Internally Displaced Person Camps Research Articles

Dietary diversity and associated factors among households and children in internally displaced person camps in Southern Somalia: A cross-sectional study.

The study aimed to assess household and child dietary diversity in Southern Somalia by identifying determinants of adequate dietary diversity in three internally displaced person (IDP) camps in Baidoa, Dayniile and Dharkanley. A total of 1655 female main caregivers with 2370 children (6-59 months old) were included. Data on household dietary diversity score and child dietary diversity score indicators were collected from all households. The questionnaire was read face-to-face to the female main caregivers. Multivariate logistic regression analysis was performed to identify factors associated with adequate dietary diversity, which was defined as the consumption of at least four food groups within 24 h before the survey. The proportion of households achieving adequate HDDS was high in all locations 95.8%, 96.9% and 89.0% in Baidoa, Dharkanley and Dayniile, respectively, and the total adequate household dietary diversity score (AHDDS) was 95.6%. The proportion of adequate child dietary diversity score (ACDDS) was achieved in 63.5%, 8.5% and 38.3%. The main factors associated with AHDDS were larger household size, greater wealth, attendance of antenatal care (ANC) and joint decision-making between husband and wife, while factors associated with ACDDS included ANC attendance, age, the consumption of ready-to-use therapeutic food and deworming tablets. These findings can guide future programmes and policies aimed at improving maternal and child nutrition in IDP camps in Somalia. By tackling these diverse factors, a promising pathway emerges to enhance the nutritional welfare of both households and children in IDP camps.

The Role of Yemeni Translators in Promoting the Humanitarian Action in Yemen During the Civil War

Seven years have passed since the forgotten war in Yemen, as Western media called it. During these years, the Yemeni translator played a prominent role in promoting humanitarian work by accompanying international aid and medical staff their interventions and responses in an internally displaced person (IDP)camps, field hospitals, shelters, and food and drug distribution centres. This study aimed to examine the roles played by the Yemeni translators in promoting human actions and meet community needs. An interview was conducted with 10 Yemeni translators working in the field of relief and humanitarian actions in Yemen. The United Nations has classified Yemen as one of the worst humanitarian disasters in the world. Therefore, to meet the needs of society and the huge number of internally displaced people because of the ongoing conflict. Several international organizations provided urgent assistance to affected families and IDP camps, which required bilingual translators and assistants to provide field support, monitor the needs of indigenous people. The study found that Yemeni translators have played a key role in promoting humanitarian work, despite the difficulties and risks facing their works in the field. Therefore, this study recommended training the local translators by provide an adequate and up to date training for local translators who are working in the field of translation to reach effective and professional results.

Untreated dental caries among Libyan children during and after the war and in internally displaced person camps.

The present study assessed whether living in a conflict zone and in internally displaced person (IDP) camps were associated with the number of untreated caries in primary, permanent and all teeth in Libyan children and whether these associations differed by parents' educational attainment. Cross-sectional studies were conducted in Benghazi, Libya, in 2016/2017 during the war and in 2022 after the war including children in schools and in IDP camps in the same setting. Self-administered questionnaires and clinical examinations were used for data collection from primary schoolchildren. The questionnaire collected information on children's date of birth, sex, level of parental education and school type. The children were also asked to report on how often they consumed sugary drinks and whether they brushed their teeth regularly. In addition, untreated caries in primary, permanent and all teeth were assessed according to World Health Organization criteria at the dentine level. Multilevel negative binomial regression models were used to assess the relation between dependent variables (untreated caries in primary, permanent and all teeth) and living environment (during and after the war and living in IDP camps) and parental educational attainment adjusted for oral health behaviours and demographic factors. The modifying effect of parental educational attainment (no, one and both parents university educated) on the association between living environment and the number of decayed teeth was also assessed. Data were available from 2406 Libyan children, 8-12 years old (mean = 10.8, SD = 1.8). The mean (SD) number of untreated decayed primary teeth was 1.20 (2.34), permanent teeth = 0.68 (1.32) and all teeth = 1.88 (2.50). Compared to children living in Benghazi during the war, children living in the city after the war had significantly greater number of decayed primary (adjusted prevalence ratio [APR] = 4.25, p = .01) and permanent teeth (APR = 3.77, p = .03) and children in IDP camps had significantly greater number of primary teeth (APR = 16.23, p = .03). Compared to children whose both parents were university-educated, those with no university-educated parents had a significantly greater number of decayed primary teeth (APR = 1.65, p = .02) and significantly less number of decayed permanent (APR = 0.40, p < .001) and all teeth (APR = 0.47, p < .001). There was a significant interaction between parental education and living environment in the number of all decayed teeth in children who lived in Benghazi during the war: children whose both parents were non-university-educated had significantly less number of all decayed teeth (p = .03) with no interaction effect in those living in Benghazi after the war or in IDP camps (p > .05). Children living in Benghazi after the war had more untreated decay in primary and permanent teeth than children during the war. Having parents with no university education was associated with greater or less untreated decay depending on the dentition. These variations were most pronounced among children during the war in all teeth with no significant differences in after-war and IDP camps groups. Further research is required to understand how living in war environment influenced oral health. In addition, children affected by wars and children living in IDP camps should be identified as target groups for oral health promotion programs.

