Armed Conflict 17 Armed Conflict's Impacts on Children—A Photo Essay 37 a Basis for Action 49
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CHILDREN IN WAR A Guide to the Provision of Services A Study for UNICEF Everett M. Ressler Joanne Marie Tortorici Alex Marcelino UNICEF New York, N.Y., USA Copyright © 1993 United Nations Children's Fund Programme Publications 3 UN Plaza New York, N.Y. 10017 USA ISBN: 92-806-2089-4 March 1993 Design: Phyllis Ressler Photos: Cover: Patrick Baz, AFP, 1990 Page 37: UNICEF/5549/Darko Gorenak Page 38: UNICEF/1407/Yann Gamblin Page 39: UNICEF/5526/John Isaac Page 40: David Burnett/Contact Page 41: UNICEF/2906/Carolyn Watson Page 42: UNICEF/5133/John Isaac Page 43: UNICEF/4560C/John Isaac Alon Reininger Page 44: UNICEF/833/Said Elatab UNICEF/5425/Darko Gorenak UN/141100/John Isaac Page 45: UNICEF/4761/John Chaisson Page 46: UNICEF/1397/Yann Gamblin Page 47: Leif Skoogfors Line art at beginning of chapters courtesy of International Social Service. The material in this book has been commissioned by the United Nations Children's Fund (UNICEF). The contents of this book are the responsibility of the authors and do not necessarily reflect the policies or the views of the United Nations Children's Fund. The designations employed in this publication and the presentation of the material do not imply on the part of the United Nations Children's Fund the expression of any opinion whatsoever concerning the legal status of any country or territory or its authorities, or the delimitation of its frontiers. Oh, world be wise The future lies in children's eyes. Donna Hoffman My Children, All Children, Concordia Publishing House, St. Louis, 1975. Contents Acknowledgements 7 Introduction 9 Conceptual Framework Armed Conflict 17 Armed Conflict's Impacts on Children—A Photo Essay 37 A Basis for Action 49 Protecting and Caring for Children in Conflict Situations Loss of Life 65 Injury, Illness, Malnutrition, Disability 79 Torture, Abuse, Imprisonment, Recruitment 113 Unaccompanied Children 141 Psychosocial Distress 165 Education Disruption 209 Annexes Chapter References 225 Bibliography 235 Acknowledgements Individuals inmany countries interrupted the course of their harried schedules to contribute to this book. Often in the shadow of conflict, parents, children and other interested people shared concerns, lessons and dreams. People within the International Committee of the Red Cross (ICRC), the Pan American Health Organization (PAHO), the United Nations High Commissioner for Refugees (UNHCR), the United Nations Educational, Scientific and Cultural Organization (UNESCO), the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) and the World Health Organization (WHO) provided helpful information. Workers from non-governmental organizations, including Am• nesty International, Christian Children's Fund, Defence for Chil• dren International, Human Rights Watch, International Catholic Child Bureau, League of Red Cross Societies, Radda Barnen (Sweden), Redd Barna (Norway), Save the Children Federation (U.S.) and Save the Children Fund (U.K.) made special efforts to contribute information and comments. Individuals who deserve special mention include Nigel Cantwell, Ilene Cohn, Dr. Atle Dyregrov, Shirley Fozzard, Dr. Elizabeth Jareg, Dr. Bruno Lima, Dr. Mona Maksoud, Margaret McCallin, Dr. Julie McDonald, Dr. J. C. Metraux, Dr. Eric K. Noji, Dr. Magne Raundalen, Jennie Street, Jan Williamson and John Williamson. Dinora de Marino, Dora Lili Posadas de Garcia and Dr. Joanne Marie Tortorici, in El Salvador, Guatemala and Nicaragua, respec• tively, wrote background papers detailing Central American expe• rience. The African Network for the Prevention and Protection Against Child Abuse and Neglect (ANPPCAN) contributed a background paper on experience in Africa. Alex Marcelino pro• vided an in-depth review of experience in the Philippines. Dr. Jiri Toman, an international lawyer at the Henry Dunant Institute in Geneva, provided comment and information regarding interna• tional law. People in many countries wrote letters, sent information, responded to questionnaires and arranged field trips for site visits. 