Three years ago Ahnaw* collapsed on the floor of her house in a small rural village in eastern Myanmar. When she came to, she realised she was bleeding heavily from what turned out to be a miscarriage. “I didn’t even know I was pregnant,” the 36-year-old recalls, seated in front of a Buddhist shrine in her living room. “They told me when I got to the hospital. They said I was lucky to survive.” As a result of her experience, Ahnaw is now part of an International Rescue Committee programme that trains hundreds of women in Myanmar’s Kayin state to become advocates for birth-spacing and safe pregnancies. These “mother support groups” spread their messages in village gatherings or by going door-to-door, targeting families with many children or young families with children born in quick succession.

As the European refugee crisis highlights, displaced people are increasingly travelling to or through towns and cities, rather than being accommodated in centralised camp settings. Today, more than half of the world’s displaced people live in urban areas and will, on average, continue to be displaced for over a decade. The humanitarian sector must adapt to meet the challenges of an urbanising world and the increasing role of cities as places of refuge, as well as sites of heightened risk of crisis, marginalisation, and inequality. It is therefore critical that humanitarian actors take a coordinated and collaborative approach to supporting refugees and migrants, tailoring their response to suit the urban context and its various stakeholders.

Staff profile