<p>The plight of internally displaced persons (IDPs)in Sudan and Somalia constitutes one of the greatest human tragedy of our time since the end of the Cold War. The concept of IDPs is immense and growing. This research paper addressed the plight of IDPs during armed conflict in Sudan and Somalia. This paper also investigated into the existing institutional and legal frameworks for the protection of IDPs during armed conflict and critically highlight some of the weaknesses of these institutions and legal instruments that protect IDPs during armed conflict.</p>

<p>The plight of internally displaced persons (IDPs)in Sudan and Somalia constitutes one of the greatest human tragedy of our time since the end of the Cold War. The concept of IDPs is immense and growing. This research paper addressed the plight of IDPs during armed conflict in Sudan and Somalia. This paper also investigated into the existing institutional and legal frameworks for the protection of IDPs during armed conflict and critically highlight some of the weaknesses of these institutions and legal instruments that protect IDPs during armed conflict.</p>

The purpose of this study was to investigate factors that influence resilience after trauma among internally displaced persons in Kiambaa village, Uasin Gishu County, Kenya. The rationale, the problem statement, the objectives as well as the research questions and the theoretical framework were presented in chapter one. The theoretical concepts of Richardson’s “meta-theory of resilience and resiliency” and Joseph and Linley “organism valuing theory” guided this study. The problem statement posited revealed that when people experience tragic events such as violence they get traumatized. Despite this, there are individuals who are able to adopt and bounce back with minimal disruptions to their lives, a factor referred to as resilience. Chapter two presented related literature by reviewing empirical research studies on the internal and external factors that contribute to resilience after trauma. Chapter three discussed the methodology of the study. The study adopted a mixed design approach. The target population for this study was 50. It comprised all individuals who were victims of the fire tragedy at Kiambaa village. Twenty two respondents for this study were selected from the target population using purposive and snow ball sampling techniques. Questionnaires and unstructured interview schedule were the main tools of data collection. The Big Five Inventory (BFI) by John, Donahue, & Kentle, (1991) personality were used to classify respondents’ personalities.The 25 item Connor-Davidson Resilience Scale 25 (CD-RISC-25) (used with permission) (Connor, & Davidson, 2003) was used to measure the resilience levels of the respondents. Means and Standard deviations were computed to quantify the amount of variation or dispersion of resilience among the respondents. Responses from research tools were cleaned, coded and entered into Statistical Package for Social Sciences (SPSS) for analysis. Descriptive data were organized into themes and categories and presented according to the objectives of the study. Pearson product moment correlation analysis, Chi square correlation analysis and Spearman rank correlation analysis were computed to establish the relationships between study variables. Chapter four presented findings in form of tables, cumulative frequency counts, graphs and charts. The major findings of the study were as follows: The internal factors that contribute to resilience in individuals were age, gender and personality. However, gender had a greater influence on individuals’ resilience levels. Other factors included personality and age. The main external factors that contributed to resilience in individuals of the fire tragedy at Kiambaa were spirituality and social support. The results of a Pearson correlation analysis confirmed a strong positive correlation between social support and resilience of individuals (r=0.835, p<0.05). Chapter five presented conclusions arising from the findings which indicated that age, gender, personality, spirituality and social support are significant internal and external factors that influence resilience levels of individuals. The study recommends that there is need for professionals working with traumatized individuals to be more familiar with these factors that contribute to resilience. The researcher also recommends that there is need to extend the present study by including other potentially important variables such as a wider range of psychosocial resources or health-related variables. Understanding the influence and importance of these variables may help to clarify the role of resilience in post-disaster adaptation. In addition, the researcher recommends that there is need to further extend the study to investigate the relationship between psychological resilience and another positive outcome, such as posttraumatic growth (PTG). / Psychology / Ph.D. (Psychology)

My dissertation research was a 14-month ethnographic study of the post-repatriation experience of forced migrants in South Sudan. It was designed to determine if alterations to gender norms and relations that refugees experienced during asylum differed as a function of the asylum environments and if these modifications remained intact upon the refugees’ return. The forced migrants in my sample, the Dinka of Bor from South Sudan, encountered two different asylum environments and experiences: Kakuma refugee camp in northern Kenya and Khartoum, in northern Sudan. After 10-15 years in asylum, these forced Dinka Bor migrants returned to South Sudan. I compared the pre-flight and post-repatriation behavior of these two groups of returnees to determine to what extent gendered behaviors could be attributed to each asylum location. I found that various global forces encountered during asylum were instrumental in forging new ways of life by changing gendered livelihood practices and gendered access to status, power, and resources after return. In addition, the resettlement context played an equally critical role in the gendered behaviors after return.

