Internally Displaced Research Articles

Changes in mental health stigma among healthcare professionals and community representatives in Northern Sri Lanka during an mhGAP intervention study.

Research indicates that exposure to conflict, natural disasters, and internal displacement can increase mental health conditions. Since the end of the civil conflict within Sri Lanka, the country has worked to increase access to mental health services to meet the needs of conflict-affected populations, however, gaps remain. To address this, integration of mental health services into primary care can reduce the strain on growing specialized care. As part of a larger study primary care practitioners (doctors), public health professionals (nurses, midwives), and community representatives (teachers, social workers) were trained to deliver mental health services in primary care across the heavily impacted Northern Province. The aim was to reduce mental health stigma among enrolled healthcare workers and community representatives by 50%. Stigma was measured across all participant groups at six time points: pre- and post- initial training at baseline, pre- and post- refresher training 3-months after initial training, and pre- and post- refresher training 6-months after initial training. Results indicate a small improvement in average stigma scores at the 6-month refresher point for primary care practitioners, and no meaningful difference in average scores across time points for public health professionals or community representatives. World Health Organization mhGAP training appears to reduce stigma among primary care practitioners and could be an effective strategy to counteract mental health stigma in low resource settings. Future research should investigate underlying mechanisms of stigma reduction to improve delivery of mental health services in primary care and community settings.

Social Inclusion and Justice for the Internally Displaced by the Herdsmen-Farmers Conflict in Benue State, Nigeria

Executive Summary Herdsmen-farmers conflict has displaced 1.5 million residents of Benue State, Nigeria, according to government officials. Internally displaced persons (IDPs) have lost livelihoods, farms, personal property and community infrastructure. The paper highlights the social challenges they have experienced and the response by government and international humanitarian agencies (IHAs) to their situations. Based on interviews with 12 IDPs belonging to the displaced population from Guma Local Government Area of Benue State and interviews with seven humanitarian workers, the paper finds that the IDPs: • Have lost family members, neighbors, farms, churches, health centers, and means of mobility. • Cannot safely return home or access their ancestral lands. • Cannot support themselves. • Cannot attend public school or progress to a university. • Lack access to quality health care. • Live with multiple families in insecure shelters. • Cannot reliably obtain birth registration and replace other destroyed documents. • Can register their names, family relations, and former villages, but not their losses, which might lead to compensation and help them to rebuild their lives. The paper makes the following recommendations. • Registration, Effective Remedies and Access to Justice: The Benue State Emergency Management Agency (BSEMA), Federal Ministry of Humanitarian Affairs (FMHA) and United Nations High Commission for Refugees (UNHCR) should document personal and community socio-economic losses to ascertain the extent of damage to IDPs in order to facilitate effective remedies. The Ministries of Justice, the National Human Rights Commission, and UNHCR should support the IDPs by providing them with information and procedures that allow them to secure full compensation for their losses, and with safe, permanent solutions to their situations, including full integration into their host communities, safe and voluntary return home, or resettlement in a third community. • Engage IDPs as Stakeholders: The Benue State Government should ensure that BSEMA communicates to IDPs the possibilities for voluntary and dignified safe return. If return is not immediately foreseeable, BSEMA should offer IDPs the means to relocate and resettle elsewhere. • Provision of Sustainable Social Amenities: BSEMA, the FMHA, and international humanitarian agencies (IHAs) should provide sustainable healthcare, shelter, education in IDP camps, financial assistance and the means to access services outside of IDP camps. • Peace through Establishment of Ranches: Benue State Government’s Peace Commission should resolve the herdsmen-farmer conflict and restore peace by promoting peaceful co-existence between the conflicting parties. Herdsmen should be educated on the procedures for legal land acquisition for ranching, and farmers should be able to seek legal redress when their farms are damaged by grazing cattle. BSEMA and the Federal Ministry of Humanitarian Affairs should also facilitate voluntary, safe and dignified return of IDPs or their resettlement in another community. • Safeguard IDP Camps: BSEMA and the Nigeria security agencies should safeguard official and unofficial IDP camps. • Inclusive Policy Implementation: The FMHA in collaboration with the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) should develop humanitarian response plans that are beneficial to all IDPs in Nigeria irrespective of the cause of their displacement.

