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Menstrual hygiene management (MHM) is an important but often neglected aspect of women’s health worldwide, especially in developing and disaster-prone countries, such as Bangladesh. This qualitative study aimed to investigate awareness, attitudes, and practices related to MHM among girls in the Haor region, particularly during floods. The study adopts a phenomenological approach, and data were collected using purposive sampling from 33 women aged 15 years and above who resided in the Haor region. Thematic analysis was employed to identify the patterns, themes, and subthemes within the qualitative data. The study reveals a significant lack of widespread knowledge about menstruation among girls in the Haor area, which is associated with unfavourable family and social attitudes, and stigma or taboos. Natural hazards, cultural barriers, access to the market, economic incapacity, and inadequate infrastructure make it very difficult to manage menstruation, which is especially aggravated during floods due to displacement and shelter on the roadside, primary schools, and other people’s houses. This research emphasises the need for tailored MHM programmes from the government to address the unique challenges faced by women in Haor regions. Provision of sanitary napkins and essential medicines, maintaining stock in shelters, and equipping community clinics with MHM-related healthcare services are essential. Finally, NGOs should prioritise MH within their scope of work.
This article explores the path of the microscopic phylloxera insect as it made its way from the United States to the Eastern Mediterranean in the late nineteenth century. As the pest devastated vineyards in Western Europe it also catalyzed grape production in the western Ottoman Empire around Izmir, before this region, too, succumbed. One response to the outbreak was the first legal code controlling plant traffic across nations, and another was an effort to plant American rootstocks, which were relatively resistant. The Ottoman response to phylloxera offers another example of the ways in which the alleged “sick man of Europe” was actually much more dynamic than its detractors insisted. The invocation of phylloxera moreover became a way for post-Ottoman states like Bulgaria, Greece, Romania, and Serbia to protect their national grape economies. The article’s broader analysis explains how the shared environment of the Aegean and the Eastern Mediterranean incubated both the spread of phylloxera and—in the protectionist legal regimes formed in response—the architecture of the region’s peculiarly integrated disconnection. The article closes by considering the agriculture of displacement amidst the Greek-Turkish Population Exchange, and how it further entrenched these dynamics as migrants took vines with them and planted them in the remarkably similar environments of their new national homes.
The COVID-19 pandemic brought to light the need to address the psychosocial and mental health needs of refugees and internally displaced persons in low- and middle-income countries. COVID-19 prevention measures slowed essential services and healthcare, creating unique challenges for refugees and IDPs, including economic insecurity and societal instability. All of these factors may contribute to the reported declines in their psychosocial well-being.
Methods
To effectively define the problems of low-and middle-income countries (LMICs) in addressing the needs of these populations, we conducted a systematic literature review of literature on the mental health and psychosocial well-being of refugees and displaced persons who have migrated between LMICs in the context of COVID-19.
Findings
Our findings indicate that mental health interventions, such as digital healthcare and community-focused solutions, have the potential to address the problems faced by refugees and IDPs. Nevertheless, these community-based support networks are overextended, continuously developing to meet the needs of these vulnerable populations while considering the limited digital literacy of the subject population, internet accessibility, and overall limits in reach. We found that the efficacy of interventions varied according to the distinctive needs and challenges of various refugee and IDP populations.
Implications
The findings indicate a need for an intersectional policy approach to address the complex network of factors influencing mental health outcomes, including gender, housing, employment status, and social inequalities. Global agencies, policymakers, and local governments must prioritize the development of comprehensive mental health support systems, assuring refugees and IDPs have sustainable and equitable access.
This essay revisits the relationship between Clare’s mental and physical health and his writings by considering the importance of taking him on his own terms. Appraising the critical history of diagnostic approaches towards Clare’s mental and physical distress, it suggests that such categoric approaches to the poet’s psychophysiological life are unsatisfactory. It turns instead to a key term that Clare used repeatedly to describe his varied forms of disorder – his ‘indisposition’ – and argues that it remains important to Clare and to us as readers of him because of its dislocating and indecisive potential. Considering his unsettled position within the medical and literary culture in which he lived, and broadening the range of his medical encounters and vocabulary beyond the narrow context of the asylum, the essay discuss Clare’s symptoms and his poetic representations of them as entangled with his mobility across, and unstable status within, different places, social worlds, and identities.
