Communal Violence in Gujarat, India: Impact of Sexual Violence and Responsibilities of the Health Care System

Communal Violence in Gujarat, India: Impact of Sexual Violence and Responsibilities of the Health Care System
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印度古吉拉特邦的社区暴力:性暴力的影响和医疗保健系统的责任

DOI:
10.1016/s0968-8080(08)31357-3
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发表时间:
2008
影响因子:
--
通讯作者:
R. Khanna
R. Khanna
中科院分区:
医学3区
文献类型:
--
作者:
R. Khanna

文献摘要

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鉴于全球各地长期冲突的局势,必须提请注意冲突对两性健康造成的后果,特别是对妇女生殖权利和性权利的侵犯。自2002年初以来,在印度西部的古吉拉特邦,政府支持的针对穆斯林的最恶劣的暴力行为一直持续到今天。本文描述了这种暴力的历史,并强调了性暴力和基于性别的暴力对精神和身体的影响,以及警察、医疗保健系统和民间社会需要解决的问题。它借鉴了包括国际正义倡议和医生朋友圈在内的几份报告,这些报告记录了古吉拉特邦暴力造成的生殖、性和精神健康后果,以及卫生系统在应对方面的空白。该文件呼吁卫生人员在冲突和社会动荡的背景下证明不歧视。对他们的培训应包括冲突作为一个公共卫生问题,他们在预防、治疗和记录这种“疾病”方面的作用和责任,并侧重于相关的法医学方法和原则,性侵犯对受害者的心理影响,以及这些案件中医学证据的法律意义。A2008生殖健康事项。
Situations of chronic conflict across the globe make it imperative to draw attention to its gendered health consequences, particularly the violation of women’s reproductive and sexual rights. Since early 2002 in Gujarat, western India, the worst kind of state-sponsored violence against Muslims has been perpetrated, which continues to this day. This paper describes the history of that violence and highlights the mental and physicial consequences of sexual and gender-based violence and the issues that need to be addressed by the police, the health care system and civil society. It draws upon several reports, including from the International Initiative for Justice and the Medico Friend Circle, which documented the reproductive, sexual and mental health consequences of the violence in Gujarat, and the lacunae in the responses of the health system. The paper calls for non-discrimination to be demonstrated by health personnel in the context of conflict and social unrest. Their training should include conflict as a public health problem, their roles and responsibilities in prevention, treatment and documentation of this ‘‘disease’’, and focus on relevant medico-legal methodology and principles, the psychological impact of sexual assault on victims, and the legal significance of medical evidence in these cases. A2008 Reproductive Health Matters.