A Disfunção Temporomandibular (DTM) se refere a várias doenças que envolvem os músculos da mastigação e/ou a articulação temporomandibular (ATM). Ao longo da história, o desenvolvimento de técnicas de imagem possibilitou a avaliação das disfunções intra-articulares. A Ressonância Magnética (RM) é considerada o melhor método de avaliação de imagem para diagnosticar doenças da ATM e o exame mais preciso para detectar a posição do disco articular e visualizar estruturas ósseas, como a cabeça da mandíbula e a fossa mandibular, complementando o exame clínico. A associação entre sinais e sintomas de DTM e achados na RM é controversa na literatura e a correlação entre a posição da cabeça da mandíbula dentro da fossa mandibular e a sintomatologia de pacientes diagnosticados com DTM foi pouco elucidada pelos autores. O objetivo do estudo foi analisar os achados imaginológicos da ressonância magnética quanto à posição da cabeça da mandíbula e quanto à posição do disco articular, verificando sua correlação com os sinais clínicos de estalo e de dor à palpação muscular e articular relatados pelo paciente. Foram analisados 163 prontuários contendo ficha clínica e exame de RM de pacientes com DTM. As fichas clínicas forneceram dados referentes a sinais e sintomas dos pacientes, como presença de estalo e de dor à palpação, e o exame de imagem possibilitou a classificação da posição do disco articular (em posição, deslocado com redução e deslocado sem redução) e da cabeça da mandíbula (concêntrica, posterior e anterior). As variáveis clínicas e imaginológicas foram avaliadas por meio de um método de classificação que proporcionou uma análise dos dados sob o ponto de vista holístico, levando em consideração a situação clínica das duas ATMs do mesmo paciente simultanamente. Os dados obtidos foram analisando usando o teste exato de Fischer. A classificação adotada dificultou a comparação com outros estudos, já que usualmente os autores fazem a somatória das articulações do lado direito e esquerdo, porém é válida por proporcionar uma análise das variáveis clínicas e imaginológicas dentro de um sistema, que é o indivíduo. No estudo, 20,2% dos pacientes eram homens e 79,8% eram mulheres com média de idade de aproximadamente 37 anos. Os pacientes se distribuíram em maior porcentagem quando houve a mesma posição dos discos articulares bilateralmente (65,0%), porém quanto à cabeça da mandíbula, combinações heterogêneas foram observadas em maior quantidade (60,7%). Apenas 19,1% da amostra não possuía estalo e 25,8% apresentavam dor posterior à cápsula articular. Os músculos mais álgicos foram pterigoideo lateral e masseter, já os menos álgicos foram temporal posterior e cervical. A média de dor total muscular e articular (10,56) se mostrou maior do que a média de dor muscular (9,60) nos pacientes. A dor total em pacientes com ausência de dor posterior à cápsula articular foi significativamente menor do que a dor total em pacientes que apresentam dor posterior à cápsula bilateral. Não houve correlação entre a posição do disco articular e da cabeça da mandíbula, nem entre as variáveis clínicas e imaginológicas. A nova metodologia proposta permitiu a observação de que a maioria dos pacientes apresenta discos bilateralmente concordantes quanto à posição e que a presença de artralgia está relacionada à maior quantidade de músculos álgicos à palpação. / Temporomandibular Disorder (TMD) refers to various diseases involving masticatory muscles and/or temporomandibular joint (TMJ). Throughout history, the development of imaging techniques enabled the evaluation of intra-articular disorders. Magnetic resonance imaging (MRI) is considered the best method for evaluating image to diagnose TMJ diseases and most accurate test to detect the position of the articular disc and display bone structures as the condyle and glenoid fossa, complementing the clinical examination. The association between signs and symptoms of TMD and MRI findings in the literature is controversial and the correlation between the position of the condyle within the fossa and symptoms of patients diagnosed with TMD was somewhat elucidated by the authors. The aim of the study was to analyze the findings of magnetic resonance imaging as the position of the condyle (posterior, anterior or concentric) and on the position of the articular disc (in position, displaced with or without reduction), verifying its correlation with clinical signs clicking and pain on palpation of muscle and joint reported by the patient. We analyzed 163 records containing medical records and MRI in patients with TMD. The medical records provided data for signs and symptoms of patients such as presence of clicking and pain on palpation, and imaging examination allowed the classification of the position of the articular disc (in position, displaced with reduction and displaced without reduction) and condyle (concentric, posterior and