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    Neil Boothby

    Abstract OBJECTIVES: What impact does the strengthening of child rights have on the experience and circumstances of children? CRC General Comment 13 emphasizes that defining measurable targets for improvements in child protection is a... more
    Abstract
    OBJECTIVES:
    What impact does the strengthening of child rights have on the experience and circumstances of children? CRC General Comment 13 emphasizes that defining measurable targets for improvements in child protection is a key element of efforts to strengthen child rights and well-being across the world. This paper describes an attempt to identify key domains relevant to such mapping of child protection indicators, and the feasibility of collecting data-from existing data sources or otherwise-to complete a "National Child Protection Index Report" summarizing achievements and concerns at a national level.
    METHODS:
    A process of inter-agency consultation was facilitated by the CPC Learning Network to establish a template for the Index Report. The template was modeled on that used for the "Countdown to 2015" maternal, neonatal and child health initiative, aiming to capture indices not only of key protection risks but also implementation and coverage of key protection measures. The work drew on indicator development and policy initiatives by a number of international child protection agencies. The template developed was used as a basis to pilot national data collection in Indonesia and, at a sub-national level, in northern Uganda.
    FINDINGS:
    The template provides a concise summary of protection issues of relevance to a broad range of constituencies, global and national. However, in the pilot settings, existing routine data collection was inadequate to effectively populate a large proportion of indicators. Mechanisms of collating findings from discrete assessments-another potential source of data for completion of the index report-were also generally underdeveloped.
    PRACTICE IMPLICATIONS:
    In settings where state infrastructure allows the collection and analysis of routine data in such domains as health and economic activity, such efforts should be extended to the child protection sector. Discrete assessments by governmental or non-governmental agencies also provide significant potential for more effective sharing and collation of information. National Child Protection sub-clusters or equivalent structures can play an important role in facilitating both of these processes.
    Copyright © 2011 Elsevier Ltd. All rights reserved.
    Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level... more
    Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level of consensus support was reached for 55 statements. These statements emphasized utilization of existing resources, participation, and inclusivity. The influences of resilience theory, social ecology, and cultural sensitivity were clearly evident. The utilization of developmental theory could be strengthened in relation to more differentiated understanding of the operation of protective influences and conceptualization of such influences in terms of "adaptive systems." Wider research engagement by development scientists in diverse cultural settings and clear formulation of findings for practitioners and policy makers would further support evidence-based humanitarian practice.
    Abstract BACKGROUND: Children in northern Uganda have undergone significant psychosocial stress during the region's lengthy conflict. A Psychosocial Structured Activities (PSSA) program was implemented in 21 schools identified as... more
    Abstract
    BACKGROUND:
    Children in northern Uganda have undergone significant psychosocial stress during the region's lengthy conflict. A Psychosocial Structured Activities (PSSA) program was implemented in 21 schools identified as amongst those most severely affected by conflict-induced displacement across Gulu and Amuru Districts. The PSSA intervention comprised a series of 15 class sessions designed to progressively increase children's resilience through structured activities involving drama, movement, music and art (with additional components addressing parental support and community involvement).
    METHOD:
    Eight schools were selected by random quota sampling from those schools receiving the PSSA intervention. Two hundred and three children were identified in these schools as being scheduled to receive intervention, and were followed up 12 months later following engagement with PSSA activities. A comparison group comprised 200 children selected from schools that had met inclusion criteria for receipt of intervention, but were not scheduled for intervention coverage until later. Preliminary research used participatory focus group methodology to determine local indicators of child well-being as viewed by parents, teachers, and children respectively. Pre- and post- assessments focused on ratings for each child - by parents, teachers and children - with respect to these indicators.
    RESULTS:
    Significant increases in ratings of child well-being were observed in both intervention and comparison groups over a 12-month period. However, the well-being of children who had received the PSSA intervention increased significantly more than for children in the comparison group, as judged by child and parent (but not teacher) report. This effect was evident despite considerable loss-to-follow-up at post-testing as a result of return of many households to communities of origin.
