Post-conflict Health Care: Women’s lives after conflict By Audrey Quest.

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Presentation transcript:

Post-conflict Health Care: Women’s lives after conflict By Audrey Quest

Outline Post-Conflict  Definition of post-conflict  Assumptions  Applying it to women’s health  Case studies

Definitions  Health  Maternal Health  Reproductive Health  Mental Health

Countries & Conflicts  Rwanda:  Sri Lanka:  Somalia:

Rwanda Population  Hutus Majority  Tutsi minority  Twa less than 1%

Rwanda’s Conflict  1990 Rwandan Patriotic Front (Tutsi refugee Rebel group) invading to defeat Hutu government  Hutu Power: Tutsi wanted to enslave Hutu  Tutsi displaced many Hutu in the North  Many Tutsi were killed in the South  1994 assassination of the Hutu- government leader started Genocide

Rwanda Genocide  Ethnic tensions  Lasted for about 100 days  Estimated deaths range from 500,000 to 1,000,000  Organized by government  Print and radio media used to plan and promote genocide

Rwanda: Maternal Health Post-Conflict  Lower-income women  Women headed households  Increase in poverty  Economic instability  Decrease in Health infrastructures  Decrease in Health specialist  Government interventions  Mutuelles

Rwanda: Reproductive Health Post-Conflict  Refugees and internally displaced populations.  Aid organizations  Sexual violence

Rwanda: Mental Health Post- Conflict  PTSD and Stress disorders  Direct and indirect incidents  High need for professionals  Studies done 14 years after the conflict

Similarities  Maternal Health  Poverty  Reproductive Health  Cultural practices  Sexual Violence  Mental Health  Experiences of war

Conclusions  Education  Empowerment  Change in gender roles  Government intervention  International intervention  Prevent conflicts

Questions?

References  The Free Dictionary. (2013). Post-conflict reconciliation. Retrieved from dictionary.thefreedictionary.com/Post-conflict reconciliation  Gender Based Violence Guide. (2011, December 04). Defining conflict/post-conflict. Retrieved from  Carrin, G., Waelkens, M. P., & Criel, B. (2005). Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems. Tropical Medical and International Health, 10(8),  Kottegoda, S., Emmanuel, S., & Samuel, K. (2008). Reproductive health concerns in six conflict-affected areas of sri lanka. Pubmed, 16(31), doi: /S (08)  Kinyanda, Musisi, Biryabarema, Ezati, Oboke, Ojiambo-Ochieng, Wew-Oguttu Levin, Grosskurth, Walugembe 2010  Ghobarah., Huth,, & Russet, (2003). Civil wars kill and maim people—long after the shooting stops. American Political Science Review, (2), doi: (About DOI)UNICEF, 2008  Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April  World Health Organization. (2013). Who maternal health. Retrieved from  World Health Organization. (2013). Who reproductive health. Retrieved from  World Health Organization. (2011). Who mental health: A state of well-being. Retrieved from  St. Germain, T., & Dewey, S. (2012). Conflict-related sexual violence: International law, local responses. Virginia: Stylus Publishing.  Rider, E. (2012). Refugees, sexual violence and armed conflict: The nuances between victims and agents. Wagadu: A Journal Of Transnational Women's & Gender Studies,  Human Rights Watch. (2012). World report: Rwanda. Retrieved from report-2012-rwandahttp:// report-2012-rwanda  Gardner, J., & Bushra, J. (2004). Somalia the untold story: The war through the eyes of Somali women. London: Pluto Press.  Ensor, T., & Cooper, S. (2004). Overcoming barries to health service acess and influencing the demand side through purchasing. HNP,  Busza, Joanna, and Louisiana Lush "Planning reproductive health in conflict: A conceptual framework." Social Science & Medicine 49, no. 2: 155.Prunier, 1997  Chunling, L., Brian, C., Lewandowski, J., Basinga, P., Hirschhorn, L. R., Hill, K., &... Binagwaho, A. (2012). Towards Universal Health Coverage: An Evaluation of Rwanda Mutuelles in Its First Eight Years. Plos ONE, 7(6), doi: /journal.pone Schaal, Weierstall, Dusingizemungu, Elbert, 2012  Schaal, S., Weierstall, R., Dusingizemungu, J., & Elbert, T. (2012). Mental health 15 years after the killings in Rwanda: Imprisoned perpetrators of the genocide against the Tutsi versus a community sample of survivors. Journal Of Traumatic Stress, 25(4), doi: /jts.21728