Camps Versus Settlements
Anna Schmidt
September 2003
Scope of the question
The differences between camp and settlement approaches to refugee assistance are behind what Kibreab once called the "most sustained single controversy in African Refugee Studies"
Indeed, refugee camps easily qualify as the most conspicuous element of refugee assistance. They shape most Western images of the refugee phenomenon in developing countries – reflected for instance in the fact that awareness-raising campaigns by Médecins Sans Frontières (
On the other hand, large quantities of refugees still self-settle all over the world, despite the fact that increasingly restrictive policies by host governments have not only reduced the number of spontaneously settled refugees but also have meant that these situations can no longer be studied without attention to the potential risks such studies can entail for their subjects. At the Arusha Conference in 1979, figures of self-settled refugees in Africa were estimated to be 40 per cent of the total
- Websites:
-
UNHCR statistics http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=STATISTICS&id=3d0df49c4 - Jeff Crisp, "Who has counted the refugees? NHCR and the politics of numbers" http://www.unhcr.org/cgi-bin/texis/vtx/research/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c22
- Radical Statistics Oliver Bakewell, "Can we ever rely on refugee statistics?" http://www.radstats.org.uk/no072/article1.htm
User's guide
This review falls necessarily short of providing an exhaustive overview of all cases and arguments that defend, define, or denigrate different forms of refugee settlement. Instead it tries to provide a useful overview of the main issues concerned and to guide further study. Geographically it is skewed towards Sub-Saharan Africa. This is for the simple reason that Africa is host to both more refugees and more refugee-camps than any other region. Section One offers some methodological caveats and deals with definitional issues. Section Two is organized by issue area and deals with directly comparative issues. The admittedly awkwardly named rubric "social aspects" covers socio-economic as well as socio-psychological issues. Readers more interested in some of these aspects are asked to also refer to FMO guides on psycho-social issues and gender. Given the disproportionate amount of research done on refugee camps, Section Three references literature that deals more or less exclusively with self-settled refugees and organized rural settlements. In each section, web-based sources are provided for further study. A bibliography of referenced and/or other important paper-based sources is provided at the end of this document.
Terminology and conceptual issues
The debate about the costs and benefits of different forms of refugee settlement was revived in the 1990s but still retains much terminological confusion. In the standard literature, the terms "camps" and "settlements" tend to be used interchangeably. The catalogue of the Refugee Studies Programme in Oxford, for instance, distinguishes between "organized settlements", which include closed camps; "camps", which include settlement literature; and "assisted self-settlements". Far from revealing inaccuracy on the part of the author, librarian, or practitioner, such definitions indicate how effectively blurred are the distinctions between these groups.
Moreover, different authors may situate the debate quite differently depending on the way the two categories (camps and settlements) are defined. There is often a tendency to define both according to the way they relate to an ultimate, durable solution: for some, camp and settlement approaches refer to two different stages in the refugee cycle, the former referring to temporary shelter, the latter to a durable solution, namely integration into the host country - which might or might not be preceded by a period of camp-based assistance. Others define camps as part and parcel of another durable solution, namely repatriation, while also holding settlements to be inevitably part of integrationist approaches.
Perhaps more appropriately, "camps and settlements" can be understood to cover three forms of assistance policies: (1) planned and (2) unplanned rural settlements which are based on various forms of officially recognized self-reliance, and (3) camps generally based on full assistance. This perspective postpones, (for purposes of definition only) the politically charged question of durable solutions, and instead concentrates on the different forms of assistance
in situ. The
Defining camps and settlements
For many observers, the Rwandan refugee camps in Zaire, and more specifically those three camps around Goma (Kibumba, Mugunga, and Katale) which in 1994 together hosted about 800,000 people (alongside a cholera epidemic), have certainly gained "paradigmatic status" – and fuel much of the scepticism of camps. Yet the notion of camps covers a much wider range of situations, and apart from the relatively clear-cut distinction between planned and self-settlement, definitions of refugee situations frequently lack objective criteria and clear demarcations. This is less important when one deals with immediate policy questions but inevitably skews any argument about policy-alternatives.
