Pathways to care: IDPs seeking health support and justice for sexual and gender-based violence through social connections in Garowe and Kismayo, Somalia and South Kivu, DRC.
Pathways to care: IDPs seeking health support and justice for sexual and gender-based violence through social connections in Garowe and Kismayo, Somalia and South Kivu, DRC.
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DOI：
10.1016/j.jmh.2022.100129
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发表时间：
2022
影响因子：
4.6
通讯作者：
Mahmud, Amina Jama
中科院分区：
文献类型：
--
作者：
Boeyink, Clayton;Ali-Salad, Mohamed A.;Baruti, Esther Wanyema;Bile, Ahmed S.;Falisse, Jean-Benoit;Kazamwali, Leonard Muzee;Mohamoud, Said A.;Muganza, Henry Ngongo;Mukwege, Denise Mapendo;Mahmud, Amina Jama
关键词：
越来越多的文献记载了境内流离失所者在获得照料方面面临的重大障碍。这项研究的重点是基于性别的暴力（SGBV），一个问题往往在被迫流离失所的时候加剧，并增加了现有的辩论，考虑到广泛的社会联系（途径和行为者）参与提供护理超越正式的生物医学（和司法）系统。这项研究问，国内流离失所者在性暴力和基于性别的暴力之后向谁求助，为什么？国内流离失所者认为这些社会联系有多有效？为了回答这些研究问题，该研究使用了“参与式社会测绘”方法，于2021/2022年在索马里和刚果民主共和国举办了31个研讨会，有200多名参与者。为国内流离失所者提供与性暴力和基于性别的暴力有关的护理的途径似乎是兼收并蓄的，不仅取决于支助资源的提供和获得，而且取决于社会、文化和性别的信仰和习俗。“身体”、心理健康和正义的需要是交织在一起的。它们很难脱钩，因为许多行为者跨越了各种需求类别，包括家庭、信仰和援助组织以及习俗机构。比较刚果和索马里流离失所社区的地点，我们看到护理途径的显著相似性和重叠。虽然这两个国家都经历了国家能力的严重削弱，但非政府组织和平行的基于信仰和习惯的法律的、心理和卫生系统填补了国家的弱点，得到了国内流离失所者参与者不同程度的接受。对当地环境的全面了解，需要阐明人们实际上寻求护理的逻辑，这对于支持性暴力和性别暴力受害者/幸存者的干预措施至关重要;事实上，如果只解决进入正式系统的障碍，这些措施就可能效率低下。
A growing literature documents the significant barriers to accessing care that Internally Displaced Persons (IDPs) face. This study focuses on gender-based violence (SGBV), an issue often exacerbated in times of forced displacement, and adds to extant debates by considering the wide range of social connections (pathways and actors) involved in providing care beyond the formal biomedical (and justice) system. This research asks, who do IDPs turn to following SGBV and why? How effective do IDPs perceive these social connections to be? To answer these research questions, the study used ‘participatory social mapping’ methodology for 31 workshops held with over 200 participants in Somalia and the Democratic Republic of the Congo in 2021/2022. Pathways to SGBV-related care for IDPs appear eclectic and contingent upon not only the availability and accessibility of support resources but also social, cultural and gendered beliefs and practices. ‘Physical’, mental health, and justice needs are intertwined. They are hard to decouple as many actors cut across need categories, including family, faith and aid organisations, and customary institutions. Comparing Congolese and Somali sites of displaced communities, we see significant similarities and overlaps in pathways to care. While both countries have experienced severe erosions of state capacity, NGOs and parallel faith-based and customary legal, psychological, and health systems have filled the state's weakness to varying degrees of acceptance by IDP participants. A comprehensive understanding of the local milieu, which requires illuminating the logics behind where people actually turn to for care, is crucial for interventions supporting SGBV victims/survivors; indeed, they risk being inefficient if they only address barriers to formal systems.
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影响因子：
3.6
作者：
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通讯作者：
Dalmar, Abdirisak A.
DOI：
10.3390/ijerph17051685
发表时间：
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影响因子：
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作者：
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作者：
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影响因子：
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作者：
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通讯作者：
Gangoli, Geetanjali
DOI：
10.2147/ijwh.s330069
发表时间：
2021
期刊：
International journal of women's health
影响因子：
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作者：
Mohamed AA;Bocher T;Magan MA;Omar A;Mutai O;Mohamoud SA;Omer M
通讯作者：
Omer M