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Living with a disability in Gaza and Ukraine

What’s it like to have muscular dystrophy in Gaza and a learning disability in Ukraine?

We hear what it’s like to live with a disability in a war zone.

Boshra is an 18-year-old woman who lives in Gaza and has muscular dystrophy. She and Oleksii, a man with a learning disability from Ukraine, share their experiences with presenter Emma Tracey.

Emma also speaks to George Graham, CEO of Humanity and Inclusion, a charity which supports disabled people living in conflict areas.

Presenter Emma Tracey
Production by Daniel Gordon and Alex Collins
Recorded and mixed by Dave O’Neill
Special thanks to Irena Taranyuk, tv Ukrainian Service
Edited by Farhana Haider

Is there an election issue affecting disabled people you think we should be talking about? Get in touch, we really want to hear from you. You can email us accessall@bbc.co.uk or message @bbcaccessall on Twitter/X or Instagram. Our WhatsApp number is 0330 123 9480, please begin your message with the word ACCESS.

Release date:

Available now

25 minutes

Transcript

29th May 2024

bbc.co.uk/accessall

Access All – episode 107

Presented by Emma Tracey

EMMA- It cannot have escaped your attention that there is a General Election coming up on 4th July. I want you to tell me what interests you about it, what you want to hear, who you want to hear from. Is it about access to the information you need to make your choice? Is it about being able to vote in secret? Or do you want to know what the different parties are promising to do for disabled people if they get into government? Please tell me what you want to know about the upcoming general election. You can email us accessall@bbc.co.uk. I’m going to be keeping a very close ear on our WhatsApp because I would really, really love your voice notes, your voice messages; I want to hear your voice, I want to hear your passion. Tell me what you want me to explore, talk about, question for you. The number is 0330 123 9480. And if you can put the word “ACCESS” before your message that will really, really help us to find it. You can also find us on Instagram and X @tvAccessAll. Do get in touch because we want this to be as relevant to as many of you as possible. On with the show.

MUSIC- Theme music.

EMMA- Hello and welcome to Access All, the tv’s weekly podcast dedicated to news and stories about disability and mental health. I’m Emma Tracey, and this time on the podcast we’re going to be speaking to disabled people in conflict zones. We’ll hear from Boshra, who’s a wheelchair user living in Gaza, and we’ll hear from Oleksii who’s got a learning disability, and his mum Raisa, and they’re in Ukraine. If you like what you hear please subscribe to us on tv Sounds or wherever you get your podcasts.

The war in Gaza has made worse an already very tricky situation for disabled people there. As you know on Access All disabled people are at the heart of every story we do, and in this case it’s been very tricky to connect with disabled people in Gaza because of the war going on there. Last week my colleague, Alex Collins, managed to speak with Boshra on the phone. Boshra is 18 and she’s got muscular dystrophy and uses a wheelchair. Let’s take a listen to what Boshra had to say:

BOSHRA- [Via translator] before the war things were different. It wasn’t easy. There was no support for people with my condition, especially in school. I could only go to classes on the ground floor as I couldn’t use the stairs. But my dad adapted the house to help with my condition. There were handrails near the toilet, and more handrails to help move me when I wanted to get around the house.

ALEX- So, life was hard before the war, but things got even harder?

BOSHRA- Absolutely. I had to leave my house in the east of Jabalia in the first month of the war, after evacuation orders were given to head south. I now live in a tent with 20 people, which is difficult because I can’t lean on the plastic edges of it as it won’t take my weight. I need a wheelchair to go to the toilet, and I need people to help me. It’s been very, very hard to get one. I was borrowing a wheelchair from someone else but I lost it, and so now I am borrowing another one from some other people, when they let me use it that is, which is not often. I’m telling my story on a crowdfunding page, a Go Fund Me website to help myself and my family. The situation is very serious and I could die at any time. I want to raise enough money to leave Gaza. Once I get the money I’ll get a wheelchair.

ALEX- It sounds very loud where you are.

BOSHRA- It’s always noisy: the drones, the bombings, the fighting. It’s obviously not great but what can we do? We’ve got used to it. We might have to move. We are in Deir-el-Balah, but we might have to move to Khan Yunis. It’s hard to move from one place to another; I have to have help from my family. I had to go to the hospital last month to get my heart checked as it’s affected by my condition. The war just made everything more stressful. I’ve had no support the past seven months, nothing from any of the aid agencies.

ALEX- Do you know other people with disabilities? What have they been telling you?