| Urban refugees & integrated rural refugees | Peaceful cohabitation | Spatial separation | Spatial segregation |
| Self-settled Rwandans in Rutshuru Zaire | Rwandans in small open camps, Uvira, Zaire | Rwandans in large open camps, Goma, Zaire & Benaco, Tanzania | Rwandans in closed camps, Ngozi, Burundi |
| Rwandans in West Tanzania 1959–94 (with qualifications) | Bangladeshis in India 1971–2 | Sudanes in North Kenya | Salvadorians in Honduras |
| Urban refugees in Uganda & Kenya | Chadians in West Sudan | Somalis in East Kenya | Cambodians in Thailand |
| Mozambicans in South Africa | Ethiopians in East Sudan | Vietnamese boat people in Hong Kong | |
| Sudanes in North Uganda |
Stein, for instance, favours Murphy's
What follows are five parameters which frequently underlie the usage of the terms "camps" or "settlements", and which serve to define refugee accommodation. Most of the below criteria are not dichotomous measures; many are quantifiable. Taken together they inform most of the typologies and choice of vocabulary recurrent in the literature. Hoerz
Freedom of movement: the more this is restricted, the more a refugee settlement is generally seen to take on the character of a camp. Even though the cases where refugee movement outside designated areas is strictly impossible are rare, legal restriction and even lax and arbitrary enforcement have large implications for refugee livelihoods. This characteristic of camp situations is amply documented and moreover echoes refugee perceptions: the Rwandese refugees in Tanzania, who were studied by Malkki, protested against the misnomer "settlement" for their location, arguing that "it is a camp because we cannot leave when we want to"
Mode of assistance/economics: one may distinguish between camps based on relief handouts and food distribution with little possibility for refugees to engage in subsistence farming or other economic activities, and, on the other hand, situations in which refuges can engage in a wider range of economic activities. Measurable indicators may be plot size in camps and the range of de facto restrictions on work. In camps, generally only limited income-generating programmes are permitted, while self-settled refugees will tend to be more integrated into the local economy, be it with or without governmental permission.
Mode of governance: this indicates the mechanisms of decision-making within or over the refugee community. Chambers
Designation as temporary locations/shelter (irrespective of their actual longevity): an early
Population size and/or density: this indicator, connected to questions of freedom of movement, planning, and economics, is also a useful definitional guide. Clark and Stein, in their detailed evaluation of
- Websites:
- Barry Stein (1986), "The Experience of Being a Refugee: Insights from the Refugee Literature," in Williams and Westermeyer (eds.),
Refugee Mental Health in Resettlement Countries . New York: Hemisphere Pub. http://www.msu.edu/course/pls/461/stein/MNREXP1.htm - Summary of Goethert and Hamdi in the report of the shelter-project group at Cambridge, 1988 http://www.arct.cam.ac.uk/shelter/downld/drafts/reportdraft1.pdf
Key introductory texts and some methodological caveats
As far as there is a real debate about the alternatives of camps and organized and self-settlement, two different sets of debates are often mixed. One concentrates on the causal effect of different settlement patterns measured by a variety of social and economic indicators. The second is concerned with the factors that cause different settlement patterns. Most texts presented here shift back and forth between these two sets of causal analysis and for analytical purposes it is useful to be aware of the distinction.
Not many texts systematically compare the effects of camp and settlement situations on refugee welfare, host economies, and political structures, or general levels of security and conflict. This is partially due to both a lack of available research and its relatively slow consolidation. Another reason is the general tendency within refugee studies to eschew potentially problematic comparisons in favour of in-depth case studies. While this has much to do with refugee studies' disciplinary origins in anthropology, there are other methodological issues that make structured comparison difficult. These include, among others:
Differences in population: it is repeatedly the case that the most vulnerable and weakest stay within the camps and the more able refugees avoid them.
Third variables: success or failure of planned or self-settlement may be contingent on a variety of variables, such as familiarity with the host country and its population, the degree of hospitality encountered, and the economic resources and land generally available. Increasingly, studies that focus on refugee impact on local communities emphasize the importance of local context for success and failure of the pursuit of an ever-wider range of (refugee) policy aims.
Interdependence of cases: in many cases, refugees may live in different settlement patterns co-existing in the same host country, and linkages may exist between them. In such instances, refugees might be doubly based, using both the camp and the outside to ensure their personal or family livelihoods and/or survival
Despite these limitations, the debate has continued, and recent key introductory texts and bibliographic references can be found in the websites below
Generally speaking, criticism of camp-based solutions is based either on arguments that emphasize questions of economic or social development, or that are rooted in a rights-based critique which takes as a starting point the many restrictions on socio-economic and political freedoms that accompany camp-based refugee assistance. Also, many studies deal with a combination of the two.
Where it focuses on questions of development or resource management, proponents of various forms of planned or self-settlement emphasize participatory approaches and call for a capacity-based developmental model to replace the traditional "relief model" (seen to underlie camps) which is said to encourage passivity and hopelessness. As Crowley
Rights-based critiques tend to focus on the breaches of refugee rights, both political and socio-economic, that accompany various assistance methods and generally conclude that camp-based solutions undermine the rights refugees are supposed to enjoy as both refugees and as human beings.
In sum, camp critiques point to the way camp settings prevent integration of refugees and host populations, increase dependency on relief aid, and ignore the resources and capacities of refugees themselves, as well as neglecting the repercussions of a refugee influx on the host populations.
On the other hand, "defenders" of camps emphasize their advantages in facilitating organized repatriation of refugees, attracting international assistance due to the higher visibility of impact, and their superior ability to monitor and target recipients and distribute aid faster and more effectively, especially in the short-run and in immediate emergency situations. They point out that in many refugee-hosting countries, international standards of assistance are most easily upheld in a controlled setting. This is in particular the case for curative health care and (primary) education facilities.
