This report includes a detailed evaluation of the clinical, surgical and managerial capacity at Panzi Hospital, and also capacity evaluations of hospitals in Kaziba, Kalonge, Walungu, Uvira, Kakawende, Kaniola, and Nyatende.
Ravaged by 21 years of war and destruction, Northern Uganda faces serious obstacles in achieving reconciliation and accountability for violations of human rights and international humanitarian law. While security in the region has improved since the migration of the Lord’s Resistance Army to the Congo, Ugandans continue to struggle with the aftereffects of an era of violence. This study relays Ugandans’ views on peace, mechanisms for justice, and reintegration, and consequently recommends that the Ugandan government and international community act in concert to develop a strategy for peace-building, justice, socioeconomic development, and poverty reduction in the North.
This paper describes the current rates of urbanization and the developing health consequences framed as a humanitarian crisis. The authors go on to analyze the current state of knowledge and policy on urban health. They lay out the priorities for future research and work and the role for academics, governments and international agencies to prevent the impending deterioration in global health due to rapid urbanization.
30 years after the end of the Khmer Rouge Regime in Cambodia, citizens of the country continue to see themselves as victims of the regime and desire some form of reparations. Nonetheless, citizens wish that the country prioritize problems that Cambodians face in their everyday lives rather than concentrate on punishing crimes committed by the Khmer Rouge. This study presents the views and experiences of Cambodians regarding exposure to violence, overall priorities, and the national criminal justice system. Additionally, the study reveals that citizens desire more knowledge of the regime, feel hatred toward the Khmer Rouge, and demand accountability. Furthermore, the study calls for changes in the structure and governance of the Extraordinary Chambers of the Courts of Cambodia (ECCC) so that Cambodians’ faith in their criminal justice system may be restored.
Nowhere to Turn is a report documenting the scope and long-term impact of rape and other sexual violence experienced by women who fled attacks on their villages in Darfur and are now refugees in neighboring Chad. The report is based on a scientific study, conducted in partnership with Physicians for Human Rights, of women's accounts of rape and other crimes against humanity that they have experienced in Darfur, as well as rape and deprivations of basic needs in refugee camps in Chad.
After years of armed conflict, instability, and human rights violations, in 2006 the Democratic Republic of Congo (DRC) held its first elections since independence. Despite this success, eastern DRC grapples with major challenges in achieving security, social reconstruction, and transitional justice. This study presents the needs and priorities of the Congolese population in light of prevailing social and political instability, and recommends that the Congolese government and international community take steps to monitor and implement peace negotiations, security, and good governance as the country moves forward.
This report uses both quantitative and qualitative methods to explore sexual violence in the Democratic Republic of Congo. Results from this report show the sexual violence perpetrated by armed actors in the DRC has features that indicate rape is being used as a weapon of war. The violence in DRC embodies a new kind of war emerging in the 21st century - one that occurs in villages more than battlefields and affects more civilians than armed combatants.
Liberia has made progress in peacebuilding and reconstruction in the aftermath of a 14-year long civil war, but the country continues to face challenges in overcoming the results of a legacy of violence. This study, undertaken in November and December 2010, provides insight into Liberians’ current priorities for peacebuilding, their perceptions of post-conflict security, and existing dispute and dispute resolution mechanisms. The findings suggest that while Liberians are generally positive about the country’s prospects for peace and security, the fears and inequalities perpetuated by years of civil strife continue to reverberate throughout the country. This study provides recommendations to address the existing problems of gaping socioeconomic disparities, limited access to information, a weakened security sector, and the diminished quality of current dispute resolution systems. It also supports inter-ethnic national dialogue on truth, reconciliation, and the underlying causes of the war.
This study evaluated the health impact of a public private partnership using microfinance to upgrade slum infrastructure in Ahmedabad, India. The authors show a statistically significant reduction in waterborne illness as a result of the intervention and point to further unmeasured benefits from the upgrade. This is an example of the data driven projects HHI is conducting to lend evidence with operational research on interventions.
Reference: Soc Sci Med. 2010 Sep;71(5):935-40.
This report identifies factors – societal, financial and health-related – that influence men’s behaviors towards survivors of sexual violence and the barriers towards acceptance and reintegration of survivors into their families and communities after rape. This investigation, through interviews, focus group discussions, and a survey, looked at how to more effectively prevent and address rejection of survivors by their families and communities. This project was based in eastern DRC and funded by the World Bank.
Many programs exist in eastern DRC today that assist with the medical and psychological needs of survivors – these programs can be live saving and are desperately important. But women here do not live in a void. They deeply affect those around them and are affected by those people in turn. Ignoring the needs of the family and community networks in which these women work and live means that the international community is ignoring the holistic needs of the women they are trying to serve.
This report outlines how violence in general, and sexual violence in particular, has changed the family foundations, economies and community structures of those touched by it in eastern Democratic Republic of the Congo (DRC). Analyzing data from focus group discussions with a range of community members in the area, it suggests recommendations for serving the holistic needs of regions affected by sexual violence.