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Background: Sexual exploitation and abuse (SEA) by UN peacekeepers perpetrated against local women and girls is a concern in the Democratic Republic of Congo (DRC). While stigma associated with sexual and gender-based violence is well documented more broadly, little is known about stigma associated with peacekeeper-perpetrated SEA.Methods: The aim of this study was to examine how the degree of exposure to SEA affects community perceptions of a woman or girl's (1) social status (public stigma) and (2) institutional support in her community (structural stigma). Two poisson regression models with robust variance estimation were constructed utilizing community survey data of SEA experiences from eastern DRC (n = 2867) to quantify these associations. Relevant demographic variables were assessed for confounding and effect modification.Results: The prevalence of public and structural stigma were 62.9 and 19.3% respectively across the sample. A positive relationship was demonstrated between level of exposure of SEA and diminished social status in which women and girls experiencing moderate levels of SEA were at the greatest risk of public stigmatization after adjusting for confounding (RR: 1.94; CI: 1.66-2.26). Similarly, a positive relationship between exposure to SEA and inadequate institutional support was shown for female narrators wherein women and girls experiencing a high degree of SEA were 6.53 times as likely to receive inadequate support (RR: 6.53; CI: 3.63, 11.73). This contrasted with male narrated stories for whom there was no significant association between the SEA exposure level and institutional support.Conclusions: Women/girls with high exposure levels to UN peacekeeper-perpetrated SEA are at the highest risk of public and structural stigmatization, which should be more routinely considered when conceptualizing the consequences of SEA in peacekeeping contexts. The frequent occurrence of both public and structural stigma, coupled with the varying perceptions by sex, demonstrates the need for a multi-faceted approach for stigma reduction. [ABSTRACT FROM AUTHOR]

Sexual abuse and exploitation (SEA) perpetrated by UN peacekeepers while on mission is a violation of human rights and undermines the goal of upholding human rights in countries that host peacekeeping missions. In addition to survivors, children fathered by peacekeepers are also victims of SEA that need protection. Stigma poses negative life course consequences for SEA survivors and their peacekeeper-fathered children. However, there is a considerable lack of empirical research concerning the stigma experiences of SEA survivors and their children in post-colonial contexts. The present study addresses this knowledge gap by drawing on The United Nations Stabilization Mission in Haiti as a case study to examine the lived experiences of stigma among SEA survivors and their resultant children. Using 18 qualitative semi-structured interviews conducted in 2017 with Haitian women raising peacekeeper-fathered children, we organized qualitative codes according to Link and Phelan's conceptual model of stigma. The stigmatization process was explored through the themes of labeling, stereotyping, separation, and status loss and discrimination, as described by Link and Phelan. In addition, we nuanced the lived experiences of stigma by discussing the buffering roles of familial acceptance, skin phenotype, and the Haitian context. The findings have implications for the UN. We advocate that stigma be recognized and acted upon as a fundamental protection concern for SEA survivors and their children. Accordingly, the UN has an obligation to provide stigma-related supports for victims and complainants as well as to facilitate long-term child support for the children left behind by peacekeepers. [ABSTRACT FROM AUTHOR]

The United Nations Missions in the Democratic Republic of Congo have faced heavy allegations of peacekeeper-perpetrated sexual exploitation and abuse. Reports indicate that sexual encounters between members of peacekeeping forces and female civilians have resulted in the birth of children; however, no conclusive information on these children exists to date. This is the first study to explore the perspectives of youth who were fathered and abandoned by peacekeepers. We analysed semi-structured interviews with 35 peacekeeper-fathered children (PKFC) regarding their perceptions of family in light of their fathers' absence. The results show that PKFC's lack of knowledge about their fathers significantly impacts their self-conception and social identity. Not relying on paternal support was perceived to exacerbate poverty while the inability to uncover paternal roots and family ties presented a barrier to cultural integration. Although increasingly reliant on their maternal family, PKFC received limited care from their mothers' kin networks, causing some to compare their upbringing to that of orphans. The resulting divergence between participants' ideals of family and their subjective life experiences created cognitive dissonance which was reduced through a situational attribution of neglect. PKFC without support mechanisms engaged in wishful thinking about relationships to their unknown fathers and increased the value of searching for them. Derived from their hope to overcome hardship, they saw the pursuit of ideal-typical family relations as the route to happiness and financial security. Based on the emotional presence of their absent fathers, we discuss family and identity-related challenges for PKFC and make recommendations for positive change. Highlights: Explores the perspectives of children born of war through data collected with child and adolescent PKFC. Analyses family relations via qualitative interviews and visual research. Illustrates youth's mental scripts of fatherhood and family life in the Democratic Republic of Congo. Identifies wishful thinking as a form of coping with father absence and related challenges in patrilineal societies. Adds to the limited knowledge about paternal orphans in Sub-Saharan Africa. [ABSTRACT FROM AUTHOR]

