Migration

This brief report reviews the health concerns that arise with rapid urbanization and confront humanitarian organizations during acute emergencies.  The authors argue that one way forward is for humanitarian organizations to learn from existing grass-roots efforts.

Rapid urbanization represents the most significant demographic change of the twenty-first century. 2008 marked the first time in human history that over half of the world population lived in urban settings. The process of urbanization, fueled by economic and social foreces, has particularly accelerated in countries in the Global South. By the year 2050, it is predicted that 70% of the world's population will live in urban settings. 

The Signal Program on Human Security and Technology at the Harvard Humanitarian Initiative has released its first study, Sudan: Anatomy of a Conflict. 
This study is the first geospatial-based history of a conflict created primarily through a fusion of remote sensing and previously public event data.  The researchers of the Signal Program spent many months cross-referencing and analyzing over 40,000 square kilometers of archival satellite imagery of Sudan with more than 2,000 published reports of incidents occurring between January 2011 and mid-2012.
Key findings of the study include evidence of the apparent intentional destruction of more than 2,000 civilian dwellings and other structures; the intentional targeting and destruction of four humanitarian facilities; identification of specific armed actors, units, and chains-of-command allegedly involved in specific attacks in Sudan; and evidence of the mass displacement of civilian populations.

This study seeks to offer a practical examination of resilience in complex urban landscapes for the academic community and humanitarian actors at the local and international levels. Distrito de Aguablanca (Cali, Colombia), a complex settlement area with some 600,000 residents, functions as a case study in human security and resilience that can inform public policy and community level decision making in especially difficult humanitarian environments, with sociopolitical volatility, large populations of internally displaced persons, and high crime and violence rates.

Satellite Sentinel Project (SSP), through HHI’s analysis of DigitalGlobe satellite imagery, has confirmed that at least a battalion sized unit of Sudan Armed Forces (SAF) appear to control the main route civilians reportedly use to flee South Kordofan for Yida refugee camp. The interior of the apparent base, which is located in the town of Toroge, contains objects consistent with 80 to 90 tent-like structures, infantry fighting vehicles (IFVs), artillery, and heavy armor vehicles, which appear to be main battle tanks. In Siege: Evidence of SAF Encirclement of the Kauda Valley released 25 January 2012, SSP reported that the SAF had restricted access to the road leading towards South Sudan from South Kordofan. The imagery in this report specifically identifies a new fortified chokepoint along that road under apparent SAF control, which was established sometime after 23 November 2011.

The Syrian refugee crisis represents one of the greatest humanitarian challenges the international community has faced over the recent years, prompting record-high levels of international aid. In view of the complexity of the political and social environment in which these challenges arise and the historical scale of the population affected, innovative and creative programmatic responses are essential to address the short and middle-term needs of refugees and reducing instability in the Middle East region.

Treatment of non-communicable diseases such as cancer in refugees is neglected in low-income and middle-income countries, but is of increasing importance because the number of refugees is growing. The UNHCR, through exceptional care committees (ECCs), has developed standard operating procedures to address expensive medical treatment for refugees in host countries, to decide on eligibility and amount of payment. We present data from funding applications for cancer treatments for refugees in Jordan between 2010 and 2012, and in Syria between 2009 and 2011. Cancer in refugees causes a substantial burden on the health systems of the host countries. Recommendations to improve prevention and treatment include improvement of health systems through standard operating procedures and innovative financing schemes, balance of primary and emergency care with expensive referral care, development of electronic cancer registries, and securement of sustainable funding sources. Analysis of cancer care in low-income refugee settings, particularly in sub-Saharan Africa, is needed to inform future responses.

The Syrian conflict has resulted in over 2.3 million child refugees in the Middle East and the prevalence of early marriage has reportedly increased among displaced Syrian families. This study explores the underlying factors contributing to child marriage among Syrian refugees in Lebanon with the goal of informing community-based strategies to address the issue.

In July–August 2016, trained interviewers collected self-interpreted stories in Lebanon using Cognitive Edge’s SenseMaker, a mixed-method data collection tool. Participants included married and unmarried Syrian girls, Syrian parents as well as married and unmarried men. Each participant shared a story about the experiences of Syrian girls and then interpreted the story by plotting their perspectives on a variety of questions. Patterns in the responses were analysed in SPSS and the accompanying qualitative narratives were reviewed to facilitate interpretation of the quantitative results.

The report, Refugee Connectivity: A Survey of Mobile Phones, Mental Health, and Privacy at a Syrian Refugee Camp in Greece, is the result of 2017 field research by Data & Society, the Harvard Humanitarian Initiative’s (HHI) Signal Program on Human Security and Technology, and Centre for Innovation at Leiden University. Lead authors of the report are Mark Latonero, Ph.D. of Data & Society, Danielle Poole of HHI/Signal and the Harvard School of Public Health, and Jos Berens, formerly of Leiden University.