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. 2020 Feb 17;17(4):1280. doi: 10.3390/ijerph17041280

Table 1.

Research articles on the health care of internally displaced women in Africa.

Author Purpose of Study Design Country/Setting of Research Study Results
Ager et al. (2018) [24] To elicit local descriptions of gender-based violence experienced by women in camp Participatory ranking method Northern Uganda
  • Rape and intimate partner violence were of greatest concern.

  • Normalization of violence within the home, where abusive actions were considered normal.

Stark et al. (2010) [25] To establish incidence rates for gender-based violence in IDP camps in northern Uganda. Interviews: a neighborhood methodology Northern Uganda
  • Gender-based violence—particularly intimate partner violence—is commonplace in post-conflict Uganda

Stark et al. (2017) [26] To identify discrepancies in the conceptualization and reporting on inter- personal violence in humanitarian settings. Mixed method DRC and Sudan
  • Group-based qualitative method elicited narratives of violence focusing on events perpetrated by strangers or members of the community more distantly connected to girls.

Cardoso et al. (2016) [27] To understand the factors in the urban environment contributing to intimate partner violence experiences of women Focus group Cote d’Ivoire
  • Extreme financial insecurity and lack of social support predispose women to sexual exploitation when they try to access resources to provide for their families.

  • The risk is higher for women without partners.

Aham-Chaibuotu et al. (2019) [28] To examine the influence of conflict and displacement on gender relations, sexuality, and natality of internally displaced women in Nigeria Focus group discussions and in-depth interviews Northern Nigeria
  • Sexuality and procreation needed to be understood in the context of cultural values.

  • The popular idea of sexual violence from a theoretical standpoint did not hold true for the examined population.

Logie et al. (2019) [29] To explore factors associated with intimate partner violence and young adulthood violence among forcibly displaced young women Cross-sectional survey Kampala, Uganda
  • Sexual relationship was associated with decreased odds of poly-victmization.

  • Normal actvities of daily living put young women at risk for sexual violation.

Oladeji et al. (2018) [30] To report the disclosure and outcomes of sexual violence-related pregnancies (SVRP) among rescued female victims of Boko Haram insurgencies Clinic records review Borno state, Nigeria
  • The mean age of women with SVRP was 15 years. All concerned women desired to terminate their pregnancies but did not have access to abortion at the clinic because of the country’s abortion laws. Some were thought to have travelled outside the camp to have the abortion done.

Almedom et al. (2005) [31] To assess the impact of prolonged displacement on the resilience of Eritrean mothers Mixed methods Eritrea
  • Women in camps had lower scores on Sense of Coherence compared with men.

Almedom et al. (2007) [32] To identify the determinants of sense of coherence (resilience) in displaced Eritrean persons Quantitative questionnaire approach: Sense of Coherence scale assessment Eritrea: Northeast Africa
  • Displacement had a significantly negative effect on women compared with men.

  • Hamboka women had the lowest Sense of Coherence score because of their experience of serial displacement.

Hamid et al. (2010) [33] To investigate the effects of the Darfur crisis on the mental health of internally displaced women Mixed methods Darfur, Sudan
  • 72% of the participants were classified as nonpsychotic psychiatric cases.

  • Living conditions and security inside camps need improvement.

Kinyanda et al. (2010) [34] To examine the long-term health consequences of war-related sexual violence among rural women living in camps Purposive cross-sectional study design: structured interview Northern Uganda
  • Age group of less than or equal to 44 years, being Catholic, and having at least one gynecologic complaint was connected with war-related sexual violence.

Olanrewaju et al. (2018) [35] To explain the challenges of displacement and the coping startegies of internally diaplaced women in Nigeria Qualitative approach with a descriptive survey Yola and Abuja, northern Nigeria
  • Lack of social and financial support was a major challenge for women.

  • Access to economic opportunities would affect coping.

Corbin et al. (2018) [36] To explore resilience among internally displaced women in norther Uganda Qualitative study Nwoya and Gulu district, northern Uganda
  • Resilence was located in the women’s coping and maintenance of family and social relationships

Kim et al. (2007) [37] To assess basic health, women’s health, and mental health among Sudanese IDPs in South Darfur Questionnaire survey Nyala Province, South Darfur, Sudan
  • Birth control use among IDP women was low and half of the population had experienced an unattended birth.

  • The prevalence of major depression was 31%.

