Post-conflict Settings Research Articles

Gender Bias in Policy Representation in Post-Conflict Societies

Do politicians represent the policy preferences of men and women equally post-war? Gender inclusiveness has particularly high stakes in this context: research shows that it can help sustain peace. We use a series of survey experiments with politicians ( N = 1389) and voters ( N = 3049) to study gender bias in policy representation in a post-conflict setting: Bosnia. We find a significant pro-male bias in the policy responsiveness of local politicians (both men and women) to their constituency preferences. We do not find evidence that this is because men are more active and vocal about expressing their policy preferences. Instead, this bias is present in the post-war society more generally: politicians’ attitudes reflect the pro-male bias among voters, both men and women. These results have important implications for the study of gender and post-conflict politics.

Health inequalities in post-conflict settings: A systematic review.

Conflict can be a primary driver of health inequalities, but its impact on the distribution of social determinants of health is not very well documented. Also, there is limited evidence on the most suitable approaches aiming at addressing health inequalities in post-conflict settings. Thus, we undertook a systematic review of the literature concerning the current knowledge and knowledge gaps about structural determinants of health inequalities and assessed the effects of approaches aimed at addressing health inequalities in post-conflict settings. We performed a systematic search in bibliographic databases such as Web of Science, PubMed, and PsycINFO for relevant publications, as well as institutional websites that are relevant to this topic. The search was initiated in March 2018 and ultimately updated in December 2020. No time or geographical restrictions were applied. The quality of each study included in this review was independently assessed using criteria developed by CASP to assess all study types. Sixty-two articles were deemed eligible for analysis. The key findings were captured by the most vulnerable population groups, including the civilian population, women, children, internally displaced persons (IDPs), and people with symptoms of mental illness. A considerable range of approaches has been used to address health inequalities in post-conflict settings. These approaches include those used to address structural determinants of health inequalities which are accountable for the association between poverty, education, and health inequalities, the association between human rights and health inequalities, and the association between health inequalities and healthcare utilization patterns. However, these approaches may not be the most applicable in this environment. Given the multifactorial characteristics of health inequalities, it is important to work with the beneficiaries in developing a multi-sector approach and a strategy targeting long-term impacts by decision-makers at various levels. When addressing health inequalities in post-conflict settings, it may be best to combine approaches at different stages of the recovery process.

Discrimination in post-conflict settings: Experimental evidence from Colombia

After a civil war, community support for the reintegration of ex-combatants is crucial for peace-building. Using a crowdfunding campaign to promote trainees’ business ideas, we investigate whether university students discriminate against ex-combatants in Colombia. Our results show that there is no discrimination against ex-combatants in terms of donations compared with other trainees, but there is a substantial degree of prejudice and skepticism. This finding suggests that the reintegration of ex-combatants might be affected by the NIMBY phenomena. Although willing to economically support the peace process, individuals are skeptical towards personal encounters with ex-combatants. This suggest that to achieve sustainable peace, policies should focus on decreasing stigmatization towards ex-combatants.

Women, Peace and Security across scales: exclusions and opportunities in Iraq's WPS engagements

Abstract While space, positionality, hierarchy and location have been central undercurrents to understanding women's participation and uptake of the Women, Peace and Security (WPS) agenda, there has been little conceptual clarity about how these dynamics play out in post-conflict settings, nor on the impact that this has on women's civil society networks in these locations. In turn, this silence depoliticizes, decontextualizes and flattens the complex and diverse uses of the WPS agenda in post-conflict settings, as well as the diverse civil society arrangements underpinning this activity. This article makes the issue of space and its political nature central (captured through the use of the ‘politics of scale’), with reference to Iraq as a context for unpacking these dynamics. I explore how Iraqi women participate across different scalar contexts linked to the WPS agenda, and navigate exclusions and opportunities within and across them. Drawing on interviews, speeches and policy material from Iraqi women's organizations and their international partners, I argue that grasping how hierarchies related to scale, identity, resourcing and positionality are reproduced in local and national contexts is vital to understanding the uptake and rewriting of the WPS agenda in post-conflict settings. Further, I explore how Iraqi women's organizations are responding to openings and attempting to challenge the spatial arrangements within and across the different scales they work and participate in.