However, "in principle" some basic agreement exists among both policy-makers and academics about the frequent undesirability of refugee camps (see the
How to evaluate the trade-offs between the recognized negative effects of camps and their advantages under a range of financial, political, and time constraints that prevent the pursuit of an ideal assistance programme.
The degree to which alternatives to camps are politically and financially feasible. Here the debate about camp or settlement solutions frequently ends in a common agreement on the undesirability of camp approaches, only to usher in a debate about their necessity for political and logistical reasons. This second aspect deals no longer with the effects of settlement patterns, but concentrates on the factors that initially cause and later sustain them. Most texts in this review deal at least implicitly with the second set of questions. There is in addition a small but increasing amount of studies that deal with the determinants of refugee policy and the way it is defined by host states and
- Websites:
- Forced Migration Review 2, May–August 1998 Articles by Barbara Harrell-Bond and Richard Black http://www.fmreview.org/FMRpdfs/FMR02/fmr206.pdf http://www.fmreview.org/FMRpdfs/FMR02/fmr201.pdf
- Answers to camp debate by Crisp, Jacobsen, and Black http://www.fmreview.org/FMRpdfs/FMR03/fmr307.pdf
- Letters by Corsellis and Verdirame http://www.fmreview.org/FMRpdfs/FMR04/fmr411.pdf
- id21 media Interview with Barbara Harrell-Bond and Jeff Crisp http://www.id21.org/id21-media/refugees/refugeecamps.html
- Harrell-Bond, B. (1986)
Imposing Aid: Emergency Assistance to Refugees. Oxford, Oxford University Press. http://www.sussex.ac.uk/migration/publications/final/ - Karen Jacobsen's comprehensive overview http://www.jha.ac/articles/u045.pdf
- Forced Migration Online Karadawi, A., and Harrell-Bond, B. (1984) "Assistance to refugees: alternative viewpoints" http://www.forcedmigration.org/
Camp and settlement issues
Historical overview
Human settlements appear as a relatively natural form of human life, both during peacetime and war. The origins of (refugee) camps are more difficult to trace.
In Africa, where the debate between proponents of both self-settlement and planned settlements as well as relief-type camps has been most vocal in the past, historical debates about the mechanisms and methods of refugee assistance can be traced through a number of landmark conferences and events.
Many observers credit the 1967 conference on the Legal, Economic, and Social Aspects of the African Refugee Problems, which was convened in Addis Ababa under the auspices of the UN Economic Commission for Africa, the Organization for African Unity (
However, Integrated Rural Development (
Despite setbacks, the idea of linking refugee relief explicitly with the overall social and economic dynamics of the host countries survived in small circles and was to become an issue again. In line with the recommendation of an internal
The first International Conference on Refugees in Africa (
All such attempts were based on the belief that the provision of relief based on large-scale administration to refugees in camps or settlements isolated from the host societies was an inappropriate form of assistance, and that refugees could serve as resources of development. At
- Websites:
- Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response http://www.sphereproject.org/handbook_index.htm
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UNHCR Handbook for Emergencies http://www.unhcr.org/cgi-bin/texis/vtx/home/+7wwBmTe9c_dwwwwcwwwwwwwhFqhT0yfEtFqnp1xcAFqhT0yfEcFq1nMnGtnDqon5arwDmxddADzmxwwwwwww1FqmRbZ/opendoc.pdf -
UNHCR State of the World's Refugees (Chapter 6) http://www.unhcr.org/cgi-bin/texis/vtx/publ/opendoc.pdf?id=3ebf9baf7&tbl=MEDIA - Barry N. Stein, "Returnee aid and development" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.htm?tbl=RESEARCH&id=3bd40fb24&page=research
- Jeff Crisp, "Mind the gap!
