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Children and Armed Conflict: A Child Rights-based Approach to Prevention and Mitigation

  • Jeffrey GoldhagenEmail author
  • Sherry Shenoda
  • Peter Dixon
Chapter
Part of the Integrating Psychiatry and Primary Care book series (IPPC)

Abstract

Armed conflict increasingly impacts children affecting their physical, mental, emotional, and behavioral health. The trauma and toxic stress of war impact all organ systems and have pervasive effects throughout the life course. The United Nations Convention on the Rights of the Child (CRC) delineates a list of 40 substantive and inalienable rights that are due every child. A child rights-based approach (CRBA) uses the principles of rights as outlined by the CRC, along with norms of social justice, to work toward health equity for each child. Using a CRBA to address the effects of armed conflict on children requires the establishment of relationships between duty-bearers—those who have a duty to fulfill the protection, provision, and participation rights of children—and rights-holders, the children to whom those rights belong. Children then become not only the objects of protection but the subjects of rights. A CRBA also creates a context for systems and policy development to realize the rights of children. Though the CRC has not yet been ratified in the United States, advocacy is ongoing toward this end, and lack of ratification does not preclude its use as a powerful tool for the attainment of health equity for children.

Keywords

UN Convention on the Rights of the Child (CRC) Child rights Child rights-based approach (CRBA) Social justice Health equity Armed conflict Children and youth 

References

  1. AAP. Medical home initiatives for children with special needs project advisory committee. Pediatrics. 2002;110(1 Pt 1):184.Google Scholar
  2. AAP Resilience Project. Training toolkit: the resilience project. We can stop toxic stress. 2017. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/resilience/Pages/Training-Toolkit.aspx.
  3. Attanayake V, McKay R, Joffres M, Singh S, Burkle F Jr, Mills E. Prevalence of mental disorders among children exposed to war: a systematic review of 7,920 children. Med Conflict Surv. 2009;25(1):4–19.CrossRefGoogle Scholar
  4. Betancourt T, Khan K. The mental health of children affected by armed conflict: protective processes and pathways to resilience. Int Rev Psychiatry. 2008;20(3):317–28.CrossRefGoogle Scholar
  5. Connolly MA, Gayer M, Ryan MJ, Salama P, Spiegel P, Heymann DL. Communicable diseases in complex emergencies: impact and challenges. Lancet. 2004;364(9449):1974–83.CrossRefGoogle Scholar
  6. Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet. 2012;379(9812):266–82.CrossRefGoogle Scholar
  7. Garfield R. The epidemiology of war. In: Levy BS, Sidel VW, editors. War and public health. New York: Oxford University Press; 2008.Google Scholar
  8. Gushulak BD, Weekers J, MacPherson D. Migrants and emerging public health issues in a globalized world: threats, risks and challenges, an evidence-based framework. Emerg Health Threats J. 2011;2(1):7091.CrossRefGoogle Scholar
  9. Hamilton C, Anderson K, Barnes R, Dorling K. Administrative detention of children: a global report. Fondo de las Naciones Unidas para la Infancia, Nueva York; 2011.Google Scholar
  10. Hendricks A. UN convention on the rights of persons with disabilities. Eur J Health Law. 2007;14:273.CrossRefGoogle Scholar
  11. Hodgkin R, Newell P. Implementation handbook for the convention on the rights of the child. New York: UNICEF; 2007.Google Scholar
  12. Institute for Economics and Peace. Global peace index 2015: measuring peace, its causes and its economic value. IEP Report 34; 2015.Google Scholar
  13. Lansdown G. Promoting children’s participation in democratic decision-making. Innocenti Insight. Washington, DC: ERIC; 2001.Google Scholar
  14. Levy BS, Sidel VW. War and public health: an overview. In: War and public health. Oxford: Oxford University Press; 2008. p. 3–20.CrossRefGoogle Scholar
  15. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543–62.CrossRefGoogle Scholar
  16. Palfrey JS, Sofis LA, Davidson EJ, Liu J, Freeman L, Ganz ML. The pediatric alliance for coordinated care: evaluation of a medical home model. Pediatrics. 2004;113(Suppl 4):1507–16.PubMedGoogle Scholar
  17. U. N. General Assembly. Universal declaration of human rights. New York: UN General Assembly; 1948.Google Scholar
  18. UNHCR. I am here, I belong: the urgent need to end childhood statelessness. Geneva: UNHCR; 2015.Google Scholar
  19. UNICEF. Children and justice during and in the aftermath of armed conflict. Working Paper no. 3 Machel study. Office of the Special Representative of the Secretary-General for Children and Armed Conflict. 2011. https://childrenandarmedconflict.un.org/mandate/country-status-2/.
  20. UNICEF. Education cannot wait: a fund for education in emergencies. New York: UNICEF; 2016.Google Scholar
  21. United Nations. Optional protocol to the convention on the rights of the child on the involvement of children in armed conflict. United Nations Human Rights Office of the High Commissioner; 2000. http://www.ohchr.org/EN/ProfessionalInterest/Pages/OPACCRC.aspx.
  22. United Nations. Working Paper Number 1: The six grave violations against children during armed conflict. Geneva: Office of the Special Representatives of the Secretary General for Children and Armed Conflict; 2013.Google Scholar
  23. United Nations. Office of the Special Representative and of the Secretary-General for Children and Armed Conflict. 2017. https://childrenandarmedconflict.un.org/. Accessed 10 Sept 2017.
  24. United Nations Development Group. The human rights based approach to development cooperation towards a common understanding among UN Agencies. UNDG Human Rights Working Group. 2003. https://undg.org/document/the-human-rights-based-approach-to-development-cooperation-towards-a-common-understanding-among-un-agencies/.
  25. WHO and UNHCHR. A human rights-based approach to health. https://www.who.int/hhr/news/hrba_to_health2.pdf.
  26. World Health Organization. Declaration of Alma-Ata: International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978. 1978. Accessed 14 Feb 2006.Google Scholar
  27. Zerrougui L. Annual report of the Special Representative of the Secretary-General for Children and Armed Conflict. New York: United Nations; 2015.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jeffrey Goldhagen
    • 1
    Email author
  • Sherry Shenoda
    • 1
  • Peter Dixon
    • 2
  1. 1.Department of PediatricsUniversity of FloridaJacksonvilleUSA
  2. 2.Independent Contractor on Child RightsJacksonvilleUSA

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