From War Trauma to Integration
Transcription
From War Trauma to Integration
From War Trauma to Integration A Publication Documenting a Decade of Work by Medica Kosova (1999 – 2009) CONTENTS LETTER FROM THE FOUNDER OF MEDICA MONDIALE KOSOVA, DR. MONIKA HAUSER................................................................................................................................. 2 LETTER FROM THE EXECUTIVE DIRECTOR, MRS. VEPRORE SHEHU .......................... 4 THE OPENING OF MEDICA IN KOSOVA ............................................................................. 6 THE MISSION OF MEDICA KOSOVA ................................................................................... 7 THE MK APPROACH............................................................................................................. 8 THE MK CONCEPT OF SUPPORT ....................................................................................... 9 MK PROJECTS & PROGRAMS .......................................................................................... 15 1. PSYCHOSOCIAL SUPPORT FOR WAR TRAUMATIZED WOMEN AND GIRLS.......... 16 2. DEVELOPING INCOME-GENERATION ACTIVITIES WITH WOMEN............................ 19 3. SUPPORTING WOMEN WITH MISSING FAMILY MEMBERS TO IMPROVE THEIR LIVES.................................................................................................................................... 20 4. SUPPORTING HEALTHCARE FOR MINORITY WOMEN IN PRIZREN......................... 23 5. SUPPORTING THE MENTAL AND PHYSICAL HEALTH OF WOMEN AND CHILDREN .............................................................................................................................................. 24 6. SUPPORTING WAR TRAUMATIZED WOMEN FARMERS IN GENERATING INCOME26 7. SUPPORTING WAR WIDOWED WOMEN FARMERS FROM GJAKOVA ..................... 31 8. SUPPORTING MARKETING FOR WOMEN INVOLVED IN THE PRODUCTION OF HONEY AND MILK............................................................................................................... 32 9. TECHNICAL ASSISTANCE AND SUPPORT FOR WOMEN INVOLVED IN THE PRODUCTION OF MILK AND HONEY ............................................................................... 34 10. SUPPORTING REPRODUCTIVE HEALTHCARE AND PREVENTION OF BREAST CANCER AMONG WOMEN IN RURAL AREAS ................................................................. 35 11. ADVOCATING FOR INSTITUTIONAL SUPPORT FOR SURVIVORS OF WAR RAPE 36 12. SUPPORTING THE EMPOWERMENT OF YOUNG GIRLS FROM RURAL AREAS ... 38 13. PROVIDING QUALITY HEALTHCARE TO WOMEN AND GIRLS ............................... 40 ONGOING PROJECTS ........................................................................................................ 41 PARTICIPATION IN INTERNATIONAL CONFERENCES AND EVENTS .......................... 46 PARTICIPATION IN WORKING GROUPS AND LOCAL CONFERENCES ....................... 49 SURVEY ON VIOLENCE AGAINST WOMEN ..................................................................... 50 “EXPERIENCES IN GYNECOLOGICAL WORK AT THREE MEDICA CENTERS”........... 51 THE 2004 CAMPAIGN “LET’S SUPPORT WOMEN” ......................................................... 52 THE LEGAL CONFERENCE ON “SEXUAL CRIMES DURING THE WAR” ...................... 53 PEACE-BUILDING ACTIVITIES .......................................................................................... 54 MEDICA MONDIALE AND MEDICA KOSOVA FOUNDER DR. MONIKA HAUSER RECEIVES “RIGHT TO LIVELIHOOD AWARD” IN SWEDEN ........................................... 55 APPROXIMATE VALUE OF HUMANITARIAN AID DISTRIBUTED TO MK CLIENTS ...... 56 MK ORGANOGRAM ............................................................................................................ 57 FORMER STAFF OF MEDICA KOSOVA ............................................................................ 58 1 LETTER FROM THE FOUNDER OF MEDICA MONDIALE KOSOVA, DR. MONIKA HAUSER As my colleague Kirsten Wienberg and I spoke to women in Tirana and Durres at Easter in 1999, we were struck by their closed, emotionless expressions, which immediately reminded us of similar faces we had seen in Bosnia when we first started our work at Zenica in early 1993. Many human rights activists had already warned of an imminent war in Kosovo and that the Serbian Army would attack the southern Serbian province. Unfortunately, international politics did far too little, either to prevent the escalation or to protect the civilian population. In fact the OSCE mission, which held a watching brief, was withdrawn. This was virtually an open invitation for disaster and encouraged the ruthless Milosovic to attack the already totally oppressed population. The complete catalogue of war crimes forced the predominantly Kosovan majority to flee. Women and girls were forced to suffer plundering, destruction of villages, the shooting of men and boys, and of course rape during the storming of villages. Those who survived these horrors knew instantly what it would mean for them – in their families as well as their villages. They would be stigmatized and excluded by a community which would prefer their death to living with what they considered to be the “sullying of family honor.” In Gjakova, a colleague, told us about her cousin. During the endless months of war, the young woman from Sarajevo kept a bottle filled with petrol behind the door of her apartment and carried matches in her bag. Over a period of time, Gjakova came to understand why this was so. The preparation for self-immolation went hand in hand with the fear of being raped, but more importantly, the scorn and shame of being excluded by her community which would be too much to live with. Women were victimized during the war and remained so afterwards because of society’s structures. As real as this status is, there is an even greater danger that women who have been raped will be stigmatized, will be stereotyped through this tragedy and only seen in this light. To help these affected women to come to terms with their trauma, they must be able and allowed to speak for themselves: we have to ask them what they need and what they want. Not just to be a “victim,” or reduced to the perception of a woman who has been raped, but to find a way back, to live, even when life isn’t what it previously used to be. This is a difficult and painful journey full of prejudices, including the loss of both personal dignity and respect of people around them, and they need to be supported. For many of them, this will mean years of psychosocial counseling, for others legal advice or medical treatment. This support must undoubtedly go hand in hand with educating the community and raising political awareness. Only when politics and society acknowledge and condemn rape as unacceptable, only when the disgrace of the crime is attributed to the perpetrator and not to the victim, only then will women have the chance to stand tall and deal with the experience confidently. Talking openly about rape must also lead to the acknowledgement of this crime of sexualized violence and its most dehumanizing expression of the inequality of the sexes. All of us, whether in Germany or Kosovo, in international politics or working directly with affected women in a small project somewhere in a crisis region, face an important challenge. There have to be more women in authority who are able to make important decisions, to prevent wars, to protect the civilian population, to be part of a new start after violent conflicts, and to really fight for new ideas: respect, dignity, and self-esteem. These are important especially for women, but not only for women, because every community will benefit from embracing these ideals. 2 Our aim back in the summer of 1999, was to offer those women with sad faces and even sadder stories help through Medica Kosova. The organization offered not only specialist support but also acknowledgement and understanding as to what women had experienced. Then, as now, it is about solidarity because who is affected is only a matter of geographic chance. To this end we decided in 1999 to look for ways to help. We were able to support brave local colleagues in setting up the project, and together we have achieved a great deal. I am particularly impressed by the women, who in 1999 were almost unable to move, and today, through mutual support, have managed to provide for themselves, send their children to school, be role models for their daughters, motivate women in neighboring villages, stand up to their brothers-in-law, and live as part of the community! We have learned a lot about the strength of women who have seen and experienced unbelievable violence, violence for which it is difficult to find the right words. Together with our colleagues in Kosovo, through trial and error, we tried different methods and made improvements. We have learned a great deal from their sensitivity and empathy, an experience I would not have wanted to miss. Today I congratulate our colleagues of Medica Kosova whose courage and tenacity made this project grow and flourish. They have every right to be proud of their achievements and their strength to face the future with confidence. Sincerely, Dr. Monika Hauser 3 LETTER FROM THE EXECUTIVE DIRECTOR, MRS. VEPRORE SHEHU Dear colleagues, donors, partners, and friends of Medica Kosova, It is incredible how quickly the 10 years of hard work and commitment to supporting women and girls who suffered violence during the war passed. Indeed supporting women and their personal development has been challenging. When we consider how closed our clients were immediately after the war and how they refused to participate in any activities or social life, the results we have achieved are marvelous. The women with whom we have worked have become involved in agricultural, sought their own space in their families and communities, and begun to request space in public and political life, as well. This has been a long process for women and girls who experienced sexual violence during the war. The number of women receiving services from Medica Kosova who broke the silence concerning such violence shows clearly that our society continues to move slowly toward ending the silence surrounding this sensitive issue. However, the continuing stigmatization and marginalization of women who lack support from their families means that for many the silence continues. We are consoled by the fact that a number of women who shared their traumas have started to work and moved forward with their lives. And we as an organization will continue to sensitize Kosovar society to the fact that women are victims of war and should receive support in overcoming this bitter part of their lives. We hope that women will not carry this burden of silence for the next 40 to 50 years like women from Asia who were abused by Japanese soldiers or women from Germany who experienced similar abuse during World War II. We hope that society will acknowledge these wounds; by recognizing the suffering of the past, we can live the present and build the future. We met many challenges and overcame many obstacles during these years: accusations for “labeling women with the seal of rape,” numerous threats in villages, and pseudo patriotic claims that our organization “contributed to decreasing birthrates by raising awareness among women of the importance of family planning.” But we never hesitated for a moment or stepped back from our humanitarian mission and human approach to supporting women and girls who are victims of a patriarchal mentality. We are happy that many women have improved their living conditions and that we were able to open the topic of war rape. In this direction, we were supported by our colleagues and friends from Germany with their commitment and understanding of our specific socio-cultural circumstances. On this anniversary, we thank the German organization GTZ for their financial support during the first year of the post-war emergency phase. We also appreciate the sustainable support we received from the German Ministry for Economic Development and Cooperation (BMZ) and our colleagues from medica mondiale. Our personal and professional development can be attributed to the support we received from medica mondiale e.V from Cologne, which provided financial assistance, appropriate qualifications and professional advice. For the investments in the fields of agriculture, livestock, and beekeeping, we deeply appreciate BMZ, Heifer International Kosova, and the Marketing Support Project from Prishtina. Many others have contributed to our successful work: UNIFEM in Kosova, UNIFEM – Austria, the European Commission Liaison Office in Prishtina, and especially the Kosova Women’s Network (KWN), which supported us in joint initiatives for war traumatized women and girls. As a member of this network, we have never felt alone in addressing the needs of our clients and improving their social status in Kosova. Together with the network and UNIFEM in Kosova, we have influenced legislation for combating gender-based violence, 4 and we hope to continue influencing together legislation for improving the position of women who survived wartime rape. We appreciate the moral and technical support we received from local institutions for developing agricultural activities. Their recognition of our work enabled us to overcome the difficulties we encountered and motivated us to continue supporting the targeted groups. We also thank the local, national and international media for promoting our work and the difficult position of women traumatized by war. We are deeply grateful to our clients who allowed us to stay with them throughout these years. They have reflected an inner spiritual strength which facilitated our effective work. Offering them support further helped us move forward, having experienced the trauma of war ourselves. Many future challenges await us, including especially support for our women farmers and enabling them to represent themselves in public and political life. With your support, dear donors and partners, we hope move forward so that Kosovar women are not only survivors of war, but also important factors in establishing democracy and economic development. That women are able to play such a role can be seen by their transformations in the last ten years from survivors to successful farmers. Sincerely, Veprore Shehu 5 THE OPENING OF MEDICA IN KOSOVA In 1999, during the war in Kosova, more than 800,000 people were forced to flee their homes and seek shelter in neighboring countries, mainly Albania and Macedonia. Albania received the most displaced people, installing a number of refugee camps in Kukes and other parts of Albania. Many Albanian families also made humanistic sacrifices, sheltering Kosovar families in their homes. Seeing the level of acute trauma present among the displaced population, Medica Mondiale based in Koln, Germany, founded a crisis center for supporting