Redressing Gendered Health Inequalities of Displaced Women and Girls in contexts of Protracted Crisis in Central and South America (ReGHID)

Lead Research Organisation: University of Southampton
Department Name: Sch of Economic, Social & Political Sci

Abstract

Women and young girls who are driven by necessity to leave their countries in Central and South America (often on basis of gendered threats such as sexual violence) face a range of gender-specific threats to their health and well-being both in the process of migrating and in the places of settlement that they reach. Sexual and reproductive health is a key component of social development and well-being that is particularly at risk in contexts of displacement (risks of rape and sexual assault, of sexual disease, of lack of contraception or sanitary materials are all features of processes of forced displacement in this region and elsewhere) and the ability of displaced women and girls to access and exercise their sexual and reproductive health rights faces a number of obstacles. These can range in the immediate local context from lack of awareness of rights or of the practical knowledge and skills to negotiate health systems on the part of displaced women and girls to the lack of capacity of local health services to address the needs of displaced females, where these immediate problems point to wider issues of national and regional health governance, of the need for effective planning for flexible responsiveness to crises of displacement that may become protracted and the fair sharing of responsibility for securing rights protection. This matters not only because securing these rights is integral to recognising the dignity of women and girls, but also because it is critical to enabling displaced women and girls to act as agents of development, as productive social and economic agents whose activities support the achievement of Sustainable Development Goals.

ReGHID will:
- identify the sexual and reproductive health needs of women and adolescent girls displaced from Central America to Mexico and from Venezuela to Brazil and Colombia;
- analyse the challenges that displaced women and girls face in relation to SRH;
- assess the impact of displacement on local health systems in the area of SRH, noting the obligations of receiving and transit states to ensure that the human right to health for all is respected and protected;
produce original primary data about gendered patterns of inequalities affecting access to and delivery of care in women and girls' SRH during displacement.

It does so in order to propose human rights-based and deliverable responses addressing (a) the immediate and longer-term SRH needs of women and adolescent girls in displacement, including guidance, skills and information to equip them to articulate their SRHR; and (b) a responsive Comprehensive Healthcare Model as a policy solution to protect the SRHR of migrant women and girls in contexts of protracted displacement.
To be able to do this work, the project has been co-designed, and will be cooperatively carried out, through a partnership between academics and major UN and NGO agencies from the fields of migration, displacement, aid and development. The project will be delivered by an interdisciplinary and international consortium that unites leading academics from health economics, political science, demography and social statistics, international development, human rights, gender studies, anthropology, migration and public health. Participants are drawn from leading research institutions in Central and South America region (Honduras, El Salvador, Brazil, Colombia and Mexico), the Universities of Southampton and York. It benefits from the participation of key regional intergovernmental and non-governmental organisations including the Council of Ministries of Health for Central America (COMISCA), the regional office of the International Organisation for Migrations (IOM), Medicos Sin Frontera (MSF, Mexico), United Nations Population Fund (UNFPA), and FLACSO/Costa Rica. The consortium represents a unique balance of relevant research and policy experience

Planned Impact

Impact has been embedded in the design of this proposal with NGOs, IOM and regional organisations. ReGHID will have an impact on:
i) Non-governmental and inter-governmental organisations (MSF, COMISCA, IOM) through co-design and co-delivery of impact outputs and activities into their routines and programming by co-designing an AGAPE guidance manual to ensure better SRH outputs for displaced women and girls, support the identification of health threats, health needs and barriers in the way of health rights (whether formal or informal). Further outputs such as short documentary videos and printed material will support collaborative awareness campaigns for better protection, monitoring and management of community aid.
ii) National policy makers in Central and South America with new data profiling SRH needs of women and girls in displacement from Central America and Venezuela, how those needs are met in places of transit and abode and how met/unmet SRH affect women and adolescent SRH rights, that will inform planning to improve capacity and respond effectively to health needs affected by displacement improving at the same time the prospects of displaced women and girls to be integrated in society, to develop an independent and healthily life. In addition, the health system policy modelling (MIAS -NS) closely aligns with strategic developmental goals set out nationally, regionally and in the SDG commitments on poverty reduction, health, gender, migration and development partnership.
iii) Displaced women and adolescent girls, communities, local healthcare workers, health and gender activists and civil society groups through age-appropriate information packs for girls aged 10 to 14 years and 15-24, working with ongoing IOM and MSF support and advocacy strategies. By producing immersive short video documentaries and photovoice ReGHID will also give displaced people a voice and create material for further public awareness and training sessions with community and health authorities.
iv) Scholars and researchers across the fields of social science (politics, development, international relations, human geography, demography), health economics and public health; with particular focus on ECR who will contribute to research activities and work closely with policy makers, NGOs and intergovernmental organisations such as IOM and COMISCA.
v) GCRF South-South Migration, Inequality and Development Hub with new empirical and conceptual material that offers a rights-based approach to health of forced female migrants and displacement as a determinant of sustainable wellbeing of societies and development for all. ReGHID will improve academic and policy relevant knowledge generating and disseminating new data on the SRH status of the most vulnerable groups within the forced migration populations, women and adolescent girls in South-South migration corridors leaving from and arriving at the most unequal countries in Central America and South America. ReGHID will engage with the Hub sharing of findings and best practices.
Outreach and impact will be achieved through a set of activities in partnerships with NGOs, IOM, and displaced women and adolescent girls throughout the work packages, including participatory research, face-to-face meetings, workshops, seminars and public engagement activities thorough awareness campaigns and advocacy using printed and visual material. We will also set up a project website to disseminate bilingual project information briefs, reports, papers and E-newsletters, and link with partners' media outlets and mailing lists. We will also develop opportunities for transfer knowledge for stakeholders to provide feedback and context, and for academics, practitioners and advocacy groups. We will provide a legacy of cross-disciplinary and cross-organisation capacity building, which will provide a self-sustaining network of north-south and south-south researchers and a framework enabling international partnership.

