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The current qualitative study aimed to identify gender, social and cultural influences on the management and use of unconditional cash transfers as part of a prospective intervention study in Niger.
In February to March 2012, focus group discussions and semi-structured individual interviews were conducted with female caregivers of children aged 6 to 23 months who received unconditional cash transfers. Discussion and interview transcripts were analysed using content thematic analysis.
The study was conducted in the Madarounfa district in Maradi region of Niger.
Among forty-eight intervention villages, fourteen were selected for the qualitative study. Participants were randomly selected from eligible households.
In total, 124 women participated in focus group discussions or interviews. The majority reported giving the cash transfer to the male head of household who primarily managed cash at the household level. Women reported using a portion of the money to purchase foods for the target child. Feeding the household was the primary use of the cash transfer, followed by health care, clothing, gifts or ceremonies.
Gender, social and cultural norms influenced management and usage of the cash transfer at the household level. The results highlight the importance of integrating gender-sensitive indicators into interventions. Information and awareness sessions should be an integral component of large-scale distributions with a special emphasis on gender equality and the importance of women’s empowerment to improve agriculture and family health.
Studies have shown high levels of distress and mental disorder among
people living in refugee camps, yet none has confirmed diagnosis through
To estimate the prevalence of mental disorders, related disability and
treatment gap in adult refugees living in the Burj el-Barajneh camp.
Randomly selected participants were screened by household representative
(n = 748) and individual (n = 315)
interviews; clinical reappraisal was performed on a subset
(n = 194) of 326 selected participants. Weighted
prevalence estimates and 95% confidence intervals were calculated.
The prevalence of current mental disorders was 19.4% (95% CI 12.6–26.2);
depression was the most common diagnosis (8.3%, 95% CI 4.4–12.2) and
multiple diagnoses were common (42%) among the 88 persons with mental
disorder. Lifetime prevalence of psychosis was 3.3% (95% CI 1.0–5.5).
Mental disorders were associated with moderate to severe dysfunction
(odds ratio = 8.8, 95% CI 4.5–17.4). The treatment gap was 96% (95% CI
A range of mental disorders and associated disability are common in this
long-term refugee setting. Combined with an important treatment gap,
findings support the current consensus-based policy to prioritise
availability of mental health treatment in refugee camps, especially for
the most severe and disabling conditions.
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