Madrid
28/29 November 2003, by E.Schatz
During the work sessions we had more than 20 presentations on
the topic. This is showing the great diversities and the multiple
faces of the work in this field.
One
main aspect runs as a red line through all the presentations:
The
great lack of participation of the Roma community in the general
society on all levels and - in connection to that - the problems
of access to health, social and employment services.
The
presentations pointed out the fact that, in the single countries,
there are many activities at various levels: from national programmes
to concrete work in the field.
Of course, there is always a lack of funding and capacity, but
one can recognize that there is a lot of attention to the particular
issues, especially in the candidate countries and in Spain,
with relatively long term experiences..
In many countries the access to health support is guaranteed,
but there are still many barriers and gaps to cover. If we realise
that Roma live, in average, 10 years less than the general population,
we then will know that there is still a long way to go.
Speaking about drug abuse we recognise that there is a high
prevalence of use of substances in the Roma community. This
is related to the fact that the population is very young (in
Spain 25% are less than 25 years old) and there are social problems
as marginalisation and discrimination. Public opinion often
connects drug use and ethnicity, resulting in an additional
stigmatisation. Monitoring violence and discrimination seems
to be a useful tool which can help us to get a clear picture
of the situation.
Anyway, researches show that ethnicity is not a risk factor
for substance abuse. Moreover, drug use patterns are not different
from other groups, while there is recognition of the cultural
variations.
The
most productive strategy for the improvement of the situation
is the involvement of the Roma communities themselves - as cultural
mediators, as workers in the field and at institutional level.
Such a condition give them a relevant role also in the decision
making process.
Furthermore it is important to organise support with an integral
approach, taking into account the legal and social aspects while
focusing not only on drug/health problems. Stimulating the own
responsibility of the drug users and the community is an important
issue since there are behaviours in the Roma population which
are prone to the denial or the hiding of the problems, especially
concerning drugs.
On the other side, drug services have to improve their cultural
sensitivity and realise the importance of the cultural mediator.
Another
aspect which was mentioned has been the issue of the data collection.
There is a great lack of data concerning ethnic minorities,
immigrants and foreigners in Europe. The significance of the
decision of not to collect data's in the single countries is
very honourable, because no one should ask the nationality before
providing support. On the other hand, without hard data one
cannot argue for specific problems, analyse situations in a
competent way or ask for additional programmes for target groups.
We
have heard that the population of Roma is not a homogeneous
group, that there is a great diversity and that their living
conditions are different from country to country. So, what is
finally the sense of working together in projects and seminars
on European level? Why should we cooperate and exchange models
of good practice if the situations are so different everywhere?
I
think that the need to cooperate on a European level is more
necessary and obvious than ever before.
First of all, the growing together of Europe on a political
and economical level create a need of cooperation also in the
health and social sectors, something which appears to come always
too late. The Roma population is present in nearly all the member
states of the Union - therefore it's a core European group.
Secondly the quick changes and developments in the general societies
have a major impact also on ethnic and vulnerable groups - even
if often they don't have the skills and possibilities to react
adequately to these changes. So, trans-national projects, networks
and collaboration have an important role to play in this setting.
Solutions cannot be found only on national level anymore.