Implementation of a non-randomized controlled trial of yoga-based intervention to reduce behavioural issues in early adolescent school-going children in Sri Lanka

BackgroundAdolescence can be difficult to navigate and the post-conflict environment in Jaffna Province, Sri Lanka compounds existing issues for adolescents. Conduct problems, hyperactivity along with emotional problems are challenges faced by adolescents, particularly in fragile, post-conflict settings. This study was a non-randomized controlled trial carried out in 4 educational zones over 6 months. The study implemented a yoga-based intervention package: two types of slow breathing for 5-6 min, Surya-namaskaram for 6-8 min, and mindfulness meditation for 5-6 min. Pre/post quantitative assessments were conducted with intervention and control groups. A focus group was conducted with the intervention group. The aim was to evaluate. Effectiveness of implementing a yoga-based intervention package in grade 8 school children (early adolescents) to address behavioural problems.ResultsPaired t-test and independent t-tests were completed for both arms using statistical product and service solutions (SPSS21). Parents’ assessments of emotional issues reduced for the intervention group (n = 584) [t(584) = 11.41, p = 0.001] along with reduction of the total difficulty score [t(584) = 28.12, p = 0.001]. Teachers’ assessments indicated prosocial scores improved in the intervention group [t(584) = − 28.5, p = 0.001]. Students’ self-assessments in the intervention group indicate a reduction in emotional problems [t(584) = 6.4, p = 0.001], and reduction in problems with peers [t(584) = 14.4, p = 0.001]. Within the control group (n = 499), teachers’ assessments indicated emotional problems increased [t(499) = − 9.5, p = 0.001] and prosocial scores reduced [t(499) = 13.5, p = 0.001]. Students’ self-assessments in the control group indicated emotional problems increased [t(499) = − 27.1, p = 0.001]. A comparison of post-test scores revealed a statistically significant difference between groups. Focus group results indicate students felt the intervention had an overall positive effect on school achievements, family dynamics and individual health.ConclusionsThis yoga-based intervention package appeared to be effective in reducing both externalizing and internalizing symptoms in adolescents. Practicing Surya-namaskaram, breathing control techniques and mindfulness meditation significantly reduced both externalizing symptoms (conduct problems and hyperactivity) as well as internalizing symptom (emotional problem and peer problems). It is recommended this intervention be scaled up across Sri Lanka and other similar post-conflict regions.

Peace Education in Post-Conflict Settings

Peace Education is considered to be an important pillar in preventing armed conflict and promoting positive peace. The aim of this article is to understand if education systems help development of peace processes in post-conflict settings and if the idea of implementing Peace Education into the formal curriculum could advance prospects for peace. In the paper three case studies are investigated more deeply – Japan, Germany and the South Caucasus. The article uses secondary sources to present the issue. The literature review includes academic books, articles, and official declarations of international organizations. The paper concludes that examples of integrating Peace Education principles in formal school education curriculums are not numerous, and the lack of a comprehensive data on Peace Education around the world could have been the reason that prevented governments from seeing the importance of implementing Peace Education within their national education systems.

Policing in a Post-Conflict State: Evidence from Uganda

How do governments in post-conflict settings provide for policing within their countries? I argue that leaders respond to both electoral concerns and security threats in shaping the geographic provision of policing infrastructure. Focusing on Uganda, I contend that the territorial expansion of policing has followed a distinct political logic. First, I use panel data on police infrastructure to demonstrate increased construction in counties with previously lower electoral support for the incumbent regime. Additionally, I find that counties with violence are more likely to experience increases in construction, but especially in areas where the incumbent has more support. Finally, I show that (1) proximity to police infrastructure is associated with worse individual perceptions of the police and (2) that increased construction of police infrastructure has large significant effects on reducing voter turnout while increasing vote share for the incumbent president. These findings have important implications for post-conflict reconstruction, stability, and violence.

How is hygiene behaviour affected by conflict and displacement? A qualitative case study in Northern Iraq.

This research aimed to qualitatively explore whether the determinants of handwashing behaviour change according to the duration of displacement or the type of setting that people are displaced to. We conducted an exploratory qualitative study in three different post-conflict settings in Northern Iraq-a long-term displacement camp, a short-term displacement camp, and villages where people were returning to post the conflict. We identified 33 determinants of handwashing in these settings and, of these, 21 appeared to be altered by the conflict and displacement. Determinants of handwashing behaviour in the post-conflict period were predominantly explained by disruptions to the physical, psychological, social and economic circumstances of displaced populations. Future hygiene programmes in post-conflict displacement settings should adopt a holistic way of assessing determinants and design programmes which promote agency, build on adaptive norms, create an enabling environment and which are integrated with other aspects of humanitarian response.

Sexual Violence Against Men in Conflict and Post-Conflict Settings: A Qualitative Research Methodology.

