UNHCR’s Gender Policy for Refugees and Returnees in Sierra Leone: Health, Well-Being and Political Agency

Author(s):  
Claudena Skran
2015 ◽  
Vol 14 (1-2) ◽  
pp. 108-133 ◽  
Author(s):  
Claudena Skran

The challenge of ensuring the full reintegration of refugee women and returnees in post-conflict societies is an important one, yet there is gap in the literature that evaluates interventions designed to assist them. This article seeks to narrow this gap by examining the gender policy of the Office of the United Nations High Commissioner for Refugees (unhcr) as applied to reintegration programs in Sierra Leone, particularly in Kailahun district. Using Amartya Sen’s concept of agency, the paper begins with an exploration of the pre-war status of women and girls in Sierra Leone and their marginalization in flight and exile. The paper then argues that the conceptual framework ofunhcr’s Community Empowerment Projects (ceps) created a foundation for an open, democratic process that, in theory, could lead to enhanced well-being for women as beneficiaries and greater political agency for them as decision-makers. In practice, thecepsresulted in the implementation of projects that benefited women both directly and indirectly, especially in the areas of water and sanitation and education. The lack of emphasis on health projects, however, especially when compared to the strong support for rebuilding community buildings controlled by elders, shows the impact of traditional, patriarchal decision-making on thecepprocess. The paper further argues that special women’s centers constructed or supported byunhcr, though small in number, both enhanced the well-being of and promoted political agency for women; this intervention contributed to the high levels of females elected as local officials in Kailahun district in the 2012 elections.


2021 ◽  
Vol 97 (1) ◽  
pp. 35-55
Author(s):  
Christina Ankenbrand ◽  
Abrina Welter ◽  
Nina Engwicht

Abstract Artisanal and small-scale mining (ASM) has long been a vital source of livelihoods for rural populations in the global South. Yet, it has also been linked to a host of social, political and environmental adversities, including violent conflict. As environmental peacebuilding increasingly stresses the importance of livelihood improvement as a means of fostering peace in conflict-affected extractive societies, ASM formalization has been identified as a solution to mitigate the sector's challenges, thereby addressing underlying causes of conflict. This article critically investigates the contribution of ASM formalization to sustainable peace by focusing on its impact on the livelihood dimension of peacebuilding. It analyses the livelihood impact of three formalization interventions in the diamond sectors of two countries: cooperatives in Liberia, and, in Sierra Leone, ethical sourcing schemes and a community-based natural resource management initiative. In line with calls for a paradigm shift from a narrow legalization-centred understanding of formalization to a broader approach that accounts for livelihood quality, the analysis presented here focuses on interventions that were informed by the ideal of improving the well-being of ASM workers and communities. We propose three pathways through which ASM formalization could potentially contribute to livelihood enhancement: income security, working conditions and community benefits. Based on fieldwork, this article highlights the challenges of generating livelihood improvements through formalization. Even when specifically designed to address the needs of ASM communities, during implementation, they risk prioritizing a narrow conceptualization of formalization and thus failing to become a conductor of transformative change.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Darren Sharpe ◽  
Mohsen Rajabi ◽  
Clement Chileshe ◽  
Sitali Mayamba Joseph ◽  
Ibrahim Sesay ◽  
...  

Abstract Background The mental health impact of the COVID-19 pandemic and quarantining on children and young people (CYP) living in low- and middle-income countries (LMICs) has yet to be fully comprehended. CYP in LMICs are at utmost risk, given the COVID-19-related restrictions and social distancing measures, resulting in reduced access to school-based services for nutritional and mental health needs. This study examined mental health of CYP during the first COVID-19 lockdown in Zambia and Sierra Leone. Method A total of 468 disabled and disadvantaged CYP aged 12 to 25 completed a planning tool that comprised the short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS), as well as open-ended questions covering social connectedness, physical distancing and educational challenges during the lockdown. The community coaches screened individuals and families who could be eligible to receive emergency aid, and based on a convenience sample following distribution of aid, recipients were invited to complete the planning tool. Results The data showed that participants in the global south have increasing anxieties and fears centred on accessing offline educational resources and income loss in the family effecting food security and their ability to return to education. Mean (SD) SWEMWBS scores for all participants in Zambia and Sierra Leone, were 19.61 (3.45) and 21.65 (2.84), respectively. Mental well-being scores were lower in females, children aged 12–14 and participants with two or more disabilities. Factors significantly associated with poor mental wellbeing in the sample were: type of disability, nationality, peer relationships, connection to others during the pandemic, knowledge about COVID-19, worry about the long-term impact of COVID-19, and the types of self-isolating. Conclusion The study shows that participants who self-reported low levels of COVID-19 health literacy also scored low on the mental wellbeing self-assessment. Yet, despite undoubted limited resources, these CYP are doing well in identifying their needs and maintaining hope in the face of the problems associated with COVID-19 in countries where stigma persists around mental ill-health.


