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Understanding sexual violence, HIV/AIDS and conflict

Rates of HIV transmission are often presumed to increase in situations of violent conflict, due to high levels of sexual violence, poverty and displacement which create a high risk environment for the spread of HIV. Claims of a link between sexual violence and HIV infection have been supported by prevalence data amongst specific groups who suffered a high incidence of violence during war time.

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Mobility and power in HIV transmission

Epidemiological analysis and mathematical modelling have demonstrated the significance of commercial sex and high-risk behaviours as factors in the widespread transmission of HIV. This has frequently singled out commercial sex-workers as a focal point of the spread of the epidemic. Research in the social sciences has spotlighted the multifaceted complexities of participants in sex work settings, describing their mobility, particular vulnerabilities and heterogeneities.

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Addressing HIV and sex work

There is emerging evidence of how conflicts and disasters may lead to sex being sold or exchanged for accommodation, protection, food, gifts and other items or services. This can be attributed to many factors, including high levels of poverty, lack of livelihood opportunities, separation of families, breakdown in community support mechanisms and an increase in gender-based violence (GBV). Yet programmes addressing HIV and sex work in humanitarian settings are often poorly developed.

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Education: critical to HIV prevention and mitigation

Information about HIV prevention and mitigation must be integrated into education responses to emergencies to help ensure that learners and their teachers remain supported and safe. Education can offer one of the points of entry for health, protection and other sectors working on HIV prevention and response and facilitating referral to essential services for those affected by HIV.

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Accountability to disaster-affected populations

There are many different stakeholders to whom an organisation is accountable. Sadly, accountability to donors, to the general public, to governing bodies and to headquarters (in the case of field offices) can easily ‘squeeze out’ accountability to affected populations unless active efforts are made to uphold it. Although all operations have financial or legal accountability requirements, there is no such obligation for accountability towards disaster-affected persons.

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To return or stay?

Voluntary repatriation has long been seen as the foremost durable solution to forced displacement and the solution that would benefit the greatest number of refugees. This perspective assumes that, once the original cause of flight is redressed, refugees will not only still identify with their homeland but also want to return. These assumptions are challenged, however, by many of the Sri Lankan Tamil refugees living in Tamil Nadu, India.

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Responding to IDP reproductive health needs

Following the surge of violence in 2004, more than 2.4 million men, women and children in Darfur were displaced. Several hundred thousand of them fled to the southern Darfur town of Gereida, effectively tripling its population. While living in a camp setting in Gereida, these IDPs (internally displaced persons) had access to a government-run hospital that offered only minimal, often poor-quality reproductive health (RH) services, for a prohibitively high fee.

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Migration, mobility and solutions: an evolving perspective

Freedom of movement is a fundamental human right and is central to the functioning of the international refugee protection regime. The very ability to seek asylum depends on the ability to move in search of rights that have been denied in the country of origin. In a broader sense, it is now increasingly recognised that human mobility provides an important means for people to improve their standard of living and to contribute to the economic and social life of their countries of origin and destination.

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