Sexual violence against men in conflict and post-conflict settings is under-researched. Men’s reluctance to talk about their experiences in conflict and post-conflict settings has contributed to the subject being a difficult area of inquiry. This article describes the research design and the strategies employed by the first author, who conducted qualitative research with South Sudanese male refugees who were survivors of sexual violence and have resettled in two communities in Uganda since the onset of the 2013 South Sudan conflict. The qualitative research is a part of a mixed-method program of research for the first author’s doctoral research that focused on sexual violence perpetrated against men in conflict and post-conflict settings. Based on the learnings during the fieldwork in this complex research setting and by drawing on best practices in qualitative research, this article proposes guidelines that can assist researchers who conduct qualitative research with vulnerable populations (across multiple disciplines) on sensitive topics such as sexual violence. The guidelines include five key steps: spending time in the community before participant recruitment and data collection, fostering a trust relationship with stakeholders, using appropriate gatekeepers, making participants feel at ease throughout the research, and using the snowballing sampling technique. The key steps are interdependent and can be adapted to suit the research context. These guidelines can be useful across multiple disciplines and subject areas.

The critical intersection between child reintegration and community connectedness: An experience from Guatemala

A 2019 census of residential care facilities in Guatemala found 3863 children in residential care and that 97% of these children had at least one living relative. The census clearly indicates that children in the facilities are not orphans and the possibility of reunification, if appropriate processes and services are in place to support the child and parent/caregiver before, during, and after reunification, is possible. We (the authors) played a key role in designing a case management process to support the reunification of children from residential care back into families with the end goal being successful reintegration. A series of wellbeing domains were designed to help understand and measure what successful reintegration would include within the case management system. Informed by a case review of 36 Guatemalan children supported to reintegrate into families, and interviews with social workers and psychologists engaged in the process, this article explores the role of the “community connectedness” wellbeing domain. We explore how community connectedness or lack thereof, can contribute to child and parent/caregiver wellbeing and successful reintegration—the different types of community connectedness and who/what was involved in establishing and fostering these connections. With growing interest in reintegration efforts globally, efforts to better understand the unique role that community connectedness has in overall family wellbeing is well timed. Whilst the topic has been explored in post conflict settings with children and youth previously engaged in armed conflict, experiences of reintegration from residential care facilities in non-emergency contexts is limited, including in Spanish speaking contexts.

HIV outcomes within the context of orphans and vulnerable children programing: the 4Children project in South Sudan

BackgroundPoor antiretroviral therapy (ART) adherence is a challenge to containing the spread of HIV. This is an especially difficult challenge in conflict and post-conflict settings. This study investigates the relationship between attendance in an Orphan and Vulnerable Children program in South Sudan and HIV-related outcomes, including clinic appointment attendance, frequency of viral load testing and viral load suppression rates.MethodsPatient records (n = 295) were selected from project-supported clinics in Juba, South Sudan, and analyzed to measure the association between enrollment status and select health outcomes. Data were collected at multiple time points between 2018 and 2019, to measure the strength of relationship between select treatment variables (e.g., viral load, retention in care, etc.). Given the structure of the data, non-parametric tests were applied to answer the research questions.ResultsAnalysis revealed three important trends: (1) enrollment in the 4Children project was associated with a statistically significant increase in the frequency of viral load testing; (2) there was an increase in median appointment attendance after program enrollment; and (3) there was improved management of viral load and CD4 count, albeit small, during the time period before and after enrollment.ConclusionsData from South Sudan suggests that caregivers and children receiving project services saw improvement in treatment-related indicators. After enrolling in the project, overall amount of viral load testing increased from previous counts before enrollment. This suggests that after providing additional services with psychosocial and financial support to patients at the two hospitals in Juba, there was potential that similar interventions can support improved HIV outcomes.

Post-war Violence against Human Rights Defenders and State Protection in Colombia

AbstractIn transitions from armed conflict, human rights defenders play an important role: in many cases, they are the local protagonists of the peace process. At the same time, they are at high risk of becoming victims of post-war violence. This article explores how states can protect defenders from such violence by presenting a case study of the Colombian transition, which has been characterized by high rates of homicides of defenders and threats against their physical integrity. Based on qualitative interviews with experts involved in protection, the article argues that violence against defenders may evolve into a systemic problem in post-conflict settings. In such contexts, protection must go beyond providing individual security measures to defenders at risk. Instead, it should follow a collective approach that emphasizes the security of communities and organizations, strengthens their capacities and relations with the state, and strives to dismantle the armed groups responsible for attacking defenders.

