Barriers to Reproductive Health and Access to Other Medical Services in Situations of Conflict and Migration



People living in situations of conflict and forced migration do not receive the health care they need and want, and to which they have a right. There are many factors contributing to this lack of adequate care. The purpose of this paper is to examine these factors, using reproductive health care as the lens through which barriers to providing and using health care are reviewed.


Reproductive Health Reproductive Health Service Emergency Obstetric Care Refugee Woman Reproductive Health Care 
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  1. Adinolfi, C., Bassiouni, D.S., Lauritzen, H.F., and Williams, H.R. (2005). “Humanitarian response review: An independent report commissioned by the United Nations Emergency Relief Coordinator and Under-secretary General of Humanitarian Affairs, Office for the Coordination of Humanitarian Affairs.” New York and Geneva: United Nations.Google Scholar
  2. Austin, J., Guy, S., Lee-Jones, L., McGinn, T., Schlecht, J. (2008). “Reproductive health: A right for refugees and internally displaced persons.” Reproductive Health Matters, 16(31), 10–21.CrossRefGoogle Scholar
  3. Barnes-Brown, D. and Butler-McPhee, J. (2007). “The RAISE Initiative: Building RH capacity through collaboration.” Forced Migration Review 26, 60–61.Google Scholar
  4. Busza, J. and Lush, L. (1999). “Planning reproductive health in conflict: a conceptual framework.” Social Science and Medicine, 49(2), 155–171.CrossRefGoogle Scholar
  5. Chongvatana, N. and Lavely, W.R. (1984). “Knowledge and practice of contraception in two Indochinese refugee camps.” Research report No. 84–61. Ann Arbor, MI: Population Studies Center, University of Michigan.Google Scholar
  6. Editorial: “Reproductive freedom for refugees.” (1993). The Lancet, 341, 929–30.Google Scholar
  7. Guy, S. and Morris M (Eds). (2003). Refugees and Reproductive Healthcare: Global Decade Report. London: Reproductive Health Response in Conflict Consortium.Google Scholar
  8. Hakamies, N., Wenzel Geissler, P., and Borchert, M. (2008). “Providing reproductive health care to internally displaced persons: barriers experienced by humanitarian agencies.” Reproductive Health Matters, 16(31), 33.CrossRefGoogle Scholar
  9. Holck, S.E. and Cates, W. Jr. (1982). “Fertility and population dynamics in two Kampuchean refugee camps.” Studies in Family Planning, 13(4):118–124.CrossRefGoogle Scholar
  10. Holmes, W. for the International Rescue Committee. (2003). Protecting the Future: HIV Prevention, Care and Support Among Displaced and War-Affected Populations. Bloomfield, CT: Kumarian Press.Google Scholar
  11. Hynes, M., Sheik, M., Wilson, H., and Spiegel, P. (2002). “Reproductive health indicators and outcomes among refugee and internally displaced persons in postemergency phase camps.” Journal of the American Medical Association, 288(5), 595–603.CrossRefGoogle Scholar
  12. Inter-Agency Standing Committee. (2005). Guidelines for Gender-Based Violence in Humanitarian Settings: Focusing on Prevention of and Response to Sexual Violence in Emergencies (Field Test Version). Geneva.Google Scholar
  13. Inter-Agency Standing Committee. (2007). Global health cluster meeting summary, 14 and 16 November 2007, hosted by WHO, Geneva.Google Scholar
  14. Inter-agency Working Group on Reproductive Health in Crisis Settings (IAWG). (2004). Reproductive Health Services for Refugees and Displaced Persons: Report of an Inter-Agency Global Evaluation. Geneva: UNHCR.Google Scholar
  15. King, P., Duthie, S., Ma, H.K. (1990). Sexually transmitted diseases amongst pregnant Vietnamese refugees in Hong Kong. Genitouninary Medicine, 66: 257–258.Google Scholar
  16. Krause, S. and Morris, C. (2003). Displaced and Desperate: Assessment of Reproductive Health for Colombia’s Internally Displaced Persons. London and New York: Marie Stopes International and Women’s Commission for Refugee Women and Children, on behalf of the Reproductive Health Response in Conflict Consortium.Google Scholar
  17. Lenart. J.C. and St. Clair, P.A. (1991). “Childbearing knowledge, beliefs and practices of Cambodian refugees.” Journal of Pediatric Health Care, 5(6), 299–305.CrossRefGoogle Scholar
  18. Series – Sexual and Reproductive Health. (2006). The Lancet, 368.Google Scholar
  19. Series – Maternal Survival. (2006). The Lancet, 368.Google Scholar
  20. Series – Health and Human Rights. (2007). The Lancet, 370.Google Scholar
  21. McGinn, T. (2000). “Reproductive health of war-affected populations: What do we know?” International Family Planning Perspectives, 26(4), 174–180.CrossRefGoogle Scholar
