The Syrian conflict has resulted in over 2.3 million child refugees the Middle East and prevalence of early marriage reportedly increased among displaced families. This study explores underlying factors contributing to Lebanon with goal informing community-based strategies address issue.In July-August 2016, trained interviewers collected self-interpreted stories using Cognitive Edge's SenseMaker, a mixed-method data collection tool. Participants included married unmarried girls, parents as...

Many peace support operations have faced allegations of sexual exploitation and abuse perpetrated by UN personnel against members local communities. Some these intimate relations result in children being born but there is little empirical data on the experiences women girls who conceive bear children. We analyse 265 self interpreted narratives from community Haiti about fathered to or girls. The mixed methods results highlight three important themes: (a) poverty a key underlying factor...

The UN maintains a zero-tolerance policy on sexual interactions between peacekeepers and beneficiaries of assistance. Our research describes the lived experience engaging sexually with during Mission des Nations Unies pour la Stabilisation en Haiti (MINUSTAH) from perspectives Haitian women/girls. Eighteen semi-structured interviews were conducted women raising children fathered by MINUSTAH peacekeepers. Transcripts analyzed according to empirical phenomenology.Adverse socio-economic...

Eastern DRC has been the site of a protracted conflict in which sexual violence defining feature. The method used was retrospective registry-based study survivors presenting to Panzi Hospital between 2004 and 2008. This analysis aimed describe patterns described by analyze perpetrator profiles. As regards results, total 4,311 records were analyzed. Perpetrators this data set identified as follows: (a) 6% civilians; (b) 52% armed combatants; (c) 42% simply “assailant(s)” with no further...

A myriad of factors including socio-economic hardships impact refugees, with females being additionally exposed to various forms sexual and gender-based violence (SGBV). The aim this qualitative analysis was understand provide new insight into the experiences SGBV among Syrian refugee women girls in Lebanon. data are gained from a larger mixed-methods study, investigating Lebanon, using an iPad collection tool, SenseMaker®. SenseMaker survey intentionally did not ask direct questions about...

The conflict in the Eastern Democratic Republic of Congo (DRC) has been particularly devastating for children and typified by high levels sexual gender-based violence (SGBV). In this study, we seek to characterize patterns impact on DRC. Semi-structured questionnaires were administered among a convenience sample women <18 years age presenting post-sexual-violence care at Panzi Hospital South Kivu, Analysis included quantitative qualitative methods describe characteristics violence,...

ABSTRACT Objectives: One of the most striking features ongoing conflict in Democratic Republic Congo (DRC) is use sexual violence. In spite brutality these crimes, experiences women affected by violence Eastern DRC remain poorly characterized. This analysis aimed to (1) provide detailed demographics survivors presenting Panzi Hospital; (2) examine how demographic factors might impact patterns violence; and (3) describe care-seeking behavior among survivors. Methods: The South Kivu Province...

Abstract Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, greater emotional dysregulation, as well healthcare utilization. All these factors may lead to an use emergency department (ED) services. Understanding the experience ED utilization among a group users high ACE scores, their viewed through lens trauma violence informed care (TVIC) framework, could be important provision care. Methods This is...

Background: The term 'last mile' has been used across disciplines to refer populations who are farthest away, most difficult reach, or last benefit from a program service. However, mile research lacks shared understanding around its conceptualization.Objectives: This project concept mapping process answer the questions: what is in global health and, how can it be make positive change for equity mile?Methods: Between July and December 2019, five-stage exercise was undertaken using online...

Abstract Background Emergency departments (EDs) serve an integral role in healthcare, particularly for vulnerable populations. However, marginalized groups often report negative ED experiences, including stigmatizing attitudes and behaviours. We engaged with historically patients to better understand their care experiences. Method Participants were invited complete anonymous mixed-methods survey about a previous experience. analysed quantitative data controls equity-deserving (EDGs) - those...

Abstract Background Adverse childhood experiences (ACEs), in combination with adverse community environments, can result traumatic stress reactions, increasing a person’s risk for chronic physical and mental health conditions. Family resilience refers to the ability of families withstand rebound from adversity; it involves coping disruptions as well positive growth face sudden or challenging life events, trauma, adversities. This study aimed identify factors contributing family perspective...

Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward acceptance their children.Participants were recruited using respondent-driven sampling.Bukavu, 2012.757 adult SVRPs interviewed. A woman aged 18 older was eligible for the study if she self-identified as a violence survivor since start conflict (∼1996), conceived an SVRP, delivered liveborn child currently child. ineligible SVRP...

Undernutrition in children remains a major global health issue and the prevalence of undernutrition under age five Democratic Republic Congo (DRC) is among highest world. Both biological socioeconomic factors contribute to undernutrition, literature reports an association between women’s empowerment lower rates child sub-Saharan Africa. However, relationship decision-making power less understood. The objective this study was evaluate stunting/wasting their DRC. This used cross-sectional data...

Conflict has displaced 1.5 million Syrians to Lebanon and within this context, child marriage reportedly increased. We present a thematic intersectionality analysis of focus group discussions examining specific intersections how they influence practices: (1) immigration status safety; (2) economic instability; as well (3) safety instability, with gender cross-cutting theme. aim understand forced displacement intersects other, more widely recognized vulnerabilities, such poverty, insecurity...

Abstract Background People who use substances (PWUS) encounter significant barriers to accessing care for their complex health needs. As a result, emergency departments (EDs) often become the first point of healthcare access many PWUS and are crucial setting study inequities. This aimed understand ED experiences with intent informing ways improving delivery equitable care. Methods qualitative was part larger cross-sectional, mixed-methods that examined among diverse underserved...

This mixed-methods study explores negative patient experiences within emergency departments (EDs), aiming to uncover systemic challenges and propose evidence-informed solutions. Of 2114 shared ED experiences, 306 (14.5%) were reported as "bad" or "very bad." Younger age, Indigenous status, financial instability, mental health disabilities, non-heteronormative sexual identities associated with experiences. Our research highlights key issues across the care continuum. During triage...

Abstract The United Nations (UN) has operated a longstanding peacekeeping mission in the Democratic Republic of Congo (DRC), while simultaneously contributing to rule-of-law building and transitional justice processes. Sexual violence is widespread DRC including routine allegations against UN peacekeepers. operation numerous legal systems judicial mechanisms produces legally plural environment that difficult for survivors sexual gender-based navigate, this especially true...

Equity-deserving groups (EDG), including those who identify as two-spirit, lesbian, gay, bisexual, transgender, queer, questioning, intersex, and/or asexual (2SLGBTQQIA+), are disproportionately treated in the Emergency Department (ED). This study aimed to understand ED care experiences of 2SLGBTQQIA+ individuals compared do not with an equity-deserving group Kingston, Canada, ultimately aiming enhance inclusivity and better meet healthcare needs. Data were collected through a mixed...