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Civil war and child health: regional and ethnic dimensions of child immunization and malnutrition in Angola

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  • Agadjanian, Victor
  • Prata, Ndola

Abstract

This study arises from a general proposition that different levels and types of exposure to war are crucial in shaping health outcomes in a population under war-induced duress. We analyze civil war-related regional and ethnolinguistic differentials in age-adequate immunization (complete vaccination for age) and levels of malnutrition in Angola. Our analysis is based on data from a nationally representative survey conducted in 1996, some 2 years after the end of one of the most destructive periods of hostilities in the history of Angolan civil war. The data show that despite Angola's unique mineral wealth, the nation's levels of child age-adequate immunization is lower and malnutrition rates are higher than in most of sub-Saharan Africa. To examine age-adequate immunization and chronic malnutrition we fit logistic regression models that include the regional degree of war impact and ethnolinguistic group, in addition to rural-urban differences and other conventional sociodemographic characteristics. The tests reveal a significant disadvantage of rural children relative to urban children in both immunization and chronic malnutrition. Net of the rural-urban differences, we also detect a significant disadvantage of children residing in parts of the country that had been most affected by the fighting. The tests also point to a lower level of immunization and higher level of chronic malnutrition among children from the ethnolinguistic group commonly identified with the opposition. These associations tend to be stronger among children who were born and/or grew up during war than among children who were born after peace was re-established.

Suggested Citation

  • Agadjanian, Victor & Prata, Ndola, 2003. "Civil war and child health: regional and ethnic dimensions of child immunization and malnutrition in Angola," Social Science & Medicine, Elsevier, vol. 56(12), pages 2515-2527, June.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:12:p:2515-2527
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    Citations

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    Cited by:

    1. Avogo, Winfred Aweyire & Agadjanian, Victor, 2010. "Forced migration and child health and mortality in Angola," Social Science & Medicine, Elsevier, vol. 70(1), pages 53-60, January.
    2. Gudrun Østby & Olga Shemyakina & Andreas Forø Tollefsen & Henrik Urdal & Marijke Verpoorten, 2021. "Public Health and Armed Conflict: Immunization in Times of Systemic Disruptions," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1143-1177, December.
    3. Thiede, Brian C. & Gray, Clark, 2020. "Climate exposures and child undernutrition: Evidence from Indonesia," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Sobkoviak, Rudina M. & Yount, Kathryn M. & Halim, Nafisa, 2012. "Domestic violence and child nutrition in Liberia," Social Science & Medicine, Elsevier, vol. 74(2), pages 103-111.
    5. Abdulrahman Ahmed & Dr. Hadiza Yahaya & Dr. Abba Jidda & Fatima Abacha Ali & Cordelia .A. Dingari, 2024. "The Effect of Boko Haram Insurgency on Health and Nutrition among the Residents of Bolori 2 of Maiduguri Metropolitan Council of Borno State, Nigeria," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 10(12), pages 643-655, January.
    6. Varley, Emma, 2010. "Targeted doctors, missing patients: Obstetric health services and sectarian conflict in Northern Pakistan," Social Science & Medicine, Elsevier, vol. 70(1), pages 61-70, January.
    7. Weldeegzie, Samuel G., 2017. "Growing-up Unfortunate: War and Human Capital in Ethiopia," World Development, Elsevier, vol. 96(C), pages 474-489.

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