South Sudanese Refugee Survivors of Sexual and Gender-Based Violence and Torture: Health and Justice Service Responses in Northern Uganda
South Sudanese Refugee Survivors of Sexual and Gender-Based Violence and Torture: Health and Justice Service Responses in Northern Uganda
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DOI：
10.3390/ijerph17051685
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发表时间：
2020-03-01
影响因子：
--
通讯作者：
Artz, Lilly
中科院分区：
文献类型：
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作者：
Liebling, Helen;Barrett, Hazel;Artz, Lilly
这项由英国科学院/勒韦胡姆资助的研究调查了卫生和司法服务部门对生活在乌干达北部难民安置点的南苏丹难民的需求作出的反应，这些难民遭受了性暴力和基于性别的暴力和酷刑。它涉及对20名男性和41名女性的叙述进行收集和专题分析，这些人是性暴力和酷刑的难民幸存者，包括他们在南苏丹的经历、他们前往乌干达的旅程以及难民定居点的经历，特别是他们获得卫生和司法服务的情况。还采访了包括国际、政府、非政府组织和民间社会组织在内的37个主要利益攸关方，询问他们向难民提供卫生和司法服务的经验。所有难民都幸免于难，主要是在南苏丹发生的侵犯人权行为，但也有一些难民是在前往乌干达途中和在乌干达境内发生的。尽管他们的经历产生了重大影响，但分析表明，一旦迫在眉睫的人道主义危机结束，乌干达北部难民定居点的服务反应有限。专题分析指出了来自访谈的五个主要主题。这些问题包括：难民遭遇性暴力和酷刑的性质，包括家庭暴力、绑架儿童和强迫婚姻；与提供服务有关的问题，如缺乏适当的筛查和卫生和司法服务资源不足；缺乏对性别问题的敏感认识和专门服务，特别是针对男子的服务；民间社会组织和当地非政府组织持续参与向幸存者提供咨询和情感支持和希望；加强卫生和司法对策和服务，以改善难民的恢复、尊严和复原力。提交人建议采取综合的性别和文化敏感服务，将正式和非正式的保健、司法服务和幸存者支助方案结合在一起。
This British Academy/Leverhulme-funded research investigated the health and justice service responses to the needs of South Sudanese refugees living in refugee settlements in Northern Uganda who had been subjected to sexual and gender-based violence (SGBV) and torture. It involved the collection and thematic analysis of the narratives of 20 men and 41 women who were refugee survivors of SGBV and torture, including their experiences in South Sudan, their journeys to Uganda and experiences in refugee settlements, in particular their access to health and justice services. Thirty-seven key stakeholders including international, government, non-government organisations and civil society organisations were also interviewed regarding their experiences of providing health and justice services to refugees. All refugees had survived human rights abuses mainly carried out in South Sudan but some had also occurred on route to Uganda and within Uganda. Despite the significant impact of their experiences, the analysis indicated that there was limited service response in refugee settlements in Northern Uganda once the immediate humanitarian crisis ended. The thematic analysis indicated five main themes coming from the interviews. These included: the nature of refugee experiences of SGBV and torture, including domestic violence and child abduction and forced marriage; issues associated with service provision such as lack of adequate screening and under resourcing of health and justice services; a lack of gender sensitivity and specialist services, particularly for men; the sustained involvement of civil society organisations and local non-governmental organisations in providing counselling and offering emotional support and hope to survivors; and enhancing health and justice responses and services to improve refugee recovery, dignity and resilience. The authors recommend that integrated gendered and culturally sensitive service provision should be adopted, which brings together formal and informal health, justice services and survivor support programmes.