30 x 100mg 10

Fluimucil Granules 30 x 200mg 268

Fluimucil Expectorant Acetylcysteine Granule 10 x

600mg 21

1 Sleeping tablet

19

Bisolvon Syrup 200mg 10

Herbion Brsljan Syrup 150ml 6

Lungs Distribution

Aminofilin Tablet 20 x 350mg 6

Alvokast 10mg Film Tablet 1

Berodual Spray 10ml 6

Berodual 20ml 22

Durofilin Capsules 40 x 125mg 3

Durofilin Capsules 40 x 250mg 7

Pulmicort 0.25mg 6

Pulmicort 0.5mg 5

Ventolin Inhaler 200 x 100mcg 19

Seretide Diskus 50mg/250mg 4

Spalmotil Syrup 200ml 2mg/5ml 10

Symbicort Inhaler 160mcg+4.5mcg 1

Oral Anti-Diabetics Distribution

Siofor Film Tablet 30 x 850mg 1

Gluformin 30 x 500mg 5

Urinary Tract Distribution

Mestinon 60mg 150

Minirin Tablet 30 x 0.2mg 1

Injectables Distribution

Bensedin 30 x 5mg 3

Gentamicin Ampule 80mg 50

Gentamicin Ampule 120mg 50

Glucose Infusion 5% 500ml 10

Dexason Ampule 250

Synopen Injectable 10 x 2ml/20mg 10

Women’s Health Distribution

Utrogestan 200mg 4

Daktanol Vaginal 7 x 200mg 7

Legravan Tablet x 21 5

Pregnancy Test 19

Tea to Support Breastfeeding Women (25 sachets) 20

Consumables Distribution

Saline 129

Octenisept 50ml 28

Komprese (gauze) 5 x 5cm 717

Komprese (gauze) 10 x 10cm 100

Gauze 1/4M 100

Cotton Wool 1kg 1

20

Betadine 10% 178

Rivanol Solution 1L 5

Iodine for Oral Use 3

Alcohol 70% 251

Hydrogen 3% 375

Acidi Borici 3% 90

Fizioloski Solution 500ml 5

Omnipor Flaster 5 x 2.5 50

Omnipor Flaster 5 x 5 50

Galoplast 5m x 5cm 10

Bandage (10x5 and 6x5) 358

Plaster (x20) 137

Tongue Depresser (packet of 100) 10

Elastic Bandage 38

Small Surgical Gloves without Powder 800

Medium Surgical Gloves without Powder 200

Infusion System 5

Needles 0.8 21g 500

Syringe 10ml 100

Syringe 20ml 50

Syringe 2ml 100

Syringe 5ml 100

Surgical Mask 100

Paper Roll 10

Garbage Bags 70L 15

Garbage Bags 120L 15

For Children

Baby Powder 100g 3

Sudocrem 60gm 10

Nafazol Nose Drops 0.05% for Children 42

Saline Bebisol 5ml Ampules 550

Microlax Baby 3ml 2

Nasal Aspirator for Babies 5

Equipment

Microlife Inhalator 1

Digital Thermometer 1

Small Scissors 1

5. Annex

5.1 Working Locations of the RMF Medical Teams

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Registration of patients:

• MUP Republike Srbije – Policijska stanica Savski venac, Uprava za strance – Police station Savski venac, Department for Foreigners

Protection information: • Asylum Information Centre (AIC) • Info Park • City Centre for Social WorkPraxis

SGBV support:

• NGO ATINA Medical referrals:

• UNHCR/DRC doctors at Krnjača camp • MSF • MDM

Relief aid:

• Miksalište Centre for Refugees • Refugee Aid Serbia • Praxis

Primary health care facilities:

• Dom zdravlja Šid Šid, Alekse Šantića 1, tel. 022 712502, fax 8230-191 www.domzdravljasid.org.rs/

• Dom zdravlja Obrenovac Obrenovac, Vojvode Mišića 231, tel. 011/8721-812, fax 8720-142 www.domzdravljaobrenovac.org.rs

• Dom zdravlja "Dr. Milorad Vlajković" - Barajevo Barajevo, Svetosavska 91, tel. 011/8300-186, fax 8300-182

• Dom zdravlja Voždovac Krivolačka 4-6, tel. 011/3080-500, fax 4443-594 www.dzvozdovac.rs

• Dom zdravlja Vračar Bojanska 16, tel. 011/3402-522, 011/3402-550, fax 2458-822 www.dzvracar.org.rs

