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CASE 2: The Silent Epidemic of Gender Inequality in Rwandan Refugee Camps
Ramat Morrison, a public health nurse at Mbeki clinic situated near Rwanda’s Mahama refugee camp, is worried about the rising incidence of unintended pregnancies and sexually transmitted infections among female refugee youth. A community-based program designed to address these widespread sexual and reproductive health challenges has had a low uptake rate by refugee youth since its inception. Ramat now faces a dilemma of which multisectoral approach to adopt to enhance this uptake rate. She has several options she can implement to precipitate change. The role of partnership and collaboration with other refugee organizations and stakeholders is now paramount in reducing the epidemic of gender inequality in Rwandan refugee camps. The goal of the case is to identify the relevant stakeholders required to address the sexual and reproductive health challenges faced by refugee youth in Rwanda’s Mahama Refugee Camp. Additionally, the case provides students with the opportunity to describe the connection between the overall health of marginalized populations such as refugees and the social determinants of health such as gender, culture, and income. Finally, readers are able to explore how cultural values and practices affect the implementation of public health programs