Centre for Trust, Peace and Social Relations, Coventry and Warwick Universities, Coventry CV1 5FB, UK.
Centre for Trust, Peace and Social Relations, Coventry University, Coventry CV1 5FB, UK.
Int J Environ Res Public Health. 2020 Mar 5;17(5):1685. doi: 10.3390/ijerph17051685.
This British Academy/Leverhulme-funded research investigated the health and justice service responses to the needs of South Sudanese refugees living in refugee settlements in Northern Uganda who had been subjected to sexual and gender-based violence (SGBV) and torture. It involved the collection and thematic analysis of the narratives of 20 men and 41 women who were refugee survivors of SGBV and torture, including their experiences in South Sudan, their journeys to Uganda and experiences in refugee settlements, in particular their access to health and justice services. Thirty-seven key stakeholders including international, government, non-government organisations and civil society organisations were also interviewed regarding their experiences of providing health and justice services to refugees. All refugees had survived human rights abuses mainly carried out in South Sudan but some had also occurred on route to Uganda and within Uganda. Despite the significant impact of their experiences, the analysis indicated that there was limited service response in refugee settlements in Northern Uganda once the immediate humanitarian crisis ended. The thematic analysis indicated five main themes coming from the interviews. These included: the nature of refugee experiences of SGBV and torture, including domestic violence and child abduction and forced marriage; issues associated with service provision such as lack of adequate screening and under resourcing of health and justice services; a lack of gender sensitivity and specialist services, particularly for men; the sustained involvement of civil society organisations and local non-governmental organisations in providing counselling and offering emotional support and hope to survivors; and enhancing health and justice responses and services to improve refugee recovery, dignity and resilience. The authors recommend that integrated gendered and culturally sensitive service provision should be adopted, which brings together formal and informal health, justice services and survivor support programmes.
这项由英国学术院和勒弗休姆基金会资助的研究调查了英国北部乌干达难民营中，曾遭受性暴力和性别暴力（SGBV）以及酷刑的南苏丹难民的健康和司法服务应对措施。该研究涉及对 20 名男性和 41 名女性难民幸存者的叙述进行收集和主题分析，他们是 SGBV 和酷刑的幸存者，包括他们在南苏丹的经历、他们前往乌干达的旅程以及在难民营中的经历，特别是他们获得健康和司法服务的途径。还采访了 37 名主要利益攸关方，包括国际、政府、非政府组织和民间社会组织，了解他们向难民提供健康和司法服务的经验。所有难民都曾经历过侵犯人权的行为，主要发生在南苏丹，但也有一些发生在前往乌干达的途中和乌干达境内。尽管他们的经历产生了重大影响，但分析表明，在乌干达北部难民营的人道主义危机结束后，服务反应有限。主题分析表明，访谈中出现了五个主要主题。这些主题包括：难民遭受 SGBV 和酷刑的经历性质，包括家庭暴力、儿童绑架和强迫婚姻；与服务提供相关的问题，例如缺乏充分的筛查以及卫生和司法服务资源不足；缺乏性别敏感性和专业服务，特别是对男性；民间社会组织和当地非政府组织持续参与，为幸存者提供咨询和情感支持和希望；以及加强健康和司法应对措施和服务，以改善难民的恢复、尊严和韧性。作者建议应采用综合的性别敏感和文化敏感的服务提供方式，将正式和非正式的卫生、司法服务以及幸存者支持方案结合起来。