• Dom zdravlja "Milivoje Stojković" - Grocka Grocka, Srpsko-grčkog prijateljstva 17, tel. 011/8501-661, fax 8501-047 www.dzgrocka.co.rs

• Dom zdravlja Zvezdara Olge Jovanović 11, tel. 011/2832-352, fax 2832-337

• Dom zdravlja Zemun Rada Končara 46, tel.011/2195-422, fax 2195-202 www.dzzvezdara.rs

• Dom zdravlja "Dr. Đorđe Kovačević" - Lazarevac Lazarevac, Dr. Đorđa Kovačevića 27, tel. 011/8123-141, fax 8121-141 www.dzlazarevac.com

• Dom zdravlja Mladenovac Mladenovac, Živomira Savkovića 15, tel. 011/8231-980, fax 8230-191 www.dzmlad.org

• Dom zdravlja Novi Beograd Novi Beograd, Goce Delčeva 30, tel. 011/2222-100, fax 2222-190 www.dznbgd.com

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• Dom zdravlja "Dr. Milutin Ivković" – Palilula*** Knez Danilova 16, tel. 011/3224-320, fax 3248-844 www.dzpalilula.org.rs

• Dom zdravlja Rakovica Kraljice Jelene 22, tel. 011/2561-322, fax 3582-842

• Dom zdravlja Savski Venac*** Pasterova 1, tel. 011/2068-800

• Dom zdravlja Sopot Sopot, Jelice Milovanović 12, tel. 011/8251-288, fax 8251-282

• Dom zdravlja Stari grad Simina 27, tel. 011/3215-600, 011/3215-700, fax 3215-601, 3215-701 www.dzstarigrad.org

• Dom zdravlja "Dr. Simo Milošević" - Čukarica Požeška 82-88, tel. 011/3545-450, fax 546-146 www.dzcukarica.co.rs

Secondary and tertiary care:

• Clinical Centre of Serbia Pasterova 2, 011/3618-444, 011/3617-777 www.klinicki-centar.co.yu

• Emergency Center Pasterova 2***

• Clinical Centre Polyclinic -Klinika za kardiovaskularne bolesti, Dr. Koste Todorovića 8, 011/3610-717 -Klinka za infektivne i tropske bolesti, Bulevar oslobođenja 16, 011/683-366*** -Klinika za neurohirurgiju, Dr. Koste Todorovića 4, 011/3618-444 -Klinika za endokrinologiju, dijabetes i bolesti metabolizma, Dr. Subotića 13, 011/3616-317 -Klinika za hematologiju, Dr. Koste Todorovića 2, 011/3617-777*** -Klinika za alergologiju i imunologiju, Dr. Koste Todorovića 2, 011/3617-777 -Klinika za psihijatriju, Pasterova 2, 011/3618-444 -Klinika za neurologiju, Dr. Subotića 6, 011/3614-122 -Klinika za plućne bolesti i tuberkulozu, Dr. Koste Todorovića 26, 011/3617-777 -Klinika za bolesti digestivnog sistema, Dr. Koste Todorovića 6, 011/3610-715 -Klinika za urologiju i nefrologiju, Resavska 51, 011/658-956 -Klinika za ginekologiju i akušerstvo “Višegradska”, Dr. Koste Todorovića 26, 011/3617- 777*** -Klinika za dermatovenerologiju, Pasterova 2, 011/3618-444*** -Klinika za ortopedsku hirurgiju i traumatologiju, Dr. Koste Todorovića 26, 011/3617--777 -Centar za opekotine, plastičnu i rekonstruktivnu hirurgiju, Zvečanska 9, 011/647-766*** -Institut za medicinu rada i radiološku zaštitu, Deligradska 29, 011/3615-079 -Klinika za očne bolesti, Pasterova 2, 011/3618-444*** -Klinika za otorinolaringologiju i maksilofacijalnu hirurgiju, Pasterova 2, 011/3618-444*** -Klinika za anesteziju i reanimaciju, Pasterova 2, 011/3618-444 -Institut za radiologiju, Dr. Subotića 13, 011/3613-609 -Institut za medicinsku biohemiju, Višegradska 26, 011/3617-777 -Institut za nuklearnu medicinu, Višegradska 26, 011/3617-777 -Centar za magnetnu rezonancu, Pasterova 2, 011/3617-777 -Centar za fizikalnu medicinu i rehabilitaciju, Pasterova 2, 011/3618-444

