Experiences of Women War-Torture Survivors in Uganda: Implications for Health and Human Rights

This paper will describe the resulting long-term health needs of women war-torture survivors of the civil war years in Luwero District, Uganda. To do this sections of case studies from interviews carried out in Kikamulo Sub-County, Luwero, are utilised. The effects of gender-based violence and torture and its long term, severe and enduring impact on women’s health will be highlighted. In 1994, the Centre for Health and Human rights at Harvard University led the first international conference on health and human rights. This recognised that human rights are an essential pre-condition for physical and mental health. Women’s resulting health needs following war, including the urgent need for reproductive and gynaecological health services, are argued to be a fundamental human right which should be upheld through the legal mechanisms available. The paper suggests ways of assisting the women war survivors of Luwero and concludes that to be successful integrated health interventions for war-torture survivors need to be combined with the further collective legal, social and political empowerment of women and address the health inequalities and discriminations that exist

Violence against Women in Northern Uganda: The Neglected Health Consequences of War

This article presents a summary of research intervention work carried out in war-affected Northern Uganda by Isis-WICCE, a women’s international non-government organisation, in conjunction with the Ugandan Medical Association and funded by Medica Mondiale, a German-based foundation. The findings of this research demonstrate the serious effects of sexual violence and torture experienced on women’s physical and psychological health. However, this paper also describes women’s key role in trying to bring peace to this region, as well as their resistance and survival strategies. It is recommended that funding is urgently required for the provision of sustainable, gender sensitive physical and psychological health services in this region. Women’s campaign for justice for the atrocities they have suffered should be heard by the International Criminal Court. Further recommendations are made with respect to policy changes in line with enhancing women’s roles and furthering the empowerment of these women war survivors

Women War Survivors of the 1989-2003 Conflict in Liberia: The Impact of Sexual and Gender-Based Violence

This article presents a summary of the qualitative data from research carried out in post-conflict Liberia by Isis-WICCE, a women’s international non-government organisation, in conjunction with the Ministry of Gender and Development of Liberia and Women in Peace-building Network, WIPNET. Analysis of research findings detail women’s experiences of conflict and the serious effects of sexual violence and torture on their physical and psychological health. The paper also describes the omission of women from justice and rehabilitation processes. In support of women participants’ views, the author’s recommend that funding is urgently required for the provision of holistic and sustainable, gender-sensitive services. Additional recommendations are made with respect to health, justice and policy changes in line with enhancing women survivor’s roles and utilising their skills and resilience

War related sexual violence and it's medical and psychological consequences as seen in Kitgum, Northern Uganda: A cross-sectional study

BACKGROUND: Despite the recent adoption of the UN resolution 1820 (2008) which calls for the cessation of war related sexual violence against civilians in conflict zones, Africa continues to see some of the worst cases of war related sexual violence including the mass sexual abuse of entire rural communities particularly in the Great Lakes region. In addition to calling for a complete halt to this abuse, there is a need for the systematic study of the reproductive, surgical and psychological effects of war related sexual violence in the African socio-cultural setting.This paper examines the specific long term health consequences of war related sexual violence among rural women living in two internally displaced person's camps in Kitgum district in war affected Northern Uganda who accessed the services of an Isis-Women's International Cross Cultural Exchange (Isis-WICCE) medical intervention. METHODS: The study employed a purposive cross-sectional study design where 813 respondents were subjected to a structured interview as part of a screening procedure for an emergency medical intervention to identify respondents who required psychological, gynaecological and surgical treatment. RESULTS: Over a quarter (28.6%) of the women (n = 573) reported having suffered at least one form of war related sexual violence. About three quarters of the respondents had 'at least one gynaecological complaint' (72.4%) and 'at least one surgical complaint' (75.6%), while 69.4% had significant psychological distress scores (scores greater than or equal to 6 on the WHO SRQ-20). The factors that were significantly associated with war related sexual violence were the age group of less than or equal to 44 years, being Catholic, having suffered other war related physical trauma, and having 'at least one gynaecological complaint'. The specific gynaecological complaints significantly associated with war related sexual violence were infertility, chronic lower abdominal pain, abnormal vaginal bleeding, and sexual dysfunction. In a multivariable analysis the age group of less than or equal to 44 years, being Catholic and having 'at least one gynaecological complaint' remained significantly associated with war related sexual violence. CONCLUSION: The results from this study demonstrate that war related sexual violence is independently associated with the later development of specific gynaecological complaints

Supporting Women and Girls' Sexual and Reproductive Health and Rights: The Ugandan experience

Ruth Ojiambo Ochieng provides an analysis of the sexual and reproductive health status and rights of women and girls in Uganda. She outlines some of the factors that have exacerbated the situation, and highlights best practices by women's organizations and partnerships which complement government initiatives to improve the sexual and reproductive health and rights of women and girls in Uganda. Development (2003) 46, 38–44. doi:10.1057/palgrave.development.1110443