Little is known specifically about the effects of conflict
and displacement on provision of sexual and reproductive health (SRH) services.
We aimed to understand the association between levels of conflict and
displacement and the availability of SRH services in post-conflict Mali.
A national assessment was conducted between April and May
2013 employing Health Systems Availability Mapping System (HeRAMS). Data from
1581 primary care facilities were analysed, focusing on SRH services.
Descriptive analyses and multivariable logistic regression models were used to
examine the availability of SRH services by different levels of conflict and
displacement.
Of 1581 facilities, 1551 had data available to identify the
details of service provision. The majority of the facilities were part of the
public sector (79.1 %), identified as basic community primary care facilities
(71.9 %). Overall 15.7 % of the facilities were in the zones under
occupation, 40.3 % in the areas with high concentration of displaced
population and 44 % in areas with low concentration of displaced
populations. Between zones of low concentration of displaced populations and
under occupation the likelihood of service availability varied between OR: 2.9
(95 % CI 2.0–4.4) for basic emergency obstetric care and OR: 41.7
(95 % CI 20.4–85.3) for family planning. All of the services within the
three domains of SRH were more likely to be available in the low and high
concentration displaced population areas compared to the facilities in the
under occupation zones, after adjusting for other facility-related variables.
Areas with high concentration of displaced population had
less service availability, and areas formerly under occupation had the least
service availability. This suggests that those living in conflict areas, and
many of those who are internally displaced, have poor access to essential SRH
interventions. The systematic measurement of the availability of health
services, including SRH, is feasible and can contribute to recovery planning in
post-conflict and humanitarian settings.
Read more at: http://ht.ly/Ssgmp
By: Özge Tunçalp,
Ibrahima Socé Fall, Sharon J. Phillips, Inga Williams, Massambou Sacko, Ousmane Boubacar Touré,Lisa J. Thomas, and Lale Say
Ibrahima Socé Fall, Sharon J. Phillips, Inga Williams, Massambou Sacko, Ousmane Boubacar Touré,Lisa J. Thomas, and Lale Say
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