traumatized women in the refugee camps. Thus, Medica Mondiale Tirana was founded initially for supporting Kosovar women in these camps. After the deployment of NATO troops in Kosova, Medica Mondiale functioned as a center for supporting traumatized women persecuted under the Enver Hoxha regime in Albania. As people returned to Kosova at a speed that amazed the world, Medica Mondiale decided to establish a center in Kosova that would support women who survived direct violence during the war and who lost their close family members. Every corner of Kosova needed support; every human heart needed comfort; every person needed to release the anger and fear accumulated during the war; every child needed to cry loudly and be embraced; and every woman needed to be heard. In the middle of this suffering, the town of Gjakova was selected as the location best suited for Medica Kosova. The town held much pain and was covered with grief and wreckage from the war. The town of Gjakova had experienced a severe war that took many human lives; a war that left anxiety over the fate of missing family members; a war that left many mothers without children, many women without husbands, many children without one or both parents; a war that left many people without roofs over their heads; and a war that damaged the souls and dignities of many women and girls. In those of hopeless days, sleepless nights, and amongst those broken souls, Medica Mondiale Kosova was established in Gjakova. The old part of the town, “Qarshija ë Madhe,” had been completely destroyed. A group of German women together with Dr. Monika Hauser, who had founded Medica Zenica in Bosnia seven years prior, opened the doors of Medica Kosova in Gjakova in August 1999. Two German women had set up the office in Gjakova, arriving with only a single laptop and an old car amortized while traveling through war zones in Bosnia. Medica gradually took shape and began its work. After some months of organizing, endless hours, and tirelessly expended energy, Medica began offering support. We made mistakes, but also learned from them. With time, we 6 gained more strength and experience. We gained this strength from women and their determination to survive. In this way, medica mondiale Kosova was born as an organization for supporting women and girls traumatized by war. By the end of 2003, Medica Kosova (mK) was registered as a local NGO. From 2003 to 2005, mK had 35 staff members, including 30 women and five men. THE MISSION OF MEDICA KOSOVA Medica is a NGO that offers interdisciplinary psychosocial, medical and legal services as well as income generating programs for improving the living conditions of war traumatized women and girls and those with special needs. Medica Kosova plays an important role in shaping gender policy at the local and national level in Kosova and supports research based on its expertise in the field of trauma and the impact of trauma on women’s wellbeing. The Goal of the Organization The goal of the organization is to improve the health situation and living conditions of Kosovar women traumatized by war with special support from women who experienced sexualized violence during the war regardless of their ethnicity, religion, and sexual orientation. Reducing the symptoms of trauma will enable women to integrate into society. The organization’s goal is achieved through following objectives/activities: 1) Psychosocial support to start the process of moving forward after traumatic events through individual and group counseling offered in the center and villages of Gjakova Municipality and beyond; 2) Primary healthcare through counseling and gynecological visits with a psychosomatic approach, offered to women and girls from Gjakova and Deqan Municipality by the mobile unit of Medica Kosova; 3) Promotion and realization of human and legal rights of women and girls through individual and group counseling in the center and villages of Gjakova Municipality as well as their representation in local courts and other relevant institutions; 4) Lobbying and advocacy work at national and international levels to address women’s needs and to shape policy in accordance with their needs; and 5) Developing income-generating projects for improving women’s living conditions. The medika Kosova team outside their office in Gjakova. 7 Target Groups Medica Kosova supports: • • • • • • Women and girls who experienced sexualized violence during and after the war; Women and girls who lost their family members during the war; Women and girls who are victims of family violence; Women and girls who have family members missing since the war; Women and girls with psychosomatic symptoms and gynecological disorders; and Women and girls whose legal rights are abused. Number of Beneficiaries of mK Projects 1999 - 2008 Donor GTZ / BMZ / MM Beneficiaries 4,172 WGT 492 Assembly of Prizren / ICMC 330 “AVEC ET PUR AUTRES” 348 BMZ / mm UNFPA GTZ UNIFEM Austria Total 2,731 236 26 189 8,524 THE MK APPROACH MK uses a special approach toward mutual trust and the establishment of conditions for women to overcome traumatic events. Interdisciplinary Cooperation • Interdisciplinary cooperation developed through the work of all three departments enables more comprehensive fulfillment of the client’s and patient’s needs. In many cases the gynecology department serves as “an entrance gate” for patients who show symptoms of sexual violence along with gynecological problems. These patients are further referred to the psychosocial department for treatment. • Traumatized women and girls who face gynecological problems are referred to the gynecological department for treatment. • The same cooperation takes place with the mK lawyer for informing clients or patients about laws and legal procedures required for solving legal problems and assisting with the preparation of court documentation. Gynecological Healthcare with a Psychosomatic Approach • The application of psychosocial anamnesis, consisting of different questions regarding the spiritual and psychological situation of women, has supported the identification of psychosomatic symptoms and very often of PTSD Services provided by mK (medical, • Women and girls who experienced sexualized violence during psychosocial and legal) and after the war, are examined only after receiving information about the manners of examination (vaginal or abdominal) and Nr. of Year the feeling caused by the specula. They are visited only after Services they are ready for such an examination. 1999-2000 4,785 • Women who come for family planning consultations are 2001 6,944 informed in details about the types of contraceptives, effects 2002 3,589 and counter-effects. They make their final decision based on 2003 5,839 the kind of contraceptives they want to use. 2004 5,086 • Gynecological visits involve a 20 to 30-minute explanation for 2005 5,187 patients about the diagnosis. Individual health education is 2006 4,386 given regarding hygienic healthcare, STDs, and measures for 2007 5,354 preventing these diseases and other infections. 2008 2,878 • Medication is offered free of charge, together with instructions Total 44,048 about usage. 8 Reducing the Usage of Medications Through psychosocial treatment and primary gynecological care mK aims to increase women’s awareness of the negative effects of addiction to medication. Further, mK encourages reducing the usage of medication. Emotional ventilation, self-care, and the establishment of coping mechanisms are important factors for good health. THE MK CONCEPT OF SUPPORT Support work is conceptualized in a way that enables women who have experienced war trauma, especially trauma of sexual violence, to be treated as persons and not categories. MK is a place where trust, solidarity, personal values, self-respect, and respect for others are created. It is a place where a woman’s personality and inner strength are respected. It is a place where women learn to recognize, establish, and care about their inner strengths. They learn that they should not only “have a life to live” but “have a life with values.” Since it began, mK has crystallized some basic values as part of the concept of support: (1) Safety Psychosocial, gynecological, and legal settings at the MK center and counseling in villages offer physical and psychological security to women. This kind of setting helps increase the feeling of safety and mutual trust between women and the professional team of Medica Kosova. (2) Respect of personality MK respects each woman as a person and subject by accepting her the way she is and trying to assist her in finding her values and resources. She is not treated as a victim but as a survivor of violence whose surviving strength should be respected and valued. (3) Holistic approach The term “holistic approach” comes from the word “whole” which requires the consideration all of the factors affecting a woman’s situation each day. In other words, different from the approach of institutions, holistic approach implies comprehensive support of women in all aspects of her life, including children, school, health, work, family, economic situation, community involvement, legal problems, etc. (4) Trust MK offers women unconditional trust. Therapeutic work requires trust-building with the client “without searching for evidence” that would determine creation of a “reason to help.” This is achieved by active listening as an instrument for mutual trust-building. During counseling sessions, it is important to allow each woman to tell her story and to be listened to carefully and actively. With supportive words and questions, we encourage women to speak. We do not interrupt or judge a woman’s story; we simply listen to her story the way she experienced it. We are here to believe and understand women. (5) Communication Mutual trust-building develops skills of open and constructive communication. Communication between mK staff and women is developed in a simple manner, always respecting their level of education. (6) Accepting and respecting the woman’s psychological and spiritual situation This means that we take into consideration the woman’s psychological situation when she addresses us for help by respecting her boundaries, including what she wants to reveal about herself and when. This offers women who experienced violence the feeling of safety 9 and control and therefore strengthens trust in therapeutic relations, the basis for the next step of support. Traumatic memory is often fragmented due to normal psychological reactions that do not allow one to maintain consciousness of the details of a traumatic event. All of these details together could cause unbearable pain and multifold disorders. Therefore, women need more time to unfold everything they have experienced in their lives. (7) The woman is not guilty about what happened to her Violence against women has been present for centuries and in all cultures. Regardless of a woman’s behavior, violence is not justified. The perpetrator is responsible and guilty for committing violence. Women usually blame themselves because society legalizes violence against women and produces stereotypes that blame women. That is the reason why women are not able to recognize and name the violence they suffer. (8) Confidentiality A woman who asks for help usually carries an emotional history of mistrust and insecurity. Therefore we offer confidentiality by keeping her story secret and confidential. The whole conversation between the professional team and clients remains confidential, which encourages her to speak. Data about clients are processed and coded for confidentiality. (9) Responsibility MK aims to increase the feeling of responsibility among women by motivating and empowering them to take important decisions concerning themselves, their families, and children. Activating their personal resources, vigilance, and strengthening their feeling of responsibility supports the integration of women into their families and society in general. (10) Transparency and clearance MK informs the women about the importance of psychosocial counseling and other MK services as well as the role of women themselves in using such services. Transparency means that achieving the goal is as important as the goal itself and that the goal does not justify the means. This enables women to understand that during the process of achieving a goal, we change and therefore the process itself is important. (11) Protecting survivors from media, political exploitation or any other kind of manipulation A survivor of sexual violence does not need media attention or attention from her community in the sense of treating her as a victim. Rather, she needs human support, empathy, and respect for her surviving strength. (12) Promoting the woman’s right of choice The woman has the right to decide about her life, and we do not pressure her to make choices or bring decisions in her name. She chooses the type of support she wants to receive and what she wants to do next. She also chooses whether she will testify in courts against the perpetrator or not. (13) Necessary mobilization in the entire social sphere Sexual violence should not remain an issue only between the victim and perpetrator. It should be considered in the wider social context as a consequence of the power misbalance in society. Coping with the consequences of violence should not involve a neutral attitude. Commitment to such work in itself represents a moral appeal, persistence to recognize consequences of violence, and a dedication to identifying the causes of violence. Complementing the concept of support with programs for income-generation In 2006 MK began a new phase of support for traumatized women, which sought to improve living conditions especially among war widowed women in rural areas. Economic empowerment was integrated into the mission and concept of MK only after women reached a certain level of stability and were able to take over responsibilities for agricultural work. 10 They needed five years of intensive psychosocial support to activate their personal and professional resources for involvement in income-generating activities. Previously, these resources were blocked as a result of trauma. The importance of psychosocial support prior to income-generating projects could be best illustrated in the beginning of bee-keeping activities with a new group of women from the village of Shishmon. MK started offering psychosocial support to this group of women for the first time at the beginning of the bee-keeping project. However, unlike other groups who received this kind of support prior to income-generating activities, these women had difficulties coping with the group work. Since this experience, mK worked intensively with new groups on trauma reduction prior to involving them in agricultural activities. Support of traumatized women complemented by later economic empowerment as a means for further dealing