COVID-19 and its prevention in internally displaced person (IDP) camps in Somalia: impact on livelihood, food security and mental health

BackgroundSomalia has over 2.6 million internally displaced people (IDP) that depend on daily wages and humanitarian assistance for their livelihoods. This study investigated the impact of COVID-19 on livelihoods, food security and mental health of Somalia’s IDPs.MethodsA questionnaire was conducted with “breadwinners” (n = 585) residing in 15 randomly selected IDP camps. Mental health was assessed using the 5-item World Health Organization Wellbeing Index (WHO-5) and the Patient Health Questionnaire-9 (PHQ-9). Multivariable regression was used to explore the effect of depressive symptoms on soap use and ability to pay for food/medicine/rent.ResultsKnowledge of COVID-19 symptoms, transmission and prevention was relatively high, however only 55% reported using soap for hand washing. Around one third perceived that prohibition of public gatherings had negatively impacted weekly earnings. Participants reported difficulty buying food (85%), medicine (82%) and paying rent (51%) because of COVID-19. The majority were assessed as having low wellbeing and high depressive symptoms (mean WHO-5 = 44.2/100; mean PHQ-9 = 18.6/27), with most (74%) indicating that they felt worse than before the pandemic. Compared to people with low depressive symptoms, people with high depressive symptoms were less likely to use soap (aOR = 0.3, 95% CI = 0.2, 0.7; P < 0.001) and more likely to report difficulty buying food (aOR = 2.2; 95% CI = 1.1, 4.3; P = 0.02).ConclusionCOVID-19 and associated restrictions have negatively impacted Somalia’s internally displaced population. Livelihood and mental health support is urgently needed in the recovery phase of the pandemic and should be factored into future pandemic planning.

Impact of counseling visual multimedia on use of family planning methods among displaced Nigerian families.

Although there is evidence of increasing childbirth in internally displaced person (IDP) camps, limited literature exists on how to promote knowledge and use of modern family planning methods among this vulnerable group. The objective of this study was to determine the efficacy of visual multimedia in promoting knowledge and use of modern family planning methods among families in IDP camps in Nigeria. This study was a quasi-experiment of 470 individuals in IDP camps to determine the impact of visual multimedia in enhancing knowledge and intention to use modern family planning. The result of the study showed that at the pre-stage, participants in both the control and treatment groups reported low scores on knowledge and use of modern family planning methods. After the intervention and follow-up assessment, participants in the experimental group reported higher mean scores regarding knowledge and intention to use modern family planning methods while participants in the control group did not significantly improve. Animated visuals were found to be more effective than static pictures.