Eye care: • Klinika za očne bolesti (Clinic of Ophthalmology), Pasterova 2 • Klinika za očne bolesti kliničko bolničkog centra, “Zvezdara,” (Department of Ophthalmology Clinical

Hospital Center "Zvezdara"), Dimitrija Tucovića 161 Dental care:

• Zubna poliklinika “Mažestik” (dental clinic “Majestic”), Obilićev venac 30, 011/263-5236

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Clinical-hospital centers (KBC):

• KBC "Zvezdara," Dimitrija Tucovića 16, 011/3810-969 • KBC "Dr. Dragisa Misovic" Heroja Milana Tepica 1, 011/2667-122 • KBC "Bezanijska kosa" Bezanijska kosa bb, 011/3010-777 • KBC "Zemun," Zemun, Vukova 9, 011/3772-666

Mother and child health:

• Univerzitetska dečija klinika “Tiršova” (University Children’s Hospital “Tiršova”) Tiršova 10, 011/361-6061*** • Institut za zdravstvenu zaštitu majke i deteta Srbije "Dr. Vukan Čupić" (Institute for Health Protection of

Mother and Child of Serbia "Dr. Vukan Cupic"), Novi Beograd, Radoja Dakića 8, 011/3108-247*** • KBC Zvezdara, Dimitrija Tucovića 161, 011/3810-969*** • Institut za neonatologiju, Kralja Milutina 50, 011/3615-049*** • Ginekološko-akušerska klinika "Narodni front" (Gynecology and Obstetrics “Narodni Front”), Kraljice

Natalije 62, 011/3605-360, www.gakfront.org*** • Ginekološko akušerska klinika “Višegradska” (Gynecology and Obstetrics “Višegradska”), Dr. Koste

Todorovića 26, 011/3617-777*** Mental health:

• Klinika za psihijatrijske bolesti “Dr. Laza Lazarević”, Visegradska 26, 011/3636-400*** • Kliničko - bolnički centar “Zvezdara”, Dimitrija Tucovića 161, 011/414-322*** • Institut za mentalno zdravlje (Institut of Mental Health), Palmotićeva 37, 011/3238-160, www.imh.org.yu • Institut za psihijatriju, Pasterova 2, 011/3618-444 • Klinika za neurologiju i psihijatriju za decu i omladinu, Dr. Subotića 6a, 011/645-064***

Infectious conditions:

• Klinika za infektivne i tropske bolesti “Prof. Dr. Kosta Todorović” (Clinic for Infectious and Tropical Diseases “Prof. Dr. Kosta Todorović”), Bulevar oslobođenja 16, 011/683-366***

Skin conditions:

• Klinika za dermatovenerologiju (Clinic of Dermatovenerology), Pasterova 2*** • Klinika za opekotine, plastičnu i rekonstruktivnu hirurgiju (Clinic for Burns, Plastic and Reconstructive

Surgery), Zvečanska 9, 011/2647-766*** Medical institutes with inpatient care facilities:

• Klinika za infektivne i tropske bolesti “Prof. Dr. Kosta Todorovic” (Clinic for Infectious and Tropical Diseases “Prof. Dr. Kosta Todorović”), Bulevar oslobodjenja 16, 011/2683-366***

• Institut za javno zdravlje Srbije "Dr. Milan Jovanović – Batut" (Institute for Public Health), Dr. Subotića 5, 011/2684-566, www.batut.org.yu

• Institut za transfuziju krvi Srbije (Institute for Blood Transfusion), Svetog Save 39, 011/2442-651, www.nbti.org.rs

• Institut za virusologiju, vakcine i serume "Torlak," Vojvode Stepe 458, 011/3976-674, www.torlakinstitut.com

• Institut za neonatologiju, Kralja Milutina 50, 011/3630-104 • Klinika za ortopedsko-hirurške bolesti” "Banjica,” Mihajla Avramovića 28, 011/666-0466 *** • Institut za kardiovaskularne bolesti” "Dedinje," Heroja Milana Tepića 1, 011/3601-603 • Institut za onkologiju i radiologiju Srbije, Pasterova 14, 011/3614-660, www.ncrc.ac.yu • Institut za reumatologiju, Resavska 69, 011/3612-376 • Institut za rehabilitaciju, Sokobanjska 17, 011/667-343

Pharmacies on duty 24 hours daily:

