Department of Epidemiology, School of Public Health, National University of Rwanda, Kigali, Rwanda.
Glob Public Health. 2011;6(3):257-70. doi: 10.1080/17441692.2010.493165.
This paper draws attention to the obligation and opportunity to respond to the mental health impacts of collective sexual violence (CSV) among genocide-rape survivors in post-genocide Rwanda. Qualitative data gathered from CSV survivors who were members of Rwandan women's genocide survivor associations are presented to illustrate how they strive to overcome adversity while seeking access to quality mental health care and using informal community mental health services. The results reveal that a system of high quality, holistic health and mental health care is yet needed to meet Rwandan CSV survivors' complex and serious health and mental health needs. Given that a rural health system, modelled on community-based, comprehensive HIV/AIDS care and treatment, is currently being implemented in Rwanda, we recommend enhancements to this model that would contribute to meeting the mental health care needs of CSV survivors while benefiting the health and mental health system as a whole within Rwanda.
本文提请关注集体性暴力（CSV）对种族灭绝强奸幸存者心理健康影响的责任和应对机会，这些幸存者生活在卢旺达种族灭绝之后的时期。本文呈现了从属于卢旺达妇女种族灭绝幸存者协会的 CSV 幸存者那里收集的定性数据，以说明他们如何在努力克服逆境的同时寻求获得高质量的心理健康护理并利用非正式社区心理健康服务。研究结果表明，卢旺达 CSV 幸存者的健康和心理健康需求复杂而严重，因此仍需要建立高质量的整体健康和心理健康护理体系。鉴于卢旺达目前正在实施以社区为基础的综合艾滋病毒/艾滋病护理和治疗为模式的农村卫生系统，我们建议改进这一模式，以满足 CSV 幸存者的心理健康护理需求，同时使卢旺达的整个卫生和心理健康系统受益。
