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THE EFFECT OF ARMED CONFLICT ON HEALTH OUTCOME IN NIGERIA
CHAPTER ONE
INTRODUCTION
1.1
Background of the study
Nigeria is facing multiple crises across the country.
In the northeast, particularly in the states of Borno, Adamawa, and Yobe, the
government is fighting the Boko Haram insurgency. Since the beginning of the
conflict, over 20,000 people have reportedly been killed, over 2 million are
internally displaced, and over 200,000 have fled to Cameroon, Niger, or
Chad. In the Middle Belt region,
conflicts between herders and farmers escalated in 2018, killing over 1,300
over the course of the year, making it deadlier than the Boko Haram
insurgency. Climate change is one of the
causes of this conflict, as it has brought about desertification, resulting in
clashes over resources. Nigeria is also
dealing with an influx of refugees fleeing the violence in Cameroon’s Anglophone
region and arriving in Cross River, Benue, and Taraba States. Despite the
humanitarian needs triggered by these other crises, the bulk of the
humanitarian response and the only large-scale humanitarian structure are in
the northeast. Therefore, this issue brief focuses on the humanitarian health
response in the northeast.
The
humanitarian situation in the northeast is deteriorating, with almost 8 million
people heavily dependent on humanitarian aid.
An estimated 823,000 people are out of the reach of aid organizations,
and little is known about their health needs. According to the UN, 5.4 million
people are in need of healthcare. People
face significant risks of epidemic-prone diseases such as cholera, measles, and
endemic malaria, as well as mental illness and sexual and genderbased
violence. The Ministry of Health
declared a cholera outbreak in September 2018, which has led to 6,000 reported
cases and seventy-three deaths as of November 2018.8
A recent
upsurge in violence in the northeast has led tens of thousands of people to
flee their homes, adding to already high levels of internal displacement.9
Among those internally displaced, malaria, acute respiratory infections, and
watery diarrhea are the top three causes of illness, and levels of severe acute
malnutrition are high.10 The needs generated by the crisis have been added to
existing chronic development challenges, marginalization, poverty, and poor
health.11
This issue
brief aims to assist UN agencies, NGOs, member states, and donor agencies in
providing and supporting the provision of adequate health services to
conflict-affected populations in Nigeria. It maps and explains the challenges
health actors face, the understanding of which is key to ensuring that health
policies are adequate. It also looks at the governance structures set up to
operationalize those policies, seeks to identify and analyze gaps in policy and
implementation, and provides recommendations for bridging those gaps. It
focuses on the coordination of health actors, the prioritization of health
services, the sustainability of health services and the transition to
development work, context-specificity and
1.2
Statement of the problem
There may have been
previous researches in this subject. This work gives further explanations and
analysis in the effect of armed conflict on health outcome in nigeria
1.3
Objectives of the study
1.
To understand the effect of armed conflict on health outcome
in nigeria
2.
To understand the relationship between armed conflict and
health outcome in nigeria
1.4
Research questions
1.
What is the effect of armed conflict on health outcome in
nigeria
2
What is the relationship between armed conflict and health
outcome in nigeria
1.5
Research hypothesis
H0: There is no relationship
between armed conflict and health outcome in nigeria
H1: There is a relationship
between armed conflict and health outcome in nigeria
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