Association between forced displacement and cigarette smoking among Colombian adolescents

ABSTRACT Objective To establish the relationship between forced displacement and cigarette consumption among high-school students in Colombia. Methods A cross-sectional study was designed with the participation of high-school students (10th and 11th grade in Colombia) under 18 years of age. The crude and adjusted relationship (odds ratios) between internal forced displacement and cigarette consumption during the last month was established. It was adjusted for covariates (age, gender, educational level, and income) and confounding variables (depression and family dysfunction). Results 1,462 students between the ages of 13 and 17 participated (M = 15.98; SD = 0.83); 60.33% were women, 55.34% were in tenth grade, and 49.59% lived in low-income neighborhoods. A total of 113 (7.73%) students reported forced displacement, 103 (7.05%) reported depression, 1,112 (76.06%) scored for family dysfunction, and 149 (10.19%) students reported last-month cigarette consumption. After adjusting for covariates and confounding variables, forced internal displacement and cigarette smoking showed a statistically significant association (OR = 2.48, 95%CI 1.47–4.21). Conclusions A statistically significant relationship between forced displacement and last-month cigarette smoking among Colombian adolescents is observed. It is necessary to investigate other social determinants related to adolescent cigarette smoking.

Internally Displaced Persons and Socio-territorial Integration in the Commune of Kaya in Burkina Faso: A Sustainable Solution Study

Burkina Faso, previously spared from destabilization of all kinds, suffered its first terrorist acts in April 2015 in Samorogouan. These first terrorist acts were followed by several others that led to the forced internal displacement of nearly 2,000,000 people. These IDPs have chosen 301 municipalities spread across the 13 regions of the country as destinations for refuge. The main objective of this study is to analyse the living conditions and socio-territorial integration of IDPs and durable solutions to address the crisis of forced internal displacement in the commune of Kaya. The research methodology consisted of conducting a literature review on the study topic, collecting primary data through field surveys, interviews and direct observations in the study area. The results of this study show that IDPs in Kaya commune face precarious living conditions. On the other hand, their conditions for socio-territorial integration are good in view of the cordial relations that the IDPs maintain with the host populations of the commune. In addition, durable solutions to address the forced internal displacement crisis include the resettlement of IDPs in other parts of the country, return to areas of origin and integration in IDP-hosting areas. These solutions could address forced internal displacement and address those affected. This would facilitate the reintegration or socio-territorial integration of IDPs either in their areas of origin or in their reception areas.

A new configuration of lateral-pin fixation for pediatric supracondylar humeral fracture: A biomechanical analysis.

The aim of this study was to biomechanically compare a new lateral-pinning technique, in which pins engage the medial and lateral columns of the distal humerus in a divergent configuration in both the axial and sagittal planes instead of the coronal plane, with the cross-pin, and with 2 and 3 coronally divergent lateral-pin techniques in a synthetic humerus model of supracondylar humerus fractures. Thirty-six identical synthetic models of the humerus simulating a standardized supracondylar humerus fracture were included in this study. They were divided into 4 groups based on the pin configuration of fixation: the new 3-lateral pin-fixation technique (group A), 2 crossed pins (group B), 3 divergent lateral pins (group C), and 2 divergent lateral pins (group D). Each model was subjected to combined axial and torsional loading, and then torsional stability and torsional stiffness (Nmm/°) were recorded. Group A had greater rotational stability than groups C and D but had no statistically significant additional rotational stability compared with group B (P=.042, P=.008, P=.648, respectively), whereas group B had greater rotational stability than only group D (P=.020). Furthermore, group A demonstrated higher internal rotational stiffness compared with groups C and D (P=.038, P=.006, respectively). Group B had better internal rotational stiffness than group D (P=.015). There was no significant difference in internal rotational stiffness between groups A and B (P=. 542), groups B and C (P=.804), and groups D and C (P=.352). Although no statistically significant differences existed between groups A and B, the modified pin configuration exhibited the highest torsional stability and stiffness. Group D showed the lowest values in all biomechanical properties. This study has shown us that this new lateral-pinning technique may provide torsional resistance to internal rotational displacement as strong as the standard technique of crossed-pin configuration of fixation. Furthermore, with this new pin configuration, greater torsional resistance can be obtained than with either the standard 2- or the standard 3-lateral divergent pin configuration. Cite this article as: Bilgili F, Demirel M, Birişik F, Balcı Hİ, Sunbuloglu E, Bozdag E. A new configuration of lateral-pin fixation for pediatric supracondylar humeral fracture: A biomechanical analysis. Acta Orthop Traumatol Turc., 2023 10.5152/j.aott.2024.21091 [Epub Ahead of Print].