• "Prvi maj," Kralja Milana 9, tel. 011/3241-349 • "Sveti Sava," Nemanjina 2, tel. 011/2643-170*** • "Zemun," Zemun, Glavna 34, tel. 011/2618-582 • "Bogdan Vujošević," Goce Delčeva 30, tel. 011/2601-887 • "Miroslav Trajković," Požeška 87, tel. 011/2543-877

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• "Gornji grad," Lazarevac, Dr. Đorđa Kovačevića 27, tel. 011/8129-610 Clinics:

• Klinika za rehabilitaciju "Dr. Miroslav Zotović," Sokobanjska 13, 011/668-631 • Klinika za neurologiju i psihijatriju za decu i omladinu, Dr. Subotića 6a, 011/645-064 • Univerzitetska dečja klinika, Tiršova 10, 011/361-6061 • Klinika za maksilofacijalnu hirurgiju Stomatološkog fakulteta u Beogradu, Dr. Subotića 4, 011/2685-064***

Specialized hospitals: • Specijalna bolnica "Sveti Sava", Nemanjina 2, 011/642-831 • Specijalna bolnica za cerebralnu paralizu i razvojnu neurologiju, Sokobanjska 17a, 011/667-961,

www.sbcprn.org.yu • Specijalna bolnica za bolesti zavisnosti, Teodora Drajzera 44, 011/2647-531

Institutes: • Gradski zavod za hitnu medicinsku pomoć, Bul. Franše D'Eperea 5, tel. 94, 011/3615-001,

www.beograd94.org.yu*** • Gradski zavod za javno zdravlje, Bul. despota Stefana 54a, 011/2078-600, www.zdravlje.org.yu • Gradski zavod za plućne bolesti i tuberkulozu, Preševska 35, 011/3811-800, www.bolestipluca.org.rs*** • Gradski zavod za kožne i venerične bolesti, Džordža Vašingtona 17, 011/3243-626, www.kvd.org.yu • Gradski zavod za gerontologiju kućno lečenje i negu, Kralja Milutina 52/I, 011/2067-800,

www.gerontology.co.yu • Zavod za zdravstvenu zaštitu studenata, Krunska 57, 011/2433-488, www.studpol.co.yu • Zavod za biocide i medicinsku ekologiju, Trebevićka 16, 011/557-899 • Zavod za endemsku nefropatiju, Lazarevac, Đorđa Kovačevića 27, 011/8123-173 • Zavod za zdravstvenu zaštitu radnika MUP-a, Durmitorska 9, 011/3612-933 • Zavod za protetiku, Vojvode Putnika 7, 011/3690-358*** • Zavod za bolesti zavisnosti, Teodora Drajzera 44, 011/3671-431 • Zavod za farmaciju Srbije, Vojvode Stepe 458, 011/462-986 • Zavod za psihofizičke poremećaje i govornu patologiju, Kralja Milutina 52, 011/685-180 • Zavod za zdravstvenu zaštitu radnika Železnice Srbije, (ambulanta na železničkoj stanici), Savska 23,

011/2686-155*** • Vojnomedicinska akademija (Millitary Medical Academy), Crnotravska 17, 011/2662-755***

*** Indicates state facilities and institutions where RMF directs most referrals

5.2 Project Photos

25

Photo 2. RMF management team at Krnjača Refugee Camp, Belgrade

Photo 3. Small children from Syria at Krnjača Refugee Camp, Belgrade

26

Photo 4. Small boy from Syria at Krnjača Refugee Camp, Belgrade

Photo 5. A Syrian woman and her mother at Krnjača Refugee Camp, Belgrade

27

Photo 5. One of RMF’s youngest patients, a newborn baby of Syrian parents, being transferred from Krnjača Refugee Camp to the Children’s Hospital for control

Photo 6. Two young girls in front of Miksalište Refugee Aid Centre, Belgrade

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Photo 6. RMF Founder and CEO, Dr. Martina Fuchs speaking with women from Syria and Afghanistan at Adaševci Refugee Camp, near the border with Croatia

Photo 7. RMF Founder and CEO, Dr. Martina Fuchs playing with children from Syria and Afghanistan at Adaševci Refugee Camp, near the border with Croatia

29

Photos 8 and 9. RMF Medical Officer Vinka Stojković treating patients in our clinic at Miksalište Refugee Aid Centre, Belgrade

30

Photos 10 and 11. RMF Founder and CEO, Dr. Martina Fuchs with Program Manager Žarko Stanić and Medical Support Worker Miloš Macura, viewing our new, purpose built mobile medical clinic in Belgrade’s customs storage area