Columbia University Program on Forced Migration and Health at the Mailman School of Public Health – författare

Fertility and reproductive health issues more broadly have tended to be of low priority in humanitarian crises. Public attention is drawn by information concerning the magnitude of refugee flows, of death tolls, and of numbers of injuries. Reproductive health has been regarded as a longer term issue that could safely be put on the back burner during the crisis phase of an emergency, when issues of providing adequate food, clean water, and shelter, plus treating acute infectiousdiseases of crowding, take priority. This report reviews what evidence there is concerning the effects of humanitarian crisis on fertility, with a view to identifying common patterns that may exist across settings and be of value in guiding responses to future crises.

In May 2002 Timor Leste (East Timor) emerged as a new nation after centuries of foreign rule and decades of struggle for independence. Its birth was a painful one; a United Nations-brokered Popular Consultation in August 1999, in which an overwhelming majority of the people opted for independence, was followed by several weeks of vengeful violence, looting, and destruction by pro-Indonesia militias. It left the territory and all of its essential services devastated. In this context, the United Nations Transitional Administration in East Timor (UNTAET), with the country''s leaders and people and many other partners, set about restoring order and services, building a government structure, and preparing for independence. This paper summarizes the rehabilitation and development of the health sector from early 2000 to the end of 2001.

This report is concerned with reviewing psychosocial concepts in research related to humanitarian work, with particular emphasis on research related to children affected by prolonged violence and armed conflict.

In Africa many of the refugee flows in recent years have had a strong ethnic dimension; interethnic conflict or conflict between politically powerful groups with minority populations is often an important aspect of whois forced to flee. In most cases the origins of conflict occur in a multiethnic environment, and repatriation (if it happens) occurs in that multiethnic context, with implications for subsequent relationships between the groups in terms of political, economic, and numeric power. As the primary source of recruitment to a population, fertility is an essential component ofpostconflict restructuring. The disruption of fertility during the disorder of forced migration can itself be seen as part of the disintegration of society and identity; the impact of conflict and flight on reproduction may be an important indicator of the degree of crisis faced by the population. Postcrisis fertility and changes from the reproductive regime prior to the forced migration indicate not only how the population has responded to the multiplicity of changes and traumas, but also its ability to adapt and manipulate its new sociopolitical position. This report focuses onthe specific experience of a single persecuted population whose sociopolitical history, along with their underlying marital and fertility regimes, will inevitably condition responses to conflict.

In May 2002 Timor Leste (East Timor) emerged as a new nation after centuries of foreign rule and decades of struggle for independence. Its birth was a painful one; a United Nations-brokered Popular Consultation in August 1999, in which an overwhelming majority of the people opted for independence, was followed by several weeks of vengeful violence, looting, and destruction by pro-Indonesia militias. It left the territory and all of its essential services devastated. In this context, the United Nations Transitional Administration in East Timor (UNTAET), with the country''s leaders and people and many other partners, set about restoring order and services, building a government structure, and preparing for independence. This paper summarizes the rehabilitation and development of the health sector from early 2000 to the end of 2001.

This report is concerned with reviewing psychosocial concepts in research related to humanitarian work, with particular emphasis on research related to children affected by prolonged violence and armed conflict.

In Africa many of the refugee flows in recent years have had a strong ethnic dimension; interethnic conflict or conflict between politically powerful groups with minority populations is often an important aspect of whois forced to flee. In most cases the origins of conflict occur in a multiethnic environment, and repatriation (if it happens) occurs in that multiethnic context, with implications for subsequent relationships between the groups in terms of political, economic, and numeric power. As the primary source of recruitment to a population, fertility is an essential component ofpostconflict restructuring. The disruption of fertility during the disorder of forced migration can itself be seen as part of the disintegration of society and identity; the impact of conflict and flight on reproduction may be an important indicator of the degree of crisis faced by the population. Postcrisis fertility and changes from the reproductive regime prior to the forced migration indicate not only how the population has responded to the multiplicity of changes and traumas, but also its ability to adapt and manipulate its new sociopolitical position. This report focuses onthe specific experience of a single persecuted population whose sociopolitical history, along with their underlying marital and fertility regimes, will inevitably condition responses to conflict.

Fertility and reproductive health issues more broadly have tended to be of low priority in humanitarian crises. Public attention is drawn by information concerning the magnitude of refugee flows, of death tolls, and of numbers of injuries. Reproductive health has been regarded as a longer term issue that could safely be put on the back burner during the crisis phase of an emergency, when issues of providing adequate food, clean water, and shelter, plus treating acute infectiousdiseases of crowding, take priority. This report reviews what evidence there is concerning the effects of humanitarian crisis on fertility, with a view to identifying common patterns that may exist across settings and be of value in guiding responses to future crises.