IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i1p80-88.html
   My bibliography  Save this article

Promoting health equity in conflict-affected fragile states

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(09)00623-6
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Branchflower, Andrew & Hennell, Sarah & Pongracz, Sophie & Smart, Malcolm, 2004. "How Important Are Difficult Environments To Achieving The Mdgs?," PRDE Working Papers 12821, Department for International Development (DFID) (UK).
    2. World Bank, 2007. "Global Monitoring Report 2007 : Millennium Development Goals, Confronting the Challenges of Gender Equality and Fragile States," World Bank Publications - Books, The World Bank Group, number 6637.
    3. Berry, Chris & Forder, Ali & Sultan, Sonya & Moreno-Torres, Magui, 2004. "Approaches To Improving The Delivery Of Social Services In Difficult Environments," PRDE Working Papers 12823, Department for International Development (DFID) (UK).
    4. Pia Schneider & Kara Hanson, 2006. "Horizontal equity in utilisation of care and fairness of health financing: a comparison of micro‐health insurance and user fees in Rwanda," Health Economics, John Wiley & Sons, Ltd., vol. 15(1), pages 19-31, January.
    5. Oecd, 2009. "Service delivery in fragile situations: Key concepts, findings and lessons," OECD Journal on Development, OECD Publishing, vol. 9(3), pages 7-60.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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).
    3. 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).
    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stijn Claessens & Danny Cassimon, 2007. "Empirical evidence on the new international aid architecture," WEF Working Papers 0026, ESRC World Economy and Finance Research Programme, Birkbeck, University of London.
    2. Kenneth Harttgen & Stephan Klasen, 2010. "Fragility and MDG Progress: How useful is the Fragility Concept?," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 41, Courant Research Centre PEG.
    3. Simon Feeny & Mark McGillivray, 2009. "Aid allocation to fragile states: Absorptive capacity constraints," Journal of International Development, John Wiley & Sons, Ltd., vol. 21(5), pages 618-632.
    4. World Bank, 2016. "Georgia Country Gender Assessment," World Bank Publications - Reports 26091, The World Bank Group.
    5. Deepta Chopra, 2015. "Political commitment in India’s social policy implementation: Shaping the performance of MGNREGA," Global Development Institute Working Paper Series esid-050-15, GDI, The University of Manchester.
    6. Ojiambo Elphas & Jacob Oduor & Mburu Tom & Wawire Nelson, 2015. "Working Paper 226 - Aid Unpredictability and Economic Growth in Kenya," Working Paper Series 2169, African Development Bank.
    7. World Bank, 2012. "World Development Indicators 2012," World Bank Publications - Books, The World Bank Group, number 6014.
    8. Namizata Binaté Fofana & Johan A. C. van Ophem & Anke Niehof & Gerrit Antonides, 2014. "Effects of HIV/AIDS and Microfinance of Women on Income, Medical Expenditures and Schooling in Côte d'Ivoire," African Development Review, African Development Bank, vol. 26(2), pages 322-332, June.
    9. Strand, Jon, 2009. ""Revenue management"effects related to financial flows generated by climate policy," Policy Research Working Paper Series 5053, The World Bank.
    10. Klasen, Stephan & Lechtenfeld, Tobias & Povel, Felix, 2015. "A Feminization of Vulnerability? Female Headship, Poverty, and Vulnerability in Thailand and Vietnam," World Development, Elsevier, vol. 71(C), pages 36-53.
    11. World Bank, 2013. "Dealing with GAC Issues in Project Lending : The Special Case of Fragile and Conflict-Affected States," World Bank Publications - Reports 16725, The World Bank Group.
    12. Cortney S. Rodet, 2016. "Social Order in a Fragile State: Rio's Favelas," Economic Affairs, Wiley Blackwell, vol. 36(3), pages 309-317, October.
    13. Julie Steinkopf Rice, 2010. "Free trade, fair trade and gender inequality in less developed countries," Sustainable Development, John Wiley & Sons, Ltd., vol. 18(1), pages 42-50.
    14. Sumner, Andy, 2012. "Where Do The Poor Live?," World Development, Elsevier, vol. 40(5), pages 865-877.
    15. Slim Haddad & Valery Ridde & Ismaelou Yacoubou & Geneviève Mák & Michel Gbetié, 2012. "An Evaluation of the Outcomes of Mutual Health Organizations in Benin," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-8, October.
    16. Gärtner, Dennis L. & Gärtner, Manfred, 2011. "Wage traps as a cause of illiteracy, child labor, and extreme poverty," Research in Economics, Elsevier, vol. 65(3), pages 232-242, September.
    17. Bernard Hoekman & David Vines, 2007. "Multilateral trade cooperation: what next?," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 23(3), pages 311-334, Autumn.
    18. Kai Liu & Benjamin Cook & Chunling Lu, 2019. "Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 7-14, January.
    19. Chunling Lu & Brian Chin & Jiwon Lee Lewandowski & Paulin Basinga & Lisa R Hirschhorn & Kenneth Hill & Megan Murray & Agnes Binagwaho, 2012. "Towards Universal Health Coverage: An Evaluation of Rwanda Mutuelles in Its First Eight Years," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-16, June.
    20. Stel, Nora & Naudé, Wim, 2013. "Public-Private Entanglement: Entrepreneurship in a Hybrid Political Order, the Case of Lebanon," IZA Discussion Papers 7795, Institute of Labor Economics (IZA).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:70:y:2010:i:1:p:80-88. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.