Sexual exploitation and abuse (SEA) of women and girls by United Nations (UN) peacekeepers is an international concern. However, the typical binary measurement of SEA (indicating that it occurred, or it did not) disregards varying exposure levels and the complex circumstances surrounding the interaction. To address this gap, we constructed an index to quantify the degree to which local women and girls were exposed to UN-peacekeeper perpetrated SEA. Using survey data (n = 2867) from the Democratic Republic of Congo (DRC), eight indicators were identified using a combination of qualitative (thematic analysis of narrative data) and quantitative variables. With further development, this index may offer a more comprehensive and nuanced perspective of peacekeeper-perpetrated SEA that can better inform SEA prevention and intervention efforts. [ABSTRACT FROM AUTHOR]

Sexual exploitation and abuse (SEA) by United Nations (UN) peacekeepers causes severe physical and psychological consequences. Where SEA leads to pregnancy and childbirth, peacekeepers typically absolve themselves of their paternal responsibilities and paternity suits are largely unsuccessful. The lack of support for peacekeeper-fathered children (PKFC) tarnishes the image of the UN who fails to implement a victim-centred approach to SEA. Analysing shortcomings in the provision of support, this article presents an evaluation of the UN's accountability system from the perspective of PKFC families. In-depth interviews with thirty-five PKFC and sixty mothers demonstrate local barriers to child support and paternity claims in eastern Democratic Republic of Congo. We discuss PKFC's need for assistance and their mothers' attempts to navigate an opaque international legal system. The findings cast light on their limited access to UN subsidies and offer recommendations to better implement existing UN goals of justice and victim-oriented policies. [ABSTRACT FROM AUTHOR]

The narrow framing of Sexual Exploitation and Abuse (SEA) and the United Nations Zero-Tolerance Policy inadequately accounts for the range of sexual interactions in peacekeeping contexts and obscures the wider social contexts within which sexual decision making occurs. We draw on personal narratives from women who have had such sexual interactions, as well as community observers to demonstrate the complexity, multiple forms and ambiguities that characterize these relationships. We focus particularly on 'love' and long-term relationships. The complexities revealed cast doubt on the efficacy and appropriateness of the UN's zero-tolerance policy and call for a modification of the concept of the peacekeeping economy to include consideration of intimacy, emotion and quests to fulfil expectations of gendered social roles in the contradictory landscape of peacekeeping. [ABSTRACT FROM AUTHOR]

Correction to: Confl Health (2021) 15:80 https://doi.org/10.1186/s13031-021-00414-0 The authors of the original article [[1]] found out after publication that incorrect versions of Figure 3 and 4 were used during the publication process. Reference 1 Fraulin G, Lee S, Lusamba S. "It was with my consent since he was providing me with money": a mixed methods study of adolescent perspectives on peacekeeper-perpetrated sexual exploitation and abuse in the Democratic Republic of Congo. [Extracted from the article]