The prevalence of mental disorders among intimate partner violence exposed and non-exposed Rwandans: Findings from a national cross-sectional survey

Despite mounting evidence indicating an increased risk of long-term mental disorders in Rwanda's general population, little is still known about the national prevalence of mental disorders among victims of intimate partner violence (IPV) in a post-conflict setting. The aim of this study was to compare the prevalence of mental disorders among IPV exposed and non-exposed individuals in Rwanda. This was a cross-sectional study based on secondary data from the 2018 Rwanda Mental Health Survey. The sample consisted 20,381 participants selected nationwide, from 7,124 households (age range: 14–65 years), of which 3,759 Rwandans were exposed to IPV (18.4%) and 16,622 were non-exposed to IPV (81.6%). Participants were screened for IPV exposure and common mental disorders, and data was analyzed using the SPSS version 25 software. The results showed that the rate of any mental disorder was substantially higher in the group exposed to IPV than the non-exposed, at 32.4% and 11.7% respectively. These results highlight that among Rwandans diagnosed with severe mental disorders, participants with a history of IPV exposure present with increased odds of mental disorders prevalence and severity. Therefore, people seeking mental health care should also be screened for their IPV exposure and offered appropriate interventions.

Strategic Allocation of Development Projects in Post-Conflict Regions: A Gender Perspective for Colombia

We know little about the general geographic allocation of development projects in post-conflict regions, and specifically of gender-focused projects. In this study, we explore whether donor agencies prefer to work in “safe” places or dare to operate in conflict-affected zones. Using Colombia as a case study, we combine data on battle deaths from the UCDP Georeferenced Event Dataset (1994–2004) with georeferenced information on the location of development projects from the Colombia AIMS dataset (2006–2013) and manually geocode data for German-funded development projects (2012–2018) with gender as a significant objective. Using count models (N = 1120), we find a statistically strong and positive relationship: an increase in battle deaths increases the number of development projects (with and without gender-focus) in a municipality. Interaction models further reveal an amplification of this relationship for regions with a large proportion of female-headed households, as well as a high number of formally employed and literate women. A context-sensitive interpretation of our findings suggests that (1) development projects in general, and German-funded gender-focused projects in particular, dare to operate in post-conflict settings; (2) women may play an active role as community leaders and mobilizers to influence the allocation of development programs to certain regions.

Alternate delivery platforms and implementation models for bringing evidence-based behavioral interventions to scale for youth facing adversity: a case study in West Africa

BackgroundYouth Functioning and Organizational Success for West African Regional Development (Youth FORWARD) was launched as an implementation science collaboration focused on scaling out evidence-based mental health interventions for youth exposed to war and other adversities through novel delivery platforms. This implementation science case study examines the use of a collaborative team approach (CTA) as a scale-out strategy to foster the integration of an evidence-based group mental health intervention, the Youth Readiness Intervention, into youth employment programs tied to regional economic development in Sierra Leone.MethodsA case study methodology is used to explore the feasibility and acceptability of integrating an evidence-based intervention, the Youth Readiness Intervention (YRI), into youth entrepreneurship programs (ENTR) in Sierra Leone, facilitated by the CTA. The authors analyzed field notes logged during program implementation, 8 weeks of supervision notes, 20 interviews with agency leaders and front-line staff delivering the YRI within this alternate delivery platform. Quantitative dissemination and implementation interviews administered to youth, facilitators, and agency leaders were analyzed using descriptive statistics and mixed linear models. A linked Hybrid Type II effectiveness-implementation cluster randomized trial is evaluating the clinical effectiveness of the YRI within this delivery platform.ResultsExtant data indicate the strong feasibility and acceptability of integrating the YRI into the ENTR program. Facilitators of integration of the YRI into the ENTR include mission alignment of the organizations with the delivery of psychosocial interventions, shared commitment to serving vulnerable youth, support from local District Youth Councils, and high interest from the youth served. Barriers include perceived competition between frontline organizations seeking funding for psychosocial interventions, and challenges in flexibility between donors and implementation partners operating in a fragile/post-conflict setting. The CTA was a feasible and acceptable strategy to support fidelity and quality improvement while scaling out the YRI.ConclusionsYouth entrepreneurship and livelihood programs offer a promising mechanism for expanding the reach of evidence-based interventions to youth in fragile and post-conflict settings. Quality improvement and sustainment of evidence-based interventions are novel concepts in such settings. The CTA strategy institutionalizes the integration of an evidence-based intervention into youth entrepreneurship programs.Trial registrationNCT03603613 (phase 1 pilot, registered May 18, 2018) and NCT03542500 (phase 2 scale-out study, registered May 18, 2018).

