Primary mental health care for survivors of collective sexual violence in Rwanda

被引：30
|
作者：
Zraly, Maggie [1 ,2 ]
Rubin-Smith, Julia
Betancourt, Theresa [3 ]
机构：
[1] Natl Univ Rwanda, Sch Publ Hlth, Dept Epidemiol, Kigali, Rwanda
[2] Penn State Univ, Dept Anthropol, University Pk, PA 16802 USA
[3] Harvard Univ, Sch Publ Hlth, Francois Xavier Bagnoud Ctr Hlth & Human Rights, Dept Global Hlth & Populat, Boston, MA 02115 USA
来源：
GLOBAL PUBLIC HEALTH | 2011年 / 6卷 / 03期
基金：
美国国家科学基金会;
关键词：
Rwanda; sexual violence; primary health care; global mental health; post-conflict; GENOCIDE-RAPE; RESILIENCE; CONFLICT; CHILDREN;
D O I：
10.1080/17441692.2010.493165
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
This paper draws attention to the obligation and opportunity to respond to the mental health impacts of collective sexual violence (CSV) among genocide-rape survivors in post-genocide Rwanda. Qualitative data gathered from CSV survivors who were members of Rwandan women's genocide survivor associations are presented to illustrate how they strive to overcome adversity while seeking access to quality mental health care and using informal community mental health services. The results reveal that a system of high quality, holistic health and mental health care is yet needed to meet Rwandan CSV survivors' complex and serious health and mental health needs. Given that a rural health system, modelled on community-based, comprehensive HIV/AIDS care and treatment, is currently being implemented in Rwanda, we recommend enhancements to this model that would contribute to meeting the mental health care needs of CSV survivors while benefiting the health and mental health system as a whole within Rwanda.
引用
收藏
页码：257 / 270
页数：14
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