Singh Sonal, Sharma Sharan Prakash, Mills Edward, Poudel Krishna C, Jimba Masamine
MPH Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Med Confl Surviv. 2007 Apr-Jun;23(2):103-10. doi: 10.1080/13623690701248088.
Nepal has witnessed a humanitarian crisis since the Maoist conflict began ten years ago. The plight of internally displaced persons (IDPs) in Nepal has received little international attention despite being rated one of the worst displacement scenarios in the world. An estimated 200,000 people have been displaced as a result of the conflict, with the far-western districts of Nepal being the worst affected. Internal displacement has stretched the carrying capacity of several cities with adverse physical and mental health consequences for the displaced. Vulnerable women and children have been the worst affected. The government has adopted a discriminatory approach and failed to fulfil its obligations towards IDPs. Non-governmental organisations and international agencies have provided inadequate services to IDPs in their programmes. Tackling the issues of IDPs requires co-operation between government and development agencies: acknowledging the burden of the problem of IDPs, adequate registration and needs assessment, along with health and nutritional surveys, and development of short-term emergency relief packages and long-term programmes for their assistance.
自十年前毛派冲突爆发以来,尼泊尔一直面临着人道主义危机。尽管尼泊尔境内流离失所者(IDP)的困境被评为世界上最严重的流离失所情况之一,但国际社会对此关注甚少。据估计,冲突导致20万人流离失所,尼泊尔最西部的几个地区受影响最为严重。国内流离失所问题超出了几个城市的承受能力,给流离失所者带来了身心健康方面的不良后果。脆弱的妇女和儿童受影响最为严重。政府采取了歧视性做法,未能履行其对流离失所者的义务。非政府组织和国际机构在其项目中为流离失所者提供的服务不足。解决流离失所者问题需要政府与发展机构合作:认识到流离失所者问题的负担,进行充分的登记和需求评估,同时开展健康和营养调查,并制定短期紧急救济方案以及长期援助计划。