with trauma through work has proved to be a successful strategy. What is sexual violence and gender based violence (GBV)? “Gender” is interpreted differently around the world. Unlike the biological distinction between male and female, gender is determined by the communities in which we live, including history, tradition, and culture. Sexual roles are defined as the “entity of behaviors and attitudes as appropriate or inappropriate for this or that sex.” In different societies boys and girls are treated in different ways, starting from a young age. They are taught “appropriate” behaviors that “fit” to their sex and are encouraged to include those behaviors in their living styles. Later on, upon reaching their mature age they learn about cultural rules and roles of sexual behaviors. GBV reflects and influences inequality between women and men and as such attacks health, dignity, security, and autonomy of its victims. It covers a wide range of human rights violations, including sexual abuse of children, rape, family violence, sexual harassment, trafficking of women and girls, and a number of other human rights violations. Each of these violations has psychological consequences, as well as affects women’s and girls’ health, including reproductive health. In some cases, it even ends in death. GBV is often a manifestation of male power and control over the lives of others. It is based on and encouraged by a culture of silence and denial regarding its impact on victims. Rape as a Specific Trauma Rape and other forms of sexual violence represent severe violations of human rights and personal dignity. Rape is primarily committed against women and girls, but victims could also be men and children. Similar taboos face any person who suffers sexual violence. In most cases, rape includes vaginal, anal, and/or oral penetration. Rape and other forms of sexual violence are terrible to experience. Rape should not only be considered as a sexual act; in addition to involving psychological and physical abuse, it is a severe violation of human rights. Some rapists kill and massacre their victims (Holmstrom and Burges, 1980). The key element of rape is the physical and psychological attack against the person. Survivors of sexual violence have painful and prolonged post traumatic disorders compared to survivors of other crimes (Hermann). Sexual violence attacks corporal integrity in the sexual sphere of the individual. The sexual sphere is one of most intimate parts of human beings. In most societies, it also has a specific sociological and political meaning in constituting power relations between sexes. This is why this kind of violence is “traditionally covered” under the taboo of unwritten and restricted rights. This has a specific influence not only on the survivor but also in relation to the community she lives. 11 Rather than considering rape a criminal act, it is often associated with sexual elements. Perpetrators use domination and humiliation of the victim to demonstrate their wild power, hatred toward the victim, and, in cases of war time, hatred towards her community. Negative reactions by families, relatives, and wider communities increase the destructive effects upon victims and thus influence victims’ fear and hesitation to press charges against perpetrators. Feminists have offered a new vocabulary for understanding sexual violence not as a sexual act but as a crime. Women fearfully reveal the difference between their real experience and the interpretation of it by society. Women realize that by being raped their lives were not only threatened, but they were also humiliated and driven from their homes. Dealing with a traumatic event causes post-traumatic stress disorder (PTSD) which is a normal psychological response to abnormal traumatic events. What Are Symptoms of Trauma? Women and girls who experienced sexualized violence suffer many psychological consequences resulting in a broad spectrum of short- and long-term health disorders. This evidenced by, but not limited to, the following symptoms: • • • • • • Intrusive symptoms presented through nightmares and flashbacks to the traumatic event; Aversive symptoms like avoiding memories, places and behaviors that remind them of the event; Hyper-vigilance: the state of expecting continuous danger, demonstrated by fear of different disturbances and a continuous tendency to run away; Loss of the feeling of security, demonstrated by a lack of confidence in others, especially men; A lack of interest in anything as well as a reduced response to the outside world, including toward activities and people she liked before; and Increased self-isolation. Continuous oscillations between intrusive and aversive symptoms, between the memories of violence and the desire to avoid these memories, between a state of tension and a readiness to react, results in feelings of helplessness in everyday situations. This dialectical psychological contradiction is typical for PTSD, and it results in women’s withdrawal into isolation, insecurity, and a lack of life perspective. She has a different attitude toward her body and does not experience it as a resource any more, but rather as a weapon against her. She does not feel safe even within her own skin. Rape in War Rape in war is both a gender-based crime and a war crime. This kind of violence and humiliation of women and girls is a functioning mechanism of patriarchy. Through rape, patriarchy is revived and, at the same time, aims to destroy the integrity and territory of war enemies. “It is more dangerous to be a woman Recent data about the wars in the former Yugoslavia, than a soldier especially in Bosnia and Herzegovina and Kosova, show in conflict zones.” that rape was used as a weapon of war and strategy for ethnic cleansing. – Patrick Cammaert The first study of rape in war was done by Susan Brown-Miller in 1977 in a book entitled Kunder deshires sone [Against Our Desire] She states that war rape is committed in the following ways: 12 • • • Against women and girls in public places, often in the presence of family and community members; As gang rape, involving the repeated rape of women and girls; and In many cases, women and girls are killed after being raped. Rape in war is a way of communication between parties in war and conflicts. Through the rape of women and girls, perpetrators send a message to “their enemies” that they have been conquered. It is not only “a way of communication” during war time; men use this way of exchanging messages by using women in other situations as well. Perpetrators of rape in war do not choose their victims. The first selection criterion is womanhood and the second is that the woman belongs to a certain nationality or religion, used during the war as an “ideology.” Every woman of a certain nationality and/or religion is targeted regardless of her age or physical appearance. Data show that most rape survivors are ages 12-70. The exact number of women and girls who survived sexual violence during the war in Kosova and other countries of the former Yugoslavia shall never be known. Human Rights Watch, UNFPA, and other international organizations have estimated that around 20,000 females in Kosova and 50,000 in Bosnia were raped during the war. The number could be even higher considering silence surrounding this kind of crime. Rape and sexual abuse were not born with the wars in Kosova or Bosnia. They existed in previous social systems centuries before. Monuments elsewhere in the world speak clearly about this violence and show how victims reacted to violence or avoided it at the time. For example, the citizens of Gjakova still visit a legendary memorial. The legend was thought to have happened in 1689, 10 years before the Austrian-Turkish war ended. Ten white stones surround five old graves in the big yard of a house in Gjakova. The graves are simple and have no epitaphs. According to legend, the graves have covered six sisters and their father Mehmet Efendia for centuries. Three centuries ago, Nadireja, Zyhraja, and their four sisters were washing clothes in their yard. In order to avoid the hands of Austrian soldiers who entered their home, they threw boiling water on the men who tried to grab them. Whether they burned themselves to escape rape or were killed by the soldiers who entered their property remains unknown, though most people believe the former. Thousands of citizens visit these graves as a holy place called “Tyrbe ë çikave” to express admiration and respect. Every night, the owners of the house light candles beside the graves. A dance central to Kosovar culture, the “Dance of Death,” comes from another heroic tale of women sacrificing their lives in order to avoid the conquering army and potential sexual violence. In peacetime, the women of Kosova still dance the “dance of death” at weddings and celebrations. 13 The dance has been passed down from generation to generation since 1860, when the soldiers of Ali Pashe Tepelena separated the Suliot defenders from Vesternica Monastery in Macedonia. From 200 fighters, only 50 were captured alive. The women watched from the Monastery. Seeing their husbands killed, they decided not to surrender alive. They left their children with the elderly women and went down the river. There were 174 women. On the way, a young woman in front of the convoy took out a white handkerchief and took the hand of a woman close to her. She climbed a cliff and started singing an old song. The others understood this as an appeal to dance before death. The Suliot women held each others’ hands, taking two steps forward and one step back, approaching the abyss. The soldiers were frozen in front of this view. They could not believe their eyes and thought they were experiencing a legend. While dancing, the women jumped from the cliff into the abyss one after another before the soldiers could stop this “Dance of Death.” They stopped only the last five women, grabbing, raping, and later selling them as slaves (Robert Martiko). Although the times and places of “Tyrbe ë çikave” and the “Suliot women” differed, the events have been repeated. Again, during the last war in Kosova, many women and girls were raped. Some were also killed in events resembling these legends. Fortunately many survived the trauma of rape. However, coping and surviving in their communities where they lack support and encounter stigmas is as traumatic as the event itself. Perhaps we cannot light candles for their sacrifice every night for citizens to visit, nor sing songs or dance for their bravery, nor construct obelisks and other monuments. However, they do deserve more from us, their families, villages, and government. We can recognize their pains the way Bosnia did after the war with the “Fetva” which proclaimed the survivors of rape as “sheits” and appealed for their communities to respect their strength of survival and marry them. We should not allow to indifference. We can take them from the dance of death, which they think of during every minute of their lives. We can slowly bring them into the DANCE OF LIFE. Only then can say that we are part of a legend, a legend that belongs to our time with all the difficulties we experienced, a time that we can change and improve together. 14 MK PROJECTS & PROGRAMS Since the establishment of the organization in August 1999 through January 2006, medica Kosova has provided psychosocial support, gynecological services and legal assistance for war traumatized women and girls. In 2006, along with these services, medica Kosova started a three-year income-generating project for improving the living conditions of women through agriculture, supported by the German Ministry (BMZ) and colleagues from medica mondiale e.V. Seeing the need to address other issues and assist more women, both medica mondiale from Germany and medica Kosova succeeded in raising additional funds inside and outside Kosova. In this way, from 2005 to 2008, mK worked in Prizren Municipality, implemented smaller advocacy projects, and supported women farmers in Gjakova and Deqan municipalities to improve their working conditions. 15 1. PSYCHOSOCIAL SUPPORT FOR WAR TRAUMATIZED WOMEN AND GIRLS Donors: Deutsche Gesellschaft fur Technische Zusammenarbeit (GTZ), the Germany Ministry for Economic Development and Cooperation (BMZ) and medica mondiale e.V. (mm) Summary of Financial Support Year Amount Supporter 1999-2001 DM 2,815,500 GTZ 2001 DM 860,304.08 BMZ/mm 2002 €499,541.89 BMZ/mm 2003 €411,145.65 BMZ/mm 2004 €391,665.11 BMZ/mm 2005 €169.773,65 BMZ/mm Timeframe: August 1999 - December 2005 Staff: 35 local staff members and nine international trainers Beneficiaries: 4,172 women and girls in 45 villages Project goal: Improve the health situation of war traumatized women and girls by reducing the symptoms of trauma and helping them overcome their traumatic event. The project involved: • Individual psychosocial counseling in the center and villages of Gjakova and other municipalities; • Group psychosocial counseling in the center and villages; • Gynecological services and breast exams in the center’s clinic and in villages through the mobile clinic; • Individual and group legal counseling for women; • Legal representation in local courts; • Qualification of local staff for professional treatment of war trauma with a focus on trauma resulting from sexual violence during war; • Social and humanitarian support through an emergency fund provided by mm and social aid from international humanitarian organizations; • Lobbying and advocacy work for addressing the needs of women and their inclusion in legislation and public life; and • Networking and cooperation with other NGOs and women’s networks in Kosova and the region. Medica Kosova counselors and lawyers speak with women in their homes. 