Child Morbidity and Camp Decongestion in Post-war Uganda
AbstractConflict related displacement affects millions of families throughout the world. Very little is known about the determinants of health outcomes in the period immediately after a cease-fire is agreed, in which currently displaced people living in camps consider returning to their place of origin. In this paper, we study the effects of war and displacement on the health of children, using morbidity data collected as part of a large household survey from post-war northern Uganda in 2007. We combine this dataset with geo-coded conflict event data at the individual level to overcome the challenges of selection bias and endogeneity arising from households choosing their location in part based on their health status. This methodological concern is confirmed in our analysis. We then estimate the determinants of child morbidity (proxied by various health indicators) in an instrumental variables multivariate model, where conflict intensity at place of birth of the head of household is used as an instrument. We find that while children in IDP camps and in returnee locations exhibit the same mean morbidity rates, IDP camp residency almost doubles morbidity while poor access to safe drinking water in return locations counteracts the positive health effects of camp decongestion. Our results point to the importance of overcrowding and poor cooking technologies in IDP camps for worsening morbidity in children and the need to provide better sanitation and drinking water access in return locations to further improve the health status of conflict-affected children. Better data and analysis in early post-war periods can help to balance public health interventions, thereby strengthening the peace process.
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Bibliographic InfoPaper provided by MICROCON - A Micro Level Analysis of Violent Conflict in its series Research Working Papers with number 24.
Length: 25 pages
Date of creation: 2010
Date of revision:
Violent conflict; health; displacement; Uganda;
This paper has been announced in the following NEP Reports:
- NEP-AFR-2010-05-15 (Africa)
- NEP-ALL-2010-05-15 (All new papers)
- NEP-HEA-2010-05-15 (Health Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Wilde, Joachim, 2000. "Identification of multiple equation probit models with endogenous dummy regressors," Economics Letters, Elsevier, vol. 69(3), pages 309-312, December.
- Carlos Bozzoli & Tilman Brück & Tony Muhumuza, 2011.
"Activity Choices of Internally Displaced Persons and Returnees: Quantitative Survey Evidence from Post-War Northern Uganda,"
Discussion Papers of DIW Berlin
1134, DIW Berlin, German Institute for Economic Research.
- Carlos Bozzoli & Tilman Brück & Tony Muhumuza, 2011. "Activity Choices of Internally Displaced Persons and Returnees: Quantitative Survey Evidence from Post-War Northern Uganda," HiCN Working Papers 98, Households in Conflict Network.
- Carlos Bozzoli & Tilman Brück & Tony Muhumuza, 2012. "Movers or Stayers? Understanding the Drivers of IDP Camp Decongestion during Post-Conflict Recovery in Uganda," Discussion Papers of DIW Berlin 1197, DIW Berlin, German Institute for Economic Research.
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