Promoting Holistic Health, Solidarity, and the Rights of Women in the Midst of Armed Conflict in the Democratic Republic of Congo

Background: In the midst of armed conflict in the Democratic Republic of Congo (DRC), rape has been commonly used as a weapon of war for over a decade. The magnitude of sexual and gender-based violence in this region is among the worst in the world. HEAL Africa specializes in providing comprehensive care for survivors of sexual violence through public health programming, community development services, and medical care. HEAL Africa’s ‘Women Standing Up Together' Program works across 20 sites in North Kivu, DRC to provide skills-based training and education to 7,200 vulnerable women and survivors of sexual violence. By promoting health, solidarity, and women’s rights, this program takes a ‘social determinants of health perspective’ to empower women in the DRC to take control of their own health and the social factors that contribute to it.

Research Design: A photovoice research strategy was used: Four women from ten different program sites were randomly selected, given basic digital photography training, and asked to respond to a series of questions by taking photos. These questions addressed the personal and professional development of these women since their participation in the program; a specific focus was placed on any changes in perceptions relating to women’s rights, the role of women in society, and/or feelings of solidarity with other community members. Semi-structured follow-up interviews were conducted with each participant. Data was coded for themes using a qualitative content analysis process informed by Grounded Theory.

Findings: A photovoice research strategy proved to be effective in this context and culture. The large majority of participants noted that the use of photography facilitated more personal responses. Themes such as the importance of: solidarity, relationship-building, and education about women’s rights emerged as key components that act to empower women in this context to take control of their own health.