2018 ◽  
Vol 94 ◽  
pp. 4 ◽  
Author(s):  
Christine Dranzoa

In most African states, joining higher education institutions (HEIs) is, for students, an investment in their own economic progress. Yet, HEIs are sites where sexual harassment and gender-based violence (GBV) occur, increasing the vulnerability of newly enrolled female students and of women in general. A strong gender policy environment, a clear stand by senior management at HEIs, and the empowerment ofmen with respect to gender equity issues are remedies to help achieve the Sustainable Development Goals (SDGs), especially goal 3 (Good Health and Well-being), goal 4 (Quality Education), goal 5 (Gender Equality), and goal 10 (Reduced Inequality).


2018 ◽  
Vol 84 (1) ◽  
pp. 3-40 ◽  
Author(s):  
Colin Cannonier ◽  
Naci Mocan

Abstract:We use data from Sierra Leone where a substantial education program provided increased access to education for primary-school age children but did not benefit children who were older. We exploit the variation in access to the program generated by date of birth and the variation in resources between various districts of the country. We find that an increase in schooling, triggered by the program, has an impact on women's attitudes toward matters that impact women's health and on attitudes regarding violence against women. An increase in education reduces the number of desired children by women and increases their propensity to use modern contraception and to be tested for AIDS. While education makes women more intolerant of practices that conflict with their well-being, increased education has no impact on men's attitudes toward women's well-being. Thus, it is unclear whether the change in attitudes would translate into behavioral changes. Consistent with this finding, education (on this margin) has no impact on women's propensity to get married, their age at first marriage or age at first birth.


Author(s):  
Theresa S. Betancourt ◽  
Stephanie Zuilkowski ◽  
Emily Coles ◽  
Katharine Collet ◽  
Musu Jambai

This chapter explores the consequences of war on the development and mental health of adolescents. The discussion begins by framing prevention and intervention programs within the context of human security. The example of war-affected youth in Sierra Leone is used to illustrate the interrelatedness of the core security needs and rights of adolescents, using the SAFE model (safety/freedom from harm; access to basic physiological needs and health care; family and connection to others; and education/economic security) of child protection as a lens for analysis. The chapter proposes ideas for how to promote youth development and well-being in the context of violence and other forms of adversity.


Author(s):  
Jamie Marshall ◽  
Sallu Kamuskay ◽  
Michaella Margaedah Samai ◽  
Isha Marah ◽  
Fanta Tonkara ◽  
...  

Young people in post-conflict and post-epidemic contexts such as Sierra Leone face a range of mental health challenges as part of their daily life. An innovative approach to Sport for Development that could offer support to youth mental health is surf therapy. This research used an uncontrolled mixed methods approach to explore surf therapy pilots run by five youth-focused and community development organizations around Freetown. Four sites provided useable pre/post data using the Stirling Children’s Well-Being Scale (n = 58, average age = 12.9). Three sites were associated with significant (p < 0.017) large effects (r = 0.65–0.84) on participant well-being. One site was associated with a non-significant (p < 0.380) small negative effect (r = −0.22). A synthesis of qualitative data within the five evaluations triangulated with quantitative findings and provided important context in terms of challenges to service delivery. This included low attendance as a plausible mediator for why one site saw very different results than other sites. Combined, these processes highlight the need for future research exploring possible dose-response relationships in surf therapy. This study also provides a foundation for more rigorous research in the future. These promising findings support continued and optimized delivery of surf therapy in Sierra Leone to support youth mental health.