This chapter introduces cases motivating the book and presents a three-step argument about the effects of forced migration on societal cooperation, state capacity, and economic development. It reviews evidence from post-WWII displacement in Poland and West Germany, discusses the applicability of the findings to other cases, and highlights the main contributions of the book.
The book of Isaiah reflects many of the population movements that took place in the period of its formation. Much biblical scholarship focuses on “the (Babylonian) Exile,” but as C. L. Crouch points out in “Isaiah and Migration,” mass population movements were carried out in the sphere of Israel and Judah by the Assyrians long before the Babylonians overthrew Jerusalem. She also calls attention to the migrations experienced by other nations, and to forces of displacement other than deportation, such as warfare, famine, and natural disasters. She analyzes the literary reception of these numerous involuntary migrations, and the ways in which the prophet and his audiences made sense of them.
This chapter provides the historical background necessary to understand the book’s empirical analysis. It discusses the political decisions that led to the displacement of Germans and Poles at the end of WWII and challenges the assumption that uprooted communities were internally homogeneous. It then zooms in on the process of uprooting and resettlement and introduces data on the size and heterogeneity of the migrant population in postwar Poland and West Germany.
Each year, millions of people are uprooted from their homes by wars, repression, natural disasters, and climate change. In Uprooted, Volha Charnysh presents a fresh perspective on the developmental consequences of mass displacement, arguing that accommodating the displaced population can strengthen receiving states and benefit local economies. Drawing on extensive research on post-WWII Poland and West Germany, Charnysh shows that the rupture of social ties and increased cultural diversity in affected communities not only decreased social cohesion, but also shored up the demand for state-provided resources, which facilitated the accumulation of state capacity. Over time, areas that received a larger and more diverse influx of migrants achieved higher levels of entrepreneurship, education, and income. With its rich insights and compelling evidence, Uprooted challenges common assumptions about the costs of forced displacement and cultural diversity and proposes a novel mechanism linking wars to state-building.
Chapter 6 examines the devastating toll that the development of the hydropower nation took on people’s lives. In Henan, Shanxi, and Shaanxi, over 430,000 people were forced to leave their homes and communities due to the construction of the Sanmenxia Dam. This chapter focuses on the resettlement of over 7,000 residents from Henan to Gansu, revealing how the state’s pursuit of hydroelectricity not only altered the Yellow River’s physical landscape but also caused irreparable harm to the affected communities.
China has the largest electricity generation capacity in the world today. Its number of large dams is second to none. Xiangli Ding provides a historical understanding of China's ever-growing energy demands and how they have affected its rivers, wild species, and millions of residents. River management has been an essential state responsibility throughout Chinese history. In the industrial age, with the global proliferation of concrete dam technology, people started to demand more from rivers, particularly when required for electricity production. Yet hydropower projects are always more than a technological engineering enterprise, layered with political, social, and environmental meaning. Through an examination of specific hydroelectric power projects, the activities of engineers, and the experience of local communities and species, Ding offers a fresh perspective on twentieth-century China from environmental and technological perspectives.
One of the most immediate effects of the Russian war against Ukraine was the unprecedented influx of Ukrainian refugees in some countries. This article analyzes temporary protection for Ukrainian refugees in two countries—the Czech Republic and Poland, which represent the countries most exposed to immigration from Ukraine. The authors compare the political and legal response of both countries to the institute of temporary protection to reveal similarities and differences in the scope, tools, and nature of temporary protection, including causes and consequences. Both countries go beyond the minimum standards set in the EU Temporary Protection Directive and differ in their approach to its implementation. The authors claim that although the concept of temporary protection has expanded with the current situation, it allows significant benefits in allowing fast-track integration into the labor market, which aligns with the concept of refugees’ “deservingness.” However, the duration of temporary protection is a major limitation to refugees’ integration due to the emphasis on voluntary return to the country of origin.
