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Báo cáo y học: "Violence against civilians and access to health care in North Kivu, Democratic Republic of Congo: three cross-sectional survey"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Violence against civilians and access to health care in North Kivu, Democratic Republic of Congo: three cross-sectional surveys. | Alberti et al. Conflict and Health 2010 4 17 http www.conflictandhealth.eom content 4 1 17 I CONFLICT AND HEALTH RESEARCH Open Access Violence against civilians and access to health care in North Kivu Democratic Republic of Congo three cross-sectional surveys 1 12 1 3 4 Kathryn P Alberti Emmanuel Grellety Ya-Ching Lin Jonathan Polonsky Katrien Coppens Luis Encinas Marie-Noelle Rodrigue5 Biagio Pedalino1 Vital Mondonge6 Abstract Background The province of North Kivu in the Democratic Republic of Congo has been afflicted by conflict for over a decade. After months of relative calm offences restarted in September 2008. We did an epidemiological study to document the impact of violence on the civilian population and orient pre-existing humanitarian aid. Methods In May 2009 we conducted three cross-sectional surveys among 200 000 resident and displaced people in North Kivu Kabizo Masisi Kitchanga . The recall period covered an eight month period from the beginning of the most recent offensives to the survey date. Heads of households provided information on displacement death violence theft and access to fields and health care. Results Crude mortality rates per 10 000 per day were below emergency thresholds Kabizo 0.2 95 CI 0.1-0.4 Masisi 0.5 0.4-0.6 Kitchanga 0.7 0.6-0.9 . Violence was the reported cause in 39.7 27 68 and 35.8 33 92 of deaths in Masisi and Kitchanga respectively. In Masisi 99.1 897 905 and Kitchanga 50.4 509 1020 of households reported at least one member subjected to violence. Displacement was reported by 39.0 of households 419 1075 in Kitchanga and 99.8 903 905 in Masisi. Theft affected 87.7 451 514 of households in Masisi and 57.4 585 1019 in Kitchanga. Access to health care was good 93.5 359 384 of the sick in Kabizo 81.7 515 630 in Masisi and 89.8 651 725 in Kitchanga received care of whom 83.0 298 359 87.5 451 515 and 88.9 579 651 respectively did not pay. Conclusions Our results show the impact of the ongoing war on these civilian populations one