Access to health services, food, and water during an active conflict: Evidence from Ethiopia
Civil conflict began in Ethiopia in November 2020 and has reportedly caused major disrup tions in access to health services, food, and related critical services, in addition to the direct impacts of the conflict on health and well-being. However, the population-level impacts of the conflict have not...
| Autores principales: | , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
2022
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| Acceso en línea: | https://hdl.handle.net/10568/141179 |
| _version_ | 1855536121946046464 |
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| author | Abay, Kibrom A. Abay, Mehari Hiluf Berhane, Guush Chamberlin, Jordan Croke, Kevin Tafere, Kibrom |
| author_browse | Abay, Kibrom A. Abay, Mehari Hiluf Berhane, Guush Chamberlin, Jordan Croke, Kevin Tafere, Kibrom |
| author_facet | Abay, Kibrom A. Abay, Mehari Hiluf Berhane, Guush Chamberlin, Jordan Croke, Kevin Tafere, Kibrom |
| author_sort | Abay, Kibrom A. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Civil conflict began in Ethiopia in November 2020 and has reportedly caused major disrup tions in access to health services, food, and related critical services, in addition to the direct impacts of the conflict on health and well-being. However, the population-level impacts of the conflict have not yet been systematically quantified. We analyze high frequency phone surveys conducted by the World Bank, which included measures of access to basic ser vices, to estimate the impact of the first phase of the war (November 2020 to May 2021) on households in Tigray. After controlling for sample selection, a difference-in-differences approach is used to estimate causal effects of the conflict on population access to health services, food, and water and sanitation. Inverse probability weighting is used to adjust for sample attrition. The conflict has increased the share of respondents who report that they were unable to access needed health services by 35 percentage points (95% CI: 14–55 pp) and medicine by 8 pp (95% CI:2–15 pp). It has also increased the share of households unable to purchase staple foods by 26 pp (95% CI:7–45 pp). The share of households unable to access water did not increase, although the percentage able to purchase soap declined by 17 pp (95% CI: 1–32 pp). We document significant heterogeneity across popula tion groups, with disproportionate effects on the poor, on rural populations, on households with undernourished children, and those living in communities without health facilities. These significant disruptions in access to basic services likely underestimate the true bur den of conflict in the affected population, given that the conflict has continued beyond the survey period, and that worse-affected households may have higher rates of non-response. Documented spatial and household-level heterogeneity in the impact of the conflict may help guide rapid post-conflict responses. |
| format | Journal Article |
| id | CGSpace141179 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| record_format | dspace |
| spelling | CGSpace1411792025-10-26T13:02:19Z Access to health services, food, and water during an active conflict: Evidence from Ethiopia Abay, Kibrom A. Abay, Mehari Hiluf Berhane, Guush Chamberlin, Jordan Croke, Kevin Tafere, Kibrom low income groups undernutrition surveys households water food tigray children health services hygiene civil conflict conflicts rural areas Civil conflict began in Ethiopia in November 2020 and has reportedly caused major disrup tions in access to health services, food, and related critical services, in addition to the direct impacts of the conflict on health and well-being. However, the population-level impacts of the conflict have not yet been systematically quantified. We analyze high frequency phone surveys conducted by the World Bank, which included measures of access to basic ser vices, to estimate the impact of the first phase of the war (November 2020 to May 2021) on households in Tigray. After controlling for sample selection, a difference-in-differences approach is used to estimate causal effects of the conflict on population access to health services, food, and water and sanitation. Inverse probability weighting is used to adjust for sample attrition. The conflict has increased the share of respondents who report that they were unable to access needed health services by 35 percentage points (95% CI: 14–55 pp) and medicine by 8 pp (95% CI:2–15 pp). It has also increased the share of households unable to purchase staple foods by 26 pp (95% CI:7–45 pp). The share of households unable to access water did not increase, although the percentage able to purchase soap declined by 17 pp (95% CI: 1–32 pp). We document significant heterogeneity across popula tion groups, with disproportionate effects on the poor, on rural populations, on households with undernourished children, and those living in communities without health facilities. These significant disruptions in access to basic services likely underestimate the true bur den of conflict in the affected population, given that the conflict has continued beyond the survey period, and that worse-affected households may have higher rates of non-response. Documented spatial and household-level heterogeneity in the impact of the conflict may help guide rapid post-conflict responses. 2022-11-29 2024-04-12T13:37:25Z 2024-04-12T13:37:25Z Journal Article https://hdl.handle.net/10568/141179 en https://doi.org/10.2499/p15738coll2.135056 Open Access Abay, Kibrom A.; Abay, Mehari Hiluf; Berhane, Guush; Chamberlin, Jordan; Croke, Kevin; and Tafere, Kibrom. 2022. Access to health services, food, and water during an active conflict: Evidence from Ethiopia. PLoS Global Public Health 2(11): e0001015. https://doi.org/10.1371/journal.pgph.0001015 |
| spellingShingle | low income groups undernutrition surveys households water food tigray children health services hygiene civil conflict conflicts rural areas Abay, Kibrom A. Abay, Mehari Hiluf Berhane, Guush Chamberlin, Jordan Croke, Kevin Tafere, Kibrom Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title | Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title_full | Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title_fullStr | Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title_full_unstemmed | Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title_short | Access to health services, food, and water during an active conflict: Evidence from Ethiopia |
| title_sort | access to health services food and water during an active conflict evidence from ethiopia |
| topic | low income groups undernutrition surveys households water food tigray children health services hygiene civil conflict conflicts rural areas |
| url | https://hdl.handle.net/10568/141179 |
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