Johns Hopkins University School of Nursing, Johns Hopkins University Center for Global Health, Baltimore, MD, USA.
Glob Public Health. 2012;7(2):184-95. doi: 10.1080/17441692.2011.594449. Epub 2011 Jul 6.
The Democratic Republic of Congo (DRC) remains an all-too-potent reminder of how war, human rights violations and their related health and economic impacts can devastate a society. The last decade has seen the use of rape as a weapon of war in the DRC, where rebels and soldiers subject women and girls to brutalising attacks, rape, torture and mutilation. Survivors of sexual and gender-based violence (SGBV) are often further traumatised by infections, disease, poverty, stigma and social isolation. Substantial evidence exists showing an association between social determinants (e.g., poverty, stress and trauma, stigma, lack of access to health care) and health; however, limited research has been conducted to elucidate these relationships or to develop and test interventions to change social determinants of health, especially in conflict and post-conflict settings such as the DRC. The purpose of this article is to present a Congolese-US community-academic research partnership to obtain evidence to develop and implement a sustainable intervention to begin to address the social determinants of health, including poverty and traumatic stress for survivors of SGBV and their families in the South Kivu province of eastern DRC.
刚果民主共和国（DRC）仍然是一个强有力的提醒，说明战争、侵犯人权行为及其相关的健康和经济影响是如何摧毁一个社会的。在过去的十年中，刚果民主共和国的叛军和士兵将强奸作为一种战争武器，对妇女和女孩进行残酷的袭击、强奸、酷刑和残害。性暴力和基于性别的暴力（SGBV）幸存者经常因感染、疾病、贫困、耻辱和社会隔离而进一步受到创伤。有大量证据表明，社会决定因素（如贫困、压力和创伤、耻辱、缺乏获得医疗保健的机会）与健康之间存在关联；然而，针对这些关系进行的研究或开发和测试干预措施以改变健康的社会决定因素的研究非常有限，特别是在刚果民主共和国等冲突和冲突后环境中。本文的目的是介绍一个刚果民主共和国和美国的社区学术研究伙伴关系，以获得证据，制定和实施可持续的干预措施，开始解决健康的社会决定因素，包括南部省（南基伍省）的 SGBV 幸存者及其家庭的贫困和创伤性压力。