UNHCR , humanitarian assistance and the development process" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3b309dd07&page=research - Bonaventure Rutinwa, "The end of asylum? The changing nature of refugee policies in Africa" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c34&page=research
- Barry N. Stein, "Regional efforts to address refugee problems in the developing world" http://www.msu.edu/course/pls/461/stein/region-1996.htm
- Addis Ababa document on refugees and forced population displacements in Africa http://www1.umn.edu/humanrts/africa/REFUGEE2.htm
- Shelterproject.org history about camps http://www.arct.cam.ac.uk/shelter/home/home.asp
- Forced Migration Online "Africa's refugee problem: new trends and prospects for the future", 1990 http://www.forcedmigration.org/
- Bakhet, O. (1981) "The basic needs approach (BNA) to self-sufficiency in rural refugee settlements" http://www.forcedmigration.org/
- ICVA (1984) 2nd International Conference on Assistance to Refugees in Africa
(
ICARA II), 9–11 July 1984, Geneva: ICVA statement http://www.forcedmigration.org/ - Goetz, N. H. (2003) "Towards self sufficiency and integration: an historical evaluation of assistance programmes for Rwandese refugees in Burundi, 1962–1965", New Issues In Refugee Research Working Paper No. 87 http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ea55e244&page=research
- Refugee settlement planning (PhD research project) Silva Ferretti, "Information, communication, dissemination for refugee settlement planning" http://www.brookes.ac.uk/schools/planning/research/refsettle/shelter/
Rights and legal standards
As far as legal aspects are concerned, scholars have focused on the way in which camp settings themselves are conducive, or not, to the maintenance of refugee rights. Some observers maintain that camps can provide both security and effective material assistance to refugees, thereby not only assuring the most basic of rights, the right to life, but also facilitating the monitoring of protection issues
Critics argue that the maintenance of camps does not only involve direct breaches of basic human and refugee rights, but also creates situations in which other rights are more likely to be endangered. For instance, in its campaign on refugees launched in 1997, Amnesty International (
- Websites:
- Human Rights Watch http://hrw.org/campaigns/refugees/reports.htm http://www.hrw.org/wr2k1/special/refugees.html
- Lawyers Committee for Human Rights http://www.lchr.org
- Amnesty International http://www.amnesty.org
- Forced Migration Online Verdirame, G. (1999) "Report: the rights of refugees in Kenya: a socio-legal study" http://www.forcedmigration.org/
- Verdirame, G. (1998) "Refugees in Kenya: between a rock and a hard place" http://www.forcedmigration.org/
-
UNHCR Conclusion No. 22 (XXXII) of theUNHCR Executive Committee on Protection of Asylum Seekers in Situations of Large-Scale Influx (Thirty-Second Session, 1981) http://www.unhcr.bg/bglaw/en/_07_excom22en.pdf - The Scope of International Protection in Mass Influx. Executive Committee of the High Commissioner's Programme, Sub-committee of the Whole on International Protection, 26th mtg. U.N. Doc. EX/1995/SCP/CRP.3 (2 June 1995) http://www.unhcr.org/cgi-bin/texis/vtx/home/+bwwBmewYZ69wwwwOwwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqew71crnaIqdpnadhafDBnGDwBodDwca7GdBnqBodDaoDaTw55afDhc1LeIG4rLnq1BoVnagdMMoBBnnaDzmxwwwwwww1FqmRbZ/opendoc.htm
- Note on International Protection, International Protection in Mass Influx, Executive Committee of the High Commissioner's Programme, 46th Sess., UN Doc. A/AC.96/850 (1 Sept. 1995) http://www.unhcr.org/cgi-bin/texis/vtx/home/+rwwBmqeMEudwwww4wwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqewzWzdBnadDafDBnGDwBodDwca7GdBnqBodDCafDBnGDwBodDwca7GdBnqBodDaoDaTw55afDhc1LCa0Lnq1BoVnagdMMoBBnnadhaDzmxwwwwwww1FqmRbZ/opendoc.pdf
- Protection of Refugees in Mass Influx Situations: Overall Protection Framework, Global Consultations on International protection, 1st mtg. U.N. Doc. EC/GC/01/4 (19 Feb. 2001) http://www.unhcr.org/cgi-bin/texis/vtx/home/+GwwBmsepEudwwwwQwwwwwwwhFqA72ZR0gRfZNtFqrpGdBnqBAFqA72ZR0gRfZNcFqewxOAGdBnqBodDadha2nh1tnn5aoDaTw55afDhc1LaIoB1wBodD5euGmAVnGwcca7GdBnqBodDa-GwMnidGACaHcdxwcagdD51cBwBodD5adDafDBnGDwBodDwcapGdBnqBodDDzmxwwwwwww1FqmRbZ/opendoc.pdf
-
UNHCR Executive committee Conclusion 22 (XXXII), "Protection of Asylum Seekers in Situations of Large-Scale Influx" (1981) http://www.unhcr.org/cgi-bin/texis/vtx/home/+AwwBmeukZ69wwww3wwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqewxtrdDqc15odDa++aeNhBMkffeZ8mDeGT5ndBnqBodDadhaE5Oc1MaInnAnG5aoDaIoB1wBodD5adhaPwGtne2kfwwcnafDhc1Le55YSWK8WeZX3qmxwwwwwww/opendoc.htm
Security
A common argument in favour of camp-based assistance is that it serves to contain the security problems introduced by refugees, to reduce conflict between host and refugees, and/or to control the potential of refugees from civil war to use their host country as a sanctuary from attack. Other security issues also include raids by rebel groups, pursuit of refugees by military forces of the country of origin, the importation of small arms, and generally increasing levels of "banditry" and crime that are related to the current condition of refugee populations.