Knowledge and perceptions of COVID-19, prevalence of pre-existing conditions and access to essential resources in Somali IDP camps: a cross-sectional study

ObjectivesThis study examined knowledge and perceptions of COVID-19, prevalence of pre-existing conditions and access to essential resources among residents of internally displaced person (IDP) camps in Somalia, where overcrowded settlements...

Child Dietary Diversity and Associated Factors Among Children in Somalian IDP Camps.

Malnutrition and food insecurity are major challenges in Somalia, particularly among small children living in internally displaced person (IDP) camps. Poor diet has been identified as a key driver of malnutrition in young children who depend for their diets on their household's socioeconomic standing and access to food, as well as on the family's caring and feeding practices. To assess the dietary diversity and identify the factors associated with it among children (6-23 months) in Somalian IDP camps. We used a cross-sectional survey conducted in 11 IDP camps in Somalia in June 2014 and in June 2015. A total of 3188 children aged 6 to 23 months were surveyed. Child diets were assessed using food frequency questionnaires, and dietary diversity was categorized using the minimum child dietary diversity (MDDC) indicator. Multivariable logistic regressions were used to identify the factors associated with the children's dietary diversity. We built and compared 2 models using alternatively the household dietary diversity score (HDDS) and the food consumption score (FCS) as food security proxies. Around 15% of children in IDP camps reached the minimum dietary diversity. Overall, our results confirm that not only are food security proxies the factors most associated with MDDC, but HDDS performs better than FCS. In addition, results identify that women as key decision-maker in the household, duration of household permanence in the settlement, women's physiological status, frequency of milk feeding to child, type of toilet, and measles vaccination are positively associated with MDDC. To improve child dietary diversity in IDP camps, food security interventions should be broadened to include female empowerment and inclusive nutrition education (encouraging male participation) programs, as well as initiatives targeting children who do not live with pregnant or lactating women and that can support families beyond the first months after their arrival.

Engaging Afghan men at a societal level to increase women’s access to contraception

Mother and child mortality rates in Afghan internally displaced person (IDP) camps are high. Most women have unplanned pregnancies; many are child brides. Contraception can lower maternal mortality/morbidity from unintended pregnancy and short birth intervals, but in Afghan culture men make health decisions. Using knowledge of Afghan society gleaned from Afghan health workers, we trained respected elders and imams to start men’s groups to share practical, financial, and religious facts about contraception and promote discussion. The aim was to inform and allay misconceptions and fears so informed spousal conversation could occur; the overall objective was to allow women wanting spaced pregnancies or smaller families to gain spousal understanding and approval for use of contraception. Societal responses were monitored for one year among nine hundred families in three IDP camps where weekly men’s groups were conducted. Taking photographs captured unique ethnographic aspects of the intervention especially for those involved in this research who were not in Afghanistan and hence missed being directly engaged with the community. The maternal and infant health challenges and cultural issues addressed are global in nature; this model is globally applicable to other camps and Islamic societies.

Sphere Based Assessment of Psychosocial Support Services at Internally Displaced Person Camps in Maiduguri, Borno State, Nigeria

Sphere Based Assessment of Psychosocial Support Services at Internally Displaced Person Camps in Maiduguri, Borno State, Nigeria

Providing mentoring for orphans and vulnerable children in internally displaced person camps: The case of northern Nigeria

The challenge of orphans and vulnerable children (OVC) has become central to the response of many organisations (UN, UNHCR, AONN, UNAIDS, UNFPA, UNICEF, etc.) today. The number of OVC throughout northern Nigeria is growing as a result of the Boko Haram pandemic. Mostly, this is caused by the death of parents who have been killed by the insurgents. It has been estimated that by 2015, 200 000 children under the age of 18 had been orphaned by the Boko Haram insurgents. As the number of OVC is growing, it is becoming more and more difficult for their communities to address all their needs, including their need for positive role models and mentors. This article discusses the role that mentoring can play in the development of OVC affected by violence in northern Nigeria, specifically those in internally displaced person (IDP) camps. This article argued that one approach to improve the holistic care of OVC in IDP camps in northern Nigeria is through the use of mentors.

