1
00:00:03,629 --> 00:00:05,273
Hujambo, Jina langu ni Suzan Song,

2
00:00:05,273 --> 00:00:09,095
Mwelekezi wa Idara cha Taaluma ya Ugonjwa
wa Akili kwa Watoto, Vijana na Familia

3
00:00:09,115 --> 00:00:10,839
ya Chuo Kikuu cha George Washington,

4
00:00:10,849 --> 00:00:12,330
na Mshauri wa Kulinda Ubinadamu

5
00:00:12,330 --> 00:00:15,431
kwa waathiriwa wa uhamishaji 
wa lazima kote duniani na nchini.

6
00:00:15,431 --> 00:00:17,112
Kumekuwa na ongezeko la kipekee

7
00:00:17,112 --> 00:00:19,192
la idadi ya wakimbizi kote ulimwenguni,

8
00:00:19,402 --> 00:00:22,963
wakiwemo wakimbizi, watafuta 
makao, wahamiaji wasio halali

9
00:00:23,226 --> 00:00:24,738
na watoto walio pweke.

10
00:00:25,339 --> 00:00:28,074
Kote ulimwenguni, zaidi ya watu milioni 65

11
00:00:28,074 --> 00:00:31,757
kwa sasa ni wakimbizi kutokana 
na vita, mateso au mgogoro wa kivita.

12
00:00:32,059 --> 00:00:35,653
Kufikia mwanzo mwa 2018, takribani 
watoto milioni 31 kote ulimwenguni

13
00:00:35,733 --> 00:00:38,207
walifanywa wakimbizi kutokana
na vurugu na migogoro.

14
00:00:38,207 --> 00:00:39,974
Iwapo mitindo hii ya sasa itaendelea,

15
00:00:40,014 --> 00:00:43,010
mtu mmoja kati ya watu mia moja 
atakuwa mkimbizi hivi karibuni.

16
00:00:43,010 --> 00:00:46,328
Kwa bahati mbaya, wakimbizi na 
waathiriwa wengi wa uhamaji wa lazima

17
00:00:46,328 --> 00:00:48,614
hawapokei huduma 
inayohitajika ya afya ya akili.

18
00:00:48,687 --> 00:00:52,138
kutokana na usiri wa huduma, 
ukosefu wa kufikia huduma ya kitaalamu,

19
00:00:52,547 --> 00:00:54,477
na shutuma dhidi ya matatizo ya akili.

20
00:00:54,740 --> 00:00:57,410
Wakimbizi ni wale ambao
wametoroka katika nchi zao halisi

21
00:00:57,410 --> 00:00:59,503
kutokana na wasiwasi wa 
mateso yaliyokithiri

22
00:00:59,503 --> 00:01:03,310
yanayolingana na mbari, dini, 
uraia, maoni ya kisiasa

23
00:01:03,310 --> 00:01:05,572
au uanachama katika 
kikundi fulani cha jumuiya.

24
00:01:05,748 --> 00:01:08,437
Ingawa wakimbizi huomba 
ulinzi wakiwa ughaibuni

25
00:01:08,437 --> 00:01:10,557
na wanapewa ruhusa ya kuingia Marekani,

26
00:01:10,759 --> 00:01:13,972
Watu wanaotafuta 
makao pia wana hofu ya mateso.

27
00:01:14,319 --> 00:01:16,837
Lakini wanatafuta ulinzi wakiwa 
ndani ya Marekani.

28
00:01:17,005 --> 00:01:19,301
Wakimbizi na watu wengine 
walioathiriwa na mzozo

29
00:01:19,301 --> 00:01:22,001
waliripotiwa kuwa na 
asilimia 15 hadi 30 ya

30
00:01:22,001 --> 00:01:23,335
PTSD na mafadhaiko,

31
00:01:23,732 --> 00:01:28,897
ikilinganishwa na asilimia 3.5 ya PTSD 
miongoni mwa wasio wakimbizi.

