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The Impact of Armed Conflict on Women and Girls - UNFPA

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family planning, safe motherhood <strong>and</strong> emergency obstetrics, the preventi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

<strong>and</strong> resp<strong>on</strong>se to gender-based violence, <strong>and</strong> the preventi<strong>on</strong> <strong>and</strong> treatment <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

STIs, including HIV/AIDS.<br />

<strong>Women</strong> play key roles in ec<strong>on</strong>omic, social <strong>and</strong> family life, <strong>and</strong> are most<br />

affected by reproductive health problems. <strong>Women</strong> already have compromised<br />

health <strong>and</strong> social indicators, <strong>and</strong> the added stresses <strong>and</strong> experiences <str<strong>on</strong>g>of</str<strong>on</strong>g> forced<br />

migrati<strong>on</strong> can result in poorer health outcomes. <str<strong>on</strong>g>The</str<strong>on</strong>g>se stresses can include<br />

subjecti<strong>on</strong> to sexual violence, abuse, trauma, harassment, starvati<strong>on</strong>, poor water<br />

<strong>and</strong> shelter, chr<strong>on</strong>ic illness, loss <str<strong>on</strong>g>of</str<strong>on</strong>g> family <strong>and</strong> possessi<strong>on</strong>s, <strong>and</strong> death, am<strong>on</strong>g<br />

others. Investing in women’s reproductive health has positive effects <strong>on</strong> entire<br />

communities, as women are <str<strong>on</strong>g>of</str<strong>on</strong>g>ten the sole caretakers for extended families,<br />

including children <strong>and</strong> elders.<br />

Young people are persistently underserved within refugee populati<strong>on</strong>s,<br />

although they endure pr<str<strong>on</strong>g>of</str<strong>on</strong>g>ound losses at a crucial developmental stage. Young<br />

women are at special risk during forced migrati<strong>on</strong> from abducti<strong>on</strong>, forced<br />

recruitment into armed forces, sexual violence <strong>and</strong> abuse <strong>and</strong> increased risk <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

STIs <strong>and</strong> HIV/AIDS. With strains <strong>on</strong> family systems, many must head<br />

households <strong>and</strong> care for family members. To ensure project successes for this<br />

dynamic group, adolescent involvement in planning <strong>and</strong> implementing<br />

rehabilitati<strong>on</strong> <strong>and</strong> rec<strong>on</strong>structi<strong>on</strong> programmes is essential.<br />

Male involvement is essential to improve women’s status <strong>and</strong><br />

empowerment, as well as to improve men’s health in its own right. Many men<br />

are interested in making positive changes towards women’s empowerment, <strong>and</strong><br />

more methods must be investigated <strong>and</strong> implemented to this end. Men <strong>and</strong> boys<br />

are vulnerable to sexual violence during c<strong>on</strong>flict, although little is known about its<br />

incidence. Unique challenges arise when c<strong>on</strong>sidering male involvement <strong>and</strong><br />

must be c<strong>on</strong>sidered for programme implementati<strong>on</strong> in c<strong>on</strong>flict settings. First,<br />

male integrati<strong>on</strong> can be difficult in c<strong>on</strong>flict situati<strong>on</strong>s due to the entrenchment <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

traditi<strong>on</strong>al male values during displacement, especially when communities fear<br />

their cultural values will erode. Sec<strong>on</strong>d, the presence <strong>and</strong> impact <str<strong>on</strong>g>of</str<strong>on</strong>g> armed<br />

forces <strong>and</strong> military groups also negatively affect the reproductive health <str<strong>on</strong>g>of</str<strong>on</strong>g> both<br />

host <strong>and</strong> refugee communities. Both are complex issues that must be addressed<br />

with care.<br />

<str<strong>on</strong>g>C<strong>on</strong>flict</str<strong>on</strong>g> situati<strong>on</strong>s are never identical, since displacement length varies<br />

from short-term emergencies to l<strong>on</strong>g-term development settings. Refugees may<br />

live in large camps or be “integrated” into urban or rural settings. Reproductive<br />

health services must be flexible <strong>and</strong> adaptable to varied circumstances.<br />

Reproductive health in c<strong>on</strong>flict settings is highly politicized. Displaced<br />

communities can feel that they are targets <str<strong>on</strong>g>of</str<strong>on</strong>g> programmes for ethnic reas<strong>on</strong>s.<br />

Host populati<strong>on</strong>s can feel resentful <str<strong>on</strong>g>of</str<strong>on</strong>g> refugees who are seen as receiving better<br />

services than they are. In the internati<strong>on</strong>al community, some agencies <strong>and</strong><br />

8

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