Another 20 million people are considered internally displaced persons people who have fled their homes but have not crossed an international border. These groups differ from each other in many ways, but each faces similar health care difficulties. Contraceptive access and use are limited. Violence against women is frequent. Women who move are especially vulnerable to sexual abuse.
Rapes occur frequently among refugees.
Unsafe abortions are common among refugees and internally displaced persons. Hopkins researchers urge programs to recognize and respond to the special needs of migrants, refugees, and internally displaced persons. Most people who move leave behind traditional values, extended families, friends, and familiar ways of life. Their culture and language often set them apart from their new neighbors. Many are not familiar with health care services and are unable to obtain information easily.