Abstract PO5-10-11: BREAST CANCER DIAGNOSIS AND TREATMENT AMONG DISPLACED AND HOST POPULATIONS IN NORTH-WEST SYRIA

Abstract INTRODUCTION: The protracted Syrian conflict has forcibly displaced more than half the pre-conflict population of 22 million people with 6.7 million IDPs (internally displaced people.) 80% of IDPs are women and children. Given a lack of humanitarian funding for oncology services, NGOs like the Syrian-American Medical Society (SAMS), have used private funding to establish oncology services. We sought to explore differences in breast cancer diagnosis and treatment among IDPs and host populations in SAMS oncology centre in Idlib governorate. METHODS: Charts of women seen diagnosed with breast cancer at the SAMS Oncology Centre in Idlib governorate between March 2018 and February 2021 were reviewed. Clinicopathologic data was extracted, and non-parametric statistical analyses were performed to compare citizens vs. those who were displaced. RESULTS: Data for 188 patients were available; for 108/188 (57%) details of IDP versus host status was available. 61/108 (56%) were IDPs, 47 (44%) were host. The median age at diagnosis was similar between citizens and those who were displaced. Further, the clinicopathologic features and treatment between these two groups were similar. The time between onset of symptoms and diagnosis was imilar between the host population and IDPs (median 125.5 days vs. 77 days, respectfully, p=0.255), although there was a trend towards a shorter time from diagnosis to initiation of treatment for IDPs (median 19 days vs. 14 days, p=0.051). CONCLUSION: From this cohort study, it is notable that there were no significant differences in the tumor size, node positivity or grade at diagnosis. Further, although IDPs are usually considered to have more challenging access to healthcare services compared to host populations, it was notable that there was no significant difference between the time of onset of symptoms to diagnosis between the two groups, and a trend towards a shorter time to treatment. Although this may be related to the relatively small sample size, it may also reflect other commitments of host populations (e.g., employment) that may delay care, or the work of humanitarian organizations in reaching displaced populations. Further, given that in northwest Syria, more than 65% of the 4-4.6 million people in the area are IDPs, access to care between the two groups may be similar. Further work is required to explore this. Table. Citation Format: Anees Chagpar, Aula Abbara, Alaa Alshemali, Fares Alahdab, Moahmed Hamze, Bassel Attassi, Jude Alawa, Sydney Cech, Lawrence Tang, Kaveh Khoshnood. BREAST CANCER DIAGNOSIS AND TREATMENT AMONG DISPLACED AND HOST POPULATIONS IN NORTH-WEST SYRIA [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-10-11.

Assessing the mental health needs of Yazidi adolescents and young adults in an Iraqi Kurdi IDP Camp: a focus group study

BackgroundInternally displaced people (IDP) in Iraq are 1.2 million (as March 2023). Protracted refugee status endangers the mental health, especially of minorities who survived persecution and conflict, such as the Yazidis. This study aims to identify the mental health needs of Yazidi adolescents and young adults (AYA) in the IDP camp of Bajed Kandala (Iraqi Kurdistan).MethodsA focus group discussion (FGD) study was conducted between April and August 2022. The FGDs involved AYAs, as well as the staff of the clinic of the Bajed Kandala camp. An inductive approach was adopted referring to the ’theme’ as the unit of content analysis of the text. All FGDs were recorded and transcribed. The analysis was carried out independently by two researchers. The inter-rater agreement was assessed through the Cohen’s k.ResultsA total of 6 FGDs were conducted. The participants were 34 of whom 21 (61.8%) females with a median age of 18.5 years (IQR 17.0–21.0). A total of 156 themes were found as relevant to the objective of this study. Four main areas and twelve subareas of needs in mental health were identified. The interrater agreement over the main area and subareas was good (κ = 0.78 [0.95CI 0.69–0.88], κ = 0.82 [0.95CI 0.73–0.91], respectively). The four areas had a similar frequency: Activities (28.2%), Individual (27.6%), Social relationships (22.4%) and Places/setting (21.8%). The subareas ‘community’ and ‘internal resources’ were labelled as negative 85.7% and 61.9% of the time, respectively. These sub-areas referred to stigma and self-stigma towards mental health. The subarea ‘female condition’ was always considered as negative, as well as the subareas ‘camp’ and ‘tent’ referring to housing as an important social determinant of mental health.ConclusionsCommunity stigma and self-stigma are two still important factors preventing the achievement of mental well-being. Alongside these, a gender gap in mental health was identified in the FGDs. These factors should be taken into account in order to guide future mental health interventions in refugee camps.