Chapter 4 is about the fate of the families whose land the military regime’s big reservoirs flooded. It covers the twenty-year period from the late 1970s to the late 1990s, when reservoir floodwaters expelled farmers and Indigenous communities from their homes, sending them to uncertain fates. This chapter argues that the military government mostly ignored the social costs of its big dams because it felt pressure to build them quickly and cheaply and becuase it believed its pharaonic environmentalism would satisfy its critics. The military regime provided scant resources to help displaced communities transition to new homes and unfamiliar subsistence practices, and many were left to start anew with almost no financial compensation. For the generals, it helped that most of these people were poor and from racially marginalized groups that had little political clout. Nevertheless, organizations and community leaders associated with the Catholic Church – then under the influence of liberation theology – helped organize dispossessed communities, some of whom succeeded in earning more just compensation.
Chapter 7 covers the changing nature of dam building in Brazil during the 1990s–2010s. It argues that during this period, mobilization for social and environmental justice among dam-affected communities began to play a greater role in the county’s dam-building program and that the movement’s priorities and achievements were not uniform. Brazil’s anti-dam movement has succeeded in modifying many new dams or blocking them outright, especially in the Amazon Rainforest, but has done little to achieve justice for the still-uncompensated Indigenous communities that were displaced by the dictatorship’s reservoirs. More than thirty years after being displaced, the Avá Guarani and the Tuxá, the Indigenous communities dispossessed by Itaipu and Itaparica, respectively, are still fighting for the land the government owes them. Climate-related challenges have been a second defining element of this period. Since the late 1990s, the Brazilian hydropower sector has endured at least three significant droughts that lowered reservoir levels, curtailing output and leading to rolling blackouts. Such episodes could become more common and severe under anthropogenic global warming. Thus, while the Brazilian hydropower sector has done much to mitigate carbon emissions, the impacts of anthropogenic warming threaten to curtail the degree to which reservoirs can produce such valuable low-carbon energy.
Chapter 6 tells the story of the Balbina Dam. Built during the 1980s, it was the military regime’s last and most controversial dam, and it encapsulates this book’s main arguments. Political pressures were instrumental in the decision to build the dam, whose floodwaters inundated a large area of the Amazon Rainforest that was inhabited by the Waimiri-Atroari Indigenous community. Instead of investing in meaningful environmental safeguards, the government planned an ostentatious greenwashing campaign. The result was social and ecological calamities on par with those at earlier dams. But there was one principal difference that made Balbina exceptional: timing. Balbina came on the heels of a spate of other controversial dam projects that had turned many Brazilians against big dams. Furthermore, the military regime stepped down in 1985, during construction, and the civilian government that replaced it finished the dam. The return to civilian rule emboldened dam critics to pressure the government for more effective safeguards, and though the civilian government did not suspend the project, it did implement better belated remediation programs than the military regime had done for its reservoirs. Balbina was thus the last of its kind and became a watershed moment in the history of Brazilian dams.
Edited by
Alejandra Laera, University of Buenos Aires,Mónica Szurmuk, Universidad Nacional de San Martín /National Scientific and Technical Research Council, Argentina
Published during the debates around the role of the author in response to the Cuban Revolution, at the height of the Latin American literary Boom, Todos los fuegos el fuego (1966) emerges not only as a culmination of Julio Cortázar’s short fiction but also as a volume in dialogue with the literary, social, and political concerns of the time. Constant throughout this collection is the representation of characters who are displaced from familiar surroundings either physically, psychologically, or even fantastically. Characters are forced to share an uncomfortable space in “Autopista del Sur,” a story situated on the highway south of Paris that presents an allegory of human relations. Through the textual transposition of Che Guevara’s diaristic rendition of his trajectory through the Sierra Maestra Mountains in Cuba, “Reunión” also records the historical meeting of revolutionaries. Meanings produced through displacements develop also in the closing story of the volume, “El otro cielo,” in which Paris and Buenos Aires are seamlessly intertwined in the character’s experience. Displacement functions as an organizing thread through Todos los fuegos el fuego; transfers and reverberations in the stories generate disquieting tensions that reflect contemporary sociopolitical realities and the human condition.
