Armed conflict and child mortality in Africa: a geospatial analysis

Lancet
Zachary WagnerEran Bendavid

Abstract

A substantial portion of child deaths in Africa take place in countries with recent history of armed conflict and political instability. However, the extent to which armed conflict is an important cause of child mortality, especially in Africa, remains unknown. We matched child survival with proximity to armed conflict using information in the Uppsala Conflict Data Program Georeferenced Events Dataset on the location and intensity of armed conflict from 1995 to 2015 together with the location, timing, and survival of infants younger than 1 year (primary outcome) in 35 African countries. We measured the increase in mortality risk for infants exposed to armed conflicts within 50 km in the year of birth and, to study conflicts' extended health risks, up to 250 km away and 10 years before birth. We also examined the effects of conflicts of varying intensity and chronicity (conflicts lasting several years), and effect heterogeneity by residence and sex of the child. We then estimated the number and portion of deaths of infants younger than 1 year related to conflict. We identified 15 441 armed conflict events that led to 968 444 combat-related deaths and matched these data with 1·99 million births and 133 361 infant deaths (infant m...Continue Reading

Citations

Jan 17, 2019·PloS One·Ayesha KadirJeffrey Goldhagen
Mar 14, 2019·BMJ : British Medical Journal·Zulfiqar A BhuttaKamran Abbasi
Apr 16, 2019·Environmental Health Perspectives·Samuel SellersJeremy Hess
Feb 13, 2020·Maternal & Child Nutrition·Embry HowellKevin Jiang
Dec 7, 2019·Human Vaccines & Immunotherapeutics·Ngo Valery NgoSimon Agwale
Dec 13, 2019·World Journal of Emergency Surgery : WJES·Frederike J C HaverkampEdward C T H Tan
Jun 4, 2020·SSM - Population Health·Yubraj AcharyaDhiraj Sharma
Jan 28, 2021·Lancet·Eran BendavidUNKNOWN BRANCH Consortium Steering Committee
Feb 21, 2021·BMJ Global Health·Mariella MunyuzangaboZulfiqar A Bhutta
Mar 28, 2021·Conflict and Health·Loulou KobeissiUNKNOWN Members of the WHO research prioritization group for SRMNCAH promotion in humanitarian settings
May 1, 2021·BMJ Global Health·Nik StoopJean-Francois Maystadt
Jun 5, 2021·Health Economics·Michele Di Maio, Valerio Leone Sciabolazza
Oct 14, 2021·Health Research Policy and Systems·Henry B PerrySteve Hodgins

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