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qualified psychiatrist to offer psycho-social counselling to trauma victims after the conflict.461 Trauma counselling providers have been supplied by way of the services of non-state establishments and organisations, such City of Rest and Cooperazione Internazionale , who were engaged on seventeen categories of traumatic experience including eating issues related to forced cannibalism. Other organisations such as MSF Holland, FAWE and IRC have additionally supplied psycho-social counselling. 478. The social influence of amputations is equally far reaching. It ranges from life-style change, lack of social interplay and loss of shallowness, to effect on members of the family. For women, the transformation of their our bodies has had an impact on their shallowness. Many amputee women expressed the view that they felt incomplete, ashamed and not worthy of being beloved. Amputations have had a profound impact on relationships they’ve had before the amputation. Many women state that they’ve turn into social recluses, refusing to interact with different members of society. Many have turn out to be depressed and speak about taking their very own lives. Amputations additionally influence on different members of the family because it places an added strain on the resources of the family in making an attempt to cope with the state of affairs. Role adjustments happen in the family, which trigger various sentiments of resentment amongst relations. For women amputees the shortcoming to hold out their previous capabilities is a particularly bitter pill to swallow. 477. The state in Sierra Leone does not have at present the capability to rehabilitate amputees, significantly women and women. In these situations the place younger ladies have had their limbs amputated, their futures have been fully compromised. Coupled with poverty, they face a future without any alternative or hope. The destiny therefore of many ladies who suffered amputations in the battle presently hangs within the balance. Women who via amputations have misplaced their capability to earn have in lots of instances misplaced their husbands. In other cases, men who are unable or unwilling to care for their amputee wives have left them. 476. While amputations of every kind have a devastating effect on girls and ladies, you will need to notice that the diploma of social and financial dependence of an amputee is determined by the kind and stage of loss of limb. In an agrarian economy like that in Sierra Leone, amputated girls and ladies lose the ability to actively interact in farming activities. This affects their ability to earn a living and in addition to offer food for the family. Many ladies and girls in Sierra Leone have been lowered to begging for his or her sustenance and that of their families. 474. At a nationwide level the lack of person-energy affects the economic system. Given the function of ladies in subsistence farming in countries like Sierra Leone, the effect of HIV/AIDS on the financial system is profound. Sierra

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