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  11. Sexual Violence, Disclosure Pattern, And Abortion And Post-abortion Care Services In Displaced People's Camps In Africa: A Scoping Review

Sexual Violence, Disclosure Pattern, and Abortion and Post-Abortion Care Services in Displaced People's Camps in Africa: A Scoping Review

Paul O Adekola1,2, Sunday A Adedini3,4

  • 1Department of Political Science and International Relations, School of Social Sciences, University of Geneva, 1211 Geneva, Switzerland.

International Journal of Environmental Research and Public Health
|August 29, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Sexual violence (SV) against internally displaced persons (IDPs) in African humanitarian settings is severe. Disclosure patterns vary, and illegal abortion care exacerbates health risks, highlighting the need for accessible sexual health services.

Area of Science:

  • Public Health
  • Global Health
  • Humanitarian Studies

Background:

  • Violent conflicts disproportionately affect internally displaced persons (IDPs), particularly girls and women, exposing them to sexual violence (SV).
  • Existing research inadequately addresses the prevalence, disclosure patterns (DP), and abortion care access for SV survivors in humanitarian contexts.

Purpose of the Study:

  • To synthesize African-based research on sexual violence, disclosure patterns, and abortion and post-abortion care (APAC) in humanitarian settings.
  • To provide a comprehensive overview of the challenges faced by SV survivors in African camps.

Main Methods:

  • A systematic scoping review of five databases (MEDLINE, PubMed, Scopus, Embase, Google Scholar) was conducted.
  • PRISMA guidelines and Critical Appraisal Skills Programme (CASP) checklists were applied.
Keywords:
Africaabortioninternally displaced personspost-abortion care

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  • 35 eligible articles from ten African countries focusing on SV, DP, and APAC in camp settings were included.

    • Main Results:

    • SV in African humanitarian settings is described as "terrible," "an epidemic," and a "weapon of war."
    • The illegality of APAC contributes to a high incidence of clandestine abortions in conflict zones.
    • Disclosure of SV among IDPs lacks a clear pattern, influenced by socio-demographic factors.

    Conclusions:

    • Disclosure of SV, despite potential stigmatization, is vital for survivors' healing processes.
    • Addressing sexual violence and ensuring access to safe abortion care are critical public health imperatives in humanitarian crises.
    • The findings underscore the urgent need for improved sexual health services and policies for IDPs in Africa.
    sexual violence