In Africa, many host states therefore justify control on the movement of refugees by citing Article 2(6) of the
Especially since the 1990s, security-based arguments for encampment have been viewed with more scepticism. As Jacobsen puts it: "Camps do not solve security problems. They are in fact added sources of instability and insecurity … because they aggravate existing security problems and create new ones"
- Websites:
- Refugee Survey Quarterly special issue on camps and security http://www3.oup.co.uk/refqtl/hdb/Volume_19/Issue_01/
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UNHCR Report by Ambassador Felix Schnyder on military attacks on refugee camps and settlements in Southern Africa and elsewhere http://www.unhcr.org/cgi-bin/texis/vtx/home/+EwwBmesjZ69wwwwZwwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqewP+AnpdGBaxOaEMxw55wmdGa-ncoLaIqrDOmnGadDaMocoBwGOawBBwqA5adDaGnh1tnnaqwMp5awDma5nBBcnMnDB5aoDaId1BrnGDaEhGoqwawDmanc5nirnGnDzmxwwwwwww/opendoc.htm - Note on Military and Armed Attacks on Refugee Camps and Settlements, Executive Committee of the High Commissioner's Programme, Sub Committee of the Whole on International Protection, 38th Sess., U.N.Doc. EX/SCP/47 (10 Aug. 1987) http://www.unhcr.org/cgi-bin/texis/vtx/home/+EwwBmedYZ69wwwwwwwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqewhszdBnadDaTocoBwGOawDmaEGMnmaEBBwqA5adDa2nh1tnnagwMp5awDmaInBBcnMnDB5Ca0Lnq1BoVnagdMMoBBnnadhaBrnalotragdMMo55odDnGe5AxD7GdtGwMMnCaI1xagdMMoBBnnadhaBrnabrdcnadDafDBnGDwBodDwca7GdBnqBodDaeIG4rkeRkqr7eRPmpDzmxwwwwwww/opendoc.htm
- The Personal Security of Refugees, Executive Committee of the High Commissioner's Programme, Sub Committee of the Whole on International Protection, 22nd Mtg. , U.N. Doc. EX/1993/SCP/CRP.3 (5 May 1993) http://www.unhcr.org/cgi-bin/texis/vtx/home/+CwwBmeGYZ69wwwwwwwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqTRrna7nG5dDwcaInq1GoBOadha2nh1tnn5aWKKvDzmxwwwwwww1FqmRbZ/opendoc.htm
- The Security and Civilian and Humanitarian Character of Refugee Camps and Settlements: Operationalizing the "Ladder of Options", Executive Committee of the High Commissioner's Programme, Standing Committee, 18th mtg., U.N. Doc. EX/50/SC/Inf.4 (27 June 2000) http://www.unhcr.org/cgi-bin/texis/vtx/home/+awwBme04lO8wwwwAwwwwwwwhFqh0kgZTtFqnnLnqAFqh0kgZTcFqhqwMp5Dzmxwwwwwww/opendoc.pdf
- Jeff Crisp, "A state of insecurity: the political economy of violence in refugee-populated areas of Kenya" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c44&page=research
- Jeff Crisp, "Lessons learned from the implementation of the Tanzania security package" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3b30a9d24&page=research
- Regis College and the Fletcher School of Law and Diplomacy
Karen Jacobsen, "A “safety-first” approach to physical protection in refugee camps"
http://web.mit.edu/cis/www/migration/pubs/rrwp/4_jacobsen.html- A revised version of this paper appeared in 2000 as "A Framework for Exploring the Political and Security Context of Refugee Populated Areas", Refugee Survey Quarterly, Special Edition: Security in Refugee Populated Areas, Vol. 19 (1):3-23.
Health
For many, the professionalization of refugee assistance and the parallel development of today"s refugee camps is at its most basic level an answer to high mortality rates in Africa's refugee crises. Refugee health is one of the most studied aspects of refugee assistance and encapsulates issues ranging from nutrition to reproductive health, mental health, and trauma treatment.
Immediately following a refugee influx, an initial emergency phase is identified by a crude mortality rate (
A set of different questions emerge from an increasing awareness that many populations affected by complex humanitarian emergencies have been displaced for long periods, living relatively settled lives
The effectiveness of emergency health care and how it is affected by different spatial settings. The changes necessary for post-emergency settings: "Humanitarian organisations often provide similar services in the emergency and post-emergency phases of complex humanitarian emergencies, despite increasing evidence and consensus that needs differ between phases"
The proper way to manage health services for refugees in a variety of settings, namely via the establishment of parallel centres or attempts to work through local health systems.