16 The mK mobile unit offers psychosocial suppor Women use rocks to talk about their experiences and to identify the “resources” in their families and communities. Results • The psychosocial team offered 14,211 individual psychosocial sessions in villages and the mK center; • In total, 631 group psychosocial counseling sessions were offered since the group work began in 2003; • The medical team offered gynecological services and breast exams to 3,191 women and girls during 13,604 visits to the center and mobile clinic; • MK lawyers held 820 individual and group counseling sessions; • Each year, 19 to 25 women initiated legal procedures in local courts and were represented by medica Kosova. • Eleven counselors regularly attended trainings on psycho-traumatology from 2001 to 2004, and showed knowledge and experience through midterm and final exams before a Commission comprised of Professor Buttollo from Munich, psychologists and trainers from Bosnia and Germany, as well as representatives of the University of Prishtina; • Eleven mK counselors were certified as Professional Psychosocial Counselors in trauma work for women. The certificate was legalized by the University in Prishtina; • The gynecological team received training twice a year in 2001 and 2003 on a psychosomatic approach during medical examinations of traumatized women and girls; • Five members of the leading team of the organization attended capacity building trainings on project planning, fundraising, and conflict management; • European Parliamentarian Ms. Rita Suesmuth visited mK in 2002 and learned about the situation of women who survived direct violence during the war. MK and Ms. Suesmuth also spoke about migration policies in EU countries for women who survived sexual violence; • The Executive Director of mK graduated from the Hope Fellowship Leadership Skills Program in Washington D.C., organized by the National Albanian-American Council (NAAC) and financed by USAID from October to December 2003. • The Executive Director completed an internship during her three-month stay in the U.S. at the feminist organization “Women’s Policy Studies” in Washington D.C., regarding the role of networking in lobbying and shaping Eu public policies related to gender; o ean Parliamentarian Ms. Rita S th 17 MK visits US Congress, Mrs. Hillary Clinton and women State Legislators in Washington D.C., during the Hope Fellowship Leadership training in 2003. • • • • • • • • • • Three psychosocial counselors conducted training for the NGO dealing with the issue of missing persons, “Mother’s Appeal,” in Gjakova, on trauma and coping with the procedures of repatriating bodies from Serbia; Psychosocial counselors offered individual and group psychosocial support to 18 women staying in the “Safe House” in Gjakova; 246 women and girls receiving psychosocial support attended professional courses in computers, English, hairdressing, dressmaking, driving, etc. Among them, 26 women and girls successfully completed the driving course; Eighty women found employment in the private and public sector, including 12 women who received jobs in the public administration; 130 clients living in poverty received food and non-food items, as well as firewood and stoves with support from the medica mondiale emergency fund and international humanitarian organizations; MK was part of the working group that drafted the UNMIK Regulation on Domestic Violence in 2002; MK lawyers attended one of the trials against Milosevic at the ICTY, Hague and contacted representatives of the Witness Protection Unit, providing recommendations for adopting cross-examination process for women witnesses from Kosova; A mK representative participated in the World Women’s Congress in Kampala, Uganda about the documentation of sexual violence committed against women in war and conflict zones and exchanged experiences with women’s NGOs from different parts of the world (2001 and 2002); MK organized a gynecological conference in April 2002 for exchanging experiences between medica mondiale organizations in Tirana, Zenica, and Kosova about the importance of using a psychosomatic approach with patients who survived war rape; and MK organized a Legal Conference in 2003 to include war rape survivors in legislation that would treat them as civilian victims of war and provide them with Public Benefit Status. Services Provided by mK Service Women who received psychosocial services Women who received medical services (gynecologic and breast exams) PAP tests provided since 2002 Women who received legal services Individual and group counseling sessions held Visits for medical care Women diagnosed with pathologic changes Women who attended individual and group counseling sessions 18 Beneficiaries 700 3,191 1,228 347 14,842 13,604 65 820 2. DEVELOPING INCOME-GENERATION ACTIVITIES WITH WOMEN Donor: Deutsche Gesellschaft fur Technische Zusammenarbeit (GTZ) GmbH, Eschborn, Germany Timeframe: October 2002 – October 2004 Grant amount: €20,000 Staff: Two mK volunteers, 13 widowed women Beneficiaries: 13 women, widowed during the war, with missing family members Project goal: The economic empowerment of women widows from Gjakova through knitting and selling wool clothing. Measures taken to achieve the project goal included: • Supplying women with knitting machinery for producing wool clothing • Training women how to knit with machines • Opening a shop in the center of the city for knitting and selling products • Regularly supplying women with knitting material Results • Thirteen women gained professional skills in operating machinery for knitting wool clothing; • Thirteen widowed women became employed for the first six months through this project; • Thirteen widowed women generated incomes through these activities until October 2004 and thereby improved their living conditions; • Eight women were able to afford sending their daughters for a university-level education; and • All of the women were able to supply the shop with wool and other knitting material without support from mK during the second year of the project. Supported by Medica, women widowed during the war sew handmade products at their shop in Gjakova. 19 3. SUPPORTING WOMEN WITH MISSING FAMILY MEMBERS TO IMPROVE THEIR LIVES Donor: Weltgebetstag (WGT) from Germany Timeframe: January 2005 – December 2007 and January 2008 – December 2010 Grant amount: €92,781 (2005-2007) and €52,998 (2008-2010) Staff: Nine (three paid and six volunteers) Beneficiaries: 492 women and girls, including 41 from the Roma community, waiting for the repatriation of the bodies of their family members, missing since the war in Kosova, and women who went through this procedure and entered the grieving process. Project goal: Improving the psychological and physical situation of women and girls with family members missing from the war and motivating them to develop prospects for life Measures taken to achieve the project goal: • Group psychosocial counseling in processing war trauma; support for coping with repatriation procedures as bodies were returned from Serbia; and support during the grieving process; • Individual psychosocial counseling; support for coping with personal war trauma; and assistance in identifying resources for developing different life prospects; • Legal support in realizing their legal rights; • Gynecological services in the mK center and mobile unit; and • Social support by assisting women to arrange personal documentation for social assistance provided by the government. Results: • Psychosocial counselors started 32 women’s groups in six villages in Gjakova Municipality, including two groups with Roma women from Kolonia camp; • In total, 481 women participated in psychosocial group counseling; • 452 women and girls received individual psychosocial counseling and support, of which 175 also participated in group work; • Psychosocial counselors developed 3.172 individual counseling sessions with women; • The counseling groups received 600 psychosocial group sessions; • 49 women and girls successfully completed different professional courses in computers, English, hairdressing, etc. • With the support of mK, 43 women were employed in the private and public sector; • 55% of the women involved went through the process of repatriating the bodies of their family members and received support through the grieving process; Services Provided by mK Service Women who received psychosocial services Women who received medical services (gynecologic and breast exams) Women who received legal services Individual and group counseling sessions held Visits for medical care Women who attended individual and group counseling sessions 20 Beneficiaries 481 105 68 3,772 158 102 • • • • • • • MK distributed food and non-food items to 35 women living in poverty through local and international humanitarian organizations like Kosova Red Cross, International Red Cross, Cordaid Memisa, and Smile International; Among a larger group of women from another project, 12 widowed women from this project received female calves from Simmental cows; Two clients met Australian actress Ms. Nicole Kidman who visited women affected by war in 2007 as the UNIFEM Good Will Ambassador; 68 women received individual legal aid and information about legal procedures for issues like heritage, property rights, declaring missing husbands dead to qualify for legal rights, etc.; The mK lawyer represented 18 women in local courts and other relevant institutions; 105 women involved in this project received medical services (both gynecological and breast exams); and 38 women were assisted in becoming eligible for receiving social assistance in the amount of 60-90 Euros per month from the Center for Social Work. Women attend the burial of their family members, missing since the war. An mK client stands between the coffins of her two previously missing sons during the burial ceremony. The Prime Minister of Kosova attends a ceremony where an mK client’s house is transformed into a museum; she lost her husband and four children durin 21 Women with missing family members participate in a group therapy session with mK counselors. MK clients meet Nicole Kidman. Women receiving female calves from mK. Roma women enjoy a picnic organized by mK counselors. 22 4. SUPPORTING HEALTHCARE FOR MINORITY WOMEN IN PRIZREN Donors: Prizren Municipal Assembly and ICMC Grant amount: €4,705 Timeframe: August 2005 – October 2005 Staff: Ten, including an activist from Prizren, two doctors/gynecologists, three psychosocial counselors, two midwives, and two drivers of the mobile unit. Location: Four neighborhoods in the city of Prizren populated by the Roma community, Rahovec municipality, the villages of Krusha ë Vogel, Hoqa ë Madhe, Lubinje ë Eperme and Lubinje ë Poshtme populated by the Albanian, Bosnian, Turkish and Serbian communities Beneficiaries: 330 women and girls of different nationalities Project goal: Improving the health situation of minority women from Prizren Measures taken to achieve the project goals: • Gynecological visits with the mobile clinic to the locations covered; • Individual psychosocial counseling and support in the fields of trauma and VAW; • PAP tests for early prevention and diagnosis of cervical cancer; • Free gynecological medication for women and girls diagnosed with infections; and • Contraceptives for the prevention of unwanted pregnancies and family planning. Results: • Psychosocial counselors offered individual and group counseling and support to 127 women; • Of this number, 34 women were from the Roma community, 28 Bosnian, 43 Albanian, and 22 Turkish; • Psychosocial counselors conducted 381 group and individual counseling sessions for the women involved in psychosocial support; • 243 women received gynecological services, including 10 women from the Serbian community; • 46 Roma women conducted PAP tests, and one had a biopsy for the early prevention of cancer; • MK offered free medication to 230 women and girls with gynecological problems, totaling 500 Euros. Services Provided by mK Service Women who received psychosocial services Women who received medical services (gynecologic and breast exams) Women who received PAP tests Women who received legal services Individual and group counseling sessions held Visits for medical care Value in Euros of the medication provided free of charge to women Women who attended individual and group counseling sessions Beneficiaries 127 243 51 2 381 305 480 12 23 MK offers outdoor counseling. MK representatives speak about psychosocial and physical health with Serb women from Lubinje village. 5. SUPPORTING THE MENTAL AND PHYSICAL HEALTH OF WOMEN AND CHILDREN Donor: “Avec et pur Autres” based in Liechtenstein Timeframe: January 2005 – December 2005 and July 2006 – June 2007 Grant amount: €32,000 (2005) and €21,560 (2006-2007) Staff: Five, including a psychosocial counselor, doctor/gynecologist, midwife, medical assistant, and driver of the mobile unit Beneficiaries: 348 women and girls in two neighborhoods in the city of Prizren (Terzi Mahalla and Arbana), villages of Landovica and Pirana populated mainly by the Roma community Project goal: Improving psychosocial and health care for women and children of the Roma community Measures taken to achieve the project goal: • Group educational sessions for treating war trauma, human rights, women’s rights, violence against women, trafficking in human beings, education as a means of women’s emancipation, constructive communication, etc.; • Group psychosocial counseling sessions for in-depth treatment of war trauma and its consequences on mental and physical health; • Individual psychosocial counseling and support for dealing with events related to war trauma and support for domestic violence cases; • Gynecological visits with the mobile clinic in the aforementioned locations; • PAP tests for women and girls with gynecological problems; • Legal group counseling to inform women about legal instruments supporting the rights of women; and • Support for addressing women’s needs to institutions. 24 Results: • Creation of three educational groups for Roma women, in which 64 women participated during the first year; • Psychosocial group counseling for 105 women who participated in group work during the second year; • Of them, 51 women requested individual psychosocial support after attending the first three group counseling sessions; • Twenty women outside the counseling groups asked for individual psychosocial support; • Medica counselors conducted 415 group and individual counseling sessions in 2005 and mid- 2007; • The mK doctor visited 307 women and girls, using the mobile clinic; • The mK doctor and midwife conducted 24 health education sessions with six groups of women attending psychosocial counseling; • Four Roma women received hysterectomies in the Prizren hospital with mK assistance. • 127 women for the first time in their lifetime had PAP tests; • 25% of the women asked for contraceptives after receiving instructions on how to use them; • 105 women and their families received humanitarian aid, including food items, non-food items, and clothing from international humanitarian organizations; • With support from mK, 32 women arranged for social assistance from institutions; and • Eight Roma girls attended computer courses. Services Provided by mK Service Beneficiaries Women who received psychosocial services Women who received medical services (gynecologic and breast exams) Women who received PAP tests Women who received legal services Individual and group counseling sessions held Visits for medical care Value in Euros of the medication provided free of charge to women Women who attended individual and group counseling sessions The mK mobile clinic visits villages. 