Senior Adviser, Sexual and Reproductive Health, Women's Refugee Commission , New York , NY , USA.
Women's Refugee Commission , New York , NY , USA .
Sex Reprod Health Matters. 2019 May;27(2):1665161. doi: 10.1080/26410397.2019.1665161.
In March 2011, the Myanmar Government transitioned to a nominally civilian parliamentary government, resulting in dramatic increases in international investments and tenuous peace in some regions. In March 2015, Community Partners International, the Women's Refugee Commission, and four community-based organisations (CBOs) assessed community-based sexual and reproductive health (SRH) services in eastern Myanmar amidst the changing political contexts in Myanmar and Thailand. The team conducted 12 focus group discussions among women of reproductive age (18-49 years) with children under five and interviewed 12 health workers in Kayin State, Myanmar. In Mae Sot and Chiang Mai, Thailand, the team interviewed 20 representatives of CBOs serving the border regions. Findings are presented through the socioecological lens to explore gender-based violence (GBV) specifically, to examine continued and emerging issues in the context of the political transition. Cited GBV includes ongoing sexual violence/rape by the military and in the community, trafficking, intimate partner violence, and early marriage. Despite the political transition, women continue to be at risk for military sexual violence, are caught in the burgeoning economic push-pull drivers, and experience ongoing restrictive gender norms, with limited access to SRH services. There is much fluidity, along with many connections and interactions among the contributing variables at all levels of the socioecological model; based on a multisectoral response, continued support for innovative, community-based SRH services that include medical and psychosocial care are imperative for ethnic minority women to gain more agency to freely exercise their SR rights.
2011 年 3 月,缅甸政府过渡到名义上的文官议会政府,导致国际投资大幅增加,一些地区的和平局势也有所缓和。2015 年 3 月,国际社区合作伙伴组织、妇女难民委员会和四个社区组织在缅甸和泰国不断变化的政治背景下,评估了缅甸东部社区性和生殖健康(SRH)服务。该小组在缅甸克伦邦对 18-49 岁有子女的育龄妇女进行了 12 次焦点小组讨论,并对 12 名卫生工作者进行了访谈。在泰国的湄索和清迈,该小组采访了为边境地区服务的 20 名社区组织代表。研究结果通过社会生态视角呈现,特别探讨了在政治转型背景下持续存在和新出现的性别暴力问题。引用的性别暴力包括军队和社区中持续的性暴力/强奸、人口贩运、亲密伴侣暴力和早婚。尽管政治转型,但妇女仍面临军事性暴力的风险,陷入新兴的经济推拉驱动因素之中,持续受到限制性别规范的影响,获得性与生殖健康服务的机会有限。在社会生态模式的各个层面上,存在着许多流动性,以及各种因素之间的联系和相互作用;基于多部门的应对措施,持续支持创新的、以社区为基础的性与生殖健康服务,包括医疗和心理社会护理,对于少数民族妇女获得更多自主权、自由行使其性与生殖健康权利至关重要。