In answering these questions, research is frequently hampered by real difficulties of measuring performance. This is so even where mortality rates are accepted as the prime dependent variable. A number of reasons for this exist, among them unavailability of accurate data due to poor record-keeping or underreporting of deaths in the camps. In addition, "data have mainly been obtained from the acute phase of complex emergencies, in which excess mortality as well as political interest, media attention, and funding is greatest. The post-emergency phase has been little studied, and no comprehensive programme guidelines exist for this phase"
With the above caveats in mind, there is wide-spread evidence that camps do indeed allow quick detection and treatment of health problems for refugees and that refugee camp health services are usually better supplied and organized than pre-existing services for the host population. Yet, inversely, adverse health effects of the camp environment can be numerous
At the extreme, based on research conducted in the Wad Sherifei refugee camp, Kassala, Sudan, during 1989, De Waal
Overcrowding that occurs on camps as the result of massive refugee influxes or repeated regrouping is at the origin of many epidemic diseases (e.g. measles, cholera, dysentery, and meningitis) and avitaminoses occur mainly in camps where diseases such as beriberi, pellagra, and scurvy are still widespread
More recently a study of mortality data in fifty-one "post-emergency phase camps" which focused on the associations between mortality and health indicators found mortality rates in more recently established camps to be higher than in longer-established ones. In addition, local health workers numbered fewer than in longer-standing camps. Water provision and rates of diarrhoea seemed to increase under-five mortality rates. Importantly, the study also shows an association between increased trauma morbidity in camps situated closer to the border or area of conflict than in those situated further away
Before refugee camps became the dominant mode of refugee assistance, an integrative approach to refugee health care seems to have dominated. Yet little is known about the comparative effectiveness of such programmes. Van Damme et al.'s study deals with a rare contemporary case in which refugee health care was integrated into the local health care system. In Guinea, the resources of the refugee-assistance programme not only served the refugees but also significantly improved the local health system and transport infrastructure. The authors conclude that "the non-directive refugee policy in Guinea ... may be a cost-effective alternative to camps"
- Websites:
- The Lancet Spiegel, P. B., and Qassim, M. (2003) "Forgotten refugees and other displaced populations" http://www.thelancet.com/journal/vol362/iss9386/full/llan.362.9386.early_online_publication.27111.1
- Spiegel, P. B., Sheik, M., Gotway-Crawford, C., and Salama, P. (2002) "Health programmes and policies associated with decreased mortality in displaced people in post-emergency phase camps: a retrospective study" http://image.thelancet.com/extras/01art11089web.pdf
Social aspects
Immediately following a large-scale refugee influx, camps provide life-saving services, most clearly in terms of health care and food but also by focusing attention on a crisis situation. Yet where the goals of refugee assistance in camps are defined by "minimum standards", "larger questions of needs and freedoms"
Dependency and coping mechanisms
In Somalia, Waldron observed that "almost every functional prerequisite of society is defined radically differently in the refugee camp as compared with the self-sustaining, kinship-based rural communities of the Somali and Oromo refugees"
Success of refugee assistance and protection, especially in protracted refugee situations, encompasses at least the facilitation of "functioning communities" and livelihoods. In this respect, two problems are often discussed in the debate about settlement patterns, that of dependency and the issue of "negative" and "positive" coping mechanisms.
The creation of passive dependency among refugees is often perceived as the real spectre of camps. In his well-documented
State of the Art Review of Refugee Studies in Africa
This latter point is frequently taken up in the debate about "coping mechanisms", a term that seems to be used to refer to all and any ways in which refugees organize themselves to sustain their livelihoods. As noted above, restriction associated with camp settings may foreclose economic opportunities for refugees. They may also lead to so-called "negative coping mechanisms" such as prostitution or theft. One of the most obvious cases between "coping mechanisms" and the logic of emergency assistance is that of food aid. The (mainly illicit) attempts by refugees to acquire second or increased rations is a frequent problem for the equitable distribution of resources, not to speak of accounting issues. Similarly, agencies often see the sale and export of food aid as sign of excess when further study has frequently shown it to be a coping strategy to accommodate other material, cultural, or micronutrient needs that may come at a high cost to the energy content of their diet
In a pointed reminder of the wider political problems that are part and parcel of the settlement debate, Malkki
Refugee women
When evaluating the broader social and economic effects of assistance patterns on refugees, long-standing concerns with "dependency" have since the 1990s been joined by the realization of the considerable implications that modes of assistance have for refugee women and children. These issues have moved to the forefront at least partially because, as noted above, a larger proportion of assisted refugees tend to be women and children
Moreover, while there is little documentation of the extent to which previously encountered gender conditions affect women's post-flight circumstances, it is broadly accepted that refugee women are highly vulnerable in camps, especially in regards to sexual exploitation. This is partly because family protection and traditional authority structures are less reliable, and new power-relations are created and sustained by the introduction of new rules and material relationships brought about by international relief. Even in camp situations where more participatory approaches have been tried, women tend to stay largely excluded from these supposedly democratic structures set up in ignorance of pre-existing social patterns. Hyndman's
Again, it should be noted that the debate here is concerned not so much about the desirability of these circumstances, but about the appropriate means to change them. Maximalists will hold that a camp setting with its regulation and rules almost unavoidably creates the space for such "perverse effects" of assistance programmes. Others believe that camp-based assistance can be improved up to a satisfactory or tolerable level and its advantages be made to outweigh their negative sides.