Twenty-Five Years on: Trauma, Peacebuilding and Lessons from Bosnia and Herzegovina

AbstractThis review essay assesses two new books which will be of particular interest to human rights and peacebuilding practitioners working in post-conflict settings: Ann Petrila and Hasan Hasanović’s Voices from Srebrenica: Survivor Narratives of the Bosnian Genocide and Healing and Peacebuilding after War: Transforming Trauma in Bosnia and Herzegovina, edited by Julianne Funk, Nancy Good, and Marie E. Berry.

Power/resistance: External actors, local agency, and the Burundian peacebuilding project

AbstractPeacebuilding policies and practices represent strong attempts by external actors to exercise power in postconflict settings. Yet the extensive theoretical treatments of power in International Relations remain somewhat disconnected from empirical analyses of peacebuilding, and how external actors exercise power is under-conceptualised in the literature. Likewise, the literature on forms of resistance by local actors is seldom examined as an exercise of power in itself, and as part of a multidimensional relationship of power/resistance between external and local actors. This article thus theorises the different dimensions of power/resistance, with a detailed focus on an exemplary case – international efforts at peacebuilding in Burundi – that spans more than twenty years. It deploys a tripartite conception of both to analyse the ways in which different forms of power and resistance can be uncovered in peacebuilding practices, We demonstrate this via an analysis of postconflict peacebuilding in Burundi, and in particular the longer-term efforts of local actors to overtly and covertly bend and fuse peacebuilding practices to their own ends.

Going home: youth and aspirations in postconflict Marawi, Philippines

ABSTRACT It has been years but the reconstruction of Marawi leaves much to be desired. In 2017, a battle between the government and ISIL-affiliated elements destroyed the city. This article turns attention to the youth who have been affected by this conflict. In a postconfict context in which reconstruction has yet to be seen, do the youth aspire to anything? If so, what are their aspirations? Drawing on interviews, we argue that their main aspiration is to ‘go home’. We unpack it in two respects: transparent and people-centered reconstruction and the reassertion of Marawi’s Islamic identity. These aspirations are not only couched in a positive language. Underlying them is a critique of the state of affairs: technocratic but inefficient rehabilitation and the moral and religious condition of the community prior to the conflict. By foregrounding the role of aspirations, this article advances the scholarship on young people’s participation in postconflict settings.

Can Men Do Feminist Fieldwork and Research?

AbstractThis article systematically explores key theoretical and political, and epistemological and methodological considerations regarding men undertaking feminist fieldwork and research. This has become increasingly relevant as men working on exploring the gendered analysis of armed conflict and peacebuilding has become relatively routine recently. Yet, there is a dearth of systematic research on this topic. To fill this gap, this article asks two central questions: Can men do feminist fieldwork and research in conflict/post-conflict settings? What are the requirements for this? Drawing from my experience as a heterosexual cis male doing fieldwork on female combatants in a post-conflict setting in Nepal (2017–2018) and building on the long-standing robust scholarly conversation on desirability and possibility of men in feminist research and activism, the article argues that critical self-reflexivity with honesty on limitation and partiality of research, situated knowledge, and positionality and power including ethics of care, moral responsibility, and reciprocity are key considerations for men to engage in feminist fieldwork and research. While gender is a primary concern for men researching on women, there is “multiplex subjectivity” (race, class, caste, ethnicity, nationality, and education) interacting with gender creating complex relational power dynamics before/during/after the fieldwork to influence the research process and outcome.

Characteristics and Influencing Factors of Healthcare Utilization in Post-conflict Primary Care Attendees in Northern Sri Lanka.

Sri Lanka's healthcare systems attempts to provides access to universal healthcare services for all citizens and is designed to be free of out-of-pocket payments. Despite a 30-year civil conflict, natural disasters, and COVID-19, the healthcare system within the country remains robust and strong. However, due to a lack of formalized pathways and centralized record keeping, the pattern of service utilization is still relatively unknown, which raises concerns regarding effective allocation of scarce resources and efficiency of referral pathways. To address this gap in knowledge, part of the parent study (COMGAP-S), consisted of a survey on healthcare service use conducted among adults attending primary care facilities. The results from this quantitative data analysis indicate the majority of people seeking care originate from rural areas, are older (50+), attend divisional hospitals, and report paying fees at point of contact. Our findings indicate a need for more efficient use of healthcare services, creation of referral routes to ensure limited healthcare resources are used effectively. Additionally, further investment in services is needed to ensure Sri Lanka's healthcare system meets the standard of universal healthcare as proposed by the World Health Organization. These findings address a gap in knowledge for national decision-makers within Sri Lanka along with other similar post-conflict healthcare settings across the globe.