Publications

10 25 50
 
Description Despite Covid and with the necessary adjustments in terms of activities, progress in the first year of the project has been successful in terms of meeting the objectives for the reported period. Some new knowledge has been generated and translated into short investigative pieces, blogs and webinars- all of which consolidated networks and raised the profile and outreach of the project. Other outputs have been a comprehensive and systematic literature review, titled 'Missing Voices and the Paradox of Power and Choice: In the Sexual and Reproductive Health Challenges of South-South Migrant Girls and Women in Central America and Mexico', and a Working Paper titled 'What a human right to health approach means in situations of displacement in relation to Sexual and Reproductive Health and who bears what duties for its delivery?'. These documents established the theoretical-philosophical bases of the project and are being produced for peer reviewed publication. The findings of these two draft papers were also presented in international webinars and in the launching of the project that included the Advisory Board. These online activities were hosted by FLACSO Honduras, reaching key scholars, policy makers, service providers and NGOs from ODA recipients that face challenges that displacement pose to the achievement of SDG goals, principally health and gender-related SDG targets in El Salvador, Honduras, Colombia, Nicaragua, Panama, Ecuador and Brazil Republic that are increasingly becoming countries of abode for forced migration in Central America and Venezuela.
Based on research and engagement activities with stakeholders and members of the Advisory Board, we are developing a new research resource, a quantitative survey, to assess SRHR needs of women and girls in displacement, availability and appropriateness of health systems to support their specific SRHR in places of transit and settlement, and to assess determinants of health inequalities affecting displaced women of reproductive ages. The survey is a key tool to provide new data on SRH needs of displaced women and adolescent girls and analysis of SRH status alongside analysis of met and unmet SRH health and rights. This will be implemented in the second year of the project in ODA countries, El Salvador, Honduras and in Brazil.
Exploitation Route Following protocols of data management, the survey and the data collected will also be available for other researchers and fundamentally support national and multilateral policy makers in Central and South America with new data profiling SRH needs of women and girls in displacement from Central America and Venezuela, how those needs are met in places of transit and abode and how met/unmet SRH affect women and adolescent SRH rights, that will inform planning to improve capacity and respond effectively to health needs affected by displacement improving at the same time the prospects of displaced women and girls to be integrated in society, to develop an independent and healthily life.

The methods used and insights gained will also be directly applicable to other ODA recipients facing challenges that displacement pose to the achievement of SDG goals, principally health and gender-related SDG targets, and to respond to conditions of SRH risks of women and girls in Nicaragua, Panama, Dominican Republic, Guyana, Costa Rica, Ecuador and Dominican Republic that are increasingly becoming countries of abode for forced migration in Central America and Venezuela.
Sectors Healthcare,Government, Democracy and Justice

URL http://www.gcrf-reghid.com
 
Description We will strengthen access to SRH rights and support a shift towards rights-based health system services through: (i) policy, organisational and practice-related activities; (ii) public engagement and outreach. Policy, organisational and practice-related changes within NGOs, UN agencies and regional organisations: Our research will make a direct impact within the non-governmental development, operating in countries of settlement for displaced women and girls from Venezuela and from Honduras, Guatemala and El Salvador and public health sectors in Colombia, Brazil and Mexico. Building on established relationships with in-country organisations, activities are designed to be co-created and integrated into the routine work of partner organisations: Médecins Sans Frontières/Doctors without Borders (MSF) in Mexico, Brazilian Association for Collective Health (ABRASCO) in Brazil, International Organisation for Migration (IOM in El Salvador, Honduras and Guatemala; and the Council of Ministries of Health of Central America (COMISCA) and local Ministries of Health. These organisations will co-participate in impact activities to embed ReGHID's research directly into their activities. In the first year of the project we have been collaborating in webinars and online interviews with migration-focused NGOs, grassroots organisation and health providers to disseminate information briefs and preliminary findings of research. Partnerships with MSF, UNFPA, ABRASCO, the Central American NGO IPAS have been consolidated and further activities on the ground have been planned, including the piloting of the already created survey for new primary data on SRH of female migrants. Observatory of Migration: we have strengthened the work of the Observatory of Migration hosted by our Co-I partner institution, FLACSO/Honduras, through a series of well attended and high profile webinars as main engagement activity in the context of Covid. Other findings have been translated into short pieces and blogs published in high profile outlets such as The Lancet Migration and Open Democracy.
First Year Of Impact 2020
Sector Healthcare,Government, Democracy and Justice
Impact Types Societal,Policy & public services