- Websites:
- Barry Stein on the refugee experience http://www.msu.edu/course/pls/461/stein/MNREXP1.htm
-
UNHCR http://www.unhcr.org/cgi-bin/texis/vtx/home/open-doc.pdf?id=3c7cf89a4&tbl=PARTNERS - Barbara Harrell-Bond, "Are refugee camps good for children?" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c64&page=research
- Simon Turner, "Angry young men in camps: gender, age and class relations among Burundian refugees in Tanzania" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c38&page=research
- Cindy Horst, "Vital links in social security: Somali refugees in the Dadaab camps, Kenya" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3af66c884&page=research
- Review of CORD Community Services for Congolese Refugees in Kigoma Region, Tanzania (Pre-publication edition) http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3d81ad774&page=research
- Review of CORD Community Services for Angolan Refugees in Western Province, Zambia (Pre-publication edition) http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3d81b2924&page=research
- Arafat Jamal (2000) "Minimum Standards and Essential Needs in Protracted Refugee Situation. A review of the
UNHCR Programme in Kakuma, Kenya"UNHCR EPAU/2000/05, November http://www.unhcr.org/cgi-bin/texis/vtx/home/+PwwBmeMX269wwwwwwwwwwwwhFqo20I0E2gltFqoGn5nwGqrAFqo20I0E2glcFqewyNzoDoM1MaIBwDmwGm5awDma055nDBowcaNnnm5aoDa7GdBGwqBnma2nh1tnnaIoB1wBodDeIG4taGnVoniadhaBrnauNlg2a7GdtGwMMnaoDaQwA1MwCaQnDOwDzmxwwwwwww/opendoc.pdf - Bakewell, O. (2003) "Community Services in Refugee Aid Programs: The Challenges of Expectations, Principles, and Practice", Praxis, Vol.2:5-18. http://fletcher.tufts.edu/praxis/xviii/Bakewell.pdf
- Forced Migration Online Richard Reynolds, "Development in a refugee situation: the case of Rwandan refugees in Northern Tanzania" http://www.forcedmigration.org/
- Human Rights Watch "Tanzania: Seeking Protection: Addressing Sexual and Domestic Violence in Tanzania's Refugee Camps" http://www.hrw.org
- UN report: "Investigation into sexual exploitation of refugees by aid workers in West Africa", UN document number A/57/465 http://www.un.org/Depts/oios/reports/a57_465.htm
Economic impact and development
The question of the economic impact of refugee populations on their hosts is deserving of a separate guide on its own, and it is very difficult to parse out the independent effect of settlement patterns in this respect. There is evidence that both camps and settlements have provided benefits as well as costs to their host countries. However, as Landau puts it: "… whether the aggregate effects on host populations and land are positive and negative … is next to impossible and would require an elaborate indices of gains and losses and considerable more longitudinal data than are typically available for the areas involved"
Camps, which generally restrict the exercise of economic activities much more than self- or planned settlement options, tend to benefit host countries primarily through the temporary capital influx that comes from relief agencies running the camps. Phillips
As far as the overall costs of refugee programmes are concerned (which are, at least in cash terms, mainly carried by the "international community"), the biggest costs of camps probably lie in the large funds that are required for food aid. Proponents of self-settlement schemes hold that these costs far exceed the funds needed for a regional economic stimulus package in refugee-affected areas that would increase local absorption capacity as well as benefit the hosts. Self-settlement or more open planned settlement, the argument goes, allow for a more long-term developmental, multiplier effect on the local economy
- Websites:
- Whitaker, B. (1999) "Changing opportunities: refugees and host communities in western Tanzania", New Issues in Refugee Research, No.11, Evaluation and Policy Analysis United,
UNHCR , Geneva http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0c70&page=research - Landau, L. (2003) "Challenge without transformation: Refugees, Aid, and Trade in Western Tanzania" http://www.wits.ac.za/fmsp/landauwp.pdf
- Phillips, M. (2003) "The role and impact of humanitarian assets in refugee-hosting countries", New Issues In Refugee Research, Working Paper No. 84,
UNHCR Evaluation and Policy Analysis Unit http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3e71f7fc4&page=research
Environment
The impact of refugees on the environment and, inversely, that of different environmental conditions on refugees is part and parcel of any refugee situation. Refugees may exert additional pressures on environmental resources in a hosting area in a variety of ways, for example through poaching, deforestation (for fuel wood or purposes of farming), water use, and, when refugees own livestock, additional pollution and overuse of rangeland.
