Health Care in Danger

“Health Care in Danger Project”.. is an ICRC-led, Red Cross/ Red Crescent Movement-wide initiative that aims to 
address the impact of violent acts and dangers that obstruct the delivery of health care, damage or destroy 
facilities and vehicles, and/ or harm health-care workers and patients, in armed conflicts and other emergencies. The 
project, which run from 2012 to 2015 came as a response to the call of the 31st International conference held in 
Geneva, 2011. It aims at mobilizing experts to develop practical measures by decision-makers, humanitarian 
organizations and health professionals that can be implemented in the field and report these recommendations to the 
next International Conference in 2015.
The first event in the project was the London symposium with participation of ERC Secretary General. This was 
followed by the international workshop held in Cairo (December 2012) with wide participation of National, regional 
and international organizations working in the health sector. This workshop discussed several issues; safety and 
security of health-care providers, safety and security of ambulances and their crews, training of health-care 
On the international level, ERC participated in several consultative events held by ICRC, most importantly:
  • Tehran Workshop on “Role of RC/RC National Societies in promoting safety and security of health services”. (February 2013)
  • Pretoria Workshop on “Security of Health-care facilities”. (April 2014)
  • ICRC – African Union joint meeting in Addis Ababa (October 2014)
ERC joined the “Movement Reference Group” which follow-up with the results and discuss the recommendations of the 
several meetings and workshops in order to prepare for the 32nd International Conference. 
In the same line, ERC and ICRC jointly organized a conference in Cairo on 18th December 2014 in cooperation with the 
Ministry of Health, aiming at bringing together all the efforts done on the national level to ensure more security of 
the health services with all its components.
The Participants, who represented various national stakeholders tackled the topic from different professional 
perspectives; Ministry of Health and Egyptian Ambulance Organization presented the challenges faced by the ambulance 
and their medical crews, the efforts done at the ER units and the coordination to communicate between the emergency 
sector whether hospitals or ambulances. Academia and teaching hospitals were represented by Kasr Al-Eini and Suez 
Canal University hospitals who highlighted the importance of training and development for healthcare providers. This 
meaning was emphasized as well by the Vice chairman for training and development at the armed forces’ health service. 
Representatives of the Ministry of Interior, Egyptian Medical Syndicate participated in the conference as well as 
representative of the Arab league. The international perspective of the topic was comprehensively presented by ICRC 
and MSF. A successful example of first aid provision at the field was highlighted by ERC through showing the 
experience of the “Emergency Action Teams”; these specialized 94 teams of first aiders who serve in 23 governorates, 
providing first aid since 2011 for more than 5300 casualties. 
ERC and ICRC emphasized the importance of having a well-connected and coordinated health system that works according 
to standards. The participants stressed on the necessity of having coordination mechanisms that allow for sharing of 
information and integration between all actors as a common lessons learned.
The conference came up with specific recommendations regarding: inclusion of  education and training on, as well as 
dissemination of, the existing domestic legislation in the preventive and safety measures for protecting the 
provision of healthcare,  share challenges and best practices in order to develop stronger policies and practical 
means of implementation, the importance of data to organize adequate responses to protecting the provision of, and 
access to health care, incorporating issues related to the violence affecting health care in university curricula and 
in the training for health-care professionals the correct use of the distinctive emblems under the Geneva Conventions 
and their Additional Protocols and of other distinctive signs used by healthcare providers and raise awareness about 
the serious consequences of emblem misuse on the protection of the health-care activities.