UNITED NATIONS POPULATION INFORMATION NETWORK (POPIN)
UN Population Division, Department of Economic and Social Affairs,
with support from the UN Population Fund (UNFPA)

Closing Statement by Mrs. S. Ogata, High Commissioner, UNHCR

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This document is being made available by the Population Information 

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AS WRITTEN

                                  

                                  

                        Closing Statement by

                                  

                         Mrs. Sadako Ogata

           United Nations High Commissioner for Refugees



                              to the



    Inter-Agency Symposium on Reproductive Health in Refugee Situations

                      Geneva, 28-30 June 1995





Madam Chairperson, Madam Executive Director, Ladies and Gentlemen, 



Among the more than 27 million refugees, returnees and internally

displaced persons falling under the responsibility of my Office,

half of them are women and girls. Significant progress has been

made in developing specific guidelines on refugee women in recent

years. Progress has however been piecemeal in incorporating these

basic principles into the day to day management of refugee

situations. Moreover, for too long refugee women have been

portrayed as particularly vulnerable. This depiction does not

however do justice to the pivotal social and economic roles women

play, as well as to their contributions to maintaining family and

community life and bringing about solutions to refugee situations. 



In most refugee situations we have done reasonably well in meeting

the immediate protection and assistance needs of the refugees with

the excellent assistance of our partners. In the field of

reproductive health however we have still a long way to go. It is

not only an issue for refugee women but also relates to the rights

and responsibilities of men. I am therefore very pleased that we

were able to co-sponsor this inter-agency symposium on reproductive

health in refugee situations and draw upoo your extensive

expertise. I am impressed by the work achieved so far and let me

take this opportunity to thank all the agencies and participants

for their contributions.



Madam Chairperson,



ln September, the Fourth World Conference on Women in Beijing will

aim to adopt a "Global Platform of Action". The draft document pays

considerable attention to refugee women and, in particular, the

impact of war and violence upon them. It is important that we

approach the Beijing meeting with concrete results and an action

plan for the future. Therefore the outcome of this symposium is

indeed very timely.



I am not a specialist myself on reproductive health and will

therefore refrain from making expert statements. However, the conclusions we

have just adopted are very important ones and within this context I

would like to raise four issues.



The first issue relates to the pprotection concerns of refugee

women. The rape of women in northen Kenya, former Yugoslavia and

Rwanda has brought dramatically to the foreground the use of sexual

violence as a maw of persecution for reasons of race, ethnicity,

nationality or political opinion. UNHCR's Executive Committee has

condemned this practice which is not only a serious human rights

violation as well as a breach of humanitarian law in armed conflict

situations.



Protection of refugee women should include the granting of refugee

status as well as measures to safeguard their physical security,

material assistance, counselling and opportunities for solutions.

The Guidlines on Sexual Violence in addition to the planned manual

on reproductive health combined with more qualified female staff

arc important steps toward strengthening our protection ind

assistance role in the field. The second issue relates to

prevention. In refugee situations we focus primarily on preventive

health care which is based on a multi-sector-ai approach requiring

the timely ind adequate provision of shelter, sanitation, food,

water and health services. It is predominatly the task of women to

provide food, water and shelter for their family. Therefore,

women's health affects the refugee community as a whole. In too

many refugee situations, the problems of sexual violence, unwanted

pregnancies, family planning or AIDS have not been dealt with

because the need for them was not recognized. Appropriate

reproductive health services should therefore be an integral part

of any preventive health care strategy, involving women and men

equally.



As a third point, I would argue that any such strategy should aim

to be self-supportive and sustainable, Our focus should not be

limited to providing reproductive health care in refugee settings,

but should include measures which can continue to be utilized by

people once they have returned home. In this context, I would

stress the importance of adequately trained refugee health workers

who can benefit the community both in the country of origin and

asylum. In some instances, they can provide a "spring-board" for

the rehabilitation of the basic health sector of war-torn

societies.



Finally, let me stress the strengthening of partnerships among

agencies, governments, the refugees and host communities.

Reproductive health involves a wide variety of specialized issues

and, given the scale of the problem, io beyond the capacity of any

single agency. I am therefore pleased that from the outset of this

important initiative, we have established a partnership among

United Nations, governmental and non-governmental agencies. I look

forward to our continuing close collaboration and sharing of

technical advice and to developing concrete working relationships

as we have with UNFPA.



However, our most important partners are the refugees themselves.

Reproductive health touches upon the most basic norms, values, and

principles of society. To succeed we must make sure that the

refugees participate fully in the design, development,

implementation and evaluation of the programmes. Without their

commitment or cooperation. the programmes will not be sustainable.

It is important therefore that the culture, norms and practices of

the refugees and the host communities are fully respected.



To implement a preventive reproductive health strategy will pose

important challenges both in terms of financial and human

resources. I believe however that preventive measures an cheaper

than curative ones. Moreover. everyone working with refugees should

receive training to ensure that the principles an effectively

translated into policies and programmes. 



In concluding, I would like to express once again my appreciation

for the excellent work accomplished and the commitment of my Office

to implement an effective reproductive health stratagy in refugee

situations. I hope that the results of this symposium will not be

an end in itself but will form the basis for further discussions

&nd actions geared toward concrete results. I count on your

commitment and expertise to assist us in this task. We owe it to

the millions of refugee women and their families to provide them

with the means to ensure their reproductive health. 



Thank you.


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