Structural Violence among Internally Displaced Persons (IDPS) Within Idp Settlements in Mogadishu Somalia

Background: Gender based violence (GBV) remains a public health concern. Internally displaced persons (IDPs) and refugees have been shown to be at the highest risk of gender based violence. Somalia has been without a stable government for 26 years resulting in weak community and formal protection structures hence disproportionately increasing the vulnerability of females to gender based violence. Continued displacement of community members in South Central Somalia due to war, inters clan conflicts and the ongoing drought has resulted in more IDPs living in settlements along major urban areas. These IDPs continue to face violations such as forced evictions, discrimination and gender based violence. Objective: This study was aimed at investigating the past and present forms of structural violence faced by IDPs in Mogadishu as well as their knowledge and perceptions regarding the same. Methods: A descriptive cross sectional design was used in this study, in the month of May 2017. The study population for this survey was 320 IDPs in 10 IDP settlements in KM-11 and KM-13 regions of Mogadishu, South Central Somalia. Results: The study established a 91.7% prevalence rate of female genital mutilation among the female respondents. World Health Organization (W.H.O.) type III was the most common form of FGM that female respondents in the two IDP settlements (38.9%) had faced, followed by W.HO. type 4 (23.1%) and W.H.O. type I and II (15.9%). The mean age at which FGM was carried out among this group was 7 years while forced and early marriages (mean of 16 years) are common among this population group. Sexual assault and rape were singled out as the most common forms of violence faced by females in the two IDP settlements with the risk factors for this violence being described as displacement, overcrowding in IDP settlements, poor lighting in the IDP settlements at night, unaccompanied females in the IDP settlements and female headed households. Respondents expressed their overwhelming preference for community protection structures in averting GBV and customary law in arbitrating gender based violence cases. There was low awareness on services available for GBV survivors and so was the knowledge on the urgency to seek medical services within the 72 hours window period following rape. Conclusion: The study has established that structural violence is common among IDPs living in Mogadishu and it is constraining them from achieving the quality of life that would have otherwise been possible if they were not displaced. There is need to strengthen both community and formal protection units as well as raise awareness regarding the effects of the various forms of violence facing female IDPs, create awareness regarding services available for GBV survivors and ensure that these services are available and accessible to the IDPs