Background: The United Nations Organization Stabilization Mission in the Democratic Republic of Congo (MONUSCO) has been marred by widespread allegations of sexual exploitation and abuse (SEA) of women and girls by UN peacekeepers. There is minimal research conducted on the perceptions of communities most affected by the SEA themselves, and even less about those below the age of 18. Methods: Using mixed-methods data, we examined the perceptions of adolescents aged 13–17 on how the lives of women and girls have been affected by the presence of UN peacekeepers within the DRC. SenseMaker, a mixed-methods narrative capture tool, was used to survey participants around six United Nations bases across eastern DRC. Each participant shared a story about the experiences of Congolese women and girls in relation to MONUSCO personnel and interpreted their own stories by answering a series of questions. Patterns of adolescent perspectives (aged 13–17) were analyzed in comparison to all other age groups and emerging qualitative themes were mapped onto quantitative variables. Results: Quantitative data showed that adolescents were more likely, in comparison to all other age groups, to perceive interactions between peacekeepers and women/girls as being initiated by the woman/girl, that the MONUSCO personnel was perceived to be able to offer protection, and that the interactions between local women/girls and peacekeepers were sexual in nature. Three qualitative themes emerged: poverty bringing peacekeepers and women/girls together, material/financial gain through transactional sex and sex work, and support-seeking actions of affected women/girls. Conclusions: Our mixed methods data illustrate the problematic finding that adolescents facing poverty may perceive SEA as protective through the monetary and material support gained. These findings contribute to the growing body of literature on peacekeeping economies and have implications for the prevention of, and response to, peacekeeper-perpetrated SEA. [ABSTRACT FROM AUTHOR]

Haiti's instability at the turn of the millennium demanded unprecedented changes towards community-based peacekeeping strategies. While deemed successful by some in reducing actualised violence, the UN Peace Support Operation, MINUSTAH, was wrought with allegations of sexual exploitation and abuse (SEA) and mired by the inadvertent introduction of cholera. To understand the host community's experiences with MINUSTAH, data was collected around seven UN bases from 10 locations in Haiti between June and August 2017. We find that Haitian perceptions on reporting, justice and responsibility for SEA are in juxtaposition with MINUSTAH's efforts towards stabilisation and security. While participants identified positive perceptions of MINUSTAH that aligned with the novel community violence reduction strategy employed in Haiti, outstanding concerns around SEA remain. We recommend the UN addresses its environment of impunity, alters its practices and policies to be victim/survivor-centred and improve transparency and communication with host communities. The UN must make the systemic changes necessary to address impunity or provide reparations for peacekeeper-perpetrated SEA. [ABSTRACT FROM AUTHOR]

The UN maintains a zero-tolerance policy on sexual interactions between peacekeepers and beneficiaries of assistance. Our research describes the lived experience of engaging sexually with UN peacekeepers during Mission des Nations Unies pour la Stabilisation en Haiti (MINUSTAH) from the perspectives of Haitian women/girls. Eighteen semi-structured interviews were conducted with Haitian women raising children fathered by MINUSTAH peacekeepers. Transcripts were analyzed according to empirical phenomenology. Adverse socio-economic conditions were key contextual factors. Three themes related to the nature of the sexual interactions emerged: sexual violence, transactional sex, and long-term transactional relationships imbedded in perceptions of love. Most sexual interactions were transactional and nuanced since the peacekeeper assumed the role of romantic and material provider. Sexual consent was conceptualised as the ability to weigh the benefits and consequences of engaging sexually with peacekeepers. Sexual violence was identified among minors and in instances of sexual abuse. This study provides empirical evidence to support a nuanced understanding of sexual relationships between women/girls and peacekeepers. In addition to holding peacekeepers accountable, a harm-reduction approach that aims to raise awareness for peacekeeping codes of conduct and provide comprehensive reproductive and sexual education should be considered. [ABSTRACT FROM AUTHOR]

The United Nations Stabilization Mission in Haiti (MINUSTAH) has been marred by reports of sexual exploitation and abuse (SEA) perpetrated against local women/girls. However, there is very limited empirical evidence on the community's perceptions regarding these sexual interactions. Through a mixed-methods approach, this article examines community experiences and perceptions of SEA, with three prominent themes arising: peacekeepers as tourists, peacekeepers as sexual exploiters and abusers, and peacekeepers as ideal partners. Uruguayan (n = 107, 28.1 per cent) and Brazilian personnel (n = 83, 21.8 per cent) were most commonly named in SEA narratives. We explore how these perceptions of MINUSTAH peacekeepers undermine the purpose and legitimacy of UN peace support operations, and propose strategies to prevent and address peacekeeper-perpetrated SEA. [ABSTRACT FROM AUTHOR]

