Reproductive Health Response in Conflict (RHRC) Reproductive Health Response in Conflict (RHRC)
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Conference Proceedings 2000
Findings On Reproductive Health Of Refugees 
And Displaced Populations

Washington DC   |   December 5-6, 2000

Co-hosted by InterAction and The Global Health Council



Sexual and Gender-Based Violence - Size and Scope of the Problem
 
 

Moderator: Beth Vann, UNHCR Consultant
Presentations:
Haifa Jammal
Aziza Khalidi  
Domestic violence among selected Palestinian refugee communities in Lebanon: An exploratory study and ideas for further action
Sam Posner Factors associated with self-reported forced sex among Azerbaijani women
Josephat 
Nyarubakula   
Unsafe Haven: Report on the findings of the baseline sexual violence survey among Burundian refugees
 

 
Domestic violence among selected Palestinian refugee communities in Lebanon: An exploratory study and ideas for further action

Abstract revision date: December 5-6, 2000

Authors Association Najdeh staff and Aziza Khalidi, Association Najdeh consultant
 
Presenter  Haifa Jammal and Aziza Khalidi
 
Background  Domestic violence (DV) is a social issue from a human rights perspective as well as a public health perspective at a global level. There are indications of a problem among Palestinian refugees in Lebanon, but concrete qualitative and quantitative evidence about its magnitude and dimensions is limited.
 
Purpose of study 
or program 
The study objectives were: (1) to assess the prevalence of domestic violence among families of children attending Najdeh kindergartens (KGs) in several Palestinian camps in Lebanon during the school year 1998-1999;  (2) to examine relationships among domestic violence indicators; (3) to explore relationships between beating of wives by their husbands and a set of socioeconomic and demographic correlates; (4) and to derive ideas for avenues for action within current realities.
 
Data collection
methods
DV data were generated from interviews conducted by trained KG teachers with 452 Palestinian refugee mothers of children attending KGs in Palestinian camps in Lebanon during February and March of 1999. Socioeconomic and demographic data were obtained from KG records.
 
Study or 
program findings
Findings showed that 29.6% of women were subjected at least once during their marriage to beating by the husband. 67.9% of children were subjected at least once to beating, almost entirely by parents. 44.7% of women reported being shouted at at least once during their marriage. 12.2% of women reported being insulted at least once during their marriage,  primarily from husbands.
     When women reported an excellent relationship with their husbands, 11.9 percent of them reported being beaten by their husbands.
     Correlation was high among indicators of domestic violence with varying types and perpetrators. Multivariate logistical regression analysis was conducted to assess the relationship between socioeconomic and demographic correlates and beating of wives by their husbands. Findings indicated that the odds of ever being beaten by their husbands were 32 times higher for women who reported their relationship as bad compared to those who reported an excellent relationship. Being in families earning a median income and having a husband between 46 and 67 years of age were shown to decrease the odds of being beaten. When women reported having chronic illness, the odds of being beaten by their husbands increased significantly threefold.
 
Conclusions
and program
implications
The study shows that domestic violence among the study population of refugees is a problem of significant magnitude that requires action coupled with further research. 
This study recommends interventions along three avenues: (1) developing a surveillance program, (2) conflict management skills development program, and (3) direct counseling program.
 
For further 
information
Haifa Jammal, Vice Executive Director, Association Najdeh, PO Box 113-6099, Hamra Beirut 1103-2100, Lebanon
Telephone: (961) 1-302 079 or (961) 1-703 357
Fax: (961) 1-703 358
Email: association@najdeh.org.lb

Factors associated with self-reported forced sex among Azerbaijani women
Abstract revision date: December 5-6, 2000
Authors J Kerimova, Relief International
SF Posner, YT Brown, J Schmidt, S Hillis, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion
S Meikle, National Institutes of Health
J Lewis, Centers for Disease Control and Prevention, National Center for Infectious Diseases
A Duerr, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion
 
Presenter Sam Posner
 
Background Previous reports have indicated that refugee and internally displaced (R/IDP) women are at high risk for experiencing violence, including forced sex. Few research studies have been conducted to systematically collect data on the prevalence and incidence of forced sex among R/IDP women.  
 
