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首页> 外文期刊>BMC International Health and Human Rights >In the face of war: examining sexual vulnerabilities of Acholi adolescent girls living in displacement camps in conflict-affected Northern Uganda
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In the face of war: examining sexual vulnerabilities of Acholi adolescent girls living in displacement camps in conflict-affected Northern Uganda

机译：面对战争：检查生活在受冲突影响的乌干达北部流离失所者营地中的Acholi少女的性脆弱性

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Background Adolescent girls are an overlooked group within conflict-affected populations and their sexual health needs are often neglected. Girls are disproportionately at risk of HIV and other STIs in times of conflict, however the lack of recognition of their unique sexual health needs has resulted in a dearth of distinctive HIV protection and prevention responses. Departing from the recognition of a paucity of literature on the distinct vulnerabilities of girls in time of conflict, this study sought to deepen the knowledge base on this issue by qualitatively exploring the sexual vulnerabilities of adolescent girls surviving abduction and displacement in Northern Uganda. Methods Over a ten-month period between 2004–2005, at the height of the Lord’s Resistance Army insurgency in Northern Uganda, 116 in-depth interviews and 16 focus group discussions were held with adolescent girls and adult women living in three displacement camps in Gulu district, Northern Uganda. The data was transcribed and key themes and common issues were identified. Once all data was coded the ethnographic software programme ATLAS was used to compare and contrast themes and categories generated in the in-depth interviews and focus group discussions. Results Our results demonstrated the erosion of traditional Acholi mentoring and belief systems that had previously served to protect adolescent girls’ sexuality. This disintegration combined with: the collapse of livelihoods; being left in camps unsupervised and idle during the day; commuting within camp perimeters at night away from the family hut to sleep in more central locations due to privacy and insecurity issues, and; inadequate access to appropriate sexual health information and services, all contribute to adolescent girls’ heightened sexual vulnerability and subsequent enhanced risk for HIV/AIDS in times of conflict. Conclusions Conflict prevention planners, resettlement programme developers, and policy-makers need to recognize adolescent girls affected by armed conflict as having distinctive needs, which require distinctive responses. More adaptive and sustainable gender-sensitive reproductive health strategies and HIV prevention initiatives for displaced adolescent girls in conflict settings must be developed.
机译：背景青春期女孩在受冲突影响的人群中是一个被忽视的群体，其性健康需求经常被忽略。在冲突时期，女孩极易感染艾滋病毒和其他性传播感染，但是由于缺乏对她们独特性健康需求的认识，导致缺乏独特的艾滋病毒保护和预防措施。不同于对冲突时期女孩的特殊脆弱性的文献报道的认识，本研究试图通过定性探索在乌干达北部幸存者被绑架和流离失所的青春期女孩的性脆弱性来加深对此问题的认识。方法在2004年至2005年的10个月期间，在乌干达北部上帝抵抗军叛乱的高峰期，与生活在古卢三个流离失所营地的少女和成年女性进行了116次深入访谈和16次焦点小组讨论乌干达北部地区。转录数据并确定关键主题和常见问题。对所有数据进行编码后，将使用民族志软件程序ATLAS来比较和对比在深度访谈和焦点小组讨论中生成的主题和类别。结果我们的结果表明，传统的Acholi指导和信仰系统遭到侵蚀，该体系以前曾用于保护少女的性行为。这种瓦解与以下各项结合在一起：生计的崩溃;白天在无人看管的情况下留在营地中;晚上，由于隐私和不安全问题，在远离家庭小屋的营地范围内上下班，在更中央的位置睡觉;以及无法获得适当的性健康信息和服务，所有这些都会导致少女的性脆弱性增加，并在冲突时增加艾滋病毒/艾滋病的风险。结论预防冲突的计划者，安置计划的制定者和政策制定者需要认识到受武装冲突影响的少女具有独特的需求，需要独特的应对。必须为冲突地区的流离失所的年轻女孩制定更具适应性和可持续性的，对性别问题敏感的生殖健康战略和艾滋病毒预防举措。

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