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Promoting health equity in conflict-affected fragile states

Author

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  • Bornemisza, Olga
  • Ranson, M. Kent
  • Poletti, Timothy M.
  • Sondorp, Egbert

Abstract

Issues around health equity in conflict-affected fragile states have received very little analysis to date. This paper examines the main factors that threaten health equity, the populations that are most vulnerable and potential strategies to improve health equity. The methods employed are a review of the published and grey literature, key informant interviews and an analysis of data on social determinants of health indicators. A new conceptual framework was developed outlining types of inequity, factors that influence equity and possible strategies to strengthen equity. Factors that affect equity include displacement, gender and financial barriers. Strategies to strengthen health equity include strengthening pro-equity policy and planning functions; building provider capacity to provide health services; and reducing access and participation barriers for excluded groups. In conclusion, conflict is a key social determinant of health. More data is needed to determine how conflict affects within-country and between-country equity, and better evaluated strategies are needed to reduce inequity.

Suggested Citation

  • Bornemisza, Olga & Ranson, M. Kent & Poletti, Timothy M. & Sondorp, Egbert, 2010. "Promoting health equity in conflict-affected fragile states," Social Science & Medicine, Elsevier, vol. 70(1), pages 80-88, January.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:1:p:80-88
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    References listed on IDEAS

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    1. Kreif, Noémi & Mirelman, Andrew & Suhrcke, Marc & Buitrago, Giancarlo & Moreno-Serra, Rodrigo, 2022. "The impact of civil conflict on child health: Evidence from Colombia," Economics & Human Biology, Elsevier, vol. 44(C).
    2. Trani, Jean-Francois & Browne, Joyce & Kett, Maria & Bah, Osman & Morlai, Teddy & Bailey, Nicki & Groce, Nora, 2011. "Access to health care, reproductive health and disability: A large scale survey in Sierra Leone," Social Science & Medicine, Elsevier, vol. 73(10), pages 1477-1489.
    3. Ziegler, Bianca R. & Kansanga, Moses & Sano, Yuji & Kangmennaang, Joseph & Kpienbaareh, Daniel & Luginaah, Isaac, 2020. "Antenatal care utilization in the fragile and conflict-affected context of the Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 262(C).
    4. Abu-Zaineh, Mohammad & Mataria, Awad & Moatti, Jean-Paul & Ventelou, Bruno, 2011. "Measuring and decomposing socioeconomic inequality in healthcare delivery: A microsimulation approach with application to the Palestinian conflict-affected fragile setting," Social Science & Medicine, Elsevier, vol. 72(2), pages 133-141, January.

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