ArticleBMC international health and human rights2015
Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: a qualitative study.
Article in BMC international health and human rights, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Armed violent conflict and healthcare-seeking behavior for maternal and child health in sub-Saharan Africa: A systematic review.PloS one · 2025Pooled it
- Pregnancy and neonatal outcomes in Eastern Democratic Republic of the Congo: a systematic review.Frontiers in global women's health · 2024Pooled it
- Pooled it
- How armed conflict shapes women's family planning and abortion uptake and decision-making: a scoping review.Global health action · 2026Article
- Association of person-centred maternity care during childbirth and future reproductive and health-seeking intentions among adolescents in Lira, Northern Uganda: a cross-sectional survey.Global health action · 2026Article
- Article
- Knowledge, attitude, and practice of manual vacuum aspiration in managing incomplete abortion at lower-level health facilities of Northern Uganda.BMC health services research · 2026Article
- The impact of war on the health of women and girlsRevista colombiana de obstetricia y ginecologia · 2026Article
- Rationale for the under-implementation of catch-up vaccination in conflict-affected regions, Northeast Ethiopia.Conflict and health · 2026Article
- Armed conflict, child marriage, and maternal healthcare utilization: Evidence from 82 surveys in 49 low-and lower-middle-income countries.Primary health care research & development · 2026Article
- The lived experience, perceptions, and barriers of continuum of maternal health care services utilization: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Maternal and child healthcare-seeking among victims of violence in armed conflict: a quasi-experimental study in Northeast Nigeria.BMJ global health · 2025Observational
- Examining the effect of nearby armed conflict on access to maternal and child health services in Burkina Faso's primary healthcare facilities.BMJ global health · 2025Article
- Effects of loving or HABIBI educational prevention intervention on HIV/AIDS knowledge, attitude and condom use among internally displaced males from Libya: A quasi-experimental study.Preventive medicine reports · 2025Article
- Risk factors for neural tube defects in the war and siege-affected tigray regional state of ethiopia: a case-control study.BMC pregnancy and childbirth · 2025Article
- Spatial patterns and predictors of antenatal care interruption in war-torn Tigray, northern Ethiopia: Spatial modelling approach.PloS one · 2025Article
- Emerging threat of artemisinin partial resistance markers (pfk13 mutations) in Plasmodium falciparum parasite populations in multiple geographical locations in high transmission regions of Uganda.Malaria journal · 2024Article
- Armed conflict and maternal health service utilization in Ethiopia's Tigray Region: a community-based survey.BMC public health · 2024Article
- Lived experiences of refugee women with vaginal fistula in Nakivale and Oruchinga refugee settlements, Isingiro District, Uganda.BMC women's health · 2024Article
- The Impact of Armed Conflict on Services and Outcomes Related to Maternal and Reproductive Health in North Wollo, Amhara, Ethiopia: A Qualitative Study.International journal of women's health · 2024Article
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Abstract
backgroundArmed conflict potentially poses serious challenges to access and quality of maternal and reproductive health (MRH) services, resulting in increased maternal morbidity and mortality. The effects of armed conflict may vary from one setting to another, including the mechanisms/channels through which the conflict may lead to poor access to and quality of health services. This study aims to explore the effects of armed conflict on MRH in Burundi and Northern Uganda.
methodsThis is a descriptive qualitative study that used in-depth interviews (IDIs) and focus group discussions (FGDs) with women, health providers and staff of NGOs for data collection. Issues discussed include the effects of armed conflict on access and quality of MRH services and outcomes, and the mechanisms through which armed conflict leads to poor access and quality of MRH services. A total of 63 IDIs and 8 FGDs were conducted involving 115 participants.
resultsThe main themes that emerged from the study were: armed conflict as a cause of limited access to and poor quality of MRH services; armed conflict as a cause of poor MRH outcomes; and armed conflict as a route to improved access to health care. The main mechanisms through which the conflict led to poor access and quality of MRH services varied across the sites: attacks on health facilities and looting of medical supplies in both sites; targeted killing of health personnel and favouritism in the provision of healthcare in Burundi; and abduction of health providers in Northern Uganda. The perceived effects of the conflict on MRH outcomes included: increased maternal and newborn morbidity and mortality; high prevalence of HIV/AIDS and SGBV; increased levels of prostitution, teenage pregnancy and clandestine abortion; and high fertility levels. Relocation to government recognised IDP camps was perceived to improve access to health services.
conclusionsThe effects of armed conflict on MRH services and outcomes are substantial. The mechanisms through which armed conflict leads to poor access and quality of MRH services vary from one setting to another. All these issues need to be considered in the design and implementation of interventions to improve MRH in these settings.
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