TAILIEUCHUNG - Programmatic Responses to Refugees’ Reproductive Health Needs

The majority of studies addressed in this chapter reflect research findings that provide "best bets" for preventing sexual risk-taking behaviors. These derive from longitudinal, multivariate analyses of reproductive health topics. In addition, a synthesis of programs that have had rigorous experimental designs help provide information on "what works" and what doesn't work within the program field. The synthesis of best bets from research findings, combined from “what works” from those programs that have been evaluated, may help provide a context for the types of programs necessary to help bring levels of adolescent pregnancy, childbearing, and STIs in. | Programmatic Responses to Refugees Reproductive Health Needs By Sandra K. Krause Rachel K. Jones and Susan J. Purdin In a world where most people have less than optimal access to quality reproductive health services refugees often live in circumstances of extraordinary instability that further hinder their access. Factors that define the refugee experience compound the challenge of attaining reproductive health. Such challenges include violence displacement and disruption of family and community dislocation to unfamiliar and often overcrowded surroundings lack of infrastructure and access to basic survival needs escalations in conflict resulting in new refugee influxes and intermittent evacuation of United Nations UN and nongovernmental organization NGO personnel. Several events occurred from the early to the mid-1990s that increased recognition of refugees reproductive health needs and that generated programmatic responses to them. In 1994 the Women s Commission for Refugee Women and Children published a highly influential report documenting the lack of reproductive health services for That was followed by the International Conference on Population and Development held in Cairo in 1994 which recognized the special reproductive health needs of migrant populations including refugees and the displaced. Following the Cairo meeting the Inter-agency Working Group on Refugee Reproductive Health IAWG formed it comprises representatives of UN agencies NGOs and governments. Around the same time representatives of a group of NGOs joined together to form the Reproductive Health for Refugees Consortium to increase refugees access to quality reproductive health services. The IAWG has produced a manual specific to refugee settings that serves as a basic guide to reproductive health services beginning with the onset of an The manual which incorporates technical standards set by the World Health Organization WHO identifies the following programmatic areas of

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