ArticleConflict and health2020
Maternal and child health service delivery in conflict-affected settings: a case study example from Upper Nile and Unity states, South Sudan.
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 33 papers.
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Who cites it
33 citing papers in PubMed.
- Geospatial analysis of the impact of Cameroonian Anglophone Crisis conflict intensity on antenatal care utilisation.Communications medicine · 2026Article
- Climate Variability, Communal Violence, and Population Health in Africa's Arc of Instability: A Scoping Review of Evidence and Gaps.Annals of global health · 2026Article
- Abortion in conflict zones: moral responsibilities of humanitarian agencies in providing safe abortion care.Frontiers in reproductive health · 2026Review
- Barriers and facilitators to maternal, newborn, and child health service utilization among internally displaced populations in Somalia.Frontiers in global women's health · 2026Review
- The humanitarian-development nexus and sexual and reproductive health interventions in fragile settings: A scoping review.PLOS global public health · 2026Article
- "I am proud to be a midwife because I save a lot of lives": survey and interviews with graduates of International Medical Corps' midwifery education programme in South Sudan.Sexual and reproductive health matters · 2025Article
- The evolution of facility-based deliveries at primary healthcare centres during an insecurity and conflict crisis in Burkina Faso: a geospatial analysis.Conflict and health · 2025Article
- Delivering an insecticide-treated net campaign in a complex operating environment: lessons from Anambra state, Nigeria.Malaria journal · 2025Article
- Exploring health system challenges and gaps for crisis response in Ethiopia: a scoping review of publications and reports from 2020-2024.BMC health services research · 2025Article
- 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
- Association between conflict intensity and health outcomes in contemporary conflicts, while accounting for the vulnerability and functioning of healthcare services.Conflict and health · 2025Article
- Description and Impact of the 20-Year Fogarty International Center/NIH Middle East Research Ethics Training Initiative.Journal of empirical research on human research ethics : JERHRE · 2025Article
- Evaluation of the quality of care in pediatric hospitals in the Gaza Strip using the WHO integrated tool: the healthcare providers' perspective.Frontiers in pediatrics · 2025Article
- Article
- Maternal and newborn health prioritization in Yobe State, Nigeria: analysis of stakeholders' perspective.Conflict and health · 2024Article
- Barriers faced by primary healthcare providers in addressing emergencies in the Northern region of Palestine before and during the Gaza war.BMC primary care · 2024Article
- The impact of the military conflict in Sudan on maternal health: a mixed qualitative and quantitative study.PeerJ · 2024Article
- The Governance of Childhood Vaccination Services in Crisis Settings: A Scoping Review.Vaccines · 2023Article
- Transmissibility and severity of COVID-19 in a humanitarian setting: First few X investigation of cases and contacts in Juba, South Sudan, 2020.Influenza and other respiratory viruses · 2023Article
- 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
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10 authors.
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Abstract
backgroundDecades of war left the Republic of South Sudan with a fragile health system that has remained deprived of resources since the country's independence. We describe the coverage of interventions for women's and children's health in Upper Nile and Unity states, and explore factors that affected service provision during a protracted conflict.
methodsWe conducted a case study using a desk review of publicly available literature since 2013 and a secondary analysis of intervention coverage and conflict-related events from 2010 to 2017. During June through September 2018, we conducted 26 qualitative interviews with technical leads and 9 focus groups among health workers working in women and children's health in Juba, Malakal, and Bentiu.
resultsCoverage for antenatal care, institutional delivery, and childhood vaccines were low prior to the escalation of conflict in 2013, and the limited data indicate that coverage remained low through 2017. Key factors that determined the delivery of services for women and children in our study sites were government leadership, coordination of development and humanitarian efforts, and human resource capacity. Participants felt that national and local health officials had a limited role in the delivery of services, and financial tracking data showed that funding stagnated or declined for humanitarian health and development programming during 2013-2014. Although health services were concentrated in camp settings, the availability of healthcare providers was negatively impacted by the protracted nature of the conflict and insecurity in the region.
conclusionsHealth care for women and children should be prioritized during acute and protracted periods of conflict by strengthening surveillance systems, coordinating short and long term activities among humanitarian and development organizations, and building the capacity of national and local government officials to ensure sustainability.
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