vulnerability assessment only following UNHCR’s or other organizations’ intervention.87 Yet instead of improving, in the summer of 2017 (June) the situation further
deteriorated.
Up to that point (end of May 2017), primary healthcare services in the RICs were provided by NGOs (e.g. MdM), which, following the non-renewal of their contracts gradually started handing-over this activity to the state. As a result of this transition, which
even at the time lacked sufficient planning, a huge gap was created in terms of both
vulnerability assessment and the overall provision of healthcare services in the RICs.88
To illustrate the extent of the problem, in July 2017, the RIC at Moria, Lesvos, was left
with 2 doctors (one full-time, the other, part-time), 1 psychologist and 1 social worker,
competent for conducting vulnerability assessments for a population at the time
amounting to some 4,000 asylum seekers. 89 The RIC of Kos, on the other hand,
throughout most of August was left with no official medical personnel, whatsoever,90
meaning that no vulnerability assessment could take place. In turn, this led to a quasilandslide effect, by not only actively endangering persons in need of immediate assistance, but also creating significant delays in the examination of their asylum applications, as the GAS –and rightly so– would not register their asylum claims if they had
not previously undergone a medical assessment. In this context, prevalent gaps in the
reception of asylum seekers only served to detrimentally affect what best practices may
had been in place, as their cumulative, ultimate, effect, was the further entrapment of
vulnerable persons on the islands.
The situation started somewhat ameliorating towards the end of August 2017, when
personnel employed through KEELPNO (Hellenic Center for Disease Control & Prevention) was gradually deployed on the islands, thus inaugurating the state’s belated
takeover of healthcare provisions in the RICs. Since then, as we were informed at the
island RICs of Kos and Lesvos, vulnerability screening (medical) has become a regular
aspect of the reception process. Nevertheless, ongoing deficiencies in personnel (in Kos,
for instance, only 1 KEELPNO doctor and 4 nurses were deployed in January 2018, for
a population consisting of nearly 700 vulnerable asylum seekers),91 availability of space
(in Lesvos, in December 2017, social workers in the RIC lacked any type of working
space), backlogs created throughout the period of transition from NGO-led to state-led
medical provisions, as well as matters of over-congestion, still prohibited (and do so to
this day) the system from functioning in an effective manner.
Thus, at the time of our respective visits in both Lesvos and Kos (11-15 December 2017
and 10-12 January 2018, respectively), medical screening would as a rule take place a
month following a person’s arrival at the RIC. Psychosocial assessment, on the other
hand, which is ever more important for the recognition of less visible, but potentially
more severe, vulnerabilities (e.g. victims of torture), when conducted, would as a rule
take place in up to three times as much (3 months following arrival).
In Evros, on the other hand, up to the 20th of December 2017 and not least due to the
RIC’s small capacity (240 places accommodating slightly more than 300 applicants at
29
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