Publications by authors named "Ali Bitenga Alexandre"

Background: Armed conflict in the eastern Democratic Republic of Congo (DRC) has significantly increased the incidence of sexual violence against women. Victims who manage to access health care within 72 h of experiencing rape can receive critical preventive care to mitigate the consequences of such violence. Despite this, a disproportionately small number of victims are able to obtain medical care within this crucial time frame.

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Examining the experience of a male survivor of rape through the salutogenic model and ecological theory, this case study explores how he imoved towards the direction of health after an atrocious experience of sexual violence perpetrated by members of an armed group. The study illustrates how he was able to deploy agency by undertaking a number of health-promoting actions to recover from the physical, mental, and social effects of conflict-related sexual violence. Initiatives in the process of improving one's health include self-care practice, searching for specialised care when self-care seems inefficient, relocation to new a setting post-rape, starting a business, testing one's reproductive capacities, marrying, taking care of the way he dressed, learning a new language, developing public speaking skills, owning a piece of land, having regular medical check-ups and ascending to power and decision-making bodies.

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While we know that most male survivors of conflict-related sexual violence in the Democratic Republic of the Congo (DRC) do not have access to care, little attention has been devoted to a systematic analysis of why this is so. Drawing from semi-structured interviews with staff of service providers and male survivors of sexual violence, as well as from focus group discussions with community members in eastern DRC, this article sets out to explore challenges and barriers related to meeting the needs of male survivors of sexual violence with respect to their medical, psychological, socioeconomic and legal needs. Our findings suggest that local framings of masculinity can both negatively and positively influence support-seeking behaviour depending on how survivors themselves engage with masculinity ideals.

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This paper sets out to explore sexual violence in armed conflict from the perspective of the combatants themselves. We interviewed combatants in South Kivu in eastern DRC about their experiences with sexual violence, what they think causes it, and how it might be mitigated. Although respondents in this study strongly believe that sexual violence is a serious crime and an immoral act which should be avoided in their ranks, they sometimes perpetrate it systematically, suggesting a disconnect between their good soldiering ideals and own actions.

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