2021 ◽  
Vol 6 (12) ◽  
pp. e005388
Author(s):  
Cleothia Caroline Alford ◽  
Yuko Otake

BackgroundSub-Saharan Africa (SSA) experienced a burden of organised violence within 18 low-income and middle-income countries and hosted over 33 million displaced persons in 2019. Community-centred mental health and psychosocial support (cc-MHPSS) programmes may provide insights to address the psychosocial well-being of conflict-affected individuals, though literature is mixed on community impact. This review aimed to synthesise qualitative evidence to understand the kind of experiences conflict-affected participants have and how these experiences occur during cc-MHPSS programme engagement in SSA.MethodsWe searched Global Health, MEDLINE, Psychological Information Database, Embase Classic+Embase, Social Policy and Practice, Web of Science, Africa-Wide Information, PubMed and Global Index Medicus databases. Eligible publications qualitatively reported on conflict-affected participants’ experiences of engagement in cc-MHPSS programmes. Data were extracted to summarise publication characteristics. The results were synthesised using a thematic synthesis analysis.ResultsThe search yielded 953 records, of which 20 publications were included in the review. Included publications were located in Rwanda (n=8), the Democratic Republic of the Congo (n=3), Mozambique (n=3), Sierra Leone (n=1), Ghana (n=1), Uganda (n=1), Zimbabwe (n=1) and South Sudan (n=1); one publication included three countries (Sierra Leone, Liberia and Uganda). Findings include the themes of (1) the experience of change in time and space, and (2) the sharing and silence of participants’ experiences. Findings demonstrate that elements transferred by participants from a cc-MHPSS programme to a natural community, and vice versa, contribute to participants’ healing. Elements’ transfer, or non-transfer, was often related to participants’ disclosure, or non-disclosure, of experiences.DiscussionFindings suggest that there are elements from a cc-MHPSS programme and a wider community which aid participant engagement and work therapeutically. More rigorous research is needed concerning how participants experience change during cc-MHPSS programme engagement in proximity to their relationship with the wider community.PROSPERO registration numberCRD42020197300.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e032929
Author(s):  
Susan Jones ◽  
Sarah White ◽  
Judith Ormrod ◽  
Betty Sam ◽  
Florence Bull ◽  
...  

IntroductionBefore the 2014, Ebola epidemic in Sierra Leone, healthcare workers (HCWs) faced many challenges. Workload and personal risk of HCWs increased but their experiences of these have not been well explored. HCWs evaluation of their quality of life (QoL) and risk factors for developing work-based stress is important in helping to develop a strong and committed workforce in a resilient health system.MethodsCross-sectional study using World Health Organisation Quality of Life (WHOQOL)-BREF and Health and Safety Executive (HSE) Standards Tools in 13 Emergency Obstetric Care facilities to (1) understand the perceptions of HCWs regarding workplace risk factors for developing stress, (2) evaluate HCWs perceptions of QoL and links to risk factors for workplace stress and (3) assess changes in QoL and risk factors for stress after a stress management programme.Results222 completed the survey at baseline and 156 at follow-up. At baseline, QoL of HCWs was below international standards in all domains. There was a significant decrease in score for physical health and psychological well-being (mean decrease (95% CI); 2.3 (0.5–4.1) and 2.3 (0.4–4.1)). Lower cadres had significant decreases in scores for physical health and social relationships (13.0 (3.6–22.4) and 14.4 (2.6–26.2)). On HSE peer-support and role understanding scored highly (mean scores 4.0 and 3.7 on HSE), workplace demands were average or high-risk factors (mean score 3.0). There was a significant score reduction in the domains relationships and understanding of role (mean score reduction (95% CI) 0.16 (0.01–0.31) and 0.11 (0.01–0.21)), particularly among lower cadres (0.83 (0.3–1.4).ConclusionHCWs in low-resourced settings may have increased risk factors for developing workplace stress with low QoL indicators; further exploration of this is needed to support staff and develop their contribution to the development of resilient health systems.


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