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War and Gender Inequalities in Health: The Impact of Armed Conflict on Fertility and Maternal Mortality

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  • Henrik Urdal
  • Chi Primus Che

Abstract

Recent studies have found significant excess mortality in women during and immediately after armed conflicts. This article directly assesses one of the most likely explanations, namely that war negatively affects reproductive health. Armed conflicts may contribute to sustain high fertility levels through increased social insecurity, loss of reproductive health services, and lower female education. Further, war's deteriorating impact on health infrastructure is expected to increase the relative risk that women die from complications associated with pregnancy and childbirth. These claims are tested in a global time-series cross-national study from 1970 through 2005. Three major findings are reported. First, armed conflicts are associated with higher overall fertility in low-income countries only. Second, maternal mortality rates are elevated, albeit moderately, in conflict countries. Third, conflicts in neighboring countries are associated with lower maternal mortality, possibly indicating that health interventions among refugee and host populations are relatively successful. While addressing one of the least successful UN Millennium Development Goals, this study also responds to the UN Security Council Resolution 1325, in which Article 16 specifically calls for the “Secretary-General to carry out a study on the impact of armed conflict on women and girls.”

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  • Henrik Urdal & Chi Primus Che, 2013. "War and Gender Inequalities in Health: The Impact of Armed Conflict on Fertility and Maternal Mortality," International Interactions, Taylor & Francis Journals, vol. 39(4), pages 489-510, September.
    • Handle: RePEc:taf:ginixx:v:39:y:2013:i:4:p:489-510
    DOI: 10.1080/03050629.2013.805133
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    1. Quan Li & Ming Wen, 2005. "The Immediate and Lingering Effects of Armed Conflict on Adult Mortality: A Time-Series Cross-National Analysis," Journal of Peace Research, Peace Research Institute Oslo, vol. 42(4), pages 471-492, July.
    2. Philip Verwimp & Jan Bavel, 2005. "Child Survival and Fertility of Refugees in Rwanda," European Journal of Population, Springer;European Association for Population Studies, vol. 21(2), pages 271-290, June.
    3. Ghobarah, Hazem Adam & Huth, Paul & Russett, Bruce, 2003. "Civil Wars Kill and Maim People—Long After the Shooting Stops," American Political Science Review, Cambridge University Press, vol. 97(2), pages 189-202, May.
    4. Sara Randall, 2005. "The Demographic Consequences of Conflict, Exile and Repatriation: A Case Study of Malian Tuareg," European Journal of Population, Springer;European Association for Population Studies, vol. 21(2), pages 291-320, June.
    5. David Lindstrom & Betemariam Berhanu, 1999. "The impact of war, famine, and economic decline on marital fertility in ethiopia," Demography, Springer;Population Association of America (PAA), vol. 36(2), pages 247-261, May.
    6. John A. Doces, 2011. "Globalization and Population: International Trade and the Demographic Transition," International Interactions, Taylor & Francis Journals, vol. 37(2), pages 127-146, April.
    7. Laurie Derose & Øystein Kravdal, 2007. "Educational reversals and first-birth timing in sub-saharan africa: A dynamic multilevel approach," Demography, Springer;Population Association of America (PAA), vol. 44(1), pages 59-77, February.
    8. Bethany Lacina & Nils Petter Gleditsch, 2005. "Monitoring Trends in Global Combat: A New Dataset of Battle Deaths," European Journal of Population, Springer;European Association for Population Studies, vol. 21(2), pages 145-166, June.
    9. Gebremariam Woldemicael, 2008. "Recent fertility decline in Eritrea," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 18(2), pages 27-58.
    10. Philip Verwimp & Jan Van Bavel, 2004. "Child Survival and the Fertility of Refugees in Rwanda after the Genocide," PRUS Working Papers 26, Poverty Research Unit at Sussex, University of Sussex.
    11. Plümper, Thomas & Neumayer, Eric, 2006. "The Unequal Burden of War: The Effect of Armed Conflict on the Gender Gap in Life Expectancy," International Organization, Cambridge University Press, vol. 60(3), pages 723-754, July.
