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  • Title: Where there is no village: teaching about sexuality in crisis situations.
    Author: Ecker N.
    Journal: SIECUS Rep; 1998; 26(5):7-10. PubMed ID: 12348573.
    Abstract:
    The author conducted a training program on adolescent sexuality education and reproductive health for the staff of the humanitarian and relief agencies serving the refugee camps in Africa's Great Lakes region. Participants reported that, for many adolescent refugees, exploitative sex is inextricably linked to survival. Displaced youth are often sexually victimized in exchange for food, shelter, and protection. Participants identified numerous factors that adversely affect the sexual health of adolescent refugees: migration-related disruptions in the transfer of sexual health information; a state of cultural limbo, in which refugees are part of neither the country they fled nor the new culture; use of unaccompanied minors as a source of cheap labor; dangerous misinformation regarding HIV/AIDS and other sexually transmitted diseases; a high prevalence of unintended pregnancy and unsafe abortion; unequal power dynamics in the camps; stereotypical gender roles that promote sexual exploitation and violence; tacit acceptance of child marriage; and the fact that United Nations High Commission on Refugees-supported schools cover only elementary education. An important first step toward improving this situation is more awareness on the part of key change agents about the health, social, and emotional needs of adolescent refugees. Specific recommendations include the provision of contraceptives and other sexual health services to adolescent refugees, training of grass-roots educators to work with parents and peer educators to work with youth, standardization of program development and implementation guidelines, creation of advocacy groups, focus group discussions with the target population, and recreational and social programs to promote self-esteem and personal development.
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