Gender disparities in refugee contexts: Case studies using health indicators Khassoum Diallo Senior Statistician UNHCR Global Forum on Gender Statistics, Manila October, 2010 ESA/STAT/AC.219/20

SCOPE OF FORCED DISPLACEMENT Forcibly displaced persons represent a significant share of the de facto population of many countries Forcibly displaced persons represent a significant share of the de facto population of many countries Refugees and Asylum-seekers ~ 16 million end Internally Displaced People (27 million) Refugees and Asylum-seekers ~ 16 million end Internally Displaced People (27 million) Daddab refugee camp (300,000 people): 4th city of Kenya does not appear in any official statistics or map of Kenya Daddab refugee camp (300,000 people): 4th city of Kenya does not appear in any official statistics or map of Kenya In many countries, MDGs or other international goals cannot be achieved without addressing the needs of populations affected by conflicts and emergencies, especially women and children In many countries, MDGs or other international goals cannot be achieved without addressing the needs of populations affected by conflicts and emergencies, especially women and children 2

Demographic patterns Increasing share of urban refugees (close to 60% in 2009 Between 70-90% of refugees remain in their region of origin Age & sex distribution 3

Data Sources & methods UNHCRs Health Information System The Standards and Indicators Programme (over 100 countries, by location) Participatory assessments (over 120 countries, at least once every year) Routine registration and monitoring system from Governments & other partners Mix of sources (surveys, censuses, estimation methods etc.) Data quality assessment and triangulation 4

Health Information System Core health topics: Mortality, morbidity, RH, Nutrition, Access to services 5

Relationships Conflict Displacement Health Gender related issues: Women, men, boys and girls impacted differently Gender based violence (e.g. rape, domestic violence) Reproductive/including maternal health Access to health services 6

Analyses/ Presentation Methods Gap and Trends analyses Scorecards Indices: Composite indices, including the gender parity index 7

Illustration using selected indicators Access to services Womens empowerment Gender based violence HIV Testing and Counseling 8

Access and use of health facilities 9

Womens participation in decision making 10

VCT: Tested for HIV 11

Measuring performance in health 12

Gender Parity Index (GPI) 13

In conclusion: Lessons learnt from gender analyses Gender disparities remain high for many health-related indicators in a number of refugee contexts Difficult to analyze most of maternal health indicators from a gender perspective Data collection and quality remain a challenge Post analysis phase: translation of findings 14