Purpose of 
study or program
This report presents data on the prevalence of women who reported experiencing forced sex and the age at which it last occurred.  
 
Data collection
methods
A total of 701 women from 1 urban and 3 rural reproductive health clinics participated in a study on women's health. Both refugee and local women participated in the study. The relationship between self-reported forced sex and reproductive history, demographics and adverse living conditions were examined.
 
Study or 
program findings
Nearly a quarter (24.1%) of the women reported that they had been forced to have sex at some point in their life. Women were at higher risk for forced sex if they were refugee/IDP (OR 1.72, 95% CI 1.04-2.86), wanted their last pregnancy (OR 3.03, 95% CI 1.73-5.33), used withdrawal as their primary form of birth control (OR 2.37, 95% CI 1.32-4.25), thought their husband had other partners (OR 2.57, 95% CI 1.30-5.08) and were married longer (OR 1.06, 95% CI 1.02-1.10).  
 
Conclusions
and program
implications
This study is one of the first studies to document the prevalence of forced sex among refugee women in a refugee setting. While previous reports have documented similar rates of forced sex, fewer have identified factors associated with experiencing forced sex.  
 
For further 
information
Sam Posner, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Highway Mail Stop K-34, Atlanta, GA  30341-3724  USA
Telephone: 770-488-5060
Fax: 770-488-5965
Email: shp5@cdc.gov
 

Unsafe Haven: Report on the findings of a baseline sexual violence survey among Burundian refugees
Abstract revision date: December 5-6, 2000
Authors Laurel K. Fain, International Rescue Committee Consultant
 
Presenter Josephat Nyarubakula, Field Researcher, International Rescue Committee, Tanzania
 
Background Outbreaks of conflict in Burundi during the last decade have caused hundreds of thousands of deaths and the displacement of over 1,000,000 people since 1993.  In late 1999, a new camp, Karago, was prepared for the expected continued influx.  
 
Purpose of study 
or program
In February 2000, a baseline survey of sexual violence was conducted among the population of 41,399 refugees residing in the newly created Karago refugee camp.  The aim of the survey was to interview a representative sample of all women over the age of twelve years about their experiences with and concerns about sexual violence and sexual harassment.
 
Data collection
methods
A standardized questionnaire was administered by trained interviewers selected from among community health workers and community services workers from Karago camp. 10% of households on the food ration registration list for Karago were randomly selected to be contacted by interviewers. However, this method of random selection proved problematic, and respondent households were instead selected by their addresses within the camp. Respondents were randomly identified from among the adult women in each selected household. Responses were analyzed utilizing the EpiInfo data management program.
 
Study or program 
findings
Survivors of rape made up 8.2% of the women surveyed. Respondents who indicated that they had experienced sexual harassment made up 11.1% of the population surveyed. The overwhelmingly physical nature of the sexual harassment experienced by the refugee women is notable. Marriages for the purpose of protection or as a result of abduction and/or rape make up 25% of marriages that occurred since relocation.  
     29% of the incidents of rape reported during this survey occurred either within the refugee camp environment (20%), or after crossing the Tanzanian border as refugees traveled to Karago camp (9%).
     Risk groups were identified through statistical analysis. A woman who has experienced sexual harassment was found to have a much greater chance of experiencing rape, as were women under the age of 35. Similarly, women under 25 are more likely to have experienced sexual harassment.  A lower risk of experiencing rape was associated with having a husband during flight and with having been a refugee previously.
 
Conclusions and 
program implications 
At least 63% of the incidents of rape experienced by women in Karago camp can be seen as closely related to the current instability in Burundi, either directly by soldiers invading their homes or indirectly through their flight or their status as refugees. This study has found refugee camps to be dangerous places for refugee women, places where their risk of sexual violence is quite high.
 
For further 
information
Laurel Fain, Consultant, c/o Goal Angola , PO Box 3051, Luanda, Angola
Email: Rkevlihan@hotmail.com
 


 
 

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Health Programs in Complex Emergencies

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