125 307 127 5 415 470 3000 27 Women and girls meet representatives of the Municipal Assembly of Prizren in mK. 25 6. SUPPORTING WAR TRAUMATIZED WOMEN FARMERS IN GENERATING INCOME Donors: German Federal Ministry for Economic Development and Cooperation (BMZ), medica mondiale e.V (mm) in Germany Timeframe: November 2005 – November 2008 Grant amount: €745,381.37 (including a €112,100 investment) Staff: 20 Beneficiaries: 2,731 women and girls directly involved in agricultural, cow-breeding and bee-keeping activities; and women and girls receiving psychosocial, legal, and medical support Locations: 22 villages, including Korenice, Dobrosh, Krelan, Molliq, Hereq, Drenoc, Irzniq, Shishmon, Dobrixhe, Deve, Cermjan, Rracaj, Doblibare, Fortesa, Sllup, Guske, Skivjan, Osijek Hile, Brekoc, Babaj Bokes, Piskote, and women in the Roma neighborhood of Gjakova. Project goal: Improvement of the living conditions of war traumatized women and girls and their families in Gjakova and Deqan municipalities The expected results of the project included: • The financial situation and independence of women is improved through the development of agricultural activities which enabled them to generate incomes that are a bit higher than the average income in Kosova; • Self-help groups in 10 villages of Gjakova and Deqan municipalities are created and empowered to organize group activities independently; • The health of project beneficiaries is improved; • Women are able to cope with and reduce the symptoms of trauma through group and individual psychosocial therapy and the development of new strategies for coping with the consequences of war; • Women and girls have increased awareness about their legal rights and are motivated to claim their civil and property rights; and • Advocacy brings local and national institutions’ attention to the needs of women affected by war. Measures taken to achieve results: • The free distribution of three tractors and equipment to 25 women from the villages of Hereq, Molliq and Drenoc; • Agricultural activities with women from the named villages; • Capacity building of women in agricultural production and equipment maintenance; • Distribution of fertilizer and seeds through governmental and non-governmental organizations; • Free distribution of 167 bee families along with beecare equipment to 18 widowed women from the villages of Shishmon and Irzniq; • Bee-keeping and honey production activities with women from these villages; • Capacity building of women in bee-care and quality honey production; 26 Women practice making bee-frames and engage in bee-care. • • • • • • • • • • • • • • Distribution of 30 Simmental heifers (cows) to 30 women farmers from the villages of Korenica, Krelan, and Dobrosh; Distribution of the first female calves from the original groups to 29 other women from Korenica, Krelan, Rracaj, and Dobrixhe villages; Construction and equipment with laboratory supplies of two milk collection sites in the villages of Korenica and Krelan; Establishing an agreement with the existing dairy “GOLAJ” in Gjakova with support from the “Marketing Support Project” for collecting milk from women in these collection sites; Building the capacity of women involved in cow breeding in the field of cow care and quality milk production; Distribution of milk cans and food concentrate to all women involved in the production of milk; Supporting women farmers to participate in different fairs that promote domestic agricultural products; Capacity building of women farmers in marketing and market research; Development of informal organizational structures among the women’s groups involved in agricultural, bee-keeping, and cow-breeding activities; Networking activities between mK women and women farmers inside and outside the country through study tours and exchanging farming experiences; Gynecological services and breast ultrasound exams for women at the mK center and mobile clinic that traveled to villages; Medication for treating the gynecological disorders of women patients; Contraceptives for the prevention of unwanted pregnancies and empowerment of women to be part of decision-making in family planning; 332 free PAP tests for women with gynecological disorders; Women attend hea th education sessions and demonstrations of contraceptives. Women promoted their products in public fairs each year. An mK client was recognized as one of the most successful farmers in Gjakova: the only woman among 21 men. 27 • Psychosocial anamnesis during gynecological visits for identifying psychosomatic symptoms connected to trauma; Referral of women from one mK service to another to fulfill their needs in the fields of medical treatment, psychosocial support and legal assistance; Group psychosocial counseling for women traumatized by war so that they can work through their traumatic event; Developing individual psychosocial counseling and providing support to women and girls with severe symptoms of trauma, especially those who experienced sexual violence during the war; Social support for women living in poverty through the distribution of basic food and nonfood items by local and international humanitarian organizations; Assisting women to use their right to social assistance and other benefits from local institutions; Legal group counseling sessions to inform women about legal instruments available for protecting their rights in the fields of civil rights, common property rights, domestic violence, child custody, alimony, etc.; Individual legal counseling and legal representation in local courts; Institutional and non-institutional lobbying concerning the situation of women who survived rape during the war; Advocacy meetings with institutional authorities for improving the agricultural conditions of women farmers involved in the project; Marketing activities for promoting women’s products. Advocacy and lobbying for the completion of legislation promoting gender equality in Kosova; Networking and cooperation with other NGOs in Kosova and abroad to promote women’s rights and equal participation of women and men in democracy and peacebuilding activities; Fundraising for long-term and additional support of war traumatized women and girls; Developing strategies to sensitize society and institutions to support survivors of war rape in Kosova; and Participation in joint advocacy activities with Kosova Women’s Network (KWN). • • • • • • • • • • • • • • • Services Provided by mK Service Women involved in agricultural activities Women who received gynecological services and breast exams Women who attended group psychosocial counseling sessions Women who received individual psychosocial counseling Women who attended the legal counseling group Women who received individual legal counseling and support Number of group meetings with mK leaders Number of gynecological and breast exams Number of group counseling sessions Number of individual psychosocial support counseling sessions Number of legal group counseling sessions Number of individual legal counseling sessions 28 Beneficiaries 114 2,146 334 110 146 242 18 5,145 1,298 1,947 88 739 Women attend the opening ceremony of the milk collection site in Krelan. Results: • Women farmers involved in agricultural activities generated monthly incomes between 190 and 220 Euros per woman; • By using the tractors to collect and transport firewood, women earned from 60 to 120 Euros per month during July and September from selling wood in the market; • Women involved in cow-breeding generated monthly incomes from 150 to 170 Euros by selling milk and dairy products in the market; • Milk collection sites in Krelan and Korenica collected 900 to 1,200 liters of milk per day, which was delivered to the “GOLAJ” dairy in Gjakova and “VITA” in Peja; • Women involved in bee-keeping activities generated monthly income in the amount of 190 to 220 Euros from selling honey privately; • MK supported the women to sell 100kg of honey to the “Duty Free Shop” at Prishtina International Airport in 2007; • All of the women involved in production activities received regular training (two to four times per year) in agricultural, milk, and honey production; • Women involved in the production of honey received training on marketing and market research; • 60% of the women have improved their knowledge about quality production and increased their production capacities; • Up to 60% of the women improved their living conditions, like their houses, and could afford to send their children, especially girls, to middle and higher education; • 40% of women farmers have started to break social and cultural barriers by actively taking part in public fairs, debates, and study tours; • 35 women representing each of the 13 production groups have skills in basic budget administration and other organizational issues; • 80% of the women have broken family and social isolation by attending regularly group psychosocial and legal sessions and by meeting with women from other groups outside these sessions; • 59 women and girls from rural areas completed successfully professional courses in computers, hairdressing, English, dressmaking, driving, etc., and seven received driving licenses; • 24 women found jobs in the public or private sectors during the three-year project; • 120 women arranged their personal documentation to receive social assistance; 29 • MK distributed to women and girls visiting the center and mobile clinic free medication totaling 7,400 Euros. The medical team conducted health education sessions for the women involved in agricultural activities on issues of menopause, hygienic healthcare, contraceptives, and conducting breast self exams; 29 women were represented in local courts and 26 women completed legal processes, realizing mainly their right to property; Two clients reconstructed their houses with support from Smile International UK based in Gjakova; The same organization painted the houses of ten clients during prior years; and 45-60 women with difficult social conditions received humanitarian aid regularly from local and international NGOs. • • • • • The local government provided tons of fertilizer for mK women involved in agricultural production, while Smile International UK distributed humanitarian aid to widowed women living in poverty and reconstructed two houses. HPI and mK criteria (see the next page) included an agreement to give the firstborn female calves to other widowed women, further strengthening the solidarity among women and increasing the number of beneficiaries. 30 7. SUPPORTING WAR WIDOWED WOMEN FARMERS FROM GJAKOVA Donor: Heifer International Kosova (HPI) Timeframe: January 2007 – January 2011 Grant amount: €50,685.60 Staff: Six volunteers Beneficiaries: 71 widowed women from the villages of Dobrosh, Korenice and Krelan Project goal: Rehabilitation and wellbeing of war widowed women farmers from Gjakova Municipality Measures taken to achieve the project goal: • Distribution of Simmental heifers to widowed women from the aforementioned villages; • Distribution of the first female calves to other widowed women from the same locations; • Supplying women with milk cans and food concentrate for the cows; • Training women farmers for hygienic cow care and “For the first time we have all improving the quality of milk. All women involved in women coming themselves cow-care attended regular trainings by Heifer for the training instead of International experts; sending their male relatives,” • Study tours and experience exchange opportunities – HPI trainers for women farmers from Kosova with women in the region; and • Technical support and investment for the reconstruction of barns for women farmers involved in cow-breeding. The mK clients who left their homes for the first time in their lives had happy faces Women enjoyed their study visit to Albania. Results: • 12 widowed women each received a Simmental heifer; • 13 other women from the same villages received female calves from these 12 women; • All of the women were equipped with milk cans and food concentrate for their cows; • All of the women increased their knowledge and capacities in the field of cow care and the production of quality milk; • 42 women farmers participated in a study tour in Albania, visiting farms and exchanging experiences with women farmers there; and • The project supported the reconstruction of 12 barns for women farmers who received cows (including the opening of windows, water installation, etc.). 31 8. SUPPORTING MARKETING FOR WOMEN INVOLVED IN THE PRODUCTION OF HONEY AND MILK Donor: Swiss Foundation for Technical Cooperation “Swiss Contact” Timeframe: February 2007 – May 2007 Grant amount: €3,500 Beneficiaries: 57 widowed women involved in cowcare and bee-care activities Staff: Six, including a paid Administrative Assistant and five volunteers Project goal: Increase the income of women involved in the production of honey and milk by selling these products to private companies Measures taken to achieve the project goal: • Development of management skills in marketing strategies and market research among 57 women involved with the production of honey and milk; and • Bringing women closer to the market so they can promote and sell their products. Implemented activities: • Fifteen training sessions on marketing with five groups of women involved in the production of honey and milk; • Market research activities with women, involving the contacting of distribution channels in the private sector (stores and supermarkets); and • Support for women farmers’ active participation in public fairs. Results: • All 57 women actively participated in the marketing sessions; • At least two women from each village group (10 women in total) established marketing skills; • More than 60% of the women were able to understand SWOT analysis and break down the strengths, weaknesses, opportunities and threats connected to their production and products; Women were keen to learn and practice their knowledge on marketing. 32 • • • • • • • • • 60% of the women thoroughly understood the role of quality, packaging and strategic positioning of price for their products; Up to 70% of the women adopted professional marketing vocabulary despite their low levels of education; Ten women identified and selected through training on marketing and market research were active in meetings with supermarket representatives, promoting their products; The entire process increased women’s incomes by approximately 25%. Thus, their average incomes in the amount of 190 Euro per month increased to 230 Euros; Interest in purchasing honey increased by 10% among the private consumers in the same communities as the women’s groups, as well as among some consumers from the town of Gjakova; Ten women selected for product promotion and sales participated in the local fair of food products, organized in Gjakova on 17-18 May 2007; Women received 120 Euros from selling honey, 50 Euros from selling cheese, and 30 Euros from selling cheese curd and sour milk during the fair; MK supported the women to sell 100 jars of honey to the Duty-free shop at Prishtina International Airport; Five women assigned as assistants in the groups maintained regular records on profits during the project and practiced their simple budget management skills received during Medica training from October 2006 to February 2007. Women present their products at the fair. 33 9. TECHNICAL ASSISTANCE AND SUPPORT FOR WOMEN INVOLVED IN THE PRODUCTION OF MILK AND HONEY Donor: NGO “Women’s Farmer Organization” from South Tyrol, Italy Timeframe: January 2006 – November 2008 Grant amount: €18,338.43 Beneficiaries: 25 widowed women from the villages of Rracaj, Shishmon, Krelan and Irzniq Project goal: Rehabilitation and support of women farmers to improve their production conditions and product quality Staff: Six volunteers Results: • Purchase and distribution of five Simmental cows to women farmers from the village of Rracaj; • Co-financing for the construction of two milk collection sites; • Supplying women farmers with artificial cow food during the winter; • Supplying women involved in the production of honey with extra bees and beehives; • Organizing a study tour of three women farmers and three mK women to South Tyrol, Italy; and their participation in the international conference for promoting milk products. A woman from Krelan reconstructs her barn. MK women farmers visit the farms in South Tyrol and exchange experiences during the international conference of women farmers there. 