Médicos del Mundo is an international, humanitarian and voluntary association working for the universal right to health through health care, denunciation, vulnerable or victims of crisis, with a commitment to work for social change towards a more just, equitable and supportive society. Médicos del Mundo Spain has more than 25 years of presence in the Mesoamerican Region, acting with different development projects and humanitarian aid, which have evolved according to the needs of health and the humanitarian context in the region. Under the strategic axis of "People, Migration and Forced Displacement", MdM France and Spain have jointly developped a Regional Programme in El Salvador, Honduras, Guatemala and southern Mexico since 2016, seeking to improve access to health and health mechanisms protection of the rights of the population affected by migration and forced displacement. The main objective of the programme is to improve access to health and protection for the population affected by migration and forced displacement in Guatemala, El Salvador and Honduras. To this end, it seeks to generate a capacity-building process, both from State institutions and civil society organizations, moving towards a dialogue that allows for a governance exercise and is accompanied by knowledge management on migration processes. It also contributes to the provision of health services and psychological care. In this context, from mid-October 2018, in Honduras and El Salvador, the so-called "Migrant Caravans in Central America" began to be organized: mixed groups of people (women, men and children) who left their countries on large and visible scales arriving at the borders of Guatemala and Mexico with the intention of travelling to the United States. Faced with these new scenarios, MdM saw the need to activate special mechanisms to support the Region's Migration and Forced Displacement Programme, with the following main objectives: 1. Carry out constant monitoring and observation of the situation of the Caravans from their departure from the countries of origin, their passage through Guatemala and until their arrival in Chiapas – Mexico; and including direct observation and testimonial collection exercises. 2. Implement actions in response to the humanitarian health needs that were observed. 3. Document the situation of the Caravans and the response of MdM from the observation and monitoring work in order to systematize the work of the MdM teams and carry out communication and political advocacy actions. The main function of the Volunteer will be to strengthen the Contingency Planning and Response Strategy for humanitarian crises of Médicos del Mundo in Guatemala and in the context of the Mesoamerican Region, supporting the process of improving the monitoring, response and planning system in sight of of humanitarian contingencies and crises, especially related to the issue of migration and forced displacement. Participate in the coordinating tables (clusters) in Guatemala and in other cross-border coordination spaces where MdM Spain is participating. The Volunteer, will have its base of operations in Guatemala City (Guatemala) with field visits of Médicos del Mundo projects in the country and sporadically to the countries of the region where Médicos del Mundo has a presence: in San Salvador (El Salvador), Tapachula (Mexico), Tegucigalpa (Honduras). In all these cities, MdM Spain and MdM France have headquarters, technical and administrative teams who carry out projects in line with the two strategic aims in Guatemala: Migration and Forced Displacement, Sexual and Reproductive Rights/Prevention of Violence against Women. The volunteer position will be under the responsibility of the Regional Coordination of Médicos del Mundo Spain and will be coordinated with the technical teams of the projects of the regional programme of People, Migration and Forced Displacement. Operational details & security context
Security situation in Guatemala and the Mesoamerican Region:
The Republic of Guatemala, with 16,015,494 inhabitants (National Statistics Institute, 2015) and 40% of indigenous population, is a country with a slow economic growth. Some facts are: 58% of the population is under poverty line (80% being indigenous population), there are high levels of inequality, 25% of young people aged 14-25 do not study nor work, there are high levels of violence and insecurity, pregnancy rate among teenagers aged 17-19 of 81 per 1,000 women (the highest rate in the Northern Triangle of Central America) and 9% of the population were compelled to migrate in recent years.
MdM Security Plans
MdM has general security protocols in all its headquarters in the countries of intervention. Guatemala's Security Plan, framed in “Conceptual Framework for Security Management” by MdM, has the following objectives:
To reduce security risks for staff, by allowing them to integrate and implement security rules and regulations to prevent any potential emergency;
To plan and coordinate actions to be taken by the person in charge of security, in case of emergency;
To schedule preventive actions in order to prevent emergency situations;
To schedule training activities and drills for the staff to be prepared to act in case of emergency;
To have an ongoing updating procedure available;
The volunteer will adhere to these norms which will be shared with him/her in the pre-deployment training or briefing
The assignment of the volunteer does not imply working in the field, but in workshops, meetings and gatherings with working teams and local partners, community-based organizations, NGOs, etc. Should any field visit be done, it would be scheduled and planned with the relevant teams.
Medicos del Mundo has developed a Security Plan adjusted to the specific context of rampant violence in Guatemala city, which is periodically monitored, in collaboration with the organization Unidad de Protección a Defensoras y Defensores de DDHH, UDEFEGUA (Human Rights Defenders Protection Unit) in Guatemala (link:
www.udefegua.org), who are experts on this issue in Central America. Several workshops have already been done with UDEFEGUA, which allow us to confirm that their methodology includes a permanent monitoring procedure of the context and risks analysis in order to adjust or modify any aspect of the project, if the case may be.
In the event of a security threat or special circumstance, all activities will be brought to a halt as long as required, according to the Security Plan.