BOSHRA- There are lots of people now in Gaza with disabilities, people who have lost limbs, their hands and their legs. They need things like prosthetics and walking sticks, but in Gaza they’re hard to find.

EMMA- Thanks to Boshra there in Gaza. And we have been trying to keep up with Boshra and find out what’s happening with her, considering what’s been happening in Gaza over the last few days, but we haven’t been able to get back in touch with her.

With me now is George Graham from a charity called Humanity & Inclusion. The charity works in 60 countries, including hostile environments like Gaza. George, you’re really welcome, thank you for joining me.

GRAHAM- Thank you for having me.

EMMA- You’ve just been listening to Boshra’s story there, George. Is it typical of what you’ve been hearing from disabled people in Gaza?

GRAHAM- Yeah, it’s very typical I’m very, very sad to say. The things she talked about include the overcrowding in the shelters, which for many people with disabilities makes life very, very hard, including really personal and difficult things like going to the toilet suddenly becomes much, much harder, particularly in the context where water is scarce and there’s severe overcrowding. She talked about the difficulties of evacuating, and as you know there have been multiple evacuation orders. Many of the people we work with resisted moving because they couldn’t or didn’t feel they were able to initially, until finally they realised that the alternative was to risk being bombed, so they moved. And she talked about the bombing having driven up the numbers of people with amputations. And there are fears that the numbers of children who are being amputated through injuries caused by bombing in Gaza will be greater than any recent conflict.

EMMA- I guess we’ll find out more and more about that as time goes on and as things change in Gaza as well.

GRAHAM- Yes, there’s lots about the situation that we will only learn about when hopefully the fighting stops and we can really assess the situation. But there are so many barriers to providing support for people with disabilities in a place like Gaza. As everybody knows, getting aid in is very, very difficult, so people who may for example have not been able to evacuate with their assistive devices, whether that’s crutches or anything that they need in order to get by, getting new assistive devices for those people is a huge challenge. And then people who rely on regular daily or frequent rehabilitation are now finding those services are non-existent, so they’re facing enduring pain often. It’s really, really difficult for so many people.

EMMA- What was life like for disabled people in Gaza before this war?

GRAHAM- Well, the data that we have shows that before the war escalated after October 7th there were over 20% of households in Gaza who had included at least one person with disabilities, and nearly 10% of households had at least one child with disabilities. So, that’s quite a high rate. And it was tough because even before the current fighting Gaza existed under a blockade, which meant that by and large people couldn’t leave and things could come in but only in a very controlled way. Which meant that the basic support for people with disabilities was always difficult, but not impossible. So, people were able to live, were able to have food and to get by, were able to have an education, but with great constraints.

EMMA- Boshra says that none of the aid agencies have helped her. I mean, you can’t speak for the whole sector, but what do you make of that allegation?

GRAHAM- Tragically I’m not surprised. It’s not that people aren’t trying; there are lots and lots of aid organisations that are trying very hard and doing a lot of work. We have 200 staff and volunteers in Gaza doing lots and lots of good work, rehabilitation, providing assistive devices, hygiene kits, psychosocial support and so on. But firstly, 200 people is not many in a population of over 2 million. And secondly, all those staff and volunteers from our organisation and every other charity that’s trying its best in Gaza, they’re also civilians, also suffering the same issues, also hiding in shelters, also having to look after their own families, also suffering grief and loss and of course fear. So, it’s a really hard situation. It doesn’t surprise me sadly that many people are not being reached.

EMMA- So, what other stories have you heard from your people in Gaza or other disabled people there?

GRAHAM- For example, I heard about a man called [Khaled] who has severe mobility impairment. So, he talks about how challenging a situation is. He’s in a displacement camp, he says the location is just not suitable for persons with disabilities. He says he cannot access the toilet because it’s not adapted for someone with his level of mobility, disability. He talks about the overcrowding, there’s no space to move his wheelchair; he doesn’t have his medicines with him; the place is unclean. He says, and I think this is super sad, that he’s avoiding eating because he’s reluctant to use the inadequate toilet facilities. That’s the sort of conditions.

EMMA: And what are your people saying in Gaza today, after the weekend that it’s been there?

GEORGE: Words almost fail. People have been living, not just in great hardship, but also with great fear, you know, in terror, for a very long time. And over the weekend, that only escalated further. Boshra said people are used to it. I mean, I don’t know if you can ever really get used to living in that awful context. Also, all of our staff and volunteers, as I said earlier, are also civilians, they haven’t eaten properly for six months because there’s such a scarcity of food. So the conditions that these people are in is really hard, and the violence over the weekend is just further degrading the situation in which they’re living.

