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https://www.readbyqxmd.com/read/29346375/how-do-we-reach-the-girls-and-women-who-are-the-hardest-to-reach-inequitable-opportunities-in-reproductive-and-maternal-health-care-services-in-armed-conflict-and-forced-displacement-settings-in-colombia
#1
Juan Carlos Rivillas, Raul Devia Rodriguez, Gloria Song, Andréanne Martel
OBJECTIVES: This paper assesses inequalities in access to reproductive and maternal health services among females affected by forced displacement and sexual and gender-based violence in conflict settings in Colombia. This was accomplished through the following approaches: first, we assessed the gaps and gradients in three selected reproductive and maternal health care services. Second, we analyzed the patterns of inequalities in reproductive and maternal health care services and changes over time...
2018: PloS One
https://www.readbyqxmd.com/read/29338285/response-to-whether-the-definition-of-the-term-children-born-of-war-and-vulnerabilities-of-children-from-recent-conflict-and-post-conflict-settings-should-be-broadened
#2
https://www.readbyqxmd.com/read/29327468/why-do-people-become-health-workers-analysis-from-life-histories-in-4-post-conflict-and-post-crisis-countries
#3
Sophie Witter, Haja Wurie, Justine Namakula, Wilson Mashange, Yotamu Chirwa, Alvaro Alonso-Garbayo
While there is a growing body of literature on how to attract and retain health workers once they are trained, there is much less published on what motivates people to train as health professions in the first place in low- and middle-income countries and what difference this makes to later retention. In this article, we examine patterns in expressed motivation to join the profession across different cadres, based on 103 life history interviews conducted in northern Uganda, Sierra Leone, Cambodia, and Zimbabwe...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29281138/women-survivors-and-their-children-born-of-wartime-sexual-violence-in-northern-uganda
#4
Teddy Atim, Dyan Mazurana, Anastasia Marshak
Girls and women who bear children owing to wartime sexual violence committed by armed actors face challenges in gaining acceptance on return to their families and societies. This study analyses the lives of women survivors and their children born of wartime sexual violence in Uganda. It draws on a population-based survey of 1,844 households in the Acholi and Lango sub-regions of northern Uganda, as well as on in-depth qualitative interviews conducted in 2014 and 2015 with 67 purposefully selected women survivors of wartime sexual violence...
January 2018: Disasters
https://www.readbyqxmd.com/read/29244106/psychosocial-support-for-adolescent-girls-in-post-conflict-settings-beyond-a-health-systems-approach
#5
Fiona Samuels, Nicola Jones, Bassam Abu Hamad
Adaptive and adequately resourced health systems are necessary to achieve good health outcomes in post-conflict settings, however domains beyond the health system are also critical to ensure broader wellbeing. This paper focuses on the importance of psychosocial support services for adolescent girls in fragile contexts. Its starting point is that adolescence is a pivotal time in the life course but given the physical, cognitive and emotional changes triggered by the onset of puberty, it can also be a period of heightened sensitivity and vulnerability to trauma, social isolation, bullying by peers, a lack of supportive adults and gender-based and sexual violence...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29244105/the-gendered-health-workforce-mixed-methods-analysis-from-four-fragile-and-post-conflict-contexts
#6
Sophie Witter, Justine Namakula, Haja Wurie, Yotamu Chirwa, Sovanarith So, Sreytouch Vong, Bandeth Ros, Stephen Buzuzi, Sally Theobald
It is well known that the health workforce composition is influenced by gender relations. However, little research has been done which examines the experiences of health workers through a gender lens, especially in fragile and post-conflict states. In these contexts, there may not only be opportunities to (re)shape occupational norms and responsibilities in the light of challenges in the health workforce, but also threats that put pressure on resources and undermine gender balance, diversity and gender responsive human resources for health (HRH)...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29243560/factors-associated-with-delayed-initiation-of-breastfeeding-a-survey-in-northern-uganda
#7
David Mukunya, James K Tumwine, Victoria Nankabirwa, Grace Ndeezi, Isaac Odongo, Josephine Tumuhamye, Justin Bruno Tongun, Samuel Kizito, Agnes Napyo, Vincentina Achora, Beatrice Odongkara, Thorkild Tylleskar
BACKGROUND: Initiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality. OBJECTIVE: To determine the prevalence and factors associated with delayed initiation of breastfeeding. METHODS: We conducted a survey in 2016 of 930 children under the age of 2 years in Lira district, northern Uganda. Mothers of the children were interviewed and data was collected on mobile phones using Open Data Kit software ( https://opendatakit...