anterior). The clinical and imaging procedures were evaluated using a grading method that provided an analysis of the data under the holistic point of view, taking into account the clinical condition of the two TMJs of the same patient. Data were analyzed using the Fisher exact test. The classification adopted it was difficult to compare with other studies, since usually the authors make the sum of the joints of the right and left side, however it is valid for providing an analysis of clinical and imaging procedures within a system, that is the individual. In the study, 20.2% were men and 79.8% were women with a mean age of approximately 37 years. The patients were divided into greater percentage when there was the same position of the articular disc bilaterally (65.0%), but as condyle heterogeneous combinations were observed in greater amounts (60.7%). Only 19.1% of the sample had no clicking and 25.8% had joint pain. The muscles more algesic were lateral pterygoid and masseter muscles, the less pain conditions were already temporal posterior and cervical. The average overall muscle and joint pain (10.56) was larger than the average muscle pain (9.60) in patients. The total pain in patients with no joint pain was significantly lower than the total pain in patients with bilateral joint pain. There was no correlation between the position of the articular disc and the condyle, or between clinical and imaging procedures. The new methodology allowed the observation that the majority of patients have bilateral agreement discs considering the position and the presence of arthralgia is closely related to the amount of muscles on palpation pain conditions.

This paper is a project based on a theoretical approach, where my aim is to search for the core elements of a viable feminist cosmopolitan ethics.  To further that purpose I identify, discuss, and compare some of the main components of such an ethics as proposed by political theorists Seyla Benhabib and Iris Marion Young.  In doing so I hope to contribute to the ongoing project of cosmopolitan feminism.  My task in this project is to answer the following questions; what are the main components of Seyla Benhabib and Iris Marion Young´s feminist cosmopolitan ethics? Second; where do Benhabib and Young stand with regards to the relationship between the principle of state sovereignity and the human right to membership? Finally, based on a comparative reading of Benhabib and Young´s theories I ask; what should be some of the core elements of a viable feminist cosmopolitan ethics? I argue that for a feminist cosmopolitan ethics to be considered viable, it must carry within itself an impetus towards increased respect for the basic human rights of the 64.9 million persons that are currently displaced due to conflicts, war, persecutions and human rights violations.  Following a comparative reading of some of the main components of Seyla Benhabib and Iris Marion Young´s cosmopolitan ethics, I promote a vision of feminist cosmopolitan ethics that carries within itself the hope that is inherent in the promise of human rights, while at the same time offering the tools that are necessary to identify and rectify the structural injustices exprssed in the status and real-life situations of the 64.9 million persons that are currently displaced due to conflicts, war, persecutions, and human rights violations.

A Disfunção Temporomandibular (DTM) se refere a várias doenças que envolvem os músculos da mastigação e/ou a articulação temporomandibular (ATM). Os distúrbios de desarranjo do disco são considerados uma subdivisão dos distúrbios intra-articulares da ATM e são aqueles onde há relacionamento anormal do disco articular com a cabeça da mandíbula, fossa articular e eminência articular. O procedimento para diagnosticar a DTM geralmente consiste em exame clínico, mas quando informações adicionais são necessárias para confirmar esse resultado, exames de imagem são solicitados. Imagem por ressonância magnética (IRM) é considerada o exame padrão-ouro de referência de diagnóstico não invasivo de deslocamento de disco. Na literatura revisada não há justificativa de que o corte central da IRM deva ser o utilizado para classificar o posicionamento do disco e talvez o uso de vários cortes da IRM pudesse fornecer um dado importante para uma correta interpretação da posição do disco. O presente estudo avaliou a concordância entre três avaliadores para ambos os critérios de classificação (corte central versus vários cortes); verificou a concordância entre os dois critérios, além de correlacionar os resultados obtidos por ambos os critérios com o sinal clínico de estalo em pacientes diagnosticados com DTM. Para medir os níveis de concordância das proporções de imagens deslocadas entre os três avaliadores foi utilizado o coeficiente de correlação intraclasse (ICC). Os níveis de concordância entre os métodos e entre as