School of Public Health, College of Health Science, Mekelle University, P.O. Box 1871, Mekelle, Tigray, Ethiopia.
Tigray Bureau of Health, Mekelle, Tigray, Ethiopia.
Sci Rep. 2023 Oct 23;13(1):18071. doi: 10.1038/s41598-023-45328-4.
Globally, war is the major cause of displacement from the usual place of the biological environment. The war of Tigray exposed thousands of people to internal displacement and migration. Evidence has shown that displaced people and migrants shoulder the health and economic burden to ensure survival. However, evidence of the impact of the war on health and the economy related to the displaced people and their hosting communities is not documented. Thus, this study aimed to investigate the health and economic impact of the war on displaced people and the hosting community. A community-based survey was conducted among randomly selected 3572 households of 48 woredas/districts from August 06 to 30/2021 in Tigray. Each district had 4 enumeration sites and there were 20 households (HHs) to be sampled per each enumeration site. Data were collected using a pretested structured questionnaire using face-to-face interviews of displaced and hosting household heads. The entered data is exported to SPSS version 26 statistical packages for data analysis. Summary statistics and geo-spatial analysis was computed. The war had a significant impact on the health and economy of the community of Internally Displaced People (cIDPs) and hosting households. There were 12,691 cIDPs and 3572 hosting HHs. About 12.3% had chronic illness12.3% of (cIDP) who had chronic diseases and follow-up medication was forced to stop their medication. 536 (15%) civilian family members of cIDPs were killed at their homes. During the war, 244 (6.83%) of civilian family members faced physical disability. Consequentially, 43.8% and 58.8% of respondents of cIDPs suffered from severe depression and post-traumatic stress disorder. The war had a significant amount of personal resources such as domestic animals, cereals, cars, machinery, and HH furniture was looted and vandalized by the perpetrator forces from the cIDPs and hosting HHs. The range of family size in the hosting households was 3 to 22. The war had a significant health and economic impact on both cIDPs and hosting HHs. cIDPs suffered from various illnesses and disabilities related to the war with no medical access and follow-up care leading them to stressful situations such as depression and PTSD. There was also a huge economic damage and distraction which threatens the survival of the survivors.
在全球范围内，战争是导致人们离开通常的生物环境的主要原因。提格雷战争使数千人面临国内流离失所和移民。有证据表明，流离失所者和移民为了生存，承担着健康和经济负担。然而，没有记录战争对流离失所者及其收容社区的健康和经济的影响。因此，本研究旨在调查战争对流离失所者和收容社区的健康和经济影响。2021 年 8 月 6 日至 30 日，在提格雷的 48 个区/县中，随机选择了 3572 户家庭进行了一项基于社区的调查。每个区都有 4 个普查点，每个普查点要抽取 20 户家庭（HH）。数据是通过使用预测试的结构化问卷，对面访谈流离失所者和收容家庭户主收集的。输入的数据被导出到 SPSS 版本 26 统计软件包进行数据分析。计算了汇总统计数据和地理空间分析。战争对国内流离失所者（cIDP）和收容家庭的健康和经济产生了重大影响。有 12691 名 cIDP 和 3572 个收容家庭。约 12.3%的 cIDP 患有慢性病，需要长期治疗，但被迫停止服药。536 名（15%）cIDP 的平民家庭成员在家中被杀害。战争期间，244 名（6.83%）平民家庭成员身体残疾。因此，43.8%和 58.8%的 cIDP 受访者患有严重抑郁和创伤后应激障碍。战争使 cIDP 和收容家庭遭受了大量个人资源的损失，如家畜、谷物、汽车、机械和家庭家具被肇事者从 cIDP 和收容家庭中抢走和破坏。收容家庭的家庭规模范围为 3 至 22 人。战争对 cIDP 和收容家庭都造成了重大的健康和经济影响。cIDP 遭受了与战争有关的各种疾病和残疾，由于无法获得医疗服务和后续护理，他们陷入了抑郁和创伤后应激障碍等紧张状态。此外，还造成了巨大的经济损失和干扰，威胁到幸存者的生存。