Earth observation-based multi-scale impact assessment of internally displaced person (IDP) camps on wood resources in Zalingei, Darfur

This study describes the development of a semi-automatic object-based image analysis approach for the detection and quantification of deforestation in Zalingei, Darfur, in consequence of the increasing concentration of refugees or internally displaced persons (IDPs) in the region. The classification workflow is based on a multi-scale approach, ranging from the analysis of high resolution SPOT-4 to very high resolution IKONOS and QuickBird satellite imagery between 2003 and 2008. The overall accuracy rates for the classification of the SPOT 4 data ranged from 92% up to 95%, while those for the QuickBird and IKONOS classification have shown values of 88 and 87%, respectively. The resulting trends in woody vegetation cover were compared with the development of the local population and the variability of precipitation. The results show that the strong increase in human population in the Zalingei IDP camps can be associated with considerable decrease in woody vegetation in the camp vicinity.

Assessment of environmental changes induced by internally displaced person (IDP) camps in the Darfur region, Sudan, based on multitemporal MODIS data

Darfur’s complex conflict situation led to large-scale internal displacement of people with significant implications for the environment as well as for the conflict situation itself. Time series analyses of medium-resolution satellite data for monitoring large regions were carried out over a longer period to detect the impact of camps for internally displaced persons (IDPs) on their surrounding environment. Four regions of interest were defined in the Darfur region, Sudan, which cover the main and most dynamic IDP camps of the region and are characterized by different environmental conditions. Hotspots of anthropogenic impacts on the vegetation are revealed based on the Seasonal Kendall test applied to quality-enhanced enhanced vegetation index and normalized difference vegetation index Moderate Resolution Imaging Spectroradiometer time series. Overlaying the resulting trend pattern with the locations of IDP camps suggests significant impact on the vegetation, especially – but not exclusively – in those areas with very high population densities. A comparison of the temporal development of the detected hotspots with precipitation and population figures over the investigated period help differentiate between natural and human-induced impacts. Subsequent to the analysis of the medium resolution data, the resulting trends in vegetation cover were correlated with changes detected with very-high-resolution satellite imagery for the two areas around Zalingei and Zam Zam. Areas of decreased vegetation cover in the resulting trend pattern can be correlated with logging of trees as well as removal of shrubs and grass, while positive changes in vegetation cover are related to agricultural land expansion.

Clinical characteristics of the inhabitants of an internally displaced persons camp in Brazzaville, Republic of Congo after the arms dump blast on March 4, 2012.

On March 4, 2012, an arms dump exploded in a densely populated area in Brazzaville, Republic of the Congo. At least 250 people were killed, 2,500 wounded, and 13,800 left homeless, of which 5,000 were relocated to a newly constructed internally displaced person (IDP) camp. To describe the medical complaints of persons presenting to the IDP camp for medical evaluation. All patients seen and treated by the Belgian First Aid and Support Team (B-FAST) in the IDP camp on March 10 and 11, 2012 were included. A unique number, age, gender, and inventory of complaints were registered on standard World Health Organization (WHO) forms. Out of 245 presenting patients, 242 files were processed. One in two patients were minors (<18 years-old), the male/female ratio was 50/50 in minors and 28/72 in adults; median (range) age in minors was three years (0-17) and for adults was 32.5 years (18-68). Twenty percent of the children were determined to be malnourished. Signs and symptoms related to infectious diseases were present in 75% of minors and 53% of adults. Trauma was present in 12% of minors and 21% of adults. One week following the disaster event, after people had relocated to IDP camps, infectious diseases became the predominate reason for seeking medical evaluation. Less than one in five people presenting to the medical post had injuries directly related to the event. Demographic data showed that around 50% of people in the IDP camp presenting for medical care were children, of which one in five was malnourished.

Menstrual management: a neglected aspect of hygiene interventions

Purpose– Effective menstrual management is essential for the mental and physical well being of women. However, many women in low-income countries lack access to the materials and facilities required. They are thus restricted in their activities whilst menstruating thus compromising their education, income and domestic responsibilities. The paper aims to discuss these issues.Design/methodology/approach– This study describes the menstrual management challenges faced by women in an emergency situation in Uganda. Totally, 50 interviews and focus group discussions were conducted with women from villages, internally displaced person (IDP) camps and schools so that the menstrual management of the host population could be compared with the IDPs.Findings– This study showed that in IDP camps there was a significant lack of materials including soap, underpants and absorbing cloth, and facilities like latrines and bathing shelters. As a consequence women in IDP camps suffer with poor health and diminished dignity. There is also a lack of education about menstruation and reproductive health and practices are strongly influenced by cultural taboos.Originality/value– This is the first time that the menstrual management of women in IDP or refugee camps has been studied.

Kabrit ki gen twòp mèt: understanding gaps in WASH services in Haiti's IDP camps

Despite the enormous infusion of post-quake aid to Haiti, cholera had killed more than 8,000 people by January 2013. Based on two mixed-method studies of a random sample of 108 internally displaced person (IDP) camps and 168 interviews with agency representatives and recipients, this article examines the prevalence of factors that have proven most relevant to the rapid spread of cholera, particularly the provision of water and sanitation services in IDP camps. The study reveals that 30% of IDP camps had no toilets and 40% had no access to water before the outbreak, with only minimal progress after three months. Using bivariate and multivariate statistical analyses, this article explores patterns in the gaps of services with a range of variables such as NGO camp management, municipality and land-owners. It offers several theoretical and policy explanations for low level of services, concluding with a series of recommendations for better coordination and management.

Influence of Posttraumatic Growth on Mental Health and Well-being Across Respondents Severely Affected by War in Post-conflict Sri Lanka

Previous studies have shown that trauma and stressors are negatively correlated with mental health outcomes in post-conflict environments. This paper investigates if posttraumatic growth (positive psychological change due to traumatic experiences) can beneficially influence mental health and well-being in a post-conflict setting. In July 2012, a pilot survey of 150 people and a cross-sectional multistage cluster survey of 3,029 participants were undertaken in the four Sri Lankan districts most severely affected by war. The response rate was 81 % with a total of 2,460 interviewees including people who have experience living in internally displaced person (IDP) camps (n = 1,505) and people who have never lived in IDP camps (n = 955). Results show the impact of posttraumatic growth on mental health and well-being is higher among those people with experience living in IDP camps compared to people who have never lived in IDP camps. Results also show short-term displacement in IDP camps (1 year or less) is positively associated with greater well-being and mental health relative to people in post-conflict areas who have never been in IDP camps. Conversely, longer-term displacement in IDP camps (more than 1 year) is negatively associated with greater well-being and mental health relative to people in post-conflict areas who have never been in IDP camps.

Lord’s Resistance Army

This essay examines the history, strategy and tactics of the Lord’s Resistance Army, a millenarian terrorist group that originated among the Acholi tribe in Northern Uganda. Today, its operations focus on the Democratic Republic of the Congo, but it is active in Uganda, the Sudan and the Central African Republic. The LRA is composed of approximately 90% kidnapped child soldiers and as a result of its depredations, almost 90% of the Acholi and other northern Ugandan tribes live in squalid IDP (Internally Displaced Person) camps in Uganda. Children in villages and even from some of the so called protected camps, the so-called “night commuters,” must trek as many as 20 miles each night into towns in order to avoid abduction. The article focuses in particular on the religious aspects of the LRA and on its metamorphosis from a local to a regional and ultimately into an international security challenge.

Prolonged displacement may compromise resilience in Eritrean mothers.

to assess the impact of prolonged displacement on the resilience of Eritrean mothers. an adapted SOC scale (short form) was administered. Complementary qualitative data were gathered from study participants' spontaneous reactions to and commentaries on the SOC scale. Displaced women's SOC scores were significantly less than those of the non-displaced: Mean = 54.84; SD = 6.48 in internally displaced person (IDP) camps, compared to non-displaced urban and rural/pastoralist: Mean = 48. 94, SD = 11.99; t = 3.831, p < .001. Post hoc tests revealed that the main difference is between IDP camp dwellers and urban (non-displaced). Rural but traditionally mobile (pastoralist or transhumant) communities scored more or less the same as the urban non-displaced--i.e., significantly higher than those in IDP camps (p < 0.05). Analysis of variance confirmed that gender is critical: displacement has significantly negative effects on women compared to men: RR = .262, p < .001. SOC scores of urban and pastoralist/transhumant groups were similar, while women in IDP camps were lower scoring--RR = .268, p < .001. The implications of these findings for health policy are critical. It is incumbent on the international health institutions including the World Health Organization and regional as well as local players to address the plight of internally displaced women, their families and communities in Eritrea and other places of dire conditions such as, for example Darfur in the Sudan.

USE OF ‘SENSE OF COHERENCE (SOC)’ SCALE TO MEASURE RESILIENCE IN ERITREA: INTERROGATING BOTH THE DATA AND THE SCALE

An adapted 'sense of coherence' scale short form (SOC-13) was administered in nine languages of Eritrea with a total of 265 participants (162 women and 103 men) in order to assess 'resilience' in quantitative terms. Statistical analysis yielded significant differences in SOC scores between the displaced and non-displaced: mean=54.84 (SD=6.48) in internally displaced person (IDP) camps, compared with mean=48.94 (SD=11.99) in urban and rural settlements (t=3.831, p<0.001). Post-hoc tests revealed that the main difference is between IDP camp dwellers and urban (non-displaced) residents. Those in rural but traditionally mobile (pastoralist or transhumant) communities scored more or less the same as the urban non-displaced - i.e. significantly higher than those in IDP camps (p<0.05). Analysis of variance showed that displacement has a significantly negative effect on women compared with men (RR=0.262, p<0.001). Repeating the analysis for the three groups confirmed that urban and pastoralist/transhumant groups are similar, while women in IDP camps are lower scoring (RR=0.268, p<0.001), Hamboka women being worst affected due to their experience of serial displacement. These findings are interpreted and discussed in the light of qualitative information gleaned from the study participants' interrogation of the content of the SOC scale; and in the wider context of historical, socio-political and cultural characteristics of Eritrea. The study's implications for humanitarian and public health policy are considered.

Vaccination coverage survey versus administrative data in the assessment of mass yellow fever immunization in internally displaced persons—Liberia, 2004

Yellow fever (YF) is a mosquito-borne vaccine-preventable disease with high mortality. In West Africa, low population immunity increases the risk of epidemic transmission. A cluster survey was conducted to determine the effectiveness of a mass immunization campaign using 17D YF vaccine in internally displaced person (IDP) camps following a reported outbreak of YF in Liberia in February 2004. Administrative data of vaccination coverage were reviewed. A cluster sample size was determined among 17,384 shelters using an 80% vaccination coverage threshold. A questionnaire eliciting demographic information, household size, and vaccination status was distributed to randomly selected IDPs. Data were analyzed to compare vaccination coverage rates of administrative versus survey data. Among 87,000 persons estimated living in IDP camps, administrative data recorded 49,395 (57%) YF vaccinated persons. A total of 237 IDPs were surveyed. Of survey respondents, 215 (91.9%, 95% CI 88.4–95.4) reported being vaccinated during the campaign and 196 (83.5%, 95% CI 78.6–88.5) possessed a valid campaign vaccination card. The median number of IDPs living in a shelter was 4 (range, 1–8) and 69,536 persons overall were estimated to be living in IDP camps. Coverage rates from a rapid survey exceeded 90% by self-report and 80% by evidence of a vaccination card, indicating that the YF immunization campaign was effective. Survey results suggested that administrative data overestimated the camp population by at least 20%. An emergency, mop-up vaccination campaign was avoided. Coverage surveys can be vital in the evaluation of emergency vaccination campaigns by influencing both imminent and future immunization strategies.