tailieunhanh - Báo cáo y học: " Understanding effects of armed conflict on health outcomes: the case of Nepal"

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: Understanding effects of armed conflict on health outcomes: the case of Nepal. | Devkota and van Teijlingen Conflict and Health 2010 4 20 http content 4 1 20 I CONFLICT AND HEALTH RESEARCH Open Access Understanding effects of armed conflict on health outcomes the case of Nepal Bhimsen Devkota1 2 Edwin R van Teijlingen3 Abstract Objective There is abundance of literature on adverse effects of conflict on the health of the population. In contrast to this sporadic data in Nepal claim improvements in most of the health indicators during the decadelong armed conflict 1996-2006 . However systematic information to support or reject this claim is scant. This study reviews Nepal s key health indicators before and after the violent conflict and explores the possible factors facilitating the progress. Methods A secondary analysis has been conducted of two demographic health surveys-Nepal Family Health Survey NFHS 1996 and Nepal Demographic and Health Survey NDHS 2006 the latter was supplemented by a study carried out by the Nepal Health Research Council in 2006. Results The data show Nepal has made progress in 16 out of 19 health indicators which are part of the Millennium Development Goals whilst three indicators have remained static. Our analysis suggests a number of conflict and non-conflict factors which may have led to this success. Conclusion The lessons learnt from Nepal could be replicable elsewhere in conflict and post-conflict environments. A nationwide large-scale empirical study is needed to further assess the determinants of Nepal s success in the health sector at a time the country experienced a decade of armed conflict. Background Violent conflicts pose a challenge to human civilisations human health and health systems 1-3 . Epidemiological studies indicate that war ranks among the top-ten causes of death worldwide 4-6 . Populations affected by armed conflict experience severe public health consequences mediated by population displacement food scarcity and the collapse of basic health services which together often

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