Orphans in post-conflict Liberia: Seeking care in fractured communities.

Orphans in post-conflict Liberia: Seeking care in fractured communities.
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DOI:
10.1177/13634615211066696
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发表时间:
2022-06
影响因子:
2.5
通讯作者:
Becker, Anne E.
Becker, Anne E.
中科院分区:
医学3区
文献类型:
--
作者:
Levey, Elizabeth J.;Harris, Benjamin L.;Laird, Lance D.;Kekulah, Isaac;Borba, Christina P. C.;Henderson, David C.;Becker, Anne E.

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冲突后环境中的孤儿有其独特的需求,但尚未得到很好的描述。在冲突后的利比里亚,母亲的孤儿比父亲的孤儿更有可能无人照料。这项研究审查了利比里亚产妇孤儿在试图照顾自己和寻求他人照顾时的经历,以及他们面临的障碍。对75名冲突后利比里亚孤儿进行了深入访谈。我们进行了二次叙事分析的采访成绩单从所有产妇或双孤儿(n = 17)。我们在不同的叙述中发现了相似的元素:创伤性损失,与家庭和社区的脱节,以及对救世主的渴望。女性高危孤儿更有可能有正式的替代寄养安排,与亲戚或亲戚挑选的人一起生活。男性孤儿通常缺乏安排好的替代照料,但这使他们能够与自己选择的替代照料者建立关系。性在提供照料方面也发挥了作用;妇女提供替代照料。调查结果强调了贫困,暴力,性交易,创伤和药物使用之间的关系,陷阱高风险的利比里亚孤儿。需要采取干预措施,以改善获得精神卫生保健、清醒社区、住房和教育支持的机会。报告探讨了将这些服务纳入土著机构的必要性,并探讨了消除与成见有关的障碍的必要性。
Orphans in post-conflict settings have unique needs that have not been well-characterized. In post-conflict Liberia, maternal orphans are more likely to be without care than paternal orphans. This study examined the experiences of maternal orphans in Liberia, as they attempted to care for themselves and seek care from others, and the barriers they faced. Indepth interviews were conducted with 75 post-conflict Liberian orphans. We performed a secondary narrative analysis of interview transcripts from all maternal or double orphans (n = 17). We identified similar elements across narratives: traumatic loss, disconnection from family and community, and the desire for a savior. Female high-risk orphans were more likely to have formal substitute caregiving arrangements in which they were living with someone who was a relative or had been selected by a relative. Male orphans more commonly lacked arranged substitute care, but this allowed them to form relationships with substitute caregivers of their choosing. Sex also played a role in the provision of caregiving; substitute care was provided by women. Findings highlighted the syndemic relationship between poverty, violence, transactional sex, trauma, and substance use that traps high-risk Liberian orphans. Interventions are needed to improve access to mental health care, sober communities, housing, and education support. The need to integrate these services into indigenous institutions and address barriers related to stigma is explored.
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