Legal regulation of labor of internally displaced persons in Ukraine

Purpose. To study the regulatory and legal provision of labor regulation of internally displaced persons (IDPs) in Ukraine. To identify the impact of changes in legislative norms regarding this issue on the effectiveness of legal regulation of IDP labor. To develop recommendations for clarification of legal provisions and propose directions for reducing potential conflict. Methodology. The following methods are used: analysis and synthesis made it possible to substantiate the importance of regulating labor of IDPs; logical generalization – to indicate that legal regulation in judicial practice should be based on the essential content of the basic citizen rights; comparative analysis – to point out the inappropriate level of imperativeness in the legislation regarding legal protection of IDPs; logical generalization – to propose a tool for pre-trial dispute resolution; formal-legal and special-legal methods – to develop changes to legislative provisions. Findings. Problematic issues of regulating the right of IDPs to work are indicated. It is noted that the regulation of the right to work is much broader than the problems of employment of IDPs. The inappropriateness of the level of imperativeness of legislative norms regulating the right of IDPs to work is indicated. A need is justified for pre-trial consideration of disputes regarding protection of the right to work. It is proposed to introduce an institute of mediator lawyers for this purpose. In order to avoid discrimination of IDPs in employment and defamation in the performance of duties under an employment contract, amendments to the Code of Labor Laws are proposed. Originality. Measures to strengthen the imperative of the norms of the current legislation aimed at regulating the labor of IDPs are proposed. Changes to the provisions of the current Laws of Ukraine and directions for reducing the potential for conflict in this area are proposed. Practical value. The implementation of the proposed recommendations on changes to the provisions of the current legislation will contribute to the legal regulation of the labor of IDPs.

Looking for Safe Haven in a City Torn Apart by War: Narratives of agency from internally displaced persons in the southern Philippines

In this paper, I interrogate the dominant representation of internally displaced persons (IDPs) in humanitarian discourse as helpless victims in need of rescue. Based on the stories of IDP women and gender diverse individuals in the Philippines affected by the Zamboanga City siege in 2013, I illustrate how they exercised agency to shape their trajectories of displacement. The capacity of Filipino IDPs to contend with their displacement is shaped by their power as bakwit (evacuees), and by their class and ethnoreligious identities. While Christian Filipino IDPs had access to material, financial, and social resources, allowing them to engage in temporary migration after displacement, Muslim Filipino IDPs with limited access to these same resources found themselves in unwanted mobility and prolonged situations of displacement. Yet, Muslim Filipino IDPs do not lack agency, as they continue to actively and consciously forge new strategies to regain a sense of home in extended exile. Ultimately, while identifying bakwit power as a useful conceptual tool to make legible how IDPs exercised control at different stages of their displacement, embracing such a framework should not negate the long history of political violence in the region that continues to keep some people on the move.

Spatial Analysis of Internally Displaced Persons’ Camps in Borno State, Nigeria

The situation in Borno State, Nigeria has been exacerbated by the ongoing insurgency led by Boko Haram in northeast Nigeria, leading to widespread displacement and the establishment of Internally Displaced Persons (IDP) camps. This study aims to identify the locations of IDP camps in Borno State and analyze their spatial distribution, density, and clustering patterns. Furthermore, it seeks to investigate the geospatial implications of these patterns. To achieve this, the study employs geospatial analysis techniques such as Kernel Density Estimation, Cluster and Outlier Analysis, Nearest Neighbour Analysis, and Spatial Autocorrelation Analysis. The data collected for this study includes location coordinates, satellite imagery, demographic information, and administrative maps. The findings reveal that the distribution of IDP camps in Borno State is non-random and demonstrates varying camp densities across senatorial districts, with predominant high-high clusters and a deliberate, non-random arrangement. These results align with spatial analysis theories, emphasizing the importance of recognizing hidden inequalities in IDP camps and informing targeted interventions and resource planning for a more effective and equitable humanitarian response in Borno State. The implications extend to policy planning and enhanced vulnerability assessment for effective humanitarian responses, stressing the need for tailored interventions based on identified hotspots that address root causes and implement both immediate and long-term solutions. Future research directions could involve more in-depth investigations into the influencing factors, socio-economic impacts, and temporal dynamics of spatial patterns in displacement.