avaliadoras foram medidos através do método Kappa. O teste utilizado para verificar associações entre as variáveis foi o teste exato de Fisher bicaudal e o nível de significância adotado foi de 0,05. Do total de pacientes examinados 70% (42/60) eram do sexo feminino e 30% (18/60) do sexo masculino. A média de idade foi de 37,2 ± 12,5, Mensurando a concordância entre os avaliadores para os critérios diagnósticos do posicionamento do disco articular da ATM o ICC obtido foi excelente (0,839) para o critério que considerou a proporção de discos deslocados. Para o critério de pelo menos um disco deslocado um Kappa substancial de 0,795 foi alcançado e para o critério do corte central um Kappa de concordância quase perfeita de 0,806 foi encontrado. Um Kappa alto (0,815) também foi atingido na concordância da classificação do posicionamento do disco na IRM em abertura. Após os critérios de avaliação para a posição do disco serem submetidos aos testes estatísticos para a averiguação entre a concordância deles, um Kappa de concordância substancial de 0,697 foi constatado. Notou-se nesse estudo que existe uma associação entre o estalo e a classificação com o disco deslocado pelo método da corte central (p=0,01) e entre o diagnóstico de deslocamento do disco articular obtido através da IMR em abertura da ATM e o estalo (p=0,011). Não foi encontrada associação entre o estalo articular e a posição do disco articular pelo critério de vários cortes. A diferença entre os resultados obtidos pelos dois critérios de avaliação justifica a proposta de que os pesquisadores deveriam descrever qual o critério utilizado em seu estudo para propiciar uma melhor comparação entre as literaturas. / The Temporomandibular Dysfunction (TMD) refers to several diseases related to the muscles involved in chewing and/or the temporomandibular joint (TMJ). The articular disc derangement disorders are considered a subdivision of TMJ intra-articular disorders and are the ones on which there is an abnormal relationship between the joint disc, the condyle (head of the jaw), the articular fossae and the articular eminence. The procedure to diagnose temporomandibular dysfunction consists of five clinical examinations, but when additional information becomes necessary to confirm the results, image techniques are required. Magnetic Resonance Imaging (MRI) is considered the golden standard technique and is the reference for non-invasive diagnosis of disc displacement. In the literature review it is not conclusive that the central slice of the MRI must be used to classify the disc position, and it is possible that the use of several slices of MRI could provide important data for a more appropriate interpretation of the disc position. This study compared the agreement of the findings between three analyzers for both classification criteria (central slice and several slices); verified the agreement between the two criteria, as well as correlated the obtained results for both criteria with the clinical sign of clicking in patients diagnosed with TMD. In order to measure the agreement of the displacement image proportions between the three analyzers, the interclass correlation coefficient (ICC) was used. The degrees of agreement between the analyzers were measured with the Kappa method. The test used to verify the association between the variables was the two-tailed Fischer exact test and the adopted level of significance was 0.05. From the total patients examined, 70% (42/60) were females and 30% (18/60) were males. The average age was 37,2 ± 12,5. The measurements for the agreement between the analyzers for the diagnosis criteria of the joint disc position of the TMJ resulted in an excellent ICC (0,839) for the criteria that considered the disc displacement proportions. For the criteria of at least one displaced disc, a substantial Kappa of 0,795 was reached, and for the criteria of central slice an almost perfect Kappa agreement of 0,806 was reached. A high Kappa (0,815) was also obtained in the agreement of the disc placement classification in the opened mouth MRI. After the criteria of analysis for disc position were submitted to statistical tests for validation of the agreement between them, a Kappa of substantial agreement of 0,697 was registered. It was observed in this study that there exists an association between clicking and the classification of disc displacement by the central slice method (p=0,01) as well as between the joint disc displacement diagnosis obtained through the opened mouth MRI of the TMJ and the clicking (p=0,011). No association was found between the joint clicking and the joint disc position using the criteria of several slices. The difference between the results obtained by the two analysis criteria justifies the proposal that the researchers should describe which criteria was used in their study in order to enable a better comparison between the literatures.