Edited by
Alejandra Laera, University of Buenos Aires,Mónica Szurmuk, Universidad Nacional de San Martín /National Scientific and Technical Research Council, Argentina
This is a chapter about the desire to escape, to flee, to desert the Argentineity of Argentine literature; about a force bent on undermining or abandoning Spanish, on imagining literary projects placed beyond, underneath, or against the institutionalized understanding of a national tradition based on long-held beliefs in sovereign forms of language, territoriality, and identity. It focuses on a discursive force lurking behind a list of proper names – J.Rodolfo Wilcock, Copi, Sylvia Molloy, Edgardo Cozarinsky, María Negroni – rendered visible by a shared will to displace the boundaries of the Argentine tradition as a cultural site that lends itself to processes of subjectivation and misidentification. The textual moments and stances analyzed inscribe displaced writerly practices (always marked by ambivalences and unresolved tensions) in a designated, reimagined foreign space, at once strange and familiar – be that a specific cultural and linguistic location in the Global North (Rome, Paris, New York) or an indeterminate site marked by indexical signs of elsewhereness.
Displacement exerts an ongoing negative impact on people’s mental health. The majority of displaced populations are hosted in the global south, yet there is a paucity of evidence synthesis on the implementation of mental health and psychosocial support (MHPSS) programmes in those contexts. We undertook a systematic review of factors influencing the delivery and receipt of MHPSS programmes for displaced populations in low- and middle-income countries to address this gap. A comprehensive search of 12 bibliographic databases, 25 websites and citation checking were undertaken. Studies published in English from 2013 onwards were included if they contained evidence on the perspectives of adults or children who had engaged in, or programmes providers involved in delivering, MHPSS programmes. Fifteen studies were critically appraised and synthesised. Studies considered programme safety as a proxy for acceptability. Other acceptability themes included stigma, culture and gender. Barriers to the accessibility of MHPSS programmes included language, lack of literacy of programme recipients and location of services. To enhance success, future delivery of MHPSS programmes should address gender and cultural norms to limit mental health stigma. Attention should also be given to designing flexible programmes that take into consideration location and language barriers to ensure they maximise accessibility.
Focusing on the long aftermath of the July Revolution of 1908 in the Ottoman Empire, this article examines the intellectual and popular climate of protest in the context of a crisis of sovereignty over Crete. Keeping the geographical focus on İstanbul and on the regions receiving tens of thousands of civilians displaced from this Mediterranean island around the turn of the twentieth century, I discuss how multiple segments of a refugee population animated a mass protest movement. Pursuing a multi-class perspective, the article demonstrates how the mobilization of the displaced rested on the actions of mutually reinforcing social clusters: an upper-class cohort of Cretans based in İstanbul and more numerous but equally vocal underprivileged groups from the provinces. Approaching displacement as a condition that generates not only victimhood but also impetus for collective action, I argue that the displaced Cretans became the leading agents of mass politics in the post-revolutionary Empire.
Migrant mental health is a pressing public health issue with wide-ranging implications. Many randomized controlled trials (RCTs) have been conducted in this population to assess the effects of psychosocial interventions. However, the available evidence is characterized by controversy and fragmentation, with studies focusing on different migrant populations, interventions, outcomes, delivery modalities and settings. Aiming to promote systematic reviews of the effectiveness of psychosocial interventions in different migrant groups, we have developed a living database of existing RCTs. The development of the database provides an opportunity to map the existing RCT evidence in this population. A total of 135 studies involving 24,859 participants were included in the living database. The distribution of studies by year of publication aligns with the increasing global migrant population in recent years. Most studies focus primarily on adult participants, with a limited representation of children and adolescents, and a prevalence of female participants, which is consistent with epidemiological data, except for older adults, who are underrepresented in research. Studies predominantly focus on refugees and asylum seekers, likely due to their elevated risk of mental health issues, despite the substantial presence of economic migrants worldwide. While studies mainly involve migrants from the Middle East and East Asia, epidemiological data suggest a broader geographic representation, with migrants coming from Eastern Europe, Latin America and South Asia. The present descriptive analysis of RCTs on mental health and psychosocial interventions for migrant populations provides valuable insights into the existing research landscape. It should be used to inform future research efforts, ensuring that studies are more representative of the global migrant population and more responsive to the mental health needs of migrants in different contexts.
As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study’s intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.