  22. McGinn, T., Casey, S., Purdin, S., and Marsh, M. (2004). Reproductive Health for Conflict- Affected People: Policies, Research and Programmes (HPN Network Paper 45) London: Humanitarian Practice Network, Overseas Development Institute.Google Scholar
  23. Palmer, C. (1998). Reproductive Health for Displaced Populations (HPN Network Paper 24). London: Humanitarian Practice Network, Overseas Development Institute.Google Scholar
  24. Profamilia. (2005). Salud sexual y reproductiva en zonas marginales: Salud sexual y reproductiva: Situación de las mujeres desplazadas, Encuesta nacional. Bogotá: Author.Google Scholar
  25. RAISE Initiative and RHRC Consortium. (2008a). Reproductive health in emergencies conference 2008: Conference program. New York and London: Authors.Google Scholar
  26. RAISE Initiative and RHRC Consortium. (2008b). Reproductive health in emergencies conference 2008: Conference Book of Abstracts. New York and London: Authors.Google Scholar
  27. Reproductive Health Response in Conflict Consortium. (1998). Refugees and Reproductive Health Care: The Next Step. New York: Author.Google Scholar
  28. Reproductive Health Response in Conflict Consortium. (2000). Proceedings of Conference 2000: Findings on Reproductive Health of Refugees and Displaced Populations, Washington DC, 5–6 December. New York: Author.Google Scholar
  29. Reproductive Health Response in Conflict Consortium. (2003). Proceedings of Conference 2003: Reproductive Health from Disaster to Development, Brussels, 7–8 October. New York: Author.Google Scholar
  30. Reproductive Health Response in Conflict Consortium. (2004a). Emergency Obstetric Care: Critical Need Among Populations Affected by Conflict. New York: Author.Google Scholar
  31. Reproductive Health Response in Conflict Consortium. (2004b). Emergency Contraception for Conflict-Affected Settings. New York: Author.Google Scholar
  32. Schreck. L. (2000). “Turning point: A special report on the refugee reproductive health field.” International Family Planning Perspectives, 26(4), 162–166.CrossRefGoogle Scholar
  33. Sphere Project. (2004). Humanitarian Charter and Minimum Standards in Disaster Response. Oxford: Oxfam Publishing.Google Scholar
  34. SPRINT Initiative. (2008). Sprint Initiative. Retrieved August 6, 2008, from
  35. Stoddard, A., Harmer, A., Haver, K., Salomons, D., and Wheeler, V. (2007). “Cluster approach evaluation: Final draft.” Office for the Coordination of Humanitarian Affairs Evaluation and Studies Section.Google Scholar
  36. United Nations. (1994). “International conference on population and development, Programme of action.” New York: Author.Google Scholar
  37. United Nations. (1995). Report of the Fourth World Conference on Women, Beijing, 415 September 1995. New York: Author.Google Scholar
  38. United Nations Department of Public Information. (2005). “Facts and figures on women, peace and security (DPI/2409).” New York: Author.Google Scholar
  39. United Nations Security Council. (2000). Resolution 1325 [on Women, Peace and Security]. (S/RES/1325). New York: Author.Google Scholar
  40. UNAIDS and UNHCR. (2007). Policy Brief: HIV and refugees. Geneva: Authors.Google Scholar
  41. UNHCR. (1991). Guidelines on the Protection of Refugee Women. Geneva: Author.Google Scholar
  42. UNHCR. (1999). The Inter-Agency Field Manual on Reproductive Health in Refugee Situations.Geneva: Author.Google Scholar
  43. UNHCR. (2006). UNHCR’s contribution to the inter-agency response to IDP needs. Geneva: Author.Google Scholar
  44. UNFPA. (2006). State of World Population 2006, A Passage to Hope: Women and International Migration. New York: Author.Google Scholar
  45. Women’s Commission for Refugee Women and Children. (1999). “A charade of concern: The abandonment of Colombia’s forcibly displaced.” New York: Author.Google Scholar
  46. World Health Organization. (2004). Reproductive Health Strategy to Accelerate Progress Towards the Attainment of International Development Goals and Targets. Geneva: World Health Organization, Department of Reproductive Health and Research.Google Scholar
  47. Wulf, D. (1994). Refugee Women and Reproductive Health Care: Reassessing Priorities. New York: Women’s Commission for Refugee Women and Children.Google Scholar
  48. Zapata, B.C. (1992). “The influence of social and political violence on the risk of pregnancy complications.” American Journal of Public Health, 82(5): 685–690.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  1. 1.Reproductive Health Access, Information and Services in Emergencies Initiative, Heilbrunn Department of Population and Family HealthMailman School of Public Health, Columbia UniversityNew YorkUSA

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