EMMA- Thanks for talking to me about Gaza, George, stay with us, because we’re going to talk about the war in Ukraine now and how that has impacted disabled people’s lives. It’s been going on for a lot longer than the current fighting in Gaza. One of them is Oleksii, I spoke to him and his mum Raisa. And Raisa is the board director for a charity called Djerela which helps people with learning disabilities. Oleksii, her son, has a learning disability himself, and he’s been through quite a lot. His hostel where he lived in Kyiv closed just as the war started. He went back to live with his family; that was tricky. Then it was thought it was a good idea for him to go to Denmark, but that threw up its own challenges. So, let’s hear them tell their story. And Irena, from the Ukrainian Service, was also in the studio. She translated Oleksii’s words for me and my words for him:

EMMA Tell me a bit more about your son Oleksii, Raisa. What was the effect on Oleksii when his hostel closed when the war started?

RAISA Because of his anxiety, because he has to know what will happen tomorrow, what will happen to him and who will be with him. And of course it was a stress that people changed. His everyday occupation changed. Everything in his life changed, and it was a big stress.

EMMA- Do you remember when your hostel closed, Oleksii?

OLEKSII-- [Via translator] I was not myself because I didn’t know what to do.

EMMA- And how did you feel? What did it feel like? Were you sad?

OLEKSII-- Yes, sad.

EMMA- Were you scared?

OLEKSII-- Da.

EMMA- Did you know what was happening? Did you know about war?

OLEKSII-- Yes. The worst thing was I couldn’t go anywhere; I had to stay indoors all the time.

EMMA- And do you like going outside?

OLEKSII-- Yes, I do.

EMMA- You’ve gone quiet. I bet you’re not really that quiet in real life. I bet you're a chatterbox. Raisa, what were the problems caused by the start of the war?

RAISA- I had to continue working. I had to fundraise, I had to run the organisation, to write different documents, projects etc. So, I couldn’t dedicate all my time to him. And he needs 24-hour attention. He needs his life to be structured. Although 40 years old but still he needs to be said, “Hey get up, go and have your breakfast, go and brush your teeth” and so on. He needs all this attention, and do this, do that. And then he started to escape from here. He escaped and then the guards shoot on him.

EMMA- He got shot at?

RAISA- Yeah, meaning not him, but they shot into the air because they asked him “Please stop, you can’t go,” But he continued going away, which was prohibited, and so they shot into the air just to frighten him, to stop him.

EMMA- And did it frighten him?

OLEKSII-- Of course I was scared because it was a checkpoint, and you cannot walk around checkpoints. You know that, don’t you?

EMMA- But sometimes you couldn’t help it because you needed to escape?

OLEKSII-- Yeah.

EMMA- When did Oleksii go to Denmark and what happened there?

RAISA- He went to Denmark in April 2022 with a group of his peers.

EMMA- And did that feel like a good idea at the time?

RAISA- At that time it was a good idea. You know, any travel is taken as an adventure by him. When it lasted one week, the second week, the third week and then he disliked it and he wanted back home. Because of his challenging behaviour, he was placed into the mental hospital.

EMMA- Gosh, that must have been really difficult for all of you.

RAISA- Yes. My daughter she decided to take him back home.

EMMA- I mean, people will find that so unusual to take someone back to, like, a war zone, but his life was just so difficult.

RAISA- Better to be here than to be placed in the mental hospital.

EMMA- Oleksii, do you remember Denmark?

OLEKSII-- I do remember. We had a bit of a row, we had an altercation with one of the girls there and I had to be hospitalised. Yes, it was the case of some argument, and after that they said they won’t take me there anymore.

EMMA- Are you glad to be back at home in Ukraine?

OLEKSII-- Da. Da

EMMA- Why?

OLEKSII-- Because it’s home. Because it’s good there. Because it’s hostel and Bohuslav and my mum, Raisa Ivanova.

EMMA- George Graham, from Humanity & Inclusion, what do you feel about what you heard from them?

GRAHAM- Well, both that it’s very sad to hear how hard it’s been for them, but also that it’s quite familiar that we hear similar stories a lot in Ukraine. But actually also a positive thought which is Raisa has done amazing things to support people with disabilities, and she’s not alone in Ukraine in that respect; that Ukraine is a country where there are a number of Ukrainian organisations that support people with disabilities of different types. And that has made it a different type of place for us to work in. Obviously the war is heavy and it makes it a very, very hard context to work in, but we’re able to work alongside some really fantastic people.