The specific effects of a refugee presence have also been seen as a function of the different types of settlement policies adopted. The environmental impact of camps is arguably more concentrated and therefore more easily amenable to policy intervention. Moreover, specialized agencies are frequently employed to limit environmental damage and set in place remedial measures. Yet it has been debated whether the impact of camps is therefore necessarily smaller or even more easily reversible
- Websites:
-
UNHCR special section on refugees and the environment http://www.unhcr.org/cgi-bin/texis/vtx/home?page=PROTECT&id=3b94c47b4 - Forced Migration Online Richard Black, "Policy issues on the environmental impact of displacement of population during the emergency phase: expert consultation" http://www.forcedmigration.org/
Settlements
Planned settlements
Planned rural settlements and camps often share the characteristic that they are placed in peripheral areas and on land that has not been used by the local population. This means they are badly placed to attain economic self-sufficiency (for a discussion of this notoriously imprecise term which seems more often than not defined by political and other non-economic criteria, see
Given the different economic base of settlements, which rely more on the productive potential of the refugees themselves and less on the impact of external relief items and infrastructure, the success of self-settlements relies disproportionately on a range of broader economic factors. Among these are local infrastructure and economic capacity, a local agro-ecological potential that allows for refugee integration into the economy, and the potential for refugee education and skill enhancement.
The link between refugees and the development prospects of their host is thus an essential feature of the "refugee problem". As was recognized at the 1967 Conference on African Refugee Problems in Addis Ababa, refugee self-sufficiency at mere subsistence levels could not be considered conclusive. Formal development was required both to consolidate the refugee settlements and to integrate them into the local economic and social system. Furthermore, such development prompted by refugee presence should contribute effectively to the overall development of the country of asylum; thus, the surrounding population must be ensured an equal share of the advantage accruing
Camp-style food handouts have been criticized for ignoring the diversity of a refugee population and masking (or exacerbating ) real inequalities in the camp. Yet planned settlement schemes do carry their own problems in this respect. Thus in the settlement schemes examined by Armstrong
- Websites:
- Research report to the United States Agency for International Development, Refugee Policy Group, Barry Stein and D. Lance Clark, "Older Refugee Settlements in Africa" http://www.msu.edu/course/pls/461/stein/FINAL.htm
-
UNHCR Tania Kaiser, "UNHCR 's withdrawal from Kiryandongo: anatomy of a handover" http://www.unhcr.org/cgi-bin/texis/vtx/home/+XwwBmeAmJ69wwwwwwwwwwwwhFqo20I0E2gltFqoGn5nwGqrAFqo20I0E2glcFqVwDwBdMOadhawarwDmdVnGDzmxwwwwwww/opendoc.pdf - Tom Kuhlman, "Responding to protracted refugee situations: a case study of Liberian refugees in Côte d"Ivoire" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3d4006412&page=research
- Shelly Dick, "Responding to protracted refugee situations: a case study of Liberian refugees in Ghana" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3d40059b4&page=research
- Forced Migration Online Omar Bakhet, "Background paper: delivery of social services in rural refugee settlements" http://www.forcedmigration.org/
- Ingrid Palmer, "Women refugees in urban and rural settlements" http://www.forcedmigration.org/
Self- or spontaneous settlements
Despite the frequent absence of assistance for them, proponents of spontaneous settlement for refugees have claimed that self-settlement is the preferable option if long-term dynamics are taken into consideration. Moreover, they hold, self-settlements constitute the preferred option of refugees themselves, and that this is proven by the fact that most refugees self-settle. It may well be impossible to reach overarching conclusions about refugee choice in regards to their accommodation, and in some cases self-settled refugees (predominantly men) have expressed a greater feeling of insecurity than those in camps
Other authors, however, document widespread resistance to camps and settlements
As noted before, research on self-settled refugees is, for perhaps obvious reasons, much less available than that on camp-based assistance. The most well-known may be Hansen's study of self-settled refugees in Zambia, which more recently were studied by Bakewell. Currently, only some host countries officially condone refugee self-settlement, whether in rural or urban areas. Among recent examples is the Ivory Coast (until recently "Guinea"). Many more do not enforce official restrictions on refugee movement.
A question that has attracted some attention is whether settlement patterns influence refugees" reluctance (or desire) to eventually repatriate. Current evidence, while largely inconclusive, shows at a minimum that settlement patterns do not seem to be independent factors in this decision.
The fate of self-settled refugees is in many ways at the very heart of our understanding of the international refugee regime and its fundamental purpose. In the case of Guatemala, Cheng and Chuloba argue that the neglect of self-settled refugees was "one of the most striking shortfalls of the
- Websites:
- Gaim Kibreab, "Displaced communities and the reconstruction of livelihoods in Eritrea" http://www.wider.unu.edu/publications/dps/dp2001-23.pdf
-
UNHCR Oliver Bakewell, "Refugee aid and protection in rural Africa: working in parallel or cross-purposes?" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3ae6a0d04&page=research - Tania Kaiser, "A beneficiary-based evaluation of
UNHCR 's programme in Guinea, West Africa" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3b0a2a752&page=research - Naoko Obi and Jeff Crisp, "Evaluation of the implementation of
UNHCR 's policy on refugees in urban areas" http://www.unhcr.org/cgi-bin/texis/vtx/home/opendoc.pdf?tbl=RESEARCH&id=3c0f8bd67&page=research - Forced Migration Online Gaim Kibreab, "Host governments and refugee perspectives on settlement and repatriation in Africa" http://www.forcedmigration.org/
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