Child Survivors

Further resources relevant to child survivors:

Landmines: the human cost, ADF Health,  2000.

Children are more affected than adults. The aim is for the successful rehabilitation of the young amputee, but above-knee amputees are harder to rehabilitate than below-knee amputees. Chronic arthritis often develops in the good limb because of over-use and over-stress. Low back pain also may develop with an ill-fitted prosthesis, and phantom limb pain is an underestimated problem in the amputees, again because of the lack of pain management expertise amongst caregivers. Many child amputees require at least one reamputation in the following years because of differential growth rates of overlying tissues and the bone.

Promotion and protection of the rights of children, ICRC statement to the United Nations

One particular factor that increases the risk of children becoming disabled during armed conflict : the inaccessibility of basic services, especially health-care and rehabilitation services. Landmines, cluster bombs, unexploded ordnance, and improvised explosive devices – all extremely dangerous weapons – continue to affect people long after war has ended.  Children in some 80 countries are at constant threat from these weapons. Thousands of children die during conflict, but many more are injured or permanently disabled – often long after the fighting has ended. The indirect effects of armed conflict have a serious impact on children:  when health-care systems collapse or when it becomes exceedingly difficult to gain access to them, children’s health suffers.

Connecting the Dots – Detailed Guidance, ICBL

This report  illustrates the importance of three themes, a) accessibility, b) employment and c) education. A disproportionate number of children are hurt by landmines or cluster munitions— nearly one-third of annual casualties. They are most vulnerable to the denial of the basic right to education—because they cannot walk to school and no transportation is in place, because the classroom is not accessible, or because their family cannot afford to pay for schooling in addition to needed medical services, or cannot compensate for less physical help in the household.

The Impact of ERW on Children, Journal of ERW and Mine Action,15.3

Children in War, ICRC

Impact of landmines on children in the East Asia and Pacific region, UNICEF, 2003.

Effects of land mines and unexploded ordnance on the pediatric population and comparison with adults in rural Cambodia, Bendinelli C., World Journal of Surgery, May 2009.

Lower Extremity Amputations & Prosthetics, Dr. Carl A. Johnson, M.D., Johns Hopkin s University, 2003.

Recreational terminal devices for children with upper extremity amputations, Journal of Pediatric Orthopaedics, 2008.

Pediatric Orthopaedic Study Guide  – Amputations, Pediatric Orthopedic Society of North America’s (POSNA).

War Amps CHAMP Seminars for child amputees, War Amps, Canada.

Multiple impairments, John Gill, Keeping Step?: Scientific and technological research for visually impaired people.

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