Gender-Based Insecurity and Opportunities for Peace: Supporting the Reintegration of Young War-Affected Mothers

In conflicts throughout the world, armed forces and groups recruit children to fight, maintain their camps, perform labor and be used for sexual purposes. The experiences of children associated with armed forces and groups (CAAFAG) are not uniform, nor can there be a uniform approach to helping them when the conflict is over. This article examines the gendered experiences of girls prior to recruitment, during their time with the fighting forces, through disarmament, demobilization and reintegration (DDR) processes, and in their communities after formal DDR has ended. We also present some of the experiences of the Participatory Action Research (PAR) Study with Young Mothers in Liberia, Sierra Leone and Northern Uganda—a study conducted predominantly with former CAAFAG which used a highly participatory methodology to help participants attain community-based reintegration. In the PAR study young mother participants took a central role in the design and implementation of their reintegration process. A mixture of self-help style psychosocial support and livelihood support were critical to their success. As this population had exceptionally low social status, lacked confidence and self-respect, and did not have rudimentary economic skills at the start, social support and community mobilization were critical in laying the groundwork for livelihood activities and facilitating the sustainability of these activities

Building Meaningful Participation in (Re)Integration Among War-Affected Young Mothers in Liberia, Sierra Leone and Northern Uganda

When young mothers, formerly associated with armed groups, return to communities, they are typically social isolated, stigmatised, and marginalised. This creates reintegration challenges for themselves, and their communities. Their children face child protection problems such as neglect, rejection and abuse. In this paper, the authors describe an innovative field practice - community based, participatory action research (PAR) - that meaningfully involved formerly associated young mothers, and other vulnerable young mothers, in their communities. The project took place in 20 field sites in three countries: Liberia, northern Uganda and Sierra Leone. It was implemented through an academic, nongovernmental organisation (NGO) partnership. The participants were 658 young mothers, both formerly associated with armed groups and other mothers seen to be vulnerable. Within the context of caring psychosocial support, these young mothers organised themselves into groups, declined their problems, and developed social actions to address and change their situations. Some project outcomes included: young mothers and their children experiencing improved social reintegration evidenced by greater family and community acceptance; more positive coping skills; and decreased participation in sex work for economic survival

‘I Stand Like A Woman’: Empowerment and Human Rights in the Context of Community-Based Reintegration of Girl Mothers Formerly Associated With Fighting Forces and Armed Groups

This article describes a multi-year participatory action research (PAR) study with young women and girls who were formerly associated with armed groups in Sierra Leone, Liberia, and northern Uganda and had children of their own during the conflict and with young mothers considered by their community to be especially vulnerable. Following a review of the literature on empowerment and human rights, the authors use examples from the PAR study to explore how empowerment and human rights relate in the context of reintegration of the most vulnerable members of society. In this context, the realization of rights and empowerment are inextricably linked as part of an iterative process. However, empowerment has been a necessary starting point for this population to experience improvements in their ability to lead dignified lives and have their rights respected. Implications for child protection and reintegration programmes are discussed

Facilitating War-Affected Young Mothers’ Reintegration: Lessons from a Participatory Action Research Study in Liberia, Sierra Leone, and Uganda.

Young women and girls formerly associated with armed forces and armed groups face multiple challenges. Many become pregnant or have children while they are associated and face stigma and marginalization upon reintegration into civilian communities. This article describes a multi-year participatory action research study that took place in twenty communities in Liberia, Sierra Leone, and northern Uganda from 2006 – 2009 and included more than 650 young mother participants. We find that this community-based approach to reintegration improved the wellbeing of young mother participants and their children. We discuss the challenges and limitations of conducting participatory action research with war-affected young people and make recommendations for future reintegration programming

Daily Preventive Zinc Supplementation Decreases Lymphocyte and Eosinophil Concentrations in Rural Laotian Children from Communities with a High Prevalence of Zinc Deficiency: Results of a Randomized Controlled Trial.

BACKGROUND:Zinc deficiency impairs immune function and is common among children in South-East Asia. OBJECTIVES:The effect of zinc supplementation on immune function in young Laotian children was investigated. METHODS:Children (n = 512) aged 6-23 mo received daily preventive zinc tablets (PZ; 7 mg Zn/d), daily multiple micronutrient powder (MNP; 10 mg Zn/d, 6 mg Fe/d, plus 13 other micronutrients), therapeutic dispersible zinc tablets only in association with diarrhea episodes (TZ; 20 mg Zn/d for 10 d after an episode), or daily placebo powder (control). These interventions continued for 9 mo. Cytokine production from whole blood cultures, the concentrations of T-cell populations, and a complete blood count with differential leukocyte count were measured at baseline and endline. Endline means were compared via ANCOVA, controlling for the baseline value of the outcome, child age and sex, district, month of enrollment, and baseline zinc status (below, or above or equal to, the median plasma zinc concentration). RESULTS:T-cell cytokines (IL-2, IFN-γ, IL-13, IL-17), LPS-stimulated cytokines (IL-1β, IL-6, TNF-α, and IL-10), and T-cell concentrations at endline did not differ between intervention groups, nor was there an interaction with baseline zinc status. However, mean ± SE endline lymphocyte concentrations were significantly lower in the PZ than in the control group (5018 ± 158 compared with 5640 ± 160 cells/μL, P = 0.032). Interactions with baseline zinc status were seen for eosinophils (Pixn = 0.0036), basophils (Pixn = 0.023), and monocytes (P = 0.086) but a significant subgroup difference was seen only for eosinophils, where concentrations were significantly lower in the PZ than in the control group among children with baseline plasma zinc concentrations below the overall median (524 ± 44 compared with 600 ± 41 cells/μL, P = 0.012). CONCLUSIONS:Zinc supplementation of rural Laotian children had no effect on cytokines or T-cell concentrations, although zinc supplementation affected lymphocyte and eosinophil concentrations. These cell subsets may be useful as indicators of response to zinc supplementation.This trial was registered at clinicaltrials.gov as NCT02428647

Genetic variation in the SIM1 locus is associated with erectile dysfunction.

Erectile dysfunction affects millions of men worldwide. Twin studies support the role of genetic risk factors underlying erectile dysfunction, but no specific genetic variants have been identified. We conducted a large-scale genome-wide association study of erectile dysfunction in 36,649 men in the multiethnic Kaiser Permanente Northern California Genetic Epidemiology Research in Adult Health and Aging cohort. We also undertook replication analyses in 222,358 men from the UK Biobank. In the discovery cohort, we identified a single locus (rs17185536-T) on chromosome 6 near the single-minded family basic helix-loop-helix transcription factor 1 (SIM1) gene that was significantly associated with the risk of erectile dysfunction (odds ratio = 1.26, P = 3.4 × 10-25). The association replicated in the UK Biobank sample (odds ratio = 1.25, P = 6.8 × 10-14), and the effect is independent of known erectile dysfunction risk factors, including body mass index (BMI). The risk locus resides on the same topologically associating domain as SIM1 and interacts with the SIM1 promoter, and the rs17185536-T risk allele showed differential enhancer activity. SIM1 is part of the leptin-melanocortin system, which has an established role in body weight homeostasis and sexual function. Because the variants associated with erectile dysfunction are not associated with differences in BMI, our findings suggest a mechanism that is specific to sexual function