Search results

Abstract
Background
Female genital mutilation (FGM) is widely recognized as a human rights violation. Little is known about FGM rates and practices in humanitarian settings, and about the impact of crisis on the drivers and consequences of FGM. This scoping review set out to investigate the current research landscape on FGM in humanitarian settings.

Methods
We conducted a search of electronic databases and gray literature published between 1990 and 2021. This was coupled with backward citation tracking on eligible studies and reviews. We analyzed studies that met our eligibility criteria using thematic analysis.

Results
We found 13 peer-reviewed and four grey literature articles. Most studies were published in the last decade between 2010 and 2021, signaling growing attention to the issue. Five of the 17 articles provided estimates of incidence based on primary data collection amongst crisis-affected populations, ten focused on drivers, ten on consequences and five on interventions. The limited studies that have examined FGM in humanitarian settings indicate that the impact of crisis on FGM is multifaceted and context-specific, depending in part on interactions with host and other displaced communities and their social norms and practices. There is evidence that the acquisition and transfer of harmful social norms may take place during migration flows, but also that social norms underlying FGM may weaken in contexts of displacement, causing the practice to decrease. The incidence of FGM may also remain unchanged, but the type of FGM practiced may shift from more harmfully perceived forms to less radical forms. We found that drivers of FGM may be exacerbated, attenuated, or unchanged by crisis and displacement. Overall, there was predominant focus on medical consequences of FGM, and limited research on the social, economic, and psychological consequences of the practice. There was also a dearth of research into intervention effectiveness.

Conclusions
Despite an increase in research on FGM in humanitarian settings, there is still a notable dearth of studies investigating the impact of emergencies on FGM and the factors that propel it. More research and documentation of evidence are needed to inform interventions and policies.

Abstract
Objectives: This study assesses the prevalence of and risk factors for child marriage in Yemen, which was experiencing a nationwide conflict at the time of the study. Study Design: We conducted a survey of internally displaced persons (IDPs) and host communities using a stratified multistage cluster sampling design. Each household included an interview with a female adult (n=1210), a household roster (n=8400), and one female adolescent interview (n=1210). We used multivariate logistic regression to assess the association between child marriage and various risk factors. We also used data from focus groups (n=411) and key informant interviews (n=30) to explore community perspectives and understand contextual factors relating to child marriage. Results: Prevalence of child marriage among IDP females aged 10-19 was 18.1% compared to 12.7% among hosts. In the regression model, being older (aOR=1.95), never attending school (aOR=3.94), place of origin of Saada (aOR=4.41), and unemployment of the female adult (aOR=2.84) showed increased odds of child marriage. Head of household unemployment (aOR=0.58) and completed higher education (aOR=0.42) showed decreased odds. Qualitatively, economic factors were cited as central factors in decision-making, both for host communities and even more so for IDPs. Perceptions of marriage readiness and negative consequences of child marriage were dependent on gender normative expectations. Conclusions: Displaced girls experience child marriage more than boys or host girls . Displacement effects economic security and household power dynamics, which affects marriage decision-making and girl s ability to self-advocate. Efforts to address child marriage in Yemen should include livelihood support, with awareness and conflict management components that start in pre-adolescence and include married and unmarried girls.

Abstract
Though displaced populations face exacerbated challenges that are associated with increased rates of child marriage, little research has elucidated the reasons behind such phenomena. The present study qualitatively explores the drivers and consequences of child marriage among Syrian refugee, Iraqi internally displaced, and host communities in the Kurdistan Region of Iraq. Specifically, it explores how vulnerabilities in displaced groups impact child marriage decision-making and how the host communities respond to and interact with shifting child marriage customs. Qualitative results demonstrated how child marriage drivers intersect on socioecological levels with a prominent undercurrent of gender inequality that affects marriage expectations. Though participants discussed similar drivers and consequences of child marriage, there was discordance in how those drivers influence child marriage in displaced and host populations. Integration of humanitarian sectors around prevention of child marriage, along with support for married girls, is necessary considering the current context of protracted displacement in the region.

Abstract
Despite increased vulnerability of displaced communities, the evidence of child marriage in humanitarian setting remains scarce. We conducted this study to estimate the prevalence of child marriage among Somali and Yemeni refugees and their host communities in Djibouti; and assess its independent associations with different exposure variables. Using a stratified random sampling design, we recruited eligible refugee and hosts-near-refugee households within four cites in Djibouti during February–March 2019. We assessed the prevalence of females aged 20–24 married <15 and <18, the prevalence of marriage within females aged 10–19 and 15–19, and multivariate associations between exposure variables and child marriage. Overall, 1,276 households and 6,784 household members were recruited. Among female refugees aged 20–24 (N=107), the prevalence of first married <18 was 10.5 percent and 4 percent for Yemeni and Somali refugees; and among female refugees aged 10–19 (N=1,239), the prevalence of marriage was 7.8 percent and 6.6 percent for Yemeni and Somali refugees, respectively. Child marriage was independently associated with age of the girl (AOR=1.60, 95% CI=1.38–1.85); education level of the head-of-household (AOR=2.65, 95% CI=1.45–4.84); and education of the girl (AOR=0.56, 95% CI =0.30–1.05). This study provides the estimates of child marriage prevalence within Somali and Yemeni refugee communities in Djibouti, adds to the evidence on the protective role of girls education against child marriage, and informs child health, education, and protection programmes targeting these communities in the future.

A new introduction to a timeless dynamic: how the movement of humans affects health everywhere. International migrants compose more than three percent of the world's population, and internal migrants—those migrating within countries—are more than triple that number. Population migration has long been, and remains today, one of the central demographic shifts shaping the world around us. The world's history—and its health—is shaped and colored by stories of migration patterns, the policies and political events that drive these movements, and narratives of individual migrants. Migration and Health offers the most expansive framework to date for understanding and reckoning with human migration's implications for public health and its determinants. It interrogates this complex relationship by considering not only the welfare of migrants, but also that of the source, destination, and ensuing-generation populations. The result is an elevated, interdisciplinary resource for understanding what is known—and the considerable territory of what is not known—at an intersection that promises to grow in importance and influence as the century unfolds