32
00:01:29,160 --> 00:01:31,398
Mambo thabiti 
yanayoashiria afya mbovu ya akili

33
00:01:31,398 --> 00:01:34,588
ni kupitia mateso na matukio 
mengi yanayosababisha kiwewe.

34
00:01:34,588 --> 00:01:38,586
Lakini mateso, kutenganishwa na familia,
michakato ya kuchosha ya kupata makao,

35
00:01:38,756 --> 00:01:41,356
kutengwa na hali ngumu 
katika nchi mpya

36
00:01:41,466 --> 00:01:43,277
zote huongeza ubaya wa afya ya akili.

37
00:01:43,491 --> 00:01:46,516
Mazingira baada ya kuhama, 
hasa kipindi kirefu cha kuzuiliwa,

38
00:01:46,643 --> 00:01:48,523
hali isiyo salama ya uhamiaji,

39
00:01:48,860 --> 00:01:52,712
ufikiaji mbovu wa huduma 
na vikwazo vya kazi na elimu

40
00:01:52,772 --> 00:01:54,736
vinaweza kudhoofisha zaidi afya ya akili.

41
00:01:54,736 --> 00:01:57,533
Haya hayatoi upeo kamili wa 
matatizo ya hisia

42
00:01:57,533 --> 00:01:59,960
yanayokumbwa na watu wengi 
walioathiriwa na mgogoro

43
00:01:59,960 --> 00:02:02,944
ikiwa ni pamoja na huzuni isioelezeka, 
kiwewe kigumu,

44
00:02:03,232 --> 00:02:07,007
kukata tamaa, kutengwa, 
hasira, na kutoamini.

45
00:02:07,173 --> 00:02:09,750
Watu wengi wanakumbana na hatua za kawaida

46
00:02:09,875 --> 00:02:11,900
kwa matukio yasiyo ya kawaida kabisa.

47
00:02:11,910 --> 00:02:15,580
Baada ya muda, wakimbizi wengi huonyesha
dalili chache au hawaonyeshi kabisa.

48
00:02:15,592 --> 00:02:18,056
Idadi ndogo huonyesha mtindo wa 
kupona polepole

49
00:02:18,350 --> 00:02:20,400
na idadi ndogo ingine 
huendelea kutatizika.

50
00:02:20,954 --> 00:02:24,714
Kwa hivyo tunahitaji kutathmini tofauti 
kati ya hali za tukio za dhiki

51
00:02:24,863 --> 00:02:27,243
na hali dhahiri za ugonjwa 
wa akili kwa wakimbizi.

52
00:02:27,350 --> 00:02:30,449
Tunafanya hili kwa kulenga kushirikisha

53
00:02:30,449 --> 00:02:32,318
hali za awali za kiwewe,

54
00:02:32,602 --> 00:02:34,086
mambo ya kila siku ya kusababisha mzongo,

55
00:02:34,336 --> 00:02:37,303
na mifumo mikuu ya ushirikiano wa kijamii ambayo mtu anahusika.

56
00:02:37,581 --> 00:02:39,561
Wataalamu wa akili wanaweza kusaidia watu hawa

57
00:02:39,561 --> 00:02:43,437
kupitia shughuli za kliniki zinazofaa kwa wakimbizi na wanaotafuta makao.

58
00:02:43,749 --> 00:02:46,715
Kwa kiwango cha sera kwa kufanya tathmini za makao

59
00:02:46,715 --> 00:02:50,185
na kwa kiwango cha utetezi kwa kuhimiza usawa wa kufikia,

60
00:02:50,425 --> 00:02:54,119
uwezo wa huduma kuwahifadhi wakimbizi na watu waliohamishwa kwa lazima,

61
00:02:54,119 --> 00:02:56,907
na kwa kushirikiana na wanachama wa jumuiya ya masomo mbalimbali

62
00:02:56,907 --> 00:02:59,478
kama vile mawakili, walimu na watengenezaji wa sera

63
00:02:59,660 --> 00:03:02,141
kutoa mfumo salama ambao wakimbizi

64
00:03:02,141 --> 00:03:04,539
na walionusurika kuhamishwa lazima wanaweza kutegemea.