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Conflict-Affected Women's Perceptions of Psychosocial Well

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Conflict-Affected Women's Perceptions of Psychosocial Well Final Report: Perceptions of Psychosocial Well-being Among Conflict Affected Women in Burundi Kumererwa-neza: To Be Well in Your Heart Understanding Conflict-Affected Women’s Perceptions of Psychosocial Well-Being in Burundi Prepared by Martha Bragin PhD Silberman School of Social Work at Hunter College City University of New York May 2013 Understanding psychosocial well-being among women in Burundi: A participatory study Imprint: To cite this study: Bragin, M., Nzeyimana, G., Ntacobakinvuna, D. & Eibs, T. (2013). Kumererwa-neza: To Be Well in Your Heart. Understanding Conflict-Affected Women’s Perceptions of Psychosocial Well-being in Burundi. Vienna and Bujumbura: CARE Österreich For further information refer to [email protected] Online download under: http://care.at/expert/coe-resources/psychosocial May 2013 1 Understanding psychosocial well-being among women in Burundi: A participatory study ACKNOWLEDGEMENTS The PIs express their gratitude to the leadership of CARE International in Burundi, especially Ms Ida Ntawundora, Program Director, Women’s Empowerment, and Laurent Uwumuremyi, Program Quality and Learning Director, without whose support and generosity the work would not have been possible. In addition, gratitude is owed to the entire office staff for their collaboration. Michelle Carter, Country Director, Yawo Douvon, Assistant Country Director facilitated the implementation of the pilot study, making the entire project possible. Josée Ntabahungu facilitated the entire pilot study, working weekends and holidays to ensure that the work went forward. The PIs also express their gratitude to the Transcultural Psychosocial Organization under the direction of Herman Ndayisaba for their role in facilitation and to Consolata Mayondo, Project Director, for arranging and organizing the entire second round. Immeasurable thanks are due to the following CARE and TPO officers who went far beyond what could have been expected in any way to support the study. List of Persons Supporting the Study Study Support Tonka Eibs Psychosocial Advisor CARE Austria Alexis Macumi M & E Director, Women’s Empowerment Programs, CARE, Burundi Consolata Mayondo Project Coordinator HealthNet TPO Ida Ntawundora Program Director, Women’s Empowerment Laurent Uwumuremyi Program Quality and Learning Director Research Team Martha Bragin International PI Silberman School of Social Work, CUNY Generose Nzeyimana Burundi Co-PI Program Director, Kirumara Project, CARE, Burundi Domitille Ntacobakinvuna Burundi Co-PI Advisor for Gender and Learning, CARE Burundi Justine Nkurunziza Translator Jean Pierre Driver Research Assistants Kelsey Adolphs Research Assistant Sarnaz Lofti Research Assistant Anneija Hyatt Research Assistant Veronica Mollere Research Assistant 2 Understanding psychosocial well-being among women in Burundi: A participatory study Participating CARE Officers for Each Region: Louise Nzosaba Bujumbura, Capacity Building Officer Godelieve Nininahazwe Gitega Capacity Building Officer Sylvie Ndantishumiye Gitega, Field Coordinator Epogémine Sindakira Gitera, Gitega Field Coordinator Adèle Hakizimanda Makebuko, Gitega Faustine Nkwirikiye Mutimbizi Bujumbura Rurale Judith Nzéyimbana Field Coordinator CARE Gridjambo Participating Psychosocial Assistants from HealthNet TPO: Nadège Kwizera Psychosocial Assistant, Gitera, Gitega Matthias Nzohabonimanza: Psychosocial Assistant Makebuko, Gitega Félix Ndikumanzi Psychosocial Assistant Mpanda, Bujumbura We express our deep gratitude to the following National Experts who contributed their valuable time to help us to understand the context of Burundi: Ndayisaba, Herman Deputy Head of Mission, HealthNet TPO in Burundi Nkurunziza, Deo Project Manager, HealthNet –TPO Burundi Ndayisaba, Gorethe Founder and Director Dushirahamwe Nsabiyua, Christine Chief of Police, Community Development Force OPC2 Mworoha, Emile Professor Emeritus, University of Burundi Department of History Ndatayinzingo, Marceline Deputy Minister, Ministry of Gender Mayondo, Consolata Project Coordinator, HealthNet-TPO Ntabona, Abbé Adrien Professor and Department Chair of African Language and Literature Director: Center for Research for Inculturation and Development (CRID) Member: National Bashingantahe Organization Abbé: Catholic Church University Parish 3 Understanding psychosocial well-being among women in Burundi: A participatory study CONTENTS Acknowledgements ....................................................................................................................................... 1 Introduction ................................................................................................................................................ 10 Background ............................................................................................................................................. 10 Purpose of the study ............................................................................................................................... 11 Goals of the study ............................................................................................................................... 11 Rationale and Significance .................................................................................................................. 11 Organization of this document ............................................................................................................... 13 Critical Review of the Literature ................................................................................................................. 16 Psychosocial work with children ............................................................................................................. 17 Evaluating psychosocial programs for children .................................................................................. 18 Evaluating Psychosocial Programs During and After Armed Conflict ..................................................... 19 Psychosocial Well-being and “Subjective Well-being:” Integrating Literature from Economics ............ 22 What about Women and Psychosocial Well-being in Areas of Armed Conflict? ................................... 25 Summarizing the Literature on Evaluating Psychosocial Interventions for Conflict-affected Women .. 26 Studying Women’s Well-being in Burundi .................................................................................................. 28 Background ............................................................................................................................................. 28 History of Burundi ................................................................................................................................... 29 Women in Burundi .................................................................................................................................. 31 Women during the conflict and immediate post-conflict period ....................................................... 33 4 Understanding psychosocial well-being among women in Burundi: A participatory study Women and HIV/AIDS ......................................................................................................................... 34 Burundian women in peace and reconciliation .................................................................................. 35 Current situation of women in Burundi .................................................................................................. 36 Current studies of women in Burundi ................................................................................................. 37 Studying Psychosocial Well-being with Burundian Women ................................................................... 37 CARE’s studies on women’s empowerment in Burundi ..................................................................... 37 Next steps ............................................................................................................................................... 38 Methodology ............................................................................................................................................... 39 The study design ..................................................................................................................................... 39 Study hypothesis ..................................................................................................................................... 39 The study objectives ........................................................................................................................... 39 The main study questions ................................................................................................................... 40 Figure 1: The study design .................................................................................................................. 41 Methods Used in This Study ................................................................................................................... 42 Figure 2: Stepwise Ethnographic Exploration ..................................................................................... 43 Participatory Ranking Method ............................................................................................................ 44 Site Selection ........................................................................................................................................... 44 Recruitment and sampling
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