Sexual violence is pervasive in eastern Democratic Republic of Congo (DRC). Survivors of sexual violence encounter numerous challenges, and women with a sexual violence–related pregnancy (SVRP) face even more complex sequelae. Because of the stigma associated with SVRP, there is no conventional sampling frame and, therefore, a paucity of research on SVRP outcomes. Respondent-driven sampling (RDS), used to study this “hidden” population, uses a peer recruitment sampling system that maintains strict participant privacy and controls and tracks recruitment. If RDS assumptions are met and the sample attains equilibrium, sample weights to correct for biases associated with traditional chain referral sampling can be calculated. Questionnaires were administered to female participants who were raising a child from a SVRP and/or who terminated a SVRP. A total of 852 participants were recruited from October 9, 2012, to November 7, 2012. There was rapid recruitment, and there were long referral chains. The majority of the variables reached equilibrium; thus, trends established in the sample population reflected the target population's trends. To our knowledge, this is the first study to use RDS to study outcomes of sexual violence. RDS was successfully applied to this population and context and should be considered as a sampling methodology in future sexual violence research. [ABSTRACT FROM PUBLISHER]

The conflict in the Eastern Democratic Republic of Congo (DRC) has been particularly devastating for children and has been typified by high levels of sexual and gender-based violence (SGBV). In this study, we seek to characterize the patterns and impact of sexual violence on children in the Eastern DRC. Semi-structured questionnaires were administered among a convenience sample of women <18 years of age presenting for post-sexual-violence care at Panzi Hospital in South Kivu, DRC. Analysis included quantitative and qualitative methods to describe the characteristics of the violence, perpetrators, and survivors and to illuminate common themes within the narratives. A total of 389 survivors of SGBV under the age of 18 were interviewed between 2004 and 2008. These paediatric survivors were more likely than adult survivors to have experienced gang rape, been attacked by a civilian perpetrator, and been assaulted during the day. Survivor and perpetrator characteristics were further stratified by type of attack. Reports of violence perpetrated by civilians increased 39-fold while reports of violence perpetrated by armed combatants decreased by 70% between 2004 and 2008. Qualitative analysis of the narratives revealed common themes, such as physical signs and symptoms among SGBV survivors (23.9%), pregnancy resulting from rape (19.3%), perpetrators being brought to justice (18.3%), and neighbourhood men as perpetrators (17.7%). Children in the Eastern DRC continue to face significant threats of sexual violence. By understanding the patterns of this violence, local and international approaches could be more effectively implemented to protect these vulnerable children. [ABSTRACT FROM PUBLISHER]

During the United Nations Stabilization Mission in Haiti (MINUSTAH), reports of sexual abuse and exploitation and children fathered by peacekeepers were brought forward to the UN. In 2017, a cross-sectional mixed-methods survey was administered by Haitian research assistants using SenseMaker® (Cognitive Edge, Singapore), a rapid data collection tool that allows participants to share a narrative on a topic of interest. In total, 2541 self-interpreted narratives in relation to the experiences of Haitian women and girls vis-à-vis peacekeepers were collected from a convenience sample of Haitian males and females across Haiti. This exploratory secondary data analysis analyzes whether narratives about sexual misconduct perpetrated by MINUSTAH peacekeepers were associated with rural, semi-urban, or urban locations and investigates the relationship between sharing narratives about sexual misconduct and the desire to engage with the UN/MINUSTAH. After adjustment, narratives addressing sexual misconduct were more likely to be shared in rural locations, compared to urban locations (RRrural: 1.19; 95% CI: 1.03, 1.38). Personal experiences of sexual misconduct were more likely (RRsex: 4.52; 95% CI: 3.34, 6.12) to be associated with rejection of the UN/MINUSTAH, compared to personal narratives of positive/neutral experiences. This research is an empirical steppingstone to understanding the distribution and consequences of peacekeeper-perpetrated sexual abuse and exploitation in Haiti. [ABSTRACT FROM AUTHOR]