34 10. SUPPORTING REPRODUCTIVE HEALTHCARE AND PREVENTION OF BREAST CANCER AMONG WOMEN IN RURAL AREAS Donors: United Nations Population Fund (UNFPA) and Kosova Women’s Network (KWN) Timeframe: June 2007 – November 2007 Grant amount: €10,000 Euros Staff: Seven Beneficiaries: 236 women and girls from Koronice, Rracaj, Dobrosh, Drenoc, Sllup and the “Safe House” in Gjakova Project goal: Improving reproductive health and preventing breast cancer in rural areas Measures taken to achieve the project goal: • Development of group psychosocial counseling; • Individual psychosocial counseling and support for women with severe symptoms of trauma from war and those suffering family violence; • Gynecological services in the aforementioned villages through the mobile clinic and the stationary clinic in mK; • Health educational sessions for six groups of women involved in the project; and • PAP tests for the prevention and early diagnosis of cervical cancer. Results: • MK counselors installed six psychosocial counseling groups with women from the aforementioned villages; • 27 women participants in the group work asked for individual counseling and support because they were experiencing family violence; • All group participants increased their knowledge regarding GBV and how to report it to relevant institutions; • More than 50% of the individual sessions took place in the mK center, confirming the increased level of women’s empowerment in breaking free from family isolation; • The medical team conducted eight health education sessions with 60 women regarding reproductive healthcare and prevention of breast cancer; • All of the women received booklets for breast self-exams published by NGO “Jeta Vita” in Prishtina; and • 34 women who attended these educational sessions came to mK for a more detailed breast ultrasound. Services Provided by mK Service Women who received psychosocial services Women who received individual psychosocial counseling Women who received gynecological and breast controls Women who received PAP tests Group counseling sessions held Number of individual counseling sessions Number of gynecological and breast controls Number of health education sessions Beneficiaries 53 27 236 65 46 165 354 8 35 11. ADVOCATING FOR INSTITUTIONAL SUPPORT FOR SURVIVORS OF WAR RAPE Donor: United Nations Development Fund for Women (UNIFEM) in Kosova Timeframe: September 2006 – February 2007 Grant amount: $13,970 Staff: Five Beneficiaries: 110 women and girls from rural areas and the city of Gjakova Partners: 32 women from institutions, the Kosova Parliament, the Municipal Assembly, the Ombudsperson’s Office in Prishtina, NGOs supporting rape survivors, and the Office for Gender Affairs Project goal: Campaign for the legal status of survivors of rape during the war in Kosova Measures taken to achieve the project goal: • Screened the film “Anatema” in Prishtina and opened a public debate on the topic of sexual violence during the war and the situation of the rape survivors; • Established and developed cooperation with women deputies at the local and national levels; • Established a working group to prepare amendments to the existing Law on Civilian Victims of War; • Discussed the amendments with mK clients and received their recommendations about proposed changes to the law; • Circulated a petition for completing the Law with the proposed amendments; and • Organized a roundtable on the issue with representatives of institutions, political parties, the parliament, etc. in Prishtina. Participants debated the film. 36 UNIFEM Director in Kosova Flora Macula introduces the project and women discuss the issue during a roundtable. Results: • The film “Anatema” about war crimes in Kosova, especially rape committed against women and girls during the war, was shown in ABC cinema; • In a debate after the film, 50 participants discussed the issue, including 28 mK clients; • One client told her rape experience to a mK counselor while watching the film; • MK held five meetings with women deputies at the municipal and national level on the issue of war rape, and they pledged to support the campaign and advocate on behalf of survivors; • MK established a partnership and cooperation with the Ombudsperson’s Office in Prishtina for pushing forward changes to the existing law; • Medica Zenica women from Bosnia presented their experience and the measures they took to achieve public benefit status for survivors of war rape in Bosnia; • MK launched a working group for proposing amendments to the law, which involved women experts in supporting women who survived sexual violence during war; • MK counselors discussed the topic with their 110 clients during workshops at the mK center and in villages, informing women about the details of the campaign; • MK met with the Minister of Labor and Social Welfare to present the campaign and deliver the proposed amendments to the law; • The petition gathered signatures for the law, but also sensitized citizens to the issue; • The proposed amendments were presented and discussed at a roundtable with 20 participants from institutions and NGOs; • The Ombudsperson’s Office in Prishtina offered their meeting room for the roundtable and logistical support, including translation for international participants; and • The event resulted in important recommendations for pushing forward the proposed changes to the law through the involvement of women parliamentarians. Some recommendations focused on protecting the identity of women who would use the law. KWN and media representatives sign the petition. A representative of medica Zenica presents their experience organizing a similar campaign in Bosnia. 37 12. SUPPORTING THE EMPOWERMENT OF YOUNG GIRLS FROM RURAL AREAS Donor: Deutsche Gesellschaft fur Technische Zusammenarbeit (GTZ) GmbH, Eschborn, Germany Timeframe: July 2007 – September 2007 Grant amount: €2,025 Staff: Two trainers / counselors Beneficiaries: 26 girls aged 17-24 Locations: Villages of Deve and Doblibare in Gjakova Municipality Project goal: Improving the status of girls in rural areas Project objectives: • Increase the interest of young girls in attending secondary and higher education; • Increase knowledge among girls about human rights and freedoms; • Prevent early and forced marriages; • Increase knowledge among girls about violence against women and legal instruments that combat such violence; and • Break social isolation among girls and creating opportunities for meeting and mutual support. Measures taken to achieve the project objectives and goal: • Workshops on the importance of education, human rights, constructive communication, and recognition of personal resources; • Workshops on violence against women and ways to combat violence; and • A joint picnic in Gjakova municipality. Girls attend workshops to learn about domestic violence, human rights, and their legal rights. 38 Girls enjoy a picnic together. Results: • All of the girls participated regularly and actively in the workshops; • MK trainers held 20 workshops with girls; • More than 60% of the girls broke free from family isolation and gained an increased interest in continuing on to higher education; • 30% of the girls enrolled in the High College in Gjakova that September; • Girls from the village of Doblibare registered the “Girls NGO” after the project; • 20% of the girls spoke about violence and restricted movement within their families; • All girls understood and agreed on the consequences of early and forced marriage; • The girls continued to meet each other monthly, as a group and individually, even after the project ended; and • All girls responded positively to the picnic in the suburb of Gjakova near the river Drini where they danced and relaxed. Local and international represent-atives of GTZ evaluate the project by meeting with beneficiaries. 39 13. PROVIDING QUALITY HEALTHCARE TO WOMEN AND GIRLS Donor: UNIFEM – Austria / Kosova Women’s Network (KWN) Timeframe: April 2008 – September 2008 Grant amount: €10,000 Staff: Seven Beneficiaries: 189 women and girls, including 69 from the Roma community from the villages of Guske and Rracaj and two neighborhoods populated by the Roma community. Project goal: Improving healthcare for women and girls from Dukagjini Region Measures taken to achieve the project goal: • Gynecological services and breast exams in the aforementioned locations through mobile clinic and visits to the mK center; • Health education on issues of reproductive health and prevention of cervical and breast cancer; • PAP tests for women with pathological disorders; • Free medication for the treatment of different gynecological infections; • Free contraceptives; • Group psychosocial counseling for war trauma and violence against women; and • Individual psychosocial counseling and support to women with severe symptoms of trauma and/or who experienced family violence. Results: • The mK mobile clinic provided gynecological services and breast exams every second week in the aforementioned locations, as well as within the mk center; • The services supported an increase in women’s awareness of the importance of regular medical check ups; • The mK doctor led eight health educational sessions for women; • Breast ultrasounds supported the prevention of changes in the breasts of six women; • Eighty Roma women had PAP tests. Of them, five were diagnosed with in situ cancer and were referred to specialized clinics; • 32 Roma women started using contraceptives for the first time; • All women received booklets on breast self-exams and ways to prevent breast cancer; and • The mK counselor had 23 group and individual psychosocial counseling sessions with 38 women. Services Provided by mK Service Women who received psychosocial group counseling Women who received individual psychosocial counseling Women who received gynecological and breast controls Women who received PAP tests Group counseling sessions held Number of individual counseling sessions Number of gynecological and breast controls Number of health education sessions 40 Beneficiaries 26 12 151 80 12 23 226 8 ONGOING PROJECTS PROVIDING QUALITY HEALTHCARE FOR WOMEN Donors: UNIFEM Austria / Kosova Women’s Network Timeframe: October 2008 – September 2009 Grant amount: €20,000 Staff: Seven Beneficiaries: 230 Albanian and Roma women and girls Project locations: Three villages of Guske, Rracaj, and Skivjan Project goal: Improving healthcare for women in Dukagjini Region Measures taken to achieve the project goal: • Gynecological visits to the aforementioned locations with the mobile clinic, as well as the mK center; • PAP tests for women with pathological disorders; • Medication for treating different gynecological infections; • Free contraceptives; • Support for women to have regular ultrasounds in the “Institute of Labor Medicine” in Gjakova; • Group psychosocial counseling for treating war trauma and violence against women, particularly domestic violence; and • Individual psychosocial counseling and support for clients with severe symptoms of trauma and/or who are suffering from domestic violence. SUPPORTING WAR WIDOWED WOMEN FARMERS FROM GJAKOVA Donor: Heifer International Kosova (HPI) Timeframe: January 2007 – January 2011 Grant amount: €50,685.60 Beneficiaries: Widowed women from the villages of Gjakova municipality Project goal: Rehabilitation and wellbeing of war widowed women farmers from Gjakova Municipality 41 SUPPORTING WOMEN WITH FAMILY MEMBERS MISSING SINCE THE WAR IN REBUILDING THEIR LIVES Donor: Weltgebetstag (WGT) from Germany Timeframe: January 2005 – December 2007 and January 2008 – December 2010 Grant amount: €92,781 (2005-2007) and €52,998 (2008-2010) Staff: Nine (three paid and six volunteers) Beneficiaries: 492 women and girls, including 41 Roma, waiting for the repatriation of the bodies of their family members, missing since the war in Kosova, and women who have gone through this procedure and have entered the grieving process Project goal: Improving the psychological and physical situation of women and girls with family members missing since the war and motivating them to rebuild their lives Measures taken to achieve the project goal: • Group psychosocial counseling for dealing with war trauma, coping with repatriation procedures when bodies are returned from Serbia, and support during the grieving process; • Individual psychosocial counseling and support in dealing with personal war trauma, including the activation of resources for moving forward with their lives; • Legal support in realizing their legal rights; • Gynecological services in the mK center and from the mobile clinic; and • Assistance to women for arranging personal documentation for social assistance provided by the government. 