Source: IRIN
Children in the Kivu provinces of eastern Democratic Republic of Congo  (DRC) are not only getting caught in the crossfire of the area’s ongoing  violence, but also facing health risks, threats of forced recruitment  by local and foreign militias, and interrupted education, say officials. 
“Children are swept up in the mass population movements that are  currently ongoing in eastern DRC, with entire families fleeing multiple  conflicts. Our hospitals have operated on children with bullet wounds  who have been caught in the crossfire. Some children present late with  life-threatening malaria, malnutrition or respiratory tract infections,”  Jan-Peter Stellema, operations manager at Médecins sans Frontières  (MSF), told IRIN. 
 
 “Many [of the displaced] are hiding in the malarial forests of the  interior for days or weeks at a time, cut off from medical care and  difficult to reach. Others are living with Congolese host families,  often strangers who share their food and living quarters with those on  the run,” Stellema said. 
 
 The insecurity has disrupted MSF's healthcare provision, with some of  the organization’s mobile clinics being suspended, added Stellema. “Some  of our national staff feel unsafe and have also fled, leaving us  functioning with skeleton teams in some project locations.” 
 
 Children are also under threat of forced recruitment by insurgent groups in North Kivu, including M23 - a group of former DRC national army (FARDC) soldiers who mutinied in  April - and both foreign and Congolese militias including the Mai Mai  groups and the Forces Démocratiques pour la Libération du Rwanda (FDLR). 
 
 In a 19 September statement,  a coalition of NGOs in the DRC said, “Children are not only directly  exposed to the real risk of recruitment and re-recruitment; their  vulnerability is also aggravated by the reduced activity of child  protection organizations that are affected by the security situation.” 
 
 The statement noted that the redeployment of the FARDC to contain M23  has “given free rein” to self-defence militias and armed groups that use  children. 
 
 Renewed insecurity in South Kivu 
 
 Education in South Kivu Province has been disrupted by the destruction  of dozens of classrooms, class sizes overwhelmed by displaced children  and the fact that some schools have become temporary dormitories for  IDPs, according to an OCHA report. 
 
 In the Hauts Plateaux area in Kalehe, in northern South Kivu, conflict  between armed groups who are burning and pillaging houses is common, adds OCHA. In late August, at least 500 households fled the area of Kitopo following fighting between the FDLR and the Raïya Mutomboki militia. 
 
 "Civilians are facing an unprecedented, high level of armed violence due  to the renewed activism of armed groups in the province,” said Florent  Mehaule, the acting head of the OCHA office in South Kivu Province. 
 
 “This volatile security situation leads to shrinking humanitarian space,  preventing humanitarian workers [from] assisting more than 150,000  people in need.” 
 
 In South Kivu alone, more than 374,000 people were displaced between  January and August, creating growing needs for food assistance, non-food  items, water and sanitation, said Mehaule. 
 
 Commenting on the situation in eastern DRC, MSF’s Stellema said,  “Despite the conflict, life goes on in the region and the regular health  needs remain - there are still pregnant women who require antenatal  care, or assistance with a complicated delivery, children who are  susceptible to measles and need vaccinating... But many of the most  vulnerable in the region are now unable to access the assistance they  need.”