2017: Global Health Action
https://www.readbyqxmd.com/read/29210333/training-reproductive-health-professionals-in-a-post-conflict-environment-exploring-medical-nursing-and-midwifery-education-in-mogadishu-somalia
#8
Abdiasis Yalahow, Mariam Hassan, Angel M Foster
Following two decades of civil war, Somalia recently entered the post-conflict rebuilding phase that has resulted in the rapid proliferation of higher education institutions. Given the high maternal mortality ratio, the federal government has identified the reproductive health education of health service professionals as a priority. Yet little is known about the coverage of contraception, abortion, pregnancy, childbirth, and sexual and gender-based violence (SGBV) in medicine, nursing, or midwifery. In 2016, we conducted a multi-methods study to understand the reproductive health education and training landscape and identify avenues by which development of the next generation of health service professionals could be improved...
December 6, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29194693/the-development-and-implementation-of-a-multi-couple-therapy-model-with-torture-survivors-in-the-democratic-republic-of-the-congo
#9
Erin Morgan, Elizabeth Wieling, John Hubbard, Elsa Kraus
In this article, we present development and feasibility of implementation of a multi-couple group for use with torture-surviving couples. The model was developed in the Democratic Republic of the Congo in a community that experienced widespread torture during the wars from 1998 to 2004. The Torture-Surviving Couple Group model is a short-term intervention designed to use few human resources to address relational difficulties resulting from exposure to traumatic stressors. The model was guided by critical and feminist epistemologies and employed an ecological lens to incorporate neurobiology and attachment processes along with narrative therapy techniques...
December 1, 2017: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/29149313/how-do-health-workers-experience-and-cope-with-shocks-learning-from-four-fragile-and-conflict-affected-health-systems-in-uganda-sierra-leone-zimbabwe-and-cambodia
#10
Sophie Witter, Haja Wurie, Pamela Chandiwana, Justine Namakula, Sovannarith So, Alvaro Alonso-Garbayo, Freddie Ssengooba, Joanna Raven
This article is grounded in a research programme which set out to understand how to rebuild health systems post-conflict. Four countries were studied-Uganda, Sierra Leone, Zimbabwe and Cambodia-which were at different distances from conflict and crisis, as well as having unique conflict stories. During the research process, the Ebola epidemic broke out in West Africa. Zimbabwe has continued to face a profound economic crisis. Within our research on health worker incentives, we captured insights from 128 life histories and in-depth interviews with a variety of staff that had remained in service...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29120291/how-they-see-it-young-women-s-views-on-early-marriage-in-a-post-conflict-setting
#11
Sonya Em Knox
Current understandings of early marriage in conflict and post-conflict settings are incomplete and under-researched, and do not sufficiently take into consideration the views and experiences of adolescent girls. While much of the literature, development reports and mainstream media emphasise the poverty, health risks and lack of agency of young women married early, they seldom provide these teenagers an open platform from which to speak. In 2007, a Palestinian refugee camp in North Lebanon was destroyed and its residents forced to flee...
October 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29119266/civilians-in-world-war-ii-and-dsm-iv-mental-disorders-results-from-the-world-mental-health-survey-initiative
#12
Rochelle Frounfelker, Stephen E Gilman, Theresa S Betancourt, Sergio Aguilar-Gaxiola, Jordi Alonso, Evelyn J Bromet, Ronny Bruffaerts, Giovanni de Girolamo, Semyon Gluzman, Oye Gureje, Elie G Karam, Sing Lee, Jean-Pierre Lépine, Yutaka Ono, Beth-Ellen Pennell, Daniela G Popovici, Margreet Ten Have, Ronald C Kessler
PURPOSE: Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. METHODS: Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders...
November 8, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29108020/post-conflict-opponent-affiliation-reduces-victim-re-aggression-in-a-family-group-of-captive-arctic-wolves-canis-lupus-arctos
#13
Martina Lazzaroni, Sarah Marshall-Pescini, Simona Cafazzo
Post-conflict affiliative interactions have been widely investigated in primates but not extensively in other species. Using the Post Conflict-Matched Control (PC-MC) comparison method, this study investigated the patterns of post-conflict opponent affiliation (POA) of a captive family group of 19 arctic wolves (Canis lupus arctos), investigating the correlation with various factors. We found that POAs occurred mainly in the non-feeding context and more often when the victim was dominant and the aggressor subordinate...
