ArticleBMJ global health2020
Effects of terrorist attacks on access to maternal healthcare services: a national longitudinal study in Burkina Faso.
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 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
- Health transformation toward universal healthcare coverage amidst conflict: examining the impact of international cooperation in Niger.Frontiers in public health · 2024Pooled it
- Article
- Beyond spending: nonlinear impacts of health financing and out-of-pocket costs on mortality in Africa.Health economics review · 2026Article
- Availability of essential medicines in conflict-affected african regions: a systematic review and meta-analysis.Conflict and health · 2026Review
- Maternal and child healthcare-seeking among victims of violence in armed conflict: a quasi-experimental study in Northeast Nigeria.BMJ global health · 2025Observational
- Partner military deployment during wartime is associated with maternal depression and impaired maternal-infant attachment: a matched-control study from the Israel-Hamas war.Archives of women's mental health · 2025Article
- Irrational medicine use and its associated factors in conflict-affected areas in Mali: a cross-sectional study.Global health action · 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
- Assessing urban-rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis.International journal for equity in health · 2025Article
- Severe maternal outcomes in 36 West African hospitals from Benin, Burkina Faso and Niger.BMC pregnancy and childbirth · 2025Article
- Healthcare under fire: quantifying the impact of violence on medical services in facilities supported by International Medical Corps in three prefectures of Central African Republic, 2016-2020.Conflict and health · 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
- Impact of the free healthcare policies in Burkina Faso: underscoring important nuances.Health policy and planning · 2025Article
- Exploring Associations Between WaSH-Related Health Outcomes and Terrorist Activities in the Sahel: A Scoping Review.Public health reviews · 2025Review
- Factors associated with adequate antenatal care use among women of childbearing age in Burkina Faso: finding from the 2010 and 2021 demographic and health surveys.Frontiers in public health · 2025Article
- How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries.Global health action · 2024Article
- Temporal trends analysis of emergency obstetric and newborn care availability and readiness index of healthcare facilities in Burkina Faso.BMC health services research · 2024Article
- How do free healthcare policies impact utilization of maternal and child health services in fragile settings? Evidence from a controlled interrupted time series analysis in Burkina Faso.Health policy and planning · 2024Article
- COVID-19 and its effects on food producers: panel data evidence from Burkina Faso.BMC nutrition · 2024Article
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5 authors.
Funding
Abstract
introductionMost of the literature on terrorist attacks' health impacts has focused on direct victims rather than on distal consequences in the overall population. There is limited knowledge on how terrorist attacks can be detrimental to access to healthcare services. The objective of this study is to assess the impact of terrorist attacks on the utilisation of maternal healthcare services by examining the case of Burkina Faso.
methodsThis longitudinal quasi-experimental study uses multiple interrupted time series analysis. Utilisation of healthcare services data was extracted from the National Health Information System in Burkina Faso. Data span the period of January 2013-December 2018 and include all public primary healthcare centres and district hospitals. Terrorist attack data were extracted from the Armed Conflict Location and Event Data project. Negative binomial regression models were fitted with fixed effects to isolate the immediate and long-term effects of terrorist attacks on three outcomes (antenatal care visits, of facility deliveries and of cesarean sections).
resultsDuring the next month of an attack, the incidence of assisted deliveries in healthcare facilities is significantly reduced by 3.8% (95% CI 1.3 to 6.3). Multiple attacks have immediate effects more pronounced than single attacks. Longitudinal analysis show that the incremental number of terrorist attacks is associated with a decrease of the three outcomes. For every additional attack in a commune, the incidence of cesarean sections is reduced by 7.7% (95% CI 4.7 to 10.7) while, for assisted deliveries, it is reduced by 2.5% (95% CI 1.9 to 3.1) and, for antenatal care visits, by 1.8% (95% CI 1.2 to 2.5).
conclusionTerrorist attacks constitute a new barrier to access of maternal healthcare in Burkina Faso. The exponential increase in terrorist activities in West Africa is expected to have negative effects on maternal health in the entire region.
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