Communal conflicts in Nigeria: Assessment of the impacts on internally displaced persons and settlements amidst COVID-19 pandemic

Acknowledging that violent communal conflicts can lead to increased displacement and overcrowding in IDP camps, this study investigates the impact of such conflicts on internally displaced persons (IDPs) and their camps in Benue State, Nigeria, amid the COVID-19 pandemic. Employing a mixed-method approach, 386 IDPs and 20 stakeholders were purposively selected. Based on the research objectives, descriptive and inferential statistics were employed to analyze the research objectives. Employing logistics and multi-linear regressions, the data reveal that unregulated access to IDP camps resulted in overcrowding, straining resources like food and shelter. The study identifies economic losses and various challenges stemming from communal conflict and COVID-19, causing chaos, anxiety, and uncertainty in the IDP camps. These findings highlight the urgent need for ongoing humanitarian assistance to alleviate the precarious conditions faced by IDPs and their camps nationwide and recommend that the IDPs camps across the country need constant humanitarian aid to mitigate the various precarious conditions in the camps.

Prolonged contact does not reshape locals' attitudes toward migrants in wartime settings

AbstractDespite record numbers of internally displaced persons (IDPs) globally, we know little about the causal effects of intergroup contact between migrants and locals in active conflict settings. We conduct a randomized controlled trial of a vocational skills‐training program implemented by Mercy Corps that enrolled 2597 locals and migrants in near equal numbers in Kandahar, Afghanistan, where IDPs face daily prejudice and discrimination. Courses lasting up to 6 months emphasized collaborative learning and soft skills development. We surveyed participants at endline and followed up 8 months later. While the program provided the most sustained duration of intergroup contact (360–720 h) experimentally evaluated to date, we find no evidence of reported behavioral or attitudinal change by locals (N = 1276) toward migrants generally, regardless of classroom demographics or course duration. Our findings suggest that prolonged contact through vocational training programs is insufficient to improve relations in conflict settings.

Соціально-економічні виклики інтеграції та просторового розподілу внутрішньо переміщених осіб унаслідок війни

The full-scale Russian military aggression against Ukraine launched on February 24, 2022 has led to a massive flow of forced migrants, both external and internal, which is unprecedented and the most massive forced displacement in Europe since World War II. So far, there is a significant inequality of attention to the socio-economic needs of internally displaced persons (IDPs) and refugees, because most activities of international institutions and scientific attention are devoted to the needs and study of refugees, while the needs of IDPs are often “ignored” or understudied in terms of disproportionate spatial distribution of IDPs, challenges of integration into host communities, problems of consolidation of IDPs and local population, etc. The analysis of the existing body of literature on Ukrainian IDPs showed that the study of their current socio-economic situation, problems with integration into host communities and features of spatial distribution is poorly represented for the period of a full-scale Russo-Ukrainian war against the background of a huge body of pre-2022 literature. Taking into account such an insignificant body of literature on post-2022 Ukrainian IDPs, the main tasks of this study are twofold: (1) to fill the gap and expand the spectrum of knowledge about the current socio-economic situation of Ukrainian IDPs and the key problems of their integration into host communities in the conditions of a full-scale Russo-Ukrainian war; (2) analyze positive and negative international practices of IDP integration and develop recommendations for Ukraine. This article is devoted to the analysis of trends and the identification of the main socio-economic challenges of the integration and spatial distribution of Ukrainian IDPs, as well as the development of proposals for using their migration potential for the resilient development of Ukraine and host communities. The novelty of the research lies in the highlighting of positive and negative international practices of IDP integration and, as a result, the necessity of forming long-term solutions regarding the urgent socio-economic needs of Ukrainian IDPs and their spatial placement is emphasized. The dataset of the study was formed on the basis of data from reports of various international organizations and data from official state statistics. To achieve the goal of the article, quantitative methods are used, in particular, descriptive statistics and ranking. It was established that in the global context, Ukraine ranks third in the world by the number of IDPs, and their number is almost 6 million people (7 times more than before the full-scale Russian invasion), which definitely impacts the course of global migration processes. In the national context, it was found that the pattern of the spatial distribution of IDPs within the country indicates that most IDPs gravitate to the regions where the role of the regional centre is performed by one of the five metropolises of Ukraine (not including temporarily occupied Donetsk) — Kyiv, Kharkiv, Odesa, Dnipro and Lviv, which are powerful socio-economic centres and flagships of the country’s settlement system. It was found that the biggest challenges for the socioeconomic integration of IDPs into host communities are high unemployment, financial difficulties in meeting basic needs, housing problems, social stigmatization, as well as conflicts between IDPs and the population of host communities. The analysis showed that the current situation with Ukrainian IDPs requires from the government of Ukraine and the authorities of the host communities not short-term, but longterm solutions to the urgent problems of IDPs: in particular, social housing and proper housing conditions, social protection, avoiding shameful international practices of spatial placement of IDPs and much more.

