Gender and enterprise in fragile refugee settings: female empowerment amidst male emasculation—a challenge to local integration?

Ritchie, Holly A.

doi:10.1111/disa.12271

Cited by 40 publications

(44 citation statements)

References 31 publications

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“…Interventions must, therefore, not only address stigma but also create an enabling environment by addressing gender and social norms to help adolescents to recognize and use their agency to make decisions about their SRH. Humanitarian emergencies and the response to them appear to contribute to or accelerate social norm change [36,37], making this a unique time to strengthen adolescent girls' empowerment.…”

Section: Plos Medicinementioning

confidence: 99%

Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey

Casey

Gallagher

Kakesa³

et al. 2020

PLoS Med

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Background Adolescent girls in humanitarian settings are especially vulnerable as their support systems are often disrupted. More than 20 years of violence in the Democratic Republic of the Congo (DRC) has weakened the health system, resulting in poor sexual and reproductive health (SRH) outcomes for women. Little evidence on adolescent contraceptive use in humanitarian settings is available. CARE, International Rescue Committee (IRC), and Save the Children, in collaboration with the Reproductive Health Access, Information and Services in Emergencies (RAISE) Initiative, Columbia University, have supported the Ministry of Health (MOH) since 2011 to provide good quality contraceptive services in public health facilities in conflict-affected North and South Kivu. In this study, we analyzed contraceptive use among sexually active young women aged 15-24 in the health zones served by the partners' programs. Methods and findings The partners conducted cross-sectional population-based surveys in program areas of North and South Kivu using two-stage cluster sampling in six health zones in July-August 2016 and 2017. Twenty-five clusters were selected in each health zone, 22 households in each cluster, and one woman of reproductive age (15-49 years) was randomly selected in each household. This manuscript presents results from a secondary data analysis for 1,022 women aged 15-24 who reported ever having sex: 326 adolescents (15-19 years) and 696 young women (20-24 years), 31.7% (95% confidence interval [CI] 29.5-34.1), of whom were displaced at least once in the previous five years. Contraceptive knowledge was high, with over 90% of both groups able to name at least one modern contraceptive method.

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Section: Plos Medicinementioning

confidence: 99%

Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey

Casey

Gallagher

Kakesa³

et al. 2020

PLoS Med

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“…Depending on the gender norms in the host country, women might question their traditional roles and engage in a more emancipated lifestyle. 34 Some of their partners might encourage this transition and increasingly engage, for example, in care duty 27 themselves, but others might feel challenged in their self-worth and authority. This might lead to conflict within the partnership and in some cases, even trigger domestic violence.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Needs and Barriers for Forcibly Displaced Women: A Systematic Review

Jesuthasan

Witte

Oertelt‐Prigione

2019

Gender and the Genome

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The number of forcibly displaced people has been steadily increasing over the last decades. Women represent a large proportion of this population. Due to gender roles, duties of care, educational and economic imbalances, their experiences during flight and relocation differ from those of men and children. The currently available information about their specific health-related needs and barriers to access is scarce. We sought to explore the specific needs of the female refugee population employing a user-centered perspective. Rather than focusing on provider-designed interventions, we aimed at defining what female refugees want and need and which priorities they define themselves. We searched PubMed, Medline, EMBASE, Cochrane Library, and Scopus to identify publications that explored the unique experiences of female refugees between January 1, 2008 and June 30, 2018. Publications needed to address the health needs of refugees, asylum seekers, or displaced individuals, include at least 50% women in their study and employ a user-centered perspective. A framework of themes was identified and applied to all publications. We identified 1945 publications of which 13 could be included in the present review. Twelve of these publications employed qualitative and/or innovative methodology. We identified 5 broad categories of health-related needs (immediate health care, communication, cultural/spiritual, social, and economic). The identified publications described the need for complex, coordinated approaches. Concerted action providing information and culturally sensitive care, while supporting language acquisition and economic empowerment is essential to improve the health status of female refugees. Transformative interventions need to address multiple axes of unequal access for female refugees to improve their overall health.

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“…Addressing these gender roles and their consequences for health is imperative, yet, challenging these roles also represents a potential source of conflict. Depending on the gender norms in the host country, women might question their traditional roles and engage in a more emancipated lifestyle [34]. Some of their partners might encourage this transition and increasingly engage e.g.…”

Section: Discussionmentioning

confidence: 99%

Health-related needs and barriers for forcibly displaced women: a systematic review

Jesuthasan

Witte

Oertelt‐Prigione³

2019

Preprint

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Introduction Women represent a large proportion of the currently internationally displaced individuals. Due to gender roles, care duty, educational and economic imbalance their experiences and vulnerability during flight and relocation differ from that of men and children. The currently available information about their specific health-related needs and barriers to access is scarce and scattered. Methods We searched PubMed, Medline, EMBASE, Cochrane Library and Scopus to identify publications that explored the unique experiences of female refugees between 1 January 2008 and 30 June 2018. Publications needed to address the health needs of refugees, asylum seekers or displaced individuals, include at least 50% women in their study and employ a user-centered perspective, i.e. focus on the perspective of displaced individuals themselves and not health care providers. A framework of themes was identified and applied to all publications. Results We identified 1945 publications of which 13 could be included in the present review. Twelve of these publications employed qualitative and/or innovative methodology (e.g. ethnographies, index cards, photovoice). We identified five broad categories of health-related needs (immediate healthcare, communication, sultural/spiritual, social, economic), which are further detailed. Conclusions A concerted action providing information and culturally-sensitive care, while supporting language acquisition and economic empowerment is essential to improving the health status of female refugees. Transformative interventions need to address multiple axes of unequal access for female refugees to increase participation and overall health.

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Gender and enterprise in fragile refugee settings: female empowerment amidst male emasculation—a challenge to local integration?

Cited by 40 publications

References 31 publications

Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey

Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey

Health-Related Needs and Barriers for Forcibly Displaced Women: A Systematic Review

Health-related needs and barriers for forcibly displaced women: a systematic review

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