2017: PloS One
https://www.readbyqxmd.com/read/29082000/leaving-no-one-behind-lessons-on-rebuilding-health-systems-in-conflict-and-crisis-affected-states
#14
REVIEW
Tim Martineau, Barbara McPake, Sally Theobald, Joanna Raven, Tim Ensor, Suzanne Fustukian, Freddie Ssengooba, Yotamu Chirwa, Sreytouch Vong, Haja Wurie, Nick Hooton, Sophie Witter
Conflict and fragility are increasing in many areas of the world. This context has been referred to as the 'new normal' and affects a billion people. Fragile and conflict-affected states have the worst health indicators and the weakest health systems. This presents a major challenge to achieving universal health coverage. The evidence base for strengthening health systems in these contexts is very weak and hampered by limited research capacity, challenges relating to insecurity and apparent low prioritisation of this area of research by funders...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29017360/cognitive-emotion-regulation-strategies-and-mental-health-problems-in-war-affected-youth-in-northern-uganda-findings-from-the-ways-study
#15
Kennedy Amone-P'Olak, Vavani Boitumelo, Diana Shamisai Mberengwa
BACKGROUND: Cognitive emotion regulation strategies (CERS) have been shown to moderate the influence of War Experiences (WE) on mental health problems. AIMS: This study assessed the influence of WE and use of specific CERS on mental health problems among war-affected youth in Northern Uganda. METHODS: Five hundred and thirty-nine participants in an ongoing war-affected youth study (WAYS) were assessed by locally developed measures. CERS were measured by Cognitive Emotion Regulation Questionnaire (CERQ)...
October 11, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28929872/building-worldly-insights
#16
Michael Tremblay
This article offers health leaders in Canada an opportunity to build a more worldly understanding of healthcare challenges. The focus is on post-conflict countries and island/small countries. Small and island countries often depend on other countries for their workforce and for specialist healthcare services. Conflict usually undermines if it doesn't destroy a country's healthcare system. Small and island countries offer opportunities for the majority of Canadian provinces and territories to develop new approaches from novel comparator countries, with which they may have more in common...
July 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28895128/transitional-justice-as-social-control-political-transitions-human-rights-norms-and-the-reclassification-of-the-past
#17
Ron Dudai
This article offers an interpretation of transitional justice policies - the efforts of post-conflict and post-dictatorship societies to address the legacy of past abuses - as a form of social control. While transitional justice is commonly conceptualized as responding to a core problem of impunity, this article argues that such formulation is too narrow and leads to lack of coherence in the analysis of the diverse array of transitional mechanisms, which include among others trials, truth commissions, reparations for victims and apologies...
September 12, 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/28889861/forensic-science-and-the-right-to-access-to-justice-testing-the-efficacy-of-self-examination-intimate-dna-swabs-to-enhance-victim-centred-responses-to-sexual-violence-in-low-resource-environments
#18
Lisa L Smith, Jon H Wetton, Gurdeep K M Lall, Heather D Flowe, Mark A Jobling
In developed countries, DNA profiling routinely forms part of the forensic strategy in the investigation of sexual violence. Medical examinations provide opportunities for recovering DNA evidence from intimate swabs, which can be particularly probative in cases where the identity of the perpetrator is unknown and proof of intercourse between two people is required. In low-resource environments, such as developing countries, remote geographic locations, conflict (and post-conflict) affected regions and displaced communities where access to medical examinations is lacking, DNA evidence is not available to support prosecutions and perpetrators are rarely identified and held accountable for crimes of sexual violence...
September 2017: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/28870228/changes-in-catastrophic-health-expenditure-in-post-conflict-sierra-leone-an-oaxaca-blinder-decomposition-analysis
#19
Ijeoma Edoka, Barbara McPake, Tim Ensor, Rogers Amara, Joseph Edem-Hotah
BACKGROUND: At the end of the eleven-year conflict in Sierra Leone, a wide range of policies were implemented to address both demand- and supply-side constraints within the healthcare system, which had collapsed during the conflict. This study examines the extent to which households' exposure to financial risks associated with seeking healthcare evolved in post-conflict Sierra Leone. METHOD: This study uses the 2003 and 2011 cross-sections of the Sierra Leone Integrated Household Survey to examine changes in catastrophic health expenditure between 2003 and 2011...
September 4, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28866762/risk-factors-for-and-consequences-of-substance-use-in-post-conflict-liberia-a-qualitative-study
#20
Margaret L Prust, Leslie Curry, Tamora A Callands, Janeen Drakes, Kristen McLean, Benjamin Harris, Nathan B Hansen
Substance use has a significant impact on post-conflict populations; however, little is known about this critical issue in Liberia. This study examined the current risk factors for and consequences of substance use in Monrovia, Liberia. In-depth interviews were conducted with 20 substance users and 21 key informants. Findings support that Liberia's civil war played a role in increasing substance use, but also that additional risk factors continue to generate substance use today. This study provides insights into the roles of civil war and additional risk factors for substance use in Liberia...
September 2, 2017: Community Mental Health Journal
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