Made available in DSpace on 2015-09-25T12:22:50Z (GMT). No. of bitstreams: 1 PDF - Renata de Lima Mendonca.pdf: 1160725 bytes, checksum: 3b223676f3ac7f74cff68765f8e85ec6 (MD5) Previous issue date: 2012-11-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aims to analyze the management of migration caused by environmental change, trying to understand if certain actions are effective for the promotion, protection and defense of environmentally displaced person. First, it was developed a significant conceptual and scientific debate, addressing the progression of the concepts, the classification criteria, the theoretical debate and estimates based on survey of multi-causal factors linked to environmental migration. Also, it was observed the contextualization of the thematic transformations inserted in the beginning of the century, with globalization and the strengthening of networks and the emergence of environmental problems globally. From there, it was up to the theoretical survey on about ways to manage the new international realities, adopting governance as the most effective means in order to provide and improve the protection of this new category of migrants. / O presente trabalho tem como objetivo analisar a gestão do processo migratório provocado pelas alterações ambientais, buscando compreender se determinadas ações são eficazes para a promoção, proteção e defesa da pessoa ambientalmente deslocada. Assim, primeiramente, se fez necessário um debate científico e conceitual significativo, abordando o desenvolvimento dos conceitos, os critérios de classificação, o debate teórico fundamentado em estimativas e o levantamento dos fatores multicausais vinculados à migração ambiental. Igualmente, observou-se a contextualização da temática inserida nas transformações no início do século XXI, com o fortalecimento da globalização e das redes e o surgimento dos problemas ambientais em âmbito global. A partir daí coube fazer os levantamento teóricos sobre as sobre as formas de administrar as novas realidades internacionais, adotando a governança como o meio mais eficaz, a fim de fornecer e melhorar a capacidade de proteção dessa nova categoria de migrante.

A Disfunção Temporomandibular (DTM) se refere a várias doenças que envolvem os músculos da mastigação e/ou a articulação temporomandibular (ATM). Ao longo da história, o desenvolvimento de técnicas de imagem possibilitou a avaliação das disfunções intra-articulares. A Ressonância Magnética (RM) é considerada o melhor método de avaliação de imagem para diagnosticar doenças da ATM e o exame mais preciso para detectar a posição do disco articular e visualizar estruturas ósseas, como a cabeça da mandíbula e a fossa mandibular, complementando o exame clínico. A associação entre sinais e sintomas de DTM e achados na RM é controversa na literatura e a correlação entre a posição da cabeça da mandíbula dentro da fossa mandibular e a sintomatologia de pacientes diagnosticados com DTM foi pouco elucidada pelos autores. O objetivo do estudo foi analisar os achados imaginológicos da ressonância magnética quanto à posição da cabeça da mandíbula e quanto à posição do disco articular, verificando sua correlação com os sinais clínicos de estalo e de dor à palpação muscular e articular relatados pelo paciente. Foram analisados 163 prontuários contendo ficha clínica e exame de RM de pacientes com DTM. As fichas clínicas forneceram dados referentes a sinais e sintomas dos pacientes, como presença de estalo e de dor à palpação, e o exame de imagem possibilitou a classificação da posição do disco articular (em posição, deslocado com redução e deslocado sem redução) e da cabeça da mandíbula (concêntrica, posterior e anterior). As variáveis clínicas e imaginológicas foram avaliadas por meio de um método de classificação que proporcionou uma análise dos dados sob o ponto de vista holístico, levando em consideração a situação clínica das duas ATMs do mesmo paciente simultanamente. Os dados obtidos foram analisando usando o teste exato de Fischer. A classificação adotada dificultou a comparação com outros estudos, já que usualmente os autores fazem a somatória das articulações do lado direito e esquerdo, porém é válida por proporcionar uma análise das variáveis clínicas e imaginológicas dentro de um sistema, que é o indivíduo. No estudo, 20,2% dos pacientes eram homens e 79,8% eram mulheres com média de idade de aproximadamente 37 anos. Os pacientes se distribuíram em maior porcentagem quando houve a mesma posição dos discos articulares bilateralmente (65,0%), porém quanto à cabeça da mandíbula, combinações heterogêneas foram observadas em maior quantidade (60,7%). Apenas 19,1% da amostra não possuía estalo e 25,8% apresentavam dor posterior à cápsula articular. Os músculos mais álgicos foram pterigoideo lateral e masseter, já os menos álgicos foram temporal posterior e cervical. A média de dor total muscular e articular (10,56) se mostrou maior do que a média de dor muscular (9,60) nos pacientes. A dor total em pacientes com ausência de dor posterior à cápsula articular foi significativamente menor do que a dor total em pacientes que apresentam dor posterior à cápsula bilateral. Não houve correlação entre a posição do disco articular e da cabeça da mandíbula, nem entre as