    12. Philip Verwimp, 2006. "Machetes and Firearms: The Organization of Massacres in Rwanda," Journal of Peace Research, Peace Research Institute Oslo, vol. 43(1), pages 5-22, January.
    13. Ghobarah, H.A.Hazem Adam & Huth, Paul & Russett, Bruce, 2004. "The post-war public health effects of civil conflict," Social Science & Medicine, Elsevier, vol. 59(4), pages 869-884, August.
    14. Anuja Jayaraman & Tesfayi Gebreselassie & S. Chandrasekhar, 2009. "Effect of Conflict on Age at Marriage and Age at First Birth in Rwanda," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(5), pages 551-567, October.
    15. Nils Petter Gleditsch & Peter Wallensteen & Mikael Eriksson & Margareta Sollenberg & Hã…Vard Strand, 2002. "Armed Conflict 1946-2001: A New Dataset," Journal of Peace Research, Peace Research Institute Oslo, vol. 39(5), pages 615-637, September.
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    2. Krieger, Tim & Renner, Laura, 2020. "Polygyny, inequality, and social unrest," Discussion Paper Series 2020-02, University of Freiburg, Wilfried Guth Endowed Chair for Constitutional Political Economy and Competition Policy.
    3. Muhammad Badiuzzaman & Syed Mansoob Murshed, 2016. "Impact of post-conflict development interventions on maternal healthcare utilization," WIDER Working Paper Series 082, World Institute for Development Economic Research (UNU-WIDER).
    4. Mai Wardeh & Rui Cunha Marques, 2021. "Sustainability in Refugee Camps: A Systematic Review and Meta-Analysis," Sustainability, MDPI, vol. 13(14), pages 1-24, July.
    5. Guerra-Cújar, María Elvira & Prem, Mounu & Rodriguez-Lesmes, Paul & Vargas, Juan F., 2020. "The Peace Baby Boom: Evidence from Colombia’s peace agreement with FARC," SocArXiv c2ypd, Center for Open Science.
    6. Apsara Karki Nepal & Martin Halla & Steven Stillman, 2018. "Violent Conflict and the Child Quantity-Quality Tradeoff," Economics working papers 2018-15, Department of Economics, Johannes Kepler University Linz, Austria.
    7. Parlow, Anton, 2016. "Birth and Fertility during War: Afghanistan from 2007 to 2010," MPRA Paper 76366, University Library of Munich, Germany.
    8. Philip Verwimp & Davide Osti & Gudrun Østby, 2020. "Forced Displacement, Migration, and Fertility in Burundi," Population and Development Review, The Population Council, Inc., vol. 46(2), pages 287-319, June.
    9. Tatsuki Inoue amd Erika Igarashi, 2023. "The far-reaching effects of bombing on fertility in mid-20th century Japan," Papers 2306.05770, arXiv.org, revised Oct 2023.
    10. Kati Kraehnert & Tilman Brück & Michele Di Maio & Roberto Nisticò, 2019. "The Effects of Conflict on Fertility: Evidence From the Genocide in Rwanda," Demography, Springer;Population Association of America (PAA), vol. 56(3), pages 935-968, June.
    11. Kirschner, Shanna A. & Finaret, Amelia B., 2021. "Conflict and health: Building on the role of infrastructure," World Development, Elsevier, vol. 146(C).
    12. M. Shafi Bhat & Amir Ali Khan & Mohmad Akbar & Sumira Mir, 2023. "Disaster-development interface and its impact on emerging vulnerability scenario in Ladakh region of northwestern Himalayas," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 13(2), pages 253-270, June.
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    16. Michelle L. O’Brien, 2021. "The Consequences of the Tajikistani Civil War for Abortion and Miscarriage," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(5), pages 1061-1084, October.
    17. Gudrun Østby & Henrik Urdal & Andreas Forø Tollefsen & Andreas Kotsadam & Ragnhild Belbo & Christin Ormhaug, 2018. "Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989–2014," Demography, Springer;Population Association of America (PAA), vol. 55(4), pages 1295-1316, August.
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    19. Muhammad Badiuzzaman & Syed Mansoob Murshed, 2016. "Impact of post-conflict development interventions on maternal healthcare utilization," WIDER Working Paper Series wp-2016-82, World Institute for Development Economic Research (UNU-WIDER).
    20. Andrés Felipe Castro Torres & B. Piedad Urdinola, 2019. "Armed Conflict and Fertility in Colombia, 2000–2010," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 38(2), pages 173-213, April.

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