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Mental health in post-genocide Rwanda

Published online by Cambridge University Press:  02 January 2018

Ian Palmer
Affiliation:
London, UK, email ianpalmer@doctors.org.uk
Nsanzumuhire Firmin
Affiliation:
Ngarama Hospital, Rwanda, email muhirefir@gmail.com
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The children who experienced the genocide against the Tutsi in Rwanda are now in their mid to late 20s. It is almost impossible to comprehend the scale of the terror and destruction of Rwanda's societal infrastructure between 6 April and 16 July 1994. While the world remained inactive, Rwanda, a small impoverished central African state, experienced the murder of about 1 million of its citizens; it also saw the terrorising, humiliation and rape of countless thousands. Although women and children were directly targeted, some actively engaged in atrocities. About 300000 children were murdered, a significant number at the hands of other children. The level of terror differed across the country and escape was frequently by luck alone. A UNICEF (2004) study of 3000 children revealed that 80% had experienced death in the family, 70% had witnessed a killing or injury, 35% saw other children killing or injuring other children, 61% were threatened with being killed and 90% believed they would die (Human Rights Watch, 2003). Of the 250000 women raped, 30% were between 13 and 35 years of age, 67% developed HIV/AIDS and 20 000 births resulted (Donovan, 2002).

Type
Thematic Papers – Children Caught Up In Conflict
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2011

References

CIA (2011) The World Fact Book: Rwanda. At http://www.cia.gov/library/publications/the-world-factbook/geos/rw.html (accessed 30 May 2011).Google Scholar
Cluver, L. & Gardner, F. (2007) The mental health of children orphaned by AIDS: a review of international and southern African research. Journal of Child and Adolescent Mental Health, 19, 117.CrossRefGoogle ScholarPubMed
Donovan, P. (2002) Rape and HIV/AIDS in Rwanda. Lancet, 360, 1718.CrossRefGoogle ScholarPubMed
Gupta, L. & Zimmer, C. (2008) Psychosocial intervention for war-affected children in Sierra Leone. British Journal of Psychiatry, 192, 212216.CrossRefGoogle ScholarPubMed
Human Rights Watch (2003) Lasting Wounds. At http://www.hrw.org/en/reports/2003/04/02/lasting-wounds (accessed 30 May 2011).Google Scholar
Munyandamutsa, N. & Mahoro Nkubamugisha, P. (2009) Prévalence de l'État de Stress Post-Traumatique dans la Population Rwandaise. Diversités de Figures Cliniques, Abus de Drougues et Autres Co-morbidités. Ministere de la Sante Programme National de Sante Mentale & Organisation Mondiale de Sante.Google Scholar
Newbury, C. & Baldwin, H. (2002) Aftermath: Women in Post-Genocide Rwanda. Working paper 303. Center for Development Information and Evaluation, US Agency for International Development.Google Scholar
Pham, P., Weinstein, H. & Longman, T. (2004) Trauma and PTSD symptoms in Rwanda. Implications for attitudes toward justice and reconciliation. JAMA, 292, 602612.CrossRefGoogle ScholarPubMed
Rodin, D. & Van Ommeren, M. (2009) Commentary. Explaining enormous variations in rates of disorder in trauma-focused psychiatric epidemiology after major emergencies. International Journal of Epidemiology, 38, 10451048.CrossRefGoogle ScholarPubMed
Schaal, S. & Elbert, T. (2006) Ten years after the genocide: trauma confrontation and posttraumatic stress in Rwandan adolescents. Journal of Traumatic Stress, 19, 95105.CrossRefGoogle ScholarPubMed
Staub, E., Perlman, L. A., Grubin, A., et al (2005) Healing, reconciliation, forgiving and the prevention of violence after genocide or mass killing: an intervention and its experimental evaluation in Rwanda. Journal of Social and Clinical Psychology, 24, 297334.CrossRefGoogle Scholar
UNICEF (2004) Rwanda: Ten Years After the Genocide. At http://www.unicef.org/infobycountry/rwanda_genocide.html (accessed 30 May 2011).Google Scholar
Unvin, P. (2001) Difficult choices in the new post-conflict agenda: the international community in Rwanda after the genocide. Third World Quarterly, 22, 177189.CrossRefGoogle Scholar
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