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Conflict in Somalia : impact on child undernutrition

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Kinyoki, Damaris K., Moloney, Grainne M., Uthman, Olalekan A., Kandala, Ngianga-Bakwin, Odundo, Elijah O., Noor, Abdisalan M. and Berkley, James A. (2017) Conflict in Somalia : impact on child undernutrition. BMJ Global Health, 2 (2). e000262. doi:10.1136/bmjgh-2016-000262 ISSN 2059-7908.

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Official URL: https://doi.org/10.1136/bmjgh-2016-000262

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Abstract

In Somalia, protracted conflict and drought have caused population displacement and livelihood destruction. There is also widespread childhood undernutrition. We aimed to determine the independent effects of conflict on wasting and stunting among children aged 6-59 months nationwide in Somalia.Data were from household surveys during 2007-2010, including 73 778 children in 1066 clusters, the Armed Conflict Location and Event Data project database and remote sensing. We used Bayesian hierarchical spatial-temporal regression to examine the effects of conflict on wasting and stunting. Models included individual, household and environmental covariates and recent (<3 months) or longer term (3-12 months) conflict events.15 355 (21%) and 22 739 (31%) observations were from wasted and stunted children, respectively. The conflict was associated with undernutrition independently of the individual, household and environmental factors, and its inclusion improved model performance. Recent conflict was associated with wasting (OR 1.37, 95% credible interval (CrI): (1.33, 1.42) and attributable fraction (AF) 7.6%)) and stunting (OR 1.21, 95% CrI (1.15, 1.28), AF 6.9%). Longer term conflict had greater effects on wasting (OR 1.76, 95% CrI (1.71, 1.81), AF 6.0%) and stunting (OR 1.88, 95% CrI = (1.83, 1.94), AF 7.4%). After controlling for conflict, the harmful effect of internal displacement and protective effects of rainfall and vegetation cover on undernutrition were enhanced.Conflict and internal displacement have large effects on undernutrition in ways not fully captured by simply measuring individual, household and environmental factors or drought.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Malnutrition in children -- Somália, Somalia -- History -- 1991-
Journal or Publication Title: BMJ Global Health
ISSN: 2059-7908
Official Date: 29 May 2017
Dates:
DateEvent
29 May 2017Published
1 May 2017Available
21 March 2017Accepted
Volume: 2
Number: 2
Article Number: e000262
DOI: 10.1136/bmjgh-2016-000262
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): ** From Europe PMC via Jisc Publications Router. ** Licence for this article: cc by
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 8 January 2018
Date of first compliant Open Access: 8 January 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
#095127Wellcome Trusthttp://dx.doi.org/10.13039/100004440
#083579 Wellcome Trusthttp://dx.doi.org/10.13039/100004440
#103926 Wellcome Trusthttp://dx.doi.org/10.13039/100004440
Major Overseas Programme grantWellcome Trusthttp://dx.doi.org/10.13039/100004440
Related URLs:
  • http://europepmc.org/articles/PMC5621625...
  • http://europepmc.org/articles/PMC5621625

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