Health

Ronak B. Patel and Thomas F. Burke. 8/2009. “Urbanization - An Emerging Humanitarian Disaster.” The New England Journal of Medicine, 361, 8, Pp. 741-743.Abstract

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.

Phuong Pham, Patrick Vinck, Mychelle Balthazard, Sokhom Hean, and Eric Stover. 1/2009. So We Will Never Forget: A Population-Based Survey on Attitudes About Social Reconstruction and the Extraordinary Chambers in the Courts of Cambodia.Abstract

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.

Physicians Human for Rights and Harvard Humanitarian Initiative. 5/2009. Nowhere to Turn: Failure to Protect, Support and Assure Justice for Darfuri Women.Abstract

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.

Harvard Humanitarian Initiative. 8/2009. Characterizing Sexual Violence in the Democratic Republic of the Congo: Profiles of Violence, Community Responses, and Implications for the Protection of Women.Abstract

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.

Phuong Pham, Patrick Vinck, and Tino Kreutzer. 6/2011. Talking Peace: A Population-Based Survey on Attitudes about Security, Dispute Resolution, and Post-Conflict Reconstruction in Liberia.Abstract

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.

Neel Butala, Ronak B. Patel, and Michael VanRooyen. 9/2010. “Improved health outcomes in urban slums through infrastructure upgrading.” Social Science & Medicine, 71, 5, Pp. 935-940. Read PublicationAbstract

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.

Harvard Humanitarian Initiative. 1/2010. From Rapid Response to Sustainable Solutions: Disaster Response and Recovery in Post-Earthquake Haiti.Abstract

On the one-year anniversary of the earthquake in Haiti, HHI released this report, chronicling eleven months of the Harvard Humanitarian Initiative's disaster response and recovery efforts in Haiti.  The report offers a brief overview of the establishment of the Disaster Recovery Center, the transition from complex disaster response to recovery phase operations, and the impact of HHI's medical and public health programming through outpatient medical clinic "Klinik Lespwa."

Jocelyn Kelly. 6/2010. Rape in War: Motives of Militia in DRC.Abstract
"Rape in War: Motives of Militia in the DRC" is a special report commissioned by United States Institute of Peace (USIP) on sexual and gender-based violence, which uniquely examines the experiences of armed combatants in this conflict. The report is a qualitative analysis of interviews conducted with the Mai Mai militia in the DRC and looks at the experiences of armed combatants with the aim of revealing potential avenues for intervention.
Brett D. Nelson, Timothy P. Williams, Jay Lemery, and Satchit Balsari. 3/2010. “Protecting the Children of Haiti.” The New England Journal of Medicine. Read PublicationAbstract
Published in the New England Journal of Medicine by the François-Xavier Bagnoud Center for Health and Human Rights and the Harvard Medical School, this report co-authored by a number of HHI fellows covers the security situation of children in Haiti.
Jocelyn Kelly, Beth Maclin, Michael VanRooyen, Justin Kabanga, Katherine Albutt, Sunkyo Im, and Michelle Kissenkoetter. 4/2011. A Patient Heart: Stigma, Acceptance and rejection around Conflict-Related Sexual Violence in the Democratic Republic of Congo.Abstract

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.

Jocelyn Kelly. 1/2011. “Opinion: Rape Traumatizes All Congolese, Not Just Women ”.Abstract

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.

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