The effects of exposure to violence on social network composition and formation

How does exposure to violence affect civilian social networks during wartime? Social networks play critical roles in civil wars by enabling civilians to endure the destruction of conflict. However, little is known about how these networks change in response to violence. I employ original survey data from camps for the internally displaced in Kachin State, Myanmar, an area of active civil conflict, to determine how exposure to violence affects the social networks of internally displaced people (IDPs). I find that those exposed to violence have fewer initial, new, and close ties. However, those exposed to violence do not form ties with other exposed IDPs at a higher rate than with non-exposed IDPs.

The impact of emotional intelligence on coping strategies for psychological trauma

The aim is to determine the impact of emotional intelligence on coping strategies for psychological trauma. Methods: The research was conducted using survey and testing based on diagnostic methods: Primary Care PTSD Screen, WCQ, EQ-test. Statistical methods were used: ANOVA, descriptive statistics, regression analysis. Two hundred seventy internally displaced persons (IDPs) aged 23 to 48 participated in the study. The study found that subjects with PTSD signs have low emotional intelligence (M=32.31±14.88) and confrontation (M=12.68±4.08), distancing (M=12.74±4.62), avoidance (M=13.85±4.97) coping strategies. Regression analysis established that a low level of emotional intelligence promotes confrontation (β=-1.926±0.296) and distancing (β=-1.198±0.386) coping, and a high level of emotional intelligence develops a problem-solving strategy (β=1.277±0.298). The results make it possible to expand the range of providing psychological assistance in overcoming psychological trauma through the formation of emotional intelligence. This will ensure the assimilation of constructive coping as elements of conscious overcoming of life's difficulties. Increasing the level of emotional intelligence and adaptive behavior strategies will help reduce feelings of stress due to trauma. The obtained results open opportunities to study the impact of emotional intelligence on individuals who experienced traumatic events. Studying external and internal factors contributes to emotional intelligence development. Identifying individual and socio-cultural aspects of coping strategies enhances psychological support methods. Understanding emotional intelligence's influence helps design programs to develop it and overcome psychological trauma, including telepsychology.

Policy planning and practical implementations of coastal adaptation strategies to reduce the impact of sea level rise in the coastal region of Kanyakumari District, Tamil Nadu, India

Coastal adaptation is a scientific process, and social, economic, and political adjustment of coastal management policies to minimize the climate impact and increase the resilience in the coastal system. The Kanyakumari coastal region encompasses industrial, ecological, residential and tourist hotspots with high sensitivity for the impact of sea level rise. We used mixed policy tools to evaluate the impact in the coastal region and develop adaptation strategies which are integrated into existing management. To be an effective implementation of adaptation policy, we propose five guiding principles: (i) Develop a coastal settlement management plan for accelerated sea level rise in each fishing hamlet by incorporating the plan into sub district planning. (ii) Entitle a Multipurpose Cyclone Shelter (MCS) in each fishing hamlet and each one access for refugee seekers during a cyclone and later for internally displaced persons (IDPs). (iii) Develop a database system at village level to set up the coastal adaptation policies against sea level rise and a database system should be update time to time (climate, population, migrants, vulnerability data). (iv) Setup an Agricultural Conservation Practices (ACP) and Wetland Reclamation Plan (WRP) in the wetland-rich coastal plain region. (v) Practical approaches to linking the coastal adaptation plan in the study area to the Sustainable Development Goals (SDGs) targets and indicators are proposed.