EMMA- You work with people with learning disabilities in Ukraine and other places, what are the types of help and support that you provide for them? And what do they need at times of war?

GRAHAM- The types of support we provide, safe spaces, mental health and psychosocial support, to the extent that we’re able to. The challenges in Ukraine are that there are a very large number of people, typically the most vulnerable people, who have been left behind by events and by the response to those events. So, people who maybe didn’t have the resources to move, so people in the far east of the country where the fighting has been most intense, who have not been able to move to the west of the country or even to other countries, and people who don’t have the resources to look after themselves.

And some of the stories are really hard to hear. There was one guy who was out one day and then he heard an explosion and his home had been destroyed. So, he went to a cinema to seek shelter, and he stayed in the cinema, that’s where he lived in an abandoned cinema. But the heating didn’t work in the cinema and the winter came and he got colder and colder and colder until he had frostbite in both of his legs and they had to be amputated. So, these people they’re in remote locations, often close to or even beyond the frontlines, and a lot of people are really cut off. So, a big part of our job is trying to find those people and trying to provide support for them so that they have somewhere to go and so that we can help them.

EMMA- That’s so interesting, cos people who had a support system and the support system left but they weren’t able to, and how they’ve had to sort of figure things out for themselves when they haven’t been able to and needed a lot of help before. Tell me a bit about Humanity & Inclusion and about what you guys do that other people don’t do. What is the hole in the services that you fill that other agencies and other charities aren’t quite managing to do?

GRAHAM- In non-conflict, non-humanitarian contexts there’s a lot of great stuff happening to support organisations or persons with disabilities to promote disability inclusion in all sorts of ways, including in often very poor countries. So, that’s a positive. And we do a lot of that. But what we also do, and where I think we are much more alone, is this work in war zones and in other acute humanitarian emergencies. But there are very few and often no other organisations that are thinking about people with disabilities, and certainly who have specialism in supporting people with disabilities.

EMMA- And do you think part of that is the lack of disabled people working in this sector?

GRAHAM- Yeah, I think that’s definitely part of it. I also think that people don’t feel confident, they don’t feel they have the expertise to support people with disability so they don’t see people with disabilities as being a sort of a primary target group, if you like, for them.

EMMA- And why is that? Why do they not see that?

GRAHAM- I should say that everybody who works in humanitarian aid has got the best of intentions and by and large is a very good, well-motivated person trying to make the biggest difference they can. They might be thinking okay,” I don’t have the expertise to meet the needs of people with disabilities, hopefully someone else does.” And of course not many people do. So, a big part of our job is advocacy to other humanitarian organisations, so I mean charities but also the United Nations, and also often governments as well, to make sure that in all the coordination discussions when they’re working out who’s working where, who’s doing what, there are explicit conversations about how many people are we aware of? What’s the data showing for people with disabilities? How are they being reached? Who’s reaching them? And that’s constant work because if people like us are not in the room saying “you need to do that,” then sometimes it doesn’t get done. And the results are that people like we’re talking about in Ukraine do not receive any support and they remain neglected.

EMMA- And is it an expensive thing to make sure that all the organisations, all the relevant parties are aware and trained and knowledgeable enough to say this is one of our core groups, and we will support them as well as any other group that’s on our list?

GRAHAM- I’m going to say no and yes. I mean, we cannot allow money to be the barrier to disability inclusion. Sure, obviously there are some forms of support for people with disabilities that cost lots of money, and some training might cost lots of money. And also I should say there’s a lack of money across the board for all forms of humanitarian aid, right. The humanitarian aid organisations we exist in a permanent context of not having anything like enough money to do the things that... So, it’s normal not to have enough money [laughs] and it’s just about how you prioritise your effort in that context.

EMMA- George Graham from Humanity & Inclusion, thank you so much for joining me and telling me about your work, and about life for disabled people in Gaza and Ukraine.

GRAHAM- Thank you for having me.

EMMA- Another episode of Access All has come to an end, and what an episode it has been. Thank you to George Graham from Humanity & Inclusion. Thanks to Oleksii and Raisa in Ukraine. And thanks to Boshra in Gaza. If you want to contact us about anything you’ve heard on this episode or about the General Election, you can email accessall@bbc.co.uk, or find us on the socials @tvAccessAll. Thanks for listening. Goodbye.

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