ArticleConflict and health2020
Health in conflict and post-conflict settings: reproductive, maternal and child health in Colombia.
Article in Conflict and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Knowledge, Attitudes, Practices and Education Needs of Dentists on Domestic Violence: A Systematic Review.Journal of evaluation in clinical practice · 2026Pooled it
- Armed Conflict and Unwanted Births in Colombia.Journal of health and social behavior · 2026Article
- Article
- Assessment of knowledge and attitudes of pregnant women toward pregnancy-related risk factors in Mosul City, Iraq.Journal of education and health promotion · 2026Article
- Social Determinants of Mental Health in Armed Conflict-affected Municipalities.Psychosocial intervention · 2026Article
- "With mental health and land, we have enough to live"-social determinants of mental health in fifteen conflict-affected municipalities of Montes de María, Colombia: a convergent parallel mixed methods study.Conflict and health · 2025Article
- The localisation of humanitarian response to conflict and displacement: a scoping review from a health systems perspective.BMJ global health · 2025Article
- Maternal Death: Retrospective Autopsy Study in Southwestern Colombia, 2000-2023.International journal of environmental research and public health · 2025Observational
- Association between conflict intensity and health outcomes in contemporary conflicts, while accounting for the vulnerability and functioning of healthcare services.Conflict and health · 2025Article
- Armed conflict and maternal health service utilization in Ethiopia's Tigray Region: a community-based survey.BMC public health · 2024Article
- Excess Child Mortality Associated With Colombia's Armed Conflict, 1998-2019.JAMA network open · 2024Article
- Does armed conflict lead to lower prevalence of maternal health-seeking behaviours: theoretical and empirical research based on 55 683 women in armed conflict settings.BMJ global health · 2023Article
- Utilization of insecticide-treated nets and associated factors among childbearing women in Northern Nigeria.Malaria journal · 2023Article
- Service availability and readiness to provide comprehensive emergency obstetric and newborn care services in post-conflict at North Wollo Zone hospitals, Northeast Ethiopia: mixed survey.BMC health services research · 2023Article
- Article
- Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria.BMJ global health · 2022Article
- Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations.Conflict and health · 2022Review
- Implications of armed conflict for maternal and child health: A regression analysis of data from 181 countries for 2000-2019.PLoS medicine · 2021Article
- Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn conflict-afflicted areas, pregnant women and newborns often have higher rates of adverse health outcomes.
objectiveTo describe maternal and child health indicators and interventions between 1998 and 2016 comparing high and low conflict areas in Colombia.
methodsMixed study of convergent triangulation. In the quantitative component, 16 indicators were calculated using official, secondary data sources. The victimization rate resulting from armed conflict was calculated by municipality and grouped into quintiles. In the qualitative component, a comparative case study was carried out in two municipalities of Antioquia: one with high rates of armed conflict and another with low rates. A total of 41 interviews and 8 focus groups were held with local and national government officials, health professionals, community informants, UN agencies and NGOs.
resultsAll of the indicators show improvement, however, four show statistically significant differences between municipalities with high victimization rates versus low ones. The maternal mortality ratio was higher in the municipalities with greater victimization in the periods 1998-2004, 2005-2011 and 2012-2016. The percentage of cesarean births and women who received four or more antenatal visits was lower among women who experienced the highest levels of victimization for the period 1998-2000, while the fertility rate for women between 15 and 19 years was higher in these municipalities between 2012 and 2016. In the context of the armed conflict in Colombia, maternal and child health was affected by the limited availability of interventions given the lack of human resources in health, supplies, geographical access difficulties and insecurity. The national government was the one that mostly provided the programs, with difficulties in continuity and quality. UN Agencies and NGOs accessed more easily remote and intense armed conflict areas. Few specific health interventions were identified in the post-conflict context.
conclusionsIn Colombia, maternal and child health indicators have improved since the conflict, however a pattern of inequality is observed in the municipalities most affected by the armed conflict.
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