The main problem in Chios during the RSA research period was the lack of a doctor within the structure as well as the deficiencies in psychosocial support, even for unaccompanied minors. Since April 2021 there has been no stable presence of a doctor within the structure. Also, there has been no social worker for a year, so, when an incident must be looked into, normally carried out only by a social worker, psychologists conduct the procedure. The vulnerability evaluation procedure seems to be inadequate, as in an attempt to find a solution to the serious shortage of medical staff, nursing staff is called upon to fill the gap, by asking asylum seekers questions. Then, the relevant documents are signed by a doctor who visits the structure from Chios’ hospital or from a National Public Health Organisation Unit. This procedure excludes from medical examination those who are considered not meeting the vulnerability criteria, since they are provided for with a medical examination appointment and a medical card only in case of doubt.
In mid-February, Salvamento Maritimo Humanitario (SmH), which covered serious deficiencies in medical care within the CCAC, and was registered in the previous Registry of the Administration, had to cease its operation due to non-registration in the NGO Registry of the Ministry of Migration and Asylum. SmH had been on the island since 2015 with doctors and nurses, also providing ultrasound for the residents. Due to the withdrawal of SmH, which was cooperating together with the German organisation Offene Arme for the transport of emergency incidents to the hospital by taxi, and for supporting scheduled appointments, there was a large gap created, which has not been filled until now. The emergencies that arise in the structure must be served by the single National Emergency Centre (EKAV) vehicle on the island, which cannot already serve the existing needs of the local population, thus losing human lives. After the departure of SmH, residents – even pregnant women – must also address private doctors or the hospital (with significant delays) to make an ultrasound.