 
Description Exploring Gender-Based Violence Among Displaced Migrant Women from Venezuela and El Salvador
Amount £6,697,300 (GBP)
Organisation University of Southampton 
Sector Academic/University
Country United Kingdom
Start 02/2020 
End 02/2023
 
Description Advisory Board 
Organisation Médecins Sans Frontières (MSF)
Country France 
Sector Charity/Non Profit 
PI Contribution co-production of AGAPE guide together with MSF for their work in community information activities and reaching women and girls to ensure better SRH outputs, support the identification of health threats, health needs and barriers to healthcare in migration.
Collaborator Contribution Advisory Board member and working directly with displaced women and adolescent girls and to sensitise the community and health system workers more widely, benefiting both their work and the targeted community.
Impact in the first year of the project collaboration was based on discussions in webinars and workshops
Start Year 2020
 
Description piloting survey on SRH migrant women and girls in Roraima 
Organisation International Organization for Migration
Country Switzerland 
Sector Charity/Non Profit 
PI Contribution IOM is providing support for logistics related to the piloting of a survey that ReGHID will conduct in Roraima, Brazil, in migrants shelters where they operate. This collaboration entails ReGHID team (Fiocruz, co-I) training personnel from IOM to conduct the pilot survey with the women in the shelters. Results will be discussed with IOM staff and a complete survey is expected to follow in all shelters in Roraima (Brazil) and other ODA countries from Central America (El Salvador, and Honduras)
Collaborator Contribution IOM will conduct the pilot survey with the women in one selected shelter in Roraima. Results will be discussed with IOM staff and a complete survey is expected to follow in all shelters in Roraima (Brazil) and other ODA countries from Central America (El Salvador, and Honduras)
Impact the main outcome has been the collaboration in the design of the survey. The survey is a key tool to provide new data on SRH needs of displaced women and adolescent girls and analysis of SRH status alongside analysis of met and unmet SRH health and rights.
Start Year 2020
 
Description Displaced women and girls in Latin America threatened by COVID-19 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact blog entry, investigation in Open Democracy. As part of the project on Redressing Gendered Health Inequalities of Displaced Women and Girls in Contexts of Protracted Crisis in Central and South America (REGHID), Pia Riggirozzi, Jean Grugel, and Natalia Cintra explored the way Covid-19 is exacerbating failures in the protection of women migrants' right to health in Central and South America.
Year(s) Of Engagement Activity 2020
URL https://www.opendemocracy.net/en/democraciaabierta/displaced-women-and-girls-latin-america-threatene...
 
Description FLACSO Honduras webinar series 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact The series of webinars organised by our co-investigators at FLACSO Honduras got off to a great start on the 24th of September 2020. Pia Riggirozzi, ReGHID Principal investigator, opened the first session where experts in the field shared their insights about the challenges posed by the feminization of migration flows in northern Mesoamerica
Year(s) Of Engagement Activity 2020
URL https://www.facebook.com/watch/live/?v=358689768815780&ref=watch_permalink
 
Description IGDC Covid-19 Webinar Series Migrants and Refugees Facing COVID-19: UK and Global Concerns 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Event details
Covid-19 is having a devastating impact across the world and on the most vulnerable.

Sara de Jong chairs a panel discussion to explore the impact of Covid-19 on refugees and those engaging in cross-continental migration. This workshop will explore these questions from the viewpoints of six expert speakers from NGOs, activism and academia whose work engages with migrants' rights.

Our speakers will focus on the types of response measures that are likely to be implemented by different actors (governments, non-government) to address migration and refugees trends. The panel will also discuss how these are likely to change as countries move from Covid-19 emergency response to recovery, as well as the fundamental principles that should be maintained to ensure they uphold the rights of migrants and refugees.

This webinar is organised in collaboration with MigNet

Emily Arnold-Fernandez, Founder and Executive Director of Asylum Access, USA
Niamh Ni Bhriain, Programme Coordinator War and Pacification, TNI, The Netherlands
John Grayson, Independent researcher and adult educator, South Yorkshire Migration and Asylum Action Group, UK
Dr Adriana Marcela Velasquez Morales, Researcher at the Latin American Faculty of Social Sciences- FLACSO, Honduras
Dr Pia Riggirozzi, Professor of Global Politics, University of Southampton, UK
Chair:
Dr Sara De Jong, Department of Politics, University of York.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=Yzo6YV9ZK-0
 
Description Protecting Migrants or Reversing Migration? COVID-19 and the risks of a protracted crisis in Latin America 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact As part of the Lancet Migration series on Migration and Health, this short piece was commissioned for the SITUATIONAL BRIEF SERIES. Our piece offers a perspective on migrant's rights to health in Latin America during COVID-19, based on background analysis conducted by ReGHID.
Year(s) Of Engagement Activity 2020
URL https://1bec58c3-8dcb-46b0-bb2a-fd4addf0b29a.filesusr.com/ugd/188e74_543cbb0400824084abcea99479dfa12...