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ADDRESSING HIV NEEDS OF ADDRESSING HIV NEEDS OF DISPLACED POPULATIONS IN THE DISPLACED POPULATIONS IN THE DEMOCRATIC REPUBLIC OF CONGO DEMOCRATIC REPUBLIC OF CONGO PCB, UNAIDS, Lusaka, Zambia 6 8 December 2006 E. Hounsokou, UNHCR


  1. ADDRESSING HIV NEEDS OF ADDRESSING HIV NEEDS OF DISPLACED POPULATIONS IN THE DISPLACED POPULATIONS IN THE DEMOCRATIC REPUBLIC OF CONGO DEMOCRATIC REPUBLIC OF CONGO PCB, UNAIDS, Lusaka, Zambia 6 – 8 December 2006 E. Hounsokou, UNHCR Representative, Kinshasa, DRC

  2. Role of UNHCR Role of UNHCR • 1951 Refugee Convention : ‘State parties shall accord to refugees in their territories access to the same ‘public relief and assistance as their nationals, including medical care.’ • Became UNAIDS cosponsor in June 2004 • Lead organisation for HIV and displaced persons (IDPs and refugees) acc. to UNAIDS div. of labour – Complimentary to HCR’s lead role in Protection, Shelter and Camp Mgt within humanit. reform process

  3. Displacement Cycle Displacement Cycle Border Conflict- affected population Return Refugees Repatriation Host IDPs community Host Interactions with other linked populations: community -Armed forces/peacekeepers -Sex workers

  4. Refugee and Internally Refugee and Internally Displaced Persons (IDPs) in DRC Displaced Persons (IDPs) in DRC • UNHCR provides assistance to: – Refugees 224,000 – Returnees 82,000 – IDPs 1.6 million • IDPs often worse off than refugees who enjoy protection under 1951 Convention

  5. Impact of Conflict and Impact of Conflict and displacement displacement • Pre-existing poverty exacerbated • Community social structures broken and ability to cope compromised • Often struggle for survival • Women and children most vulnerable incl. sexual gender-based violence (SGBV) – In DRC, wide scale rape • Rape survivors stigmatised and shunned by partners and communities • Drugs and alcohol abuse common

  6. IDPs Fleeing Conflict in IDPs Fleeing Conflict in Central Katanga Central Katanga

  7. Return and Reintegration Return and Reintegration Programs Programs • UNHCR in DRC is implementing the following: • Medical screening. • HIV/AIDS awareness campaigns • Condom distribution • Provision of counselling services to returnees • In some instances, PLWAs advised to delay return until ART available in areas of origin • Every returnee educated about HIV through mass information activities in host country and/or on arrival in country of origin

  8. Collaboration Collaboration • UNHCR collaborates with UNAIDS Country Coordinator and team, cosponsors, Gov, int’l and nat’l NGOs and donors • Various for HIV interventions for displaced persons are mapped out w aim of strengthening nat’l and regional initiatives – Integrated approach w host comm. – e.g. World Bank funded GLIA project and World Bank MAP for DRC

  9. Challenges Challenges • Sustained stability in DRC: – Critical for return and reintegration – National plans can take hold in more comprehensive fashion – Basic support infrastructure can be put into place – Requires increased resources • HIV is cross-cutting issue that requires improved coordination, advocacy, and resources with active involvement of Gov, donors, UN agencies, NGOs and beneficiaries • Flexible funding to change acc. to IDP/ref sit’ns • Gathering reliable data at nat’l and regional level

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