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- Trenholm, Jill, 1958-
(författare)
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Women Survivors, Lost Children and Traumatized Masculinities : The Phenomena of Rape and War in Eastern Democratic Republic of Congo
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis aims to investigate the phenomenon of war rape in Eastern Democratic Republic of Congo (DRC) in order to understand the dynamics, contextual realities and consequences of its perpetration. Practical and theoretical knowledge is generated which is relevant for health care interventions, humanitarian assistance and peace initiatives, that are cognizant of the actual needs of the affected populations.The study employed ethnographic methodology involving prolonged engagement with the field, participant observation, formal and informal interviews, keeping of field notes and the continuous practice of reflexivity. The four papers in this thesis represent formal interviews with participants from three distinct groups: local leaders (Paper I), ex-child soldier boys (Paper II) and women survivors of sexual violence (Paper III & IV).Qualitative Content Analysis was used for the interview study with local leaders (Paper I). Findings from this study reveal how mass rape and the methods of perpetration create a chaos effectively destroying communities. The leaders draw attention to the fact that an exclusive focus on raped women misses other structural factors that contribute to war and sexual violence, factors such as the global political economy, international apathy, the stance of the church, effects of militarization, inappropriate aid and interpretations of gender roles.Through the theoretical lenses of militarised masculinity and gender based violence, interviews with ex-child soldier boys, seen as both victims of war as well as proxy perpetrators of sexual violence, were analyzed using thematic analysis. Findings revealed the systematic and violent construction of children into soldiers, inculcating a rigid set of stereotypical hyper-masculine behaviors promoting dominance by violating the subordinate “other”. These findings argue for a more complex, contextualized view of the perpetrator resulting from the ways society has (re)constructed gender, ethnicity and class.Papers III and IV reflect the interviews and narratives provided by women survivors. Guided by thematic analysis and a matrix of theories: Structural violence, Intersectionality and “new wars”; Paper III bears witness to the women’s expressions of their profound losses and dispossession as they struggle to survive stigmatization in the impoverished margins of the warzone, along with children born of rape. The perpetrator is cited here as well as by the leaders as predominantly Interhamwe. Payne’s Sites of Resilience model used in Paper IV situates stigmatized women survivors suffering in a global context as they navigate survival, demonstrating resilience in the margins through support from their faith in God, scarce health services, indigenous healing and strategic alliances. Findings suggest that collaborations of existing strengthened networks, ie: the church, healthcare and indigenous healers, could extend the reach of sustainable and holistic support services, positively effecting already identified sites of resilience.Findings draw attention to the challenges faced by public health in addressing mass trauma. Women’s raped bodies represent tangible material damage, embedded in a matrix of globalization processes and structural violence involving gender, ethnicity and class. This requires serious reflection.
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| 2. |
- Eriksson, Elisabet
(författare)
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Christian Communities and Prevention of HIV among Youth in KwaZulu-Natal, South Africa
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Young people in South Africa, particularly females, are at great risk of acquiring HIV, and heterosexual sex is the predominant mode of HIV transmission. In order to curb the epidemic the Department of Health encourages all sectors in the society, including religious institutions, to respond effectively. The present thesis seeks to increase the understanding of the role of Christian communities in prevention of HIV for young people. Three denominations in KwaZulu-Natal were selected to reflect the diversity of Christian churches in South Africa: the Roman Catholic Church, the Evangelical Lutheran Church in Southern Africa, and the Assemblies of God. Using qualitative interviews the first paper explores how religious leaders (n=16) deal with the conflict between the values of the church and young people’s sexuality. Study II reports on attitudes to HIV prevention for young people among religious leaders (n=215) using questionnaire survey data. Study III investigates how young people (n=62) reflect on messages received from their churches regarding premarital sex by analysing nine focus group discussions. In the fourth paper, based on questionnaire survey data, we report on young people’s (n=811) experiences of relationships with the opposite sex and their perceived risk of HIV infection. The view that young people in churches are sexually active before marriage was common among religious leadership. The majority of religious leaders also reported that they are responsible for educating young people about HIV prevention. Religious leaders who had received training on HIV were more likely to run a life skills programme for young people, however they were ambivalent about prevention messages. Young people reported premarital sexual abstinence as the main HIV prevention message from their churches. The majority responded that they had received information about HIV in church. To be in a relationship was common, more so for males for whom multiple relationships also were viewed more acceptable. To perceive themselves at risk of HIV infection was common. Further training for religious leaders is needed to enable them to manage the conflict between the doctrine of the church and their willingness to assist young people in the transition into adulthood.
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| 3. |
- Puthoopparambil, Soorej Jose, 1985-
(författare)
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Life in Immigration Detention Centers : An exploration of health of immigrant detainees in Sweden and three other EU member states
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Governments around the world use immigration detention to detain and deport irregular immigrants, which negatively affects their health. The aim of this thesis was to explore, describe and identify factors that could mitigate the effect of immigration detention on the health of detainees. This was a mixed method study using qualitative methods (Papers I and II), quantitative methods (Paper III) and descriptive case comparison (Paper IV) comparing the Swedish system to the system in the Benelux countries (Belgium, the Netherlands and Luxembourg). The study design was strengthened by triangulation of methods and data sources.Detainees experienced lack of control over their own lives due to lack of information in a language they can understand, inadequate responses from detention staff and restrictions within detention centers further limiting their liberty. Duration of detention was negatively associated with satisfaction of services provided in detention and the detainees’ Quality of Life (QOL). Detainees had low QOL domain scores with the psychological domain having the lowest score (41.9/100). The most significant factor positively associated with the QOL of detainees was the support received from detention staff. A sense of fear was present among detainees and staff. Detainees’ fear was due to their inadequate interaction with authorities, perceiving it as threatening, and due to their worry of facing repercussions of being involved in incidents caused by others. The potential for physical threat from detainees created a sense of fear among the staff. The detention staff expressed the need for more support to manage their emotional dilemma and role conflict of being a civil servant, simultaneously enabling the deportation process while providing humane care to detainees as fellow human beings. Detention centers in the Benelux countries had more categories of staff providing different services to detainees. Compared to the Benelux countries, healthcare services at the Swedish detention centers were limited. Detainees were offered no medical screening on arrival and no regular access to mental healthcare professionals.Detaining authorities have the obligation to safeguard the health of detainees. Challenges faced by the detention staff and detainees must be addressed to create a supportive environment and fulfill that obligation.
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