    CONCLUSION:
    General improvement in child well-being over a 12-month period suggests that recovery and reconstruction efforts in Northern Uganda following the onset of peace had a substantive impact on the lives of children. However, exposure to the PSSA program had an additional positive impact on child well-being, suggesting its value in post-conflict recovery contexts.
    © 2011 The Authors. Journal of Child Psychology and Psychiatry © 2011 Association for Child and Adolescent Mental Health.
    This article describes a participative ranking methodology for identifying local understanding of reintegration and adjustment of potential value in programme planning and evaluation. It was applied in the specific context of girls... more
    This article describes a participative ranking methodology for identifying local understanding of reintegration and adjustment of potential value in programme planning and evaluation. It was applied in the specific context of girls formerly associated with fighting forces in Sierra Leone. Fourteen discussion groups, utilizing spontaneous listing and participative ranking activities, within a focus group framework, were conducted in 10 communities. Discussions served to identify family support, marriage, involvement in communal activities and income generating activities as locally seen as significant indicators of a girl's successful reintegration after the war. This method offers a flexible approach to identifying culturally relevant indictors of reintegration that have the potential for wide use in programme planning and evaluation.
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    This study was conducted to estimate prevalence of gender-based violence (GBV) among female Somalis in Ethiopian refugee camps and host communities, compare prevalence in camps and communities, and compare prevalence in flight and in... more
    This study was conducted to estimate prevalence of gender-based violence (GBV) among female Somalis in Ethiopian refugee camps and host communities, compare prevalence in camps and communities, and compare prevalence in flight and in camp. Systematic random sampling was used to select households in Awbare camp (n = 85), Awbare town (n = 76), and Kebribeyah camp (n = 83). GBV was common and overwhelmingly domestic. Prevalence was higher in Awbare town than Kebribeyah camp. Women were at increased risk of GBV in camp compared with in flight. The domestic nature of GBV in humanitarian settings requires attention. Assumptions about violence in humanitarian settings should be further tested.
    Creating a protective environment is the basis of the United Nations’ strategy for protecting the human rights of children faced with the extreme environmental threats posed by disasters and war. The “Protective Environment Framework” was... more
    Creating a protective environment is the basis of the United Nations’ strategy for protecting the human rights of children faced with the extreme environmental threats posed by disasters and war. The “Protective Environment Framework” was developed as a basis to identify the key areas, where actions can be taken to increase the protection available to children (Landgren, 2005).
    This article offers findings on the first longitudinal study of life outcomes for former child soldiers. Between 1988 and 2004, information was prospectively collected on 39 male former child soldiers in Mozambique. The data show that,... more
    This article offers findings on the first longitudinal study of life outcomes for former child soldiers. Between 1988 and 2004, information was prospectively collected on 39 male former child soldiers in Mozambique. The data show that, after 16 years, the vast majority of this ...
    ABSTRACT This paper reports on an evaluation of a program in Sierra Leone that sought to support the community reintegration of young women and girls formerly associated with armed groups and forces. In the absence of baseline data, we... more
    ABSTRACT This paper reports on an evaluation of a program in Sierra Leone that sought to support the community reintegration of young women and girls formerly associated with armed groups and forces. In the absence of baseline data, we used locally-derived indicators of reintegration and village timelines to conduct a retrospective cohort study of the progress of 142 girls and young women towards achievement of community reintegration following their experience of abduction. Although girls and young women in both intervention and comparison communities had made progress towards integration, the intervention was associated with improved mental health outcomes and higher ratings on some aspects of marriage quality. For those who had found the greatest challenges in reintegrating, the intervention additionally appeared to support community acceptance and inclusion in women's bondo activities.
