Citation

Bermudez LG, Parks L, Meyer SR, Muhorakeye L, Stark L. Soc. Sci. Med. 2018; 200: 83-91.

Affiliation

Columbia University Mailman School of Public Health, Department of Population and Family Health, 60 Haven Ave B-4 Suite 432, New York, NY 10032 USA. Electronic address: ls2302@cumc.columbia.edu.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.socscimed.2018.01.018

PMID

29421475

Abstract

Refugee adolescents face increased vulnerability to child protection risks including abuse, neglect, violence, and exploitation. The aim of this qualitative study was to examine the nature of violence against adolescents in Kiziba Camp, Rwanda, using an ecological framework to analyze the factors that influence protection risks and abuse disclosure across multiple system levels. In order to understand these issues more comprehensively, a transgenerational inquiry sought perceptions from both adolescents and their caregivers. In April 2016, as part of a larger, comprehensive study on adolescent protection, 19 focus group discussions were conducted with a total of 70 adolescents and 68 caregivers from the Democratic Republic of Congo. A qualitative content analysis identified three salient themes. First, structural protection risks exist for adolescents in Kiziba Camp, with economic insecurity and resource constraints resulting in specific risks such as overcrowded housing and adolescents traveling for firewood collection. Second, intergenerational conflict between caregivers and adolescents was perceived to negatively influence abuse disclosure. Lastly, protection mechanisms and reporting pathways were underutilized as caregivers and adolescents expressed concern over the shame, embarrassment, and social rejection that characterized formal disclosure in Kiziba, often rooted in restrictive and inequitable gender norms. These findings suggest that efforts at child protection should be multi-faceted and address structural aspects of risk; household levels of communication and trust; and societal norms that deter abuse reporting. The study also underscores the need for further research on risk and protective factors in camp settings to better tailor interventions aiming to reduce violence against children.

Copyright © 2018 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Adolescents; Disclosure; Refugees; Rwanda; Safety; Violence