variáveis clínicas e imaginológicas. A nova metodologia proposta permitiu a observação de que a maioria dos pacientes apresenta discos bilateralmente concordantes quanto à posição e que a presença de artralgia está relacionada à maior quantidade de músculos álgicos à palpação. / Temporomandibular Disorder (TMD) refers to various diseases involving masticatory muscles and/or temporomandibular joint (TMJ). Throughout history, the development of imaging techniques enabled the evaluation of intra-articular disorders. Magnetic resonance imaging (MRI) is considered the best method for evaluating image to diagnose TMJ diseases and most accurate test to detect the position of the articular disc and display bone structures as the condyle and glenoid fossa, complementing the clinical examination. The association between signs and symptoms of TMD and MRI findings in the literature is controversial and the correlation between the position of the condyle within the fossa and symptoms of patients diagnosed with TMD was somewhat elucidated by the authors. The aim of the study was to analyze the findings of magnetic resonance imaging as the position of the condyle (posterior, anterior or concentric) and on the position of the articular disc (in position, displaced with or without reduction), verifying its correlation with clinical signs clicking and pain on palpation of muscle and joint reported by the patient. We analyzed 163 records containing medical records and MRI in patients with TMD. The medical records provided data for signs and symptoms of patients such as presence of clicking and pain on palpation, and imaging examination allowed the classification of the position of the articular disc (in position, displaced with reduction and displaced without reduction) and condyle (concentric, posterior and anterior). The clinical and imaging procedures were evaluated using a grading method that provided an analysis of the data under the holistic point of view, taking into account the clinical condition of the two TMJs of the same patient. Data were analyzed using the Fisher exact test. The classification adopted it was difficult to compare with other studies, since usually the authors make the sum of the joints of the right and left side, however it is valid for providing an analysis of clinical and imaging procedures within a system, that is the individual. In the study, 20.2% were men and 79.8% were women with a mean age of approximately 37 years. The patients were divided into greater percentage when there was the same position of the articular disc bilaterally (65.0%), but as condyle heterogeneous combinations were observed in greater amounts (60.7%). Only 19.1% of the sample had no clicking and 25.8% had joint pain. The muscles more algesic were lateral pterygoid and masseter muscles, the less pain conditions were already temporal posterior and cervical. The average overall muscle and joint pain (10.56) was larger than the average muscle pain (9.60) in patients. The total pain in patients with no joint pain was significantly lower than the total pain in patients with bilateral joint pain. There was no correlation between the position of the articular disc and the condyle, or between clinical and imaging procedures. The new methodology allowed the observation that the majority of patients have bilateral agreement discs considering the position and the presence of arthralgia is closely related to the amount of muscles on palpation pain conditions.

Background: In the last two decades Bogota, Colombia has seen a massive influx of internally displaced people (IDP) settling in its periphery where residents face the worst living, social, and economic conditions despite the 2011 passing of The Victims Law entitling IDP victims access to free shelter, food, education, and healthcare. Objective: To understand the circumstances and health care needs of Colombian IDPs, determine trends of health perceptions among IDPs and assess and quality of health services among IDPs in Bogota. Methods: Semi-structured, in-depth interviews were conducted with 12 professionals who work with IDPs and 36 IDPs. Interviews explored opinions of common health conditions and barriers to access health services in IDP communities. The EQ-5D survey about perceptions of health was administered measuring mobility, self-care, daily activities, pain, and depression/anxiety. All interviews were recorded, transcribed, coded for analysis. Results: Most IDPs did not indicate suffering with mobility, self-care, and ability to conduct daily activities. Seventy-five percent of participants indicated moderate to severe pain and 86.85% expressed feeling some form of depression or anxiety. Environmental factors are common contributors to poor health conditions. Individual and societal factors surfaced as detriments to accessing health services. The process to be included in The Victims Law registry is arduous. Although the Victims Law allows IDPs to access health services, many missing links in the system thwart quality health care delivery and discourage IDPs to utilize the health care system. Conclusion: Despite efforts to mitigate the struggles IPDs suffer there remain much needed health services and organizational improvements for the IDP community in Bogota.