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  • Title: Conflicts and child survival.
    Author: Padmanabhan BS.
    Journal: ICCW News Bull; 1992; 40(3-4):66-7. PubMed ID: 12318361.
    Abstract:
    An overview is provided of the gravity of the problems of trauma from conflicts and effects on the health and survival of children and the relevance for India. Article 39 of the convention of the Rights of the Child adopted by the UN General Assembly is an agreement "to promote physical and psychological recovery and social reintegration of a child victim of any form of neglect, exploitation, abuse, inhuman treatment, or armed conflicts." The World Summit expanded the provision to include protecting women and children from the effects of war and to work toward preventing future conflicts. Safe corridors must be secured in order to protect children and families from surrounding war or violence. Concern for children was first indicated in the formation of UNICEF in the aftermath of World War II. Since that time, civilians, mostly women and children, have been the dominant population suffering from the effects of war. By 1991, 80% of the 20 million killed and the 80 million wounded were women and children involved in 150 conflicts. In the recent past, the Gulf War had a disastrous impact on children. Infant mortality increased from 39/1000 to 111/1000 and low birth weight rose from 5% to 12%. Child mortality of these under 5 years increased from 48/1000 to 143/1000. Another impact of armed conflicts on children is psychological trauma and detachment from emotional ties and enjoyment, and sleeplessness. Other symptoms are described. Recent action to counteract children's trauma has been taken in Kuwait, Mozambique, and Sri Lanka. Community-based programs help to identify needy children through parent and teacher education and to offer counseling. Several manuals are available on how to help children affected by war. One strategy is the establishment of a trauma center. In the Philippines, programs have been developed to involve children in therapy through drama, painting, and dance. India has experienced severe rioting, which has left many women and children orphaned. Programs need to be developed to deal with the effects on women and children.
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