42 EMPOWERING THE ECONOMIC DEVELOPMENT OF WAR TRAUMATIZED WOMEN FARMERS Donors: Federal German Ministry for Economic Development and Cooperation (BMZ), and medica mondiale e.V. from Germany Timeframe: March 2009 – April 2012 Grant amount: €685,415.51, including a €215,000 investment Staff: 27 (including 11 women beneficiaries) Beneficiaries: 400 women farmers from 13 villages in Gjakova and Deqan municipalities Specific Objectives of the Project: I. Support the establishment of a Dairy Factory for processing the milk of women farmers involved in the project and producing various milk products that meet EU standards; II. Support the establishment of a honey collection site for producing various honey products (soap, candles, cream, wax, etc.) and promoting them in local and international markets; III. Support business development and marketing skills among women farmers involved in bee-keeping, cow-breeding, and agricultural production work; and IV. Support the psychosocial wellbeing and legal empowerment of women for utilizing their properties and transferring ownership to women. Activities to achieve Result I • Monitoring and evaluating women’s resources, including new beneficiary groups in the same locations; • Construction of the outside and inside of the dairy; • Purchase of a milk cooling transporter; • Equipment delivery and installation; • Training to three to six women in milk pasteurization and the production of milk products (three weeks intensive professional training) in the milk demonstration centre in Gjakova; • Training 120 women farmers in hygienic milking processing and improving milk quality; • Starting the dairy production process; • Establishing and preparing seven new groups to integrate into ABC (Agriculture, Beekeeping and Cow-breeding) production; • Packaging milk products according to required standards and design; • Establishing sales agreements with institutions and companies; • Distributing products to interested companies and institutions; and • Media activities to promote milk products. Activities to achieve Result II • Purchasing a honey transporter; • Securing packaging materials for honey products; • Constructing a honey collection site; • Intensive training for two to four women in hygienic storage of honey and maintenance of the collection point; • Training for 15 women members of the old groups for the production of honey products (cosmetic cream, soap, wax, propolis, etc.); • Starting the collection of honey at the collection site and the production of honey products; 43 • • • • Testing for the quality of honey; Packaging honey products according to required standards and design; Establishing sales agreements with institutions and companies; and Distributing the products to interested companies and institutions. Activities to achieve Result III • Opening a shop in the city for storing and selling ABC products; • Professional external and internal training for business development and marketing for 15 women from all groups; • Organizing 16 to 20 women from all ABC production groups to visit big supermarkets to observe the packaging of agricultural and farming products; • Delivery of products in the shop by old and new groups; • Attending a TV and radio program to promote shop products; and • A study visit for 15 women to big production companies in Kosova to exchange experiences and increase their knowledge in regards to marketing and business development. Activities to achieve Result IV • Psychosocial individual counseling and support for women inside and outside the groups; • Individual legal counseling and support for women inside and outside the groups; • Initiating legal procedures for women seeking to realize their legal rights in courts; • Conducting psychosocial group sessions for old ABC groups; and • Conducting legal group counseling for all ABC production groups. Activities to achieve Result V • Meetings with institutions to promote the situation of women victims of war violence and represent their need for developing income-generating activities; • Political activities to connect women farmers with institutions at the local level; • Agreements with institutions and other stakeholders responsible for agricultural development to integrate women in public activities; • Study tours to other farmers’ organizations in Kosova (at least six visits); and • Exchange visits of mK women farmers to farmers’ organizations abroad. Expected results: I. The dairy for women is established and has started to process milk and produce various milk products; II. The honey collection site is established and has started to collect and produce various honey products; III. Women involved in agricultural, bee-keeping and cow-breeding activities have a dairy shop in the city where they can promote and sell their products; IV. The legal and psychosocial empowerment of women involved in production work and in the new groups of women to be established during the second year are achieved, and they can support the development of their businesses and cope with production and business responsibilities; and V. Women farmers influence political structures at the local and national level in agricultural development in the region and start networking with other women’s organizations inside and outside Kosova. 44 STRENGTHENING THE ROLE OF WOMEN FARMERS IN SOCIAL AND POLITICAL LIFE IN KOSOVA Donor: European Instrument for Democracy and Human Rights (EIDHR) Timeframe: January 2009 – January 2011 Project amount: €156,605.40 in tota. Grant amount provided by EIDHR: €100,000. Cofinancing provided by mK from a private donation from the “Organization of Women Farmers” from South Tyrol, Italy: €36,605.40 and medica mondiale e.V from Germany: €20,000 Staff: Nine Beneficiaries: 190 women farmers as members of 10 existing production units involved in agriculture, bee-keeping, and cow-breeding activities, and five new groups of women established during the project implementation period Project goal: Supporting the establishment of the “Women Farmers’ Organization” at the national level for promoting women’s equal participation in economic and political development in the country and their integration into networking activities Expected results: I. Establishment of the “Women Farmers Organization” at the national level; II. “Women Farmers’ Organization” joins the “Kosova Women’s Network” (KWN) as a regular member to develop networking and joint advocacy activities; III. Establishment of five new women’s agricultural groups that will later join the “Women Farmers’ Organization”; IV. Empowerment of women farmers through psychosocial and legal measures to address their symptoms of war trauma, help them to cope with social and cultural barriers, and utilize their own properties for developing concrete production activities; and V. The “Women Farmers’ Organization” influences agricultural policies of rural development in their region through political and networking activities. Key activities: • Training and workshops for the creation of formal structures among the women’s groups and preparation for their registration as the “Women Farmers’ Organization” at the national level; • Training of the women elected to run the organization on political and networking issues, as well as supporting their entrance into KWN; • Educational sessions for the establishment of new groups of women and support for improving production through professional training in agriculture and live-stock breeding; • Group psychosocial counseling and individual support to existing and new groups of women farmers; • Group legal counseling and individual legal support to members of the existing and new groups of women farmers; and • Meetings with institutions to promote the situation of women victims of war violence; to represent their need to improve production conditions; and to support their involvement in public agricultural activities. 45 PARTICIPATION IN INTERNATIONAL CONFERENCES AND EVENTS Place Topic / Goal Date Addiction diseases among war traumatized women and girls May 2001 International Physicians for the Prevention of Nuclear War (IPPNW) The consequences of war on civilian populations and the longterm effects of war weapons. MK presented on the systematic violence against Albanian women during apartheid period in Kosova (1981- 1998). May 2001 ISIS Women’s International Cross Cultural Exchange Program (WICCE) Women’s World Congress for the documentation of sexual violence against women and girls in war and conflict. The conference enabled NGOs coming from postwar and conflict countries to exchange experiences. Serbian Center for Non-violent Conflict Resolution Peaceful means for conflict resolution and reconciliation November 2001 medica mondiale e.V. Visiting the ICTY and monitoring the proceedings against Milosevic. The mK delegation made remarks on the process of documenting testimonies from Kosovar witnesses, especially victims of sexual violence April 2002 medica mondiale e.V. Experience exchange with the Kurdish NGO “Erinkeskin” regarding the legal rights of women and legal instruments for the documentation of violence against women. November 2002 Skopje, Macedonia Council of Europe The fifth Ministerial Conference of the Council of Europe on “Gender equality between women and men” January 2003 Geneva, Switzerland UN Building United Nations Economic Commission for Europe (UNECE) Development of small and medium size enterprises among women from countries in transition. March 2003 Koper, Slovenia Erlangen, Germany Organizers NGO “RRJETA” from Germany Uganda, Africa Ulqin, Montenegro International Criminal Tribunal for the Former Yugoslavia (ICTY), The Hague, Holland Istanbul, Turkey 46 October 2001 and July 2002 Saint Catherine’s College Combating trafficking in human beings October 2003 American Legal School Workshop led by Professor of International Law and Political Analyst Dr. Paul Williams on “Conflict resolution and the dialogue between Prishtina and Belgrade.” October 2003 Albanian Center for Human Rights Training involving NGOs and institutions from Albania on documenting violence against women. Washington D.C., USA State Department Building Foreign Policy Institute of the “Center for Women Policy Studies” Meeting with six women U.S. State Legislators regarding U.S. foreign policy on women, THB, AIDS, migration, etc. November 2003 Berlin, Germany Ministerial Building Deutsche Frauenrat Conference on “Gender and Democracy” September 2004 Institute of Peace and Justice Implementing UN Security Council Resolution 1325 on the participation of women in conflict prevention and peace building November 2004 Berlin, Germany NGO “Women Security Council” WOMNET Meeting of the international working group on strengthening the network for the implementation of UN Security Council Resolution 1325 September 2005 Bratislava, Slovakia UNIFEM for Eastern Europe International working group on “Supporting the gender architecture of the UN” February 2007 New York, USA UN Headquarters DCAF, UNFPA, and OSAGI Participation in the screening of the film, “Women in an Insecure World” and the panel on rape in war March 2007 Minneapolis, Minnesota, USA Washington D.C., USA Tirana, Albania November 2003 San Diego, California, USA 47 Struga, Macedonia “Women’s Peace Coalition” comprised of the Kosova Women’s Network and Women in Black Network Serbia Conference on human security, transitional justice, and horizontal networking. The mK representative spoke on, “From impunity to responsibility and justice” September 2006 and September 2007 Koln, Germany medica mondiale e.V. International Conference “In Search for Justice” on achieving human and legal justice for women survivors of sexual violence during the war September 2008 “Right Livelihood Award” Foundation and medica mondiale e.V. “Right Livelihood Award” ceremony when the founder of medica mondiale, Dr. Monika Hauser, received an award December 2008 European Commission Liaison Office in Prishtina Study tour of NGOs from the Western Balkans on “Health challenges in Europe” January 2009 Stockholm, Swedish Parliament Brussels, Belgium 48 PARTICIPATION IN WORKING GROUPS AND LOCAL CONFERENCES Place Organizers Topic / Goal Date Prishtina International Red Cross (IRC) Working group for drafting the UNMIK Regulation on improving the status of women with family members missing from the war May – June 2001 Peja OSCE Working group for drafting the UNMIK Regulation on combating family violence October 2001 Gjakova KWN Technical organization of the KWN campaign “Stop violence against women” and mK campaign moderation November 2001 Gjakova medica Kosova together with KWN Roundtable on “Together we are stronger” regarding strategies for breaking the taboo of sexual violence November 2002 Prishtina UNIFEM and KWN Working group for drafting the Gender Equality Law March – June 2003 Prishtina UNIFEM / KWN Kosova Women’s Lobby monitoring of political processes and women’s involvement in these processes November 2003 – December 2006 Gjakova International Red Cross (IRC) Engaging mK Psychosocial Counselors to train IRC field staff to improve procedures for collecting data about persons missing from the war in Kosova May – June 2003 Gjakova International Red Cross (IRC) Engaging mK Psychosocial Counselors to train women members of the NGO for missing persons “Mothers’ Appeal” in trauma work June – November 2003 Prishtina International Red Cross (IRC) Engaging mK Psychosocial Counselors to train the Religious Association of Catholic and Muslim Belief for work with war traumatized persons September – November 2003 Prishtina OSCE Training on the International Convention on Women’s Rights May – June 2004 Gjakova KWN Campaign “Lilia 4-ever” against trafficking in human beings together with the Safe House in Gjakova November 2004 Prishtina UNIFEM Working group for drafting the National Action Plan for the Achievement of Gender Equality in Kosova April – June 2004 Prishtina UNIFEM - KWN Working group for preparing a monitoring report on the implementation of UNSC Resolution 1325 in Kosova July 2005 49 Gjakova Urgent Action Fund (UAF) – Kosova Center for Gender Studies (KCGS) in Prishtina Panel presentation to promote the book “Rising Up in Response” regarding the contribution of women activists in building peace and security September 2005 Gjakova United Nations Development Programme (UNDP) Organizing and moderating a UNDP delegation’s meetings with mK women’s groups to identify the level of poverty in rural areas and its impact on women May – August 2006 Prishtina UNFPA/KWN The “Coalition against Family and Sexual Violence” working group, comprised of five Kosova women’s shelters, to prepare common standards and procedures for all women’s shelters June 2007 – November 2007 Gjakova KWN Organizing protests with the Safe House in Gjakova with the motto “Women and men against family violence” October 2008 SURVEY ON VIOLENCE AGAINST WOMEN In order to measure public opinion about the issue of violence against women, medica Kosova surveyed 500 people, including 440 women and girls and 60 men, between May and November 2000 in Gjakova and the surrounding villages. The survey involved 14 questions and aimed to achieve the following objectives: • • • • • • To measure public opinion and knowledge about violence against women; To document their personal experiences of violence; To identify places where most cases of violence against women happen; To identify the most frequent types of violence committed against women; To identify cases of direct violence during the war; and To identify differences in perceptions of violence among people of different sexes, age groups, social statuses, and levels of education. Some of the conclusions resulting from the survey were: • • • • • • • 50 83% of respondents understood what violence against women was 85% agreed that this kind of violence was not spoken about publicly 73% agreed that women are not protected