Perceptions of fatherhood among people displaced by war in the southern Philippines

ABSTRACT This study interrogates the experiences of people in conflict-induced internal displacement, specifically, among the internally displaced persons (IDPs) from the southern Philippines. The interest is to describe and examine how IDPs, particularly male parents, navigate their families through the hardships of being uprooted from their traditional communities because of war. The study was participated by 13 Maranao Muslim IDP fathers through semi-structured, face-to-face interviews. Findings revealed three major themes; the paternal miseries in displacement, perceptions of paternal roles, and the consequences of displacement-induced poverty on self-perceptions of fatherhood. The findings show that being continually confronted by unfulfilled roles together with an underlying social expectation attached to gender, fathering not only becomes a difficult task to accomplish but is also creating a negative self-image of fatherhood.

Effects of blast exposure on anxiety and symptoms of post-traumatic stress disorder (PTSD) among displaced Ukrainian populations.

Generalized anxiety and symptoms of post-traumatic stress disorder (PTSD) are common among individuals forcibly displaced during war and conflict. Blast exposure may be one important contributor of such symptoms. The aims of this study were to provide data on blast-related experiences of internally displaced persons (IDPs) and refugees following Russia's invasion of Ukraine, and to assess the influence of blast exposure on generalized anxiety, and PTSD flashbacks and nightmares. An online health needs survey was distributed to Ukrainian IDPs and refugees between April and July 2022 using Facebook Ads Manager. Participants reported whether they experienced blast exposure since the beginning of the invasion, and whether they took medication for a mental health condition before the war started. Finally, they completed measures of generalized anxiety (GAD-2), and PTSD flashbacks and nightmares. Analyses included 3253 IDPs and 5073 refugees (N = 8326). Results revealed that 67.6% of total participants- 79.9% of IDPs and 61.7% of refugees-reported blast exposure since Russia's invasion. Further, 69.1% (95% CI: 68.05, 70.15) of total participants met the cut-off for generalized anxiety in which further diagnostic evaluation was warranted. Compared to refugees, IDPs reported higher generalized anxiety and greater frequency of PTSD symptoms, specifically flashbacks and nightmares. Further analyses revealed that the impact of blast exposure on flashback frequency was stronger among IDPs compared to refugees (β = 0.51; t(8322) = 11.88, p < .0001, 95% CI: 0.43, 0.60) and among participants with pre-existing mental health conditions compared to those without (β = 0.18; t(8157) = 2.50, p = .013, 95% CI: 0.04, 0.33). Mental health and psychosocial support must be prioritised within humanitarian relief for both IDPs and refugees and especially among people with underlying mental health conditions.

Analysis of The Effects of Service Delivery on The Wellbeing of Internally Displaced Persons (IDPS) in Federal Capital Territory (FCT), Abuja

Analysis of The Effects of Service Delivery on The Wellbeing of Internally Displaced Persons (IDPS) in Federal Capital Territory (FCT), Abuja

Excavation Effects on Reinforced Concrete Pile Foundations: A Numerical Analysis

The intricacies of foundation pit engineering often result in alterations to the surrounding environment, posing potential threats to the safe operation of nearby buildings and pile foundations. This study employs finite element numerical simulation to scrutinize the influence of vacuum preloading pressure, preloading duration, excavation slope ratio, excavation duration, and retaining pile wall depth on the stress and deformation of existing plain concrete pile foundations. The findings reveal that the impacts of excavation are primarily absorbed by both proximal and distal piles in relation to the pit. Moreover, elevating vacuum preloading pressure and extending the preloading duration during dewatering can lead to increased internal forces and displacement of the piles. Changes in excavation slope ratio exhibit minimal effects, while prolonged excavation duration can shift internal forces from predominantly positive to negative, with negligible impact on horizontal displacement. Importantly, augmenting the depth of the retaining pile wall embedding effectively mitigates the effects of pit excavation.