“I have issues with how far the camp is from the city. My brother is in the centre of Athens and
I have to travel every time to see him. It’s quite a difficult journey and we have to pay for it even though the cash card is so little money. Sometimes there are some buses or cars coming
in front of the camp and we can buy some groceries from them, but at least twice a month
most of us go to Athens to see a lawyer, buy food or to meet people.”
23 year old man from Somalia,
Malakasa camp
(iii) Healthcare and psychosocial support
72% of respondents reported that they did not have their basic health care needs met by
medical teams operating inside camps
62% reported that they encountered significant difficulties in accessing treatment in
hospitals
33% of respondents tried to access psychosocial support during their stay in the camp but
were not able to
Medical and psychosocial support units in mainland camps are responsible for medical screening,
provision of primary health care, referral to secondary health care, identification of cases
requiring immediate medical attention, recording of medical histories, and providing special
medical care to children, pregnant or breastfeeding women, people with disabilities and those
suffering from chronic diseases¹³⁵. These units are staffed by public health employees of Greece’s
national health organisation (EODY)¹³⁶. According to guidelines of EASO, medical screenings
should be conducted in an adequate and timely manner, arrangements should be in place to
ensure that applicants can communicate with medical personnel, and any necessary follow-up
actions should be taken following screening¹³⁷.
At the end of June 2024, the MoMA terminated the working contracts of some 400 public health
workers under the PHILOS programme¹³⁸, which had provided health services in camps run by the
RIS, prompting strikes¹³⁹ against precarious working conditions and temporary contracts.
Although the Greek government has announced a new health provision programme,
Hippokrates¹⁴⁰, promising to provide protection activities, psychosocial services and monitoring
of public health¹⁴¹, to date there has been no indication regarding a timeline for the programme’s
implementation. Meanwhile, CSOs report¹⁴² that health workers are being phased out in camps
and residents are left without access to medical support. According to information provided by
UNHCR in April 2024, there was a complete absence of medical services in Sintiki camp at this
time, a facility located 6 km from the Greek-Bulgarian border with no public transport
connections and 50 km away from the nearest hospital in Serres¹⁴³. Chronic understaffing is
widespread in the mainland structures, leading to the inability to provide dignified reception
conditions, as highlighted by CSOs¹⁴⁴.
As noted by the Ombudsperson¹⁴⁵, healthcare and psychosocial support provided in Greece’s
mainland camps falls far short of the authorities legal obligation to protect asylum seekers’
physical and mental health (Art. 59, 4939/2022; Art. 17, 2013/33/EU). Concerningly, interviewees
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