from violence 72% agreed that violence is unjustified in any circumstances 49% declared that violence is more present among the poor and less educated 91% agreed that violence should be treated and combated through public work 20% of the women questioned said that they had experienced direct violence during the war “EXPERIENCES IN GYNECOLOGICAL WORK AT THREE MEDICA CENTERS” Medica mondiale e.V. organized a roundtable with medica Kosova on treating different and common experiences in gynecological work in three medica centers: medica Kosova, medica Zenica, and medica Tirana. The seminar took place in March 2002 in the Mental Health conference room in Gjakova with 17 participants from medica mondiale e.V. in Germany, Ms. Berit Schei who is a gynecologist from Copenhagen, and representatives from the three medica centers who are professionals in the field of psychosomatic gynecology and psychosocial support. Key topics treated during the seminar included: • Pathology of the cervix and the impact of trauma; • Specific aspects of Psychosomatic gynecology and trauma; • Shelter and access to the target group; • Possibilities of crisis intervention; • Development of quality standards and documentation; • Education through field work: opportunities and limits; • Education in family planning and expectations; • Forensic medicine in the documentation of sexual violence; and • Case studies on the aforementioned topics. Some of the conclusions and key recommendations were: • Trauma and stress are factors that influence pathological changes in the cervix • Traumatic experiences affect women’s gynecological practices, especially their attitude during examinations. Therefore, it is important to empower them and strengthen their resources to keep the symptoms of trauma under control; • The patriarchal environment and culture restricts women in requesting support. Therefore it is important to develop strategies that facilitate women’s access to psychosocial and gynecological services; • Education through fieldwork is an excellent tool for sharing information and multiplying the effects of work; • For evidence of sexual violence in gynecological work it is important to have forensic instruments. Forensic medicine needs new instruments to be developed for documenting sexual violence, especially to avoid re-traumatizing the victims; • Emergency situations where a crisis intervention is needed happen every day in the work of medica projects. Coping with these situations shows that good coordination among the different departments is extremely important for offering quick and adequate help; and • Optimal and standardized documentation of clients’ data in different medica locations opens up the possibility of a transnational evaluation on specific subject matters and provides a good basis for mid- and long-term research programs. 51 THE 2004 CAMPAIGN “LET’S SUPPORT WOMEN” The mK legal department organized a campaign entitled “Let’s Support Women,” which aimed to inform young generations about laws, UNMIK Regulations, and parts of the Criminal Code of Kosova that protect women’s rights. The campaign was developed primarily in seven schools in Gjakova municipality. The campaign involved 78 pupils from secondary schools and the Faculty of Education who organized as part of six educational groups and attended three educational sessions per group. The campaign involved: • Educational group sessions with pupils to interpret articles of the Criminal Code of Kosova, including criminal acts against sexual integrity, marriage and family, as well as protecting women from family violence, according to UNMIK Regulation 2003/12; • Distribution of aprons with the logo “Let’s Support Women” to mechanics, while asking them about violence against women; • Distribution of free drinks in public areas sites in glasses that had the same slogan; • Distribution by pupils of glasses and paper napkins with the same slogan in some of the most frequented cafeterias; • Distribution of aprons to some mK clients and hairdressers in the city; and • Programs on local radio stations. Two hundred pupils were involved in distributing glasses, while other occasionally tended the distribution sites and spoke with mechanics and hairdressers in the center of Gjakova. The most frequent questions addressed to mechanics and hairdressers were: • How would you define violence against women? • Except physical violence, what other types of violence you can identify? • Where would you suggest a woman who experienced violence should go? Pupils participate in education sessions. 52 THE LEGAL CONFERENCE ON “SEXUAL CRIMES DURING THE WAR” The Legal Department of medica Kosova organized a three-day conference in November 2003 with on topic of sexual crimes during the war in Kosova. The goal of the conference was to open discussions on sexual violence during the war and present factors preventing women from speaking openly about it, as obstacles to documenting this violence as a war crime. Conference participants included representatives of different local and international institutions and non-governmental organizations, such as the UNMIK Victims Assistance and Advocacy Unit (VAAU), UNMIK Department of Justice, UNMIK Police, the Kosova Police Service (KPS), the OSCE Victims Protection and Advocacy Unit, the Center for Social Work, the Chair of the Municipal Court of Gjakova, administrative lawyers from the Municipal Assembly in Gjakova, the Center for the Protection of Women and Children in Prishtina, the “Women’s Wellness Center” in Peja, the Safe House in Gjakova, medica Zenica in Bosnia, medica Tirana in Albania, media, and psychosocial counselors and doctors from medica Kosova. Some of the key topics discussed at the conference included: • Rape as a strategy of war and its codification as a war crime and crime against humanity; • The ICTY Statute and the process of Foqa from Bosnia; • Sexual violence as a taboo and the impact of the patriarchal society in Kosova; • Effects of the patriarchal culture on psychosocial support; • Rape as a means for ethnic cleansing; • Sexual violence during dictatorial Hoxha regime in Albania; • Breaking the taboo of sexual violence and supporting victims in Kosova; • Results from the medica Kosova visit to the Hague and Tokyo Tribunal; • Violence against women in the aftermath of war and increases in domestic violence; • Utilizing legal instruments for combating family violence (UNMIK Regulation 2003/12 on Domestic Violence; and • The implementation of the regulation by UNMIK and the local police. Recommendations resulting from the conference included: • Women and girls who survived sexual violence during the war must receive the status of civilian victims of war; • More activities should be developed within society and state institutions to combat prejudices against women who have suffered sexual violence; • Public, religious, and cultural institutions must recognize publicly victims of war rape like institutions in Bosnia did through “Fetvas” [a Muslim institution]; • More similar forums with representatives of civil society and institutions should be organized to exchange experiences and views on the issue of sexual violence during war; • Forensic documentation of sexual violence should be complemented with an interdisciplinary psychosocial approach that would not re-traumatize victims; and • Civil society and institutions should work on prevention and awareness-raising activities, including with the perpetrators of violence against women. Conference participants discuss violence against women during the war and watch one of the ICTY trial sessions against Milosevic. 53 PEACE-BUILDING ACTIVITIES Medica Kosova is a member of the strategic group of the “Women’s Peace Coalition,” which is comprised of members of the Kosova Women’s Network (KWN) and the Women in Black Network from Serbia (WiB). The Coalition, established in 2006 on the initiative of both networks and with financial support from UNIFEM and UNDEF, aims to follow and monitor political processes in Kosova and the inclusion of women in these processes. Initially the Coalition monitored the negotiation process between Kosova and Serbia, a process which ignored entirely the participation of Kosovar women. The written requests and media appeals of the Coalition to include women in this process, as guaranteed by UNSC Resolution 1325, were completely ignored by both UNMIK and the Kosovar Administration. However, this was not the only goal of the Coalition. It also supported horizontal networking between NGOs in Kosova and Serbia, as well as initiatives toward transitional justice. Some of the activities developed by the Coalition included: • Issuing press releases regarding the negotiation process between Prishtina and Belgrade and the failure to include women in this process; • Issuing press release in regards to negotiations over cultural heritage sites, requesting that the issue not be politicized; • Organizing a conference in September 2006 on the implementation of UNSC Resolution 1325 on Women, Peace and Security; • Organizing a conference in September 2007 entitled “Through Women’s Solidarity to a Just Peace”; and • Developing a street performance in the center of Struga, Macedonia to spread messages of women’s solidarity and peace. Topics treated during both conferences in Struga, Macedonia included: • Feminist ethics of responsibility • Experiences from the past • Women’s movements during the nineties • Regional networking and coping with the past • Aspects of gender within the concept of human security • The political status of Kosova as an independent country and opportunities for the integration of minorities • Transitional justice and the importance of a feminist approach to achieving justice • Models of transitional justice according to the experience of WiB • From impunity of sexual crimes during the war to achieving accountability and justice • The role of civil society, obstacles, and challenges to achieving transitional justice • Monitoring the war crimes trials • Visiting the crime sites as a way of coping with the past • The policy of apology to victims of war • Horizontal networking as a means for women’s solidarity and experience exchange • Regional aspects of security A unique aspect of these conferences was the public apology made by WiB Serbia for the crimes Serbia committed during the war in Kosova. Women from Kosova, including KWN members, became even closer to the women from Serbia afterward. WPC holds a strategic planning meeting at the KWN office. 54 MEDICA MONDIALE AND MEDICA KOSOVA FOUNDER DR. MONIKA HAUSER RECEIVES “RIGHT TO LIVELIHOOD AWARD” IN SWEDEN Medica Kosova founder, Dr. Monika Hauser, received the “Right to Livelihood Award” or the “Alternative Nobel Prize,” offered by the same foundation, for her recognition of the suffering of women and girls who survived sexual violence during the war. As an activist supporting victims of war rape and conflict zones, she was rewarded. For the first time in the history of the award, four women activists like Dr. Hauser from Germany received awards for peace building. The three other women were from India, Somalia, and America. The news about the prize was happily received by the clients and staff of medica Kosova. They considered this prize recognition of their hard work supporting war traumatized women and girls. The fact that Dr. Hauser came to Kosova to share this joy with her colleagues from medica Kosova increased further our motivation for continuing to support these women. Local and international media covered this event, emphasizing the role and contribution of Dr. Monika Hauser in supporting survivors of war rape throughout the world, as well as the contribution of medica Kosova in supporting women in Kosova. MK clients and partners celebrate Monica’s award during a dinner and reception at the mK center. Thank you Monika for supporting the visibility and recognition of our work! 55 APPROXIMATE VALUE OF HUMANITARIAN AID DISTRIBUTED TO MK CLIENTS International humanitarian organizations Items donated (2000-2008) No. of clients supported Value in Euros ACT / LWF Blankets, pillows, bed sheets, food items, bathroom and kitchen items, baby food, hygienic material, school supplies, clothing, toys, and two bicycles 332 4,160 PRO DOCS Baby food, cooking supplies, baby pampers, and hygienic items 164 790 SDC from Switzerland 30 Holstein cows and food concentrate. (One cow delivered to the Safe House in Gjakova) 29 clients & 14 women from the Safe House 45,374 Turkish Red Cross Food and non-food items 235 2,500 GTZ 1,500 live chicks 50 2,700 Mother Tereza Association Flower and vegetable seeds 300 400 Medica mondiale e.V. Cash emergency fund for purchasing food, firewood, clothing, etc. for clients living in poverty 120 75,000 Samaritan’s Purse 585 Christmas boxes for children (families) 277 2,050 WFP 168 packages of bulk food 234 2,305 HELP FROM GERMANY 700 hygienic packs for children with shampoo, cream, and pampers. 100 packs mK delivered to the Safe House in Gjakova 268 4,900 Butcher “AGIMI” 60 kg of meat 13 270 Italian KFOR Canned food, pastry, clothing, toys and medication 232 12,320 Smile International UK Food and hygienic items, school supplies, firewood, kitchen and bathroom sets, etc. 125 5,000 Smile International UK 2,100 Christmas boxes for children (families) 210 31,500 Smile International UK House reconstruction for two widowed clients 2 7,000 TOTAL 196,269 MK meets with Turkish, German and Italian KFOR. 56 MK ORGANOGRAM Board Members Veprore Shehu Executive Director 1. 2. 3. 4. 5. 6. Nesrete Zeka Member of the Management Group Tabe Qestaj – Director Nurije Haxhikadrija – member Fatime Boshnjaku – member Advije Gashi – member Veprore Shehu – member Selamet Peni – Protocol Keeper Zejnete Dylatahu Member of the Management Group Psychosocial Sector – Psychosocial Counselors Merita Rruka Gynecologist Nderime Sahatqija Hydajet Rogova Medical Assistant Flutura Kumnova Shpresa Byci Finance and Control Milot Vula Driver Gjylizare Morina Rexhep Rogova Driver Behije Duraku Iirjana Hoti Lawyer Mandete Kurti Klara Axhemi Midwife Fehmije Luzha Selamet Peni Project Assistant Mimoza Shehu Miribane Deda Agronomist Alberije Lama Center Caretaker Seniha Zhubi Center Caretaker Skender Dujaka Guard Muhamet Gllogjani Guard Bekim Ermeni Food Technologist 57 FORMER STAFF OF MEDICA KOSOVA Violeta Zhubi Gynecologist Igballe Gërbeshi Gynecologist Minire Zuna Gynecologist Flutura Zajmi Lawyer Bukurije Leti Counselor Lorida Maloku Lawyer Arbnesha Kuqi Midwife Laura Rama Counselor Mimoza Kerraxhija Translator Fatlije Koshi Counselor Thank You! Anita Bokshi Administrator / Logistics Anita Berisha Administrator / Logistics Saranda Arllati Midwife Muteber Saliuka Social Fund Distributor Ardiana Haxhibeqiri Administrative Assistant Lendita Binaku Administrative Assistant Milot Zhubi Driver Valdet Gashi Driver 58 Valentina Bejtullahu Public Relations