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A story of Travellers, advocacy, and health: Interview with Missy Collins

Date:
Source:
OSCE High Commissioner on National Minorities
Fields of work:
Conflict prevention and resolution, National minority issues, Roma and Sinti

One of Pavee Point’s main areas of activity is challenging health inequalities faced by Travellers. The Primary Health Care Project is led by Travellers for Travellers. The project leaders listen to their community to assess their needs and work directly with health authorities to ensure that health policies consider travellers’ needs.

Missy Collins has been a key member of the Primary Health Care Project for more than 30 years. She told us why the Project is so important, the relevance of Travellers for Travellers being at the heart of advocacy, and the outcomes. She also shared some of her memories of Traveller life.

Missy Collins, Dublin, Ireland, 2020.

“If you’d told me 30 years ago, ‘well, Missy, you're going to be involved in Travellers’ health,’ I would have said, ‘nah.’ But I have to say, it was the empowerment and support we got from Pavee Point that made a difference.

“One of the aims of the Primary Health Care Project is that Travellers promote health services with Travellers. Travellers also talk to other Travellers about their needs, and take the information back to the health service providers.

“When we started the programme in 1992, a director from a government agency told me that Travellers going out talking to Travellers wouldn’t work because we can't read and write; we're not educated. Well, I said, I know my needs, and I know what will work, but I didn't win that day. I got up from that table, and as I was going away, I said, ‘I will be back; I'm not giving up’. A few months later, that same man agreed to a health service pilot project for nine months and then he became our boss for ten years.

“So, we did our own research questionnaire, and Travellers went to talk to Travellers. The best thing about that is Travellers aren’t afraid of talking to other Travellers like they would be if it had been a social worker asking the questions. There's always been a fear among Travellers that their children could be taken from them by social workers.

“At that time, we spoke to 85 families for the questionnaire and we took the answers back to Pavee Point and the healthcare providers. They ascertained that at that particular time there were three needs: a well-woman clinic, a hearing test for the children and a dentist set up in the evening, because Travellers were not using these services.

Pavee Point Traveller and Roma Centre, Ireland, organizes a Primary Health Care Project, which enables Travellers to share information within their own community and improve health outcomes for the whole community.

“Although we ourselves and our mummies before us had big families, we didn't know a lot about our own bodies. We didn't know what a smear test was. Some of the women didn't know what ovaries were. Some of the women were terrified when we told them they were going to have their breasts checked and a smear test. I remember one women who was afraid, but I convinced her to go in and, thank God, she did because her breast cancer was caught in time. It was work that made me very proud.

“The first time we went to the clinic with the children for their hearing test we brought 14 children, and 10 of them had to get treatment. If those children hadn't been helped, they probably would have ended up not hearing or not being able to speak properly.

“It was the same with the dentist. We set it up to meet Traveller needs. The whole family could go to the dentist, even in the evening, so she could check the whole family.

“I can say that we had success because we don’t need to do this anymore. Nearly all the families know where to go and what to do and they trust the healthcare providers. So, we've kind of broken down that barrier and now it's just as it should be. We're closing the gap.

“When I would meet with health ministers or people from the department of health, the first thing we lobbied for was a strategy for Travellers’ health, and one of the recommendations was for an All-Ireland Traveller Health Study. It took a long time, but it was finally published in 2010.

Missy Collins launches the All-Ireland Traveller Health Study, Dublin Castle, 2010.

“I’ll never forget it. It was launched in Dublin Castle. I held it up over my head and said, ‘This is what I've been waiting for. This is what I wanted for every Traveller in Ireland.’ I thought it was the greatest thing in the world, and I was that proud. I was the proudest Traveller woman in Ireland.”

Memories of Traveller life

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