Access to health services, food, and water during an active conflict: Evidence from Ethiopia

dc.creatorAbay, K.A.
dc.creatorAbay, M.H.
dc.creatorBerhane, G
dc.creatorChamberlin, J.
dc.creatorCroke, K.
dc.creatorTafere, K.
dc.date2023-04-12T00:30:17Z
dc.date2023-04-12T00:30:17Z
dc.date2022
dc.date.accessioned2023-07-17T20:10:31Z
dc.date.available2023-07-17T20:10:31Z
dc.identifierhttps://hdl.handle.net/10883/22568
dc.identifier10.1371/journal.pgph.0001015
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/7514311
dc.descriptionCivil conflict began in Ethiopia in November 2020 and has reportedly caused major disruptions in access to health services, food, and related critical services, in addition to the direct impacts of the conflict on health and well-being. However, the population-level impacts of the conflict have not yet been systematically quantified. We analyze high frequency phone surveys conducted by the World Bank, which included measures of access to basic services, to estimate the impact of the first phase of the war (November 2020 to May 2021) on households in Tigray. After controlling for sample selection, a difference-in-differences approach is used to estimate causal effects of the conflict on population access to health services, food, and water and sanitation. Inverse probability weighting is used to adjust for sample attrition. The conflict has increased the share of respondents who report that they were unable to access needed health services by 35 percentage points (95% CI: 14–55 pp) and medicine by 8 pp (95% CI:2–15 pp). It has also increased the share of households unable to purchase staple foods by 26 pp (95% CI:7–45 pp). The share of households unable to access water did not increase, although the percentage able to purchase soap declined by 17 pp (95% CI: 1–32 pp). We document significant heterogeneity across population groups, with disproportionate effects on the poor, on rural populations, on households with undernourished children, and those living in communities without health facilities. These significant disruptions in access to basic services likely underestimate the true burden of conflict in the affected population, given that the conflict has continued beyond the survey period, and that worse-affected households may have higher rates of non-response. Documented spatial and household-level heterogeneity in the impact of the conflict may help guide rapid post-conflict responses.
dc.languageEnglish
dc.publisherPublic Library of Science
dc.relationhttps://figshare.com/articles/journal_contribution/Tables_A-G_/21642550
dc.rightsCIMMYT manages Intellectual Assets as International Public Goods. The user is free to download, print, store and share this work. In case you want to translate or create any other derivative work and share or distribute such translation/derivative work, please contact CIMMYT-Knowledge-Center@cgiar.org indicating the work you want to use and the kind of use you intend; CIMMYT will contact you with the suitable license for that purpose
dc.rightsOpen Access
dc.source11
dc.source2
dc.source0001015
dc.source2767-3375
dc.sourcePLOS Glob Public Health
dc.subjectAGRICULTURAL SCIENCES AND BIOTECHNOLOGY
dc.subjectHEALTH SERVICES
dc.subjectFOODS
dc.subjectWATER
dc.subjectCIVIL CONFLICT
dc.subjectSustainable Agrifood Systems
dc.titleAccess to health services, food, and water during an active conflict: Evidence from Ethiopia
dc.typeArticle
dc.typePublished Version
dc.coverageEthiopia
dc.coverageUSA


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