7 Acknowledgements The project would not have been completed without excellent support from UNICEF. UNICEF New York and UNICEF Philip• pines financed the project. The project was nurtured from inception to completion by Dr. Nyi Nyi, Director of the Programme Division; R. Padmini, Chief of the Urban Section; Clarence Shubert, Senior Advisor, Children in Especially Difficult Circumstances, Urban Section; and their staffs. Staff of the Emergency Section and Charles La Muniere also provided important and helpful support. Newton Bowles provided invaluable comments and encouragement throughout the process, The UNICEF Philippines staff made a significant contribution to the project. UNICEF staff in Bangladesh, Egypt, El Salvador, Guatemala, Jordan, Kenya, Liberia, Namibia, Nicaragua, Pakistan, Sri Lanka and Uganda made special efforts on behalf of this project also. Cheryl Zehr Walker contributed significantly through her editing, as did Phyllis Ressler through her graphic design work, her search for photos, her attention to details and her support throughout the project. Kathleen Yoder assisted in preparing final copy. Janet D otter worked many days assisting in the literature search and the preparation of the bibliography. Their pleasant andhelpful assistance was deeply appre• ciated. Millersville (Pa.) University provided library and other insti• tutional support; special thanks go to Dr. Sam Casselberry. Dr. Joanne Nigg and the staff at the Disaster Research Center, University of Delaware, are thanked for their assistance. Dr. Joanne Marie Tortorici (Nicaragua) and Alex Marcelino (Philippines) served as principal consultants to the project, provid• ing drafts on many sections and comments on all. Their significant field experience and knowledge about the provision of services to children in situations of armed conflict were invaluable. They proved a delight to work with. I wish to thank all the persons mentioned above, and the many more who assisted but are unmentioned, for their willingness to contribute to a process undertaken in the hope that it would benefit children in situations of armed conflict. The opinions expressed in this book are those of the author, not necessarily those of UNICEF or of people who have provided information and support. Everett M. Ressler Introduction A renewed commitment is needed on behalf of children in situations of armed conflict. In conflict situations adult family members do everything possible to protect and provide for their children; children help each other; community members, committed govern• ment personnel and non-governmental organization (NGO) work• ers offer assistance, often at great personal risk. Children are the jewels of family and society throughout the world, and extra• ordinary efforts are taken to ensure their well-being. Unfortunately, the substantial efforts of families, communities, agencies and government services have not fully protected and provided for children in situations of armed conflict. Many children are killed, injured, tortured, imprisoned, malnourished and separated from family members, and suffer the numerous other impacts of armed conflict. It is this sad reality that substantiates the need for renewed local, national and international commitment to these children. Background Renewed national and international interest in and commitment to the special needs of children in situations of armed conflict is rather recent and has developed in large part because of the initiatives taken by UNICEF's Executive Board and staff. In 1986 the Executive Board recognized the necessity of special program• ming efforts for "children in especially difficult circumstances", which includes children in situations of armed conflict, street children, abused children, working children and children in institu• tions. UNICEF estimated that as many as 20 per cent of all children live in especially difficult circumstances, often outside the reach of normal services. Since that recognition, national services, NGOs and interna• tional organizations have begun assessing and meeting the needs of children in especially difficult circumstances more concertedly Children in War: A Guide to the Provision of Services through studies, public discussions, pilot projects and advocacy efforts. New programmes are being formulated in virtually all countries in which there are ongoing conflicts. In Afghanistan, Cambodia, India, Myanmar, the Philippines, Sri Lanka; in Colombia, Guatemala, Nicaragua, Peru; in Angola, Ethiopia, Mozambique, South Africa, Sudan; in Iraq, Israel, Leb• anon (to name a few of the 40 or so countries currently experiencing armed conflict), people work to ensure the well-being of children. Their continuing search for information and their experience have provided the impetus for this book. Objectives This book was formulated to encourage consideration of the following questions: • What impacts do present-day conflicts have on children and their families? • What special needs of children should be anticipated and monitored? • Which children in what circumstances are likely to have special needs that may require intervention? • What principles of programme response might be suggested? • What programme strategies are being adopted around the world to meet children's needs? • What literature and special resources are available to service providers? Children in War is intended to be a summary. It is short rather than long, generic rather than country- or emergency-specific, practical