Mortality, Nutrition and Health in Lofa County Liberia 5 Years Post-Conflict

Doocy, Shannon; Lewy, Daniela; Guenther, Tanya; Larrance, Ryan

doi:10.12927/whp.2010.22038

Cited by 3 publications

(2 citation statements)

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“…Several studies in the review primarily focused on the issues of health and nutrition in conflict‐affected settings, discussing reliable access to water as a prerequisite to improve medical care (Djimeu, 2014; Doocy, Lewy, Guenther, & Larrance, 2010; El Bcheraoui et al, 2018; Raminashvili, Zarnadze, Gerzmava, & Zarnadze, 2009; Wise, 2017). This highlights the fundamental importance of water for other sectors related to development under conflict conditions (Gates et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Water in war: Understanding the impacts of armed conflict on water resources and their management

et al. 2020

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Armed conflict has the potential to disrupt water systems that are crucial to environmental and human wellbeing. Yet there is no comprehensive overview of scientific evidence on the impact of armed conflicts on water resources and their management. This paper assesses the relevant scientific evidence through a systematic literature review. We discern conceptual, empirical, and methodological approaches adopted in the reviewed publications and synthesize the overarching research results. Common research topics across the body of literature include the role of water resources in armed conflicts, either as a casualty or as a weapon used by conflict parties, and the implications of armed conflict on water resources management, such as basic service provision and water governance. The analysis also pinpoints the research field's focus on empirical studies based on a small number of cases, and highlights a lack of conceptual engagement with the notion of armed conflict. Future research on water resources and their management in conflict settings needs to be more transparent on conceptual frameworks and assumptions to facilitate knowledge integration across different studies.

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Section: Resultsmentioning

confidence: 99%

Water in war: Understanding the impacts of armed conflict on water resources and their management

et al. 2020

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“…Additionally, the prevalence of adult underweight was higher in the post-conflict area compared with national rural estimates in 2011 (12) . Previous nutrition studies in post-conflict settings have focused primarily on children <5 years of age and individual-level risk factors (13)(14)(15)(16)(17)(18) . Moreover, food security and health programmes by humanitarian organizations often focus on conventional target groups such as female-headed households, pregnant women, children and disease-specific groups (19,20) .…”

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confidence: 99%

Post-conflict household structures and underweight: a multilevel analysis of a community-based study in northern Uganda

Schramm

Kaducu

et al. 2018

Public Health Nutr.

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Literacy is power: structural drivers of child malnutrition in rural Liberia

Kumeh

Fallah

Desai

et al. 2020

BMJNPH

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BackgroundIn Liberia, an estimated 32% of children under 5 are stunted. Malnutrition and hunger worsened during the country’s civil war and were further exacerbated by the 2014–2016 outbreak of Ebola virus disease. Studies examining adherence to recommended infant and young child feeding practices frequently do so with an emphasis on the knowledge, attitudes and beliefs of mothers and caregivers. Often overlooked are the structural factors that enable or constrain their agency to practise evidence-based recommendations.MethodsBetween July and December 2017, we surveyed 100 Liberian mothers to assess the sociodemographic factors associated with the risk of severe acute malnutrition in children in Maryland County, Liberia. We also conducted 50 in-depth interviews at two government health facilities to qualitatively explore mothers’ experiences, as well as health workers’ understandings of the determinants of malnutrition in the region. We applied logistic regression to analyse quantitative data and inductive content analysis to thematically interpret qualitative data.ResultsMothers were less likely to have a child with severe acute malnutrition if they had an income greater than US$50 per month (adjusted OR (aOR)=0.14, p<0.001), were literate (aOR=0.21, p=0.009) or exclusively breast fed during the first 6 months of life (aOR=0.18, p=0.049); they were more likely to have a child with severe acute malnutrition if they were married or in domestic partnerships (aOR=8.41, p<0.001). In-depth interviews elucidated several social, economic and programmatic factors that shaped suboptimal feeding practices, as well as decisions for and against seeking formal care for malnutrition.DiscussionThe lived experiences of Liberian mothers and health workers illustrate that child malnutrition is a direct consequence of abject poverty, food insecurity, illiteracy, the precarious nature of formal and informal work, and the lack of robust social protection. Behaviour change and health education interventions that do not seek to alleviate structural barriers to compliance are unlikely to be effective.

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Mortality, Nutrition and Health in Lofa County Liberia 5 Years Post-Conflict

Cited by 3 publications

References 4 publications

Water in war: Understanding the impacts of armed conflict on water resources and their management

Water in war: Understanding the impacts of armed conflict on water resources and their management

Post-conflict household structures and underweight: a multilevel analysis of a community-based study in northern Uganda

Literacy is power: structural drivers of child malnutrition in rural Liberia

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