    This paper presents an evaluation of the long-term impact of microfinance programmes on Acehnese children during the post-tsunami recovery. The study, conducted from June to August 2010, examined the impact of microfinance programming six... more
    This paper presents an evaluation of the long-term impact of microfinance programmes on Acehnese children during the post-tsunami recovery. The study, conducted from June to August 2010, examined the impact of microfinance programming six years after the tsunami. The sample consisted of 185 microfinance participants, with a comparison group of 192 individuals who did not participate in microfinance programmes. All respondents were parents, interviewed through a structured survey. The study used four child protection indicators—diet, health, childcare and education—in contrast to traditional repayment rate indicators. The primary results were insignificant with respect to all four child protection indicators, suggesting that, with respect to these indicators, there was no long-term difference between the impact of microfinance on beneficiaries' children and non-beneficiaries' children. These findings signify a need for microfinance actors to move beyond traditional indicators of economic success to evaluate the social changes microfinance programmes are presumed to effect.
    Children outside of family care face increased risk of threats to their well-being, have lower educational achievement, and experience adverse developmental outcomes. While it is generally accepted that early response and intervention is... more
    Children outside of family care face increased risk of threats to their well-being, have lower educational achievement, and experience adverse developmental outcomes. While it is generally accepted that early response and intervention is critical to reducing the risk of harm for children who have been separated from their families, it is not always clear what the most effective early response strategies are for assessing and addressing their immediate needs. The purpose of this review was to identify evidence-based early response strategies and interventions for improving the outcomes of children outside of family care, including children of and on the street, institutionalized children, trafficked children, children affected by conflict and disaster, and who are exploited for their labor. A multi-phased, systematic evidence review was conducted on peer-reviewed and gray literature, which yielded a total of 101 documents that met the inclusion criteria and were reviewed. Overall the...
    This article describes a participative ranking methodology for identifying local understanding of reintegration and adjustment of potential value in programme planning and evaluation. It was applied in the specific context of girls... more
    This article describes a participative ranking methodology for identifying local understanding of reintegration and adjustment of potential value in programme planning and evaluation. It was applied in the specific context of girls formerly associated with ...
    This article looks at the experiences of children in war from a psychosocial and social ecologic perspective. In contrast to clinical approaches, it offers a conceptualization of how the impacts of political violence and war are socially... more
    This article looks at the experiences of children in war from a psychosocial and social ecologic perspective. In contrast to clinical approaches, it offers a conceptualization of how the impacts of political violence and war are socially mediated. It suggests that psychologic assistance to war-affected children often occurs not through the provision of therapy by outsiders but via support from insiders.
    Contributors LS (ls2302{at}columbia.edu) participated in conceptualization, study design, data collection, data analysis, data interpretation, initial drafting of the paper, and final review and amendment of the manuscript. She had full... more
    Contributors LS (ls2302{at}columbia.edu) participated in conceptualization, study design, data collection, data analysis, data interpretation, initial drafting of the paper, and final review and amendment of the manuscript. She had full access to all of the data in the study and takes ...
    Background: Children in northern Uganda have undergone significant psychosocial stress during the region's lengthy conflict. A Psychosocial Structured Activities (PSSA) program was implemented in 21 schools identified as amongst... more
    Background: Children in northern Uganda have undergone significant psychosocial stress during the region's lengthy conflict. A Psychosocial Structured Activities (PSSA) program was implemented in 21 schools identified as amongst those most severely affected by conflict-induced ...
    Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level... more
    Thirty specialists in humanitarian work supporting the care and protection of children in crisis settings completed a 3-phase Delphi consultation. Proposals of best practice were elicited, reviewed, and rated by participants. A high level of consensus support was reached for 55 statements. These statements emphasized utilization of existing resources, participation, and inclusivity. The influences of resilience theory, social ecology, and cultural sensitivity were clearly evident. The utilization of developmental theory could be strengthened in relation to more differentiated understanding of the operation of protective influences and conceptualization of such influences in terms of ‘‘adaptive systems.’’ Wider research engagement by development scientists in diverse cultural settings and clear formulation of findings for practitioners and policy makers would further support evidence-based humanitarian practice.
    Research Interests: