Geographical distribution of the health crisis of war in the Tigray region of Ethiopia

Datos Bibliográficos

ID21879351
AutoresMulugeta Gebregziabher (0000-0002-4826-481X, Medical University of South Carolina, autor de correspondencia), Fasika Amdeselassie (Mekelle University), Reiye Esayas (Mekelle University), Zerihun Abebe (0009-0007-8997-810X, Mekelle University), Hannah Silvia (Medical University of South Carolina), Abeba A Teklehaimanot (0000-0002-8355-1347, Medical University of South Carolina), Jeffrey E Korte (0000-0001-7369-9228, Medical University of South Carolina), John L Pearce (0000-0002-7343-4112, Medical University of South Carolina), James J Cochran (0000-0002-8632-8909, University of Alabama)
Año2022
Volumen7
Número4
Páginase008475
Fecha de publicación2022-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2022-008475
PMID35487674
OpenAlexW4225117870
IdiomaEN
Citas recibidas13
Referencias citadas8

War destroys health facilities and displaces health workers. It has a devastating impact on population health, especially in vulnerable populations. We assess the geographical distribution of the impact of war on healthcare delivery by comparing the pre-November 2020 and the November to June 2021 status of health facilities in the Tigray region of Ethiopia. Data were collected from February 2021 to June 2021, during an active civil war and an imposed communication blackout in Tigray. Primary data were collected and verified by multiple sources. Data include information on health facility type, geocoding and health facility status (fully functional (FF), partially functional (PF), not functional, no communication). Only 3.6% of all health facilities (n=1007), 13.5% of all hospitals and health centres (n=266), and none of the health posts (n=741), are functional. Destruction varies by geographic location; only 3.3% in Western, 3.3% in South Eastern, 6.5% in North Western, 8% in Central, 14.6% in Southern, 16% in Eastern and 78.6% in Mekelle are FF. Only 9.7% of health centres, 43.8% of general hospitals and 21.7% of primary hospitals are FF. None of the health facilities are operating at prewar level even when classified as FF or PF due to lack of power and water or essential devices looted or destroyed, while they still continue operating. The war in Tigray has clearly had a direct and devastating impact on healthcare delivery. Restoration of the destroyed health facilities needs to be a priority agenda of the international community

Economic growth · Environmental health · Geography · Health care · Health facility · Health services · Population · Population health · Public health · Socioeconomics · Global Health Care Issues · Health and Conflict Studies · Medicine · Nursing · Ureteral procedures and complications