Kizza et al. (2012) [38] To examine the role of alcohol in suicides Qualitative psychological autopsy method Northern Uganda
  • Economic disempowerment aggravated alcohol abuse in men, which had an effect on women’s mental health and suicide rates.

Kizza et al. (2012) [39] To investigate suicide among women in a post-conflict context Qualitative psychological autopsy interviews Northern Uganda
  • The decision to choose suicide is linked to a pattern of unpleasant experiences that prevailed in the three months prior to the suicide.

Roberts et al. (2009) [40] To measure the rates of post-traumatic stress disorder (PTSD) and depression among IDPs, and investigate associated demographic and trauma-exposure risk factors Cross-sectional survey Northern Uganda
  • 18% of women and 8% of men had been raped or sexually abused.

  • Gender was a determinant of mental distress, with women twice as likely as men to exhibit symptoms of PTSD and over four times as likely as men to exhibit symptoms of depression

Kisindja et al. (2017) [41] To describe family planning awareness and needs among internally displaced women Cross-sectional survey DRC
  • Contraceptive knowledge among female camp residents was moderate, actual usage was low, and a considerable proportion reported a history of induced abortion, including self-induced abortion.

Ali et al. (2013) [42] To investigate the unmet need for family planning and associated factors, and total demand for family planning Community-based cross-sectional household survey Eastern Sudan
  • Age, age at marriage, number of children, residence, and experience of child death were not associated with total unmet need for family planning.

  • Housewives, and women with less than secondary education had higher total unmet need for family planning.

Decker et al. (2011) [43] To assess the factors that influence the use of contraception among women in post-war Angola Semi-structured interviews Angola
  • Internally displaced women described difficulty paying for services, the lack of nearby services, and limited knowledge about contraceptive choices.

McGinn et al. (2011) [44] To document and disseminate data on family planning knowledge, attitudes, and practices among displaced women Population-based household surveys and health facility assessments Sudan, Uganda, and the DRC
  • Use of modern contraceptive methods among women was under 4% in four program areas: West and South Darfur, Southern Sudan and Eastern Congo.

Orach et al. (2009) [45] To explore female and male IDPs’ perceptions of their access to information about rights, access to health services, and experiences of gender-based violence Cross-sectional study Northern Uganda
  • Most women perceive gender-based violence as common in these settings. The main interventions include treatment of physical injuries, testing, treatment for STIs, and counselling.

Adam (2015) [46] To determine the association between the place of delivery for maternal health education and home visits, and women’s socio-demographic characteristics Cross-sectional study Darfur-Sudan
  • Having home visits for maternal health education is associated with a 43% reduction in odds of giving birth at home, compared to not receiving home visits.

  • The level of women’s education and the camp of residence predict home births.

Adam et al. (2015) [47] To examine women’s awareness and use of reproductive health care services in emergency settings Cross-sectional surveys Darfur-Sudan
  • 37% reported home-birth; 63% reported a facility-based delivery.

Chi et al. (2015) [48] To explore perceptions of the effects of armed conflict on maternal and reproductive health services (MRH) and outcomes Descriptive qualitative study Burundi and northern Uganda
  • The perceived effects of the conflict on MRH outcomes include increased maternal and newborn morbidity and mortality; high prevalence of HIV/AIDS and SGBV; increased levels of prostitution, teenage pregnancy and clandestine abortion; and high fertility levels.

Kim et al. (2009) [49] To analyze HIV, STI, and sexual risk as part of a larger reproductive health assessment of females in IDP camps Two-stage random sample household survey DRC
  • Sexually transmitted infection symptoms in the past 12 months and a history of sexual violence during the conflict were linked with HIV infection in the IDP population.

Obol et al. (2011) [50] To assess the level of knowledge and misconception about malaria among pregnant women in post-conflict IDP camps Cross-sectional study using a semi-structured questionnaire Northern Uganda
  • Most pregnant women in the post-conflict IDP camps had knowledge about malaria symptoms but maintained misconceptions about the transmission and consequences.

Dræbel et al. (2013) [51] To assess aspects of malaria infection, prevention, and treatment in a population of resettled pregnant women. Cross-sectional study South Sudan
  • Primary school attendance was a stronger predictor for use of malaria risk reduction measures than any of the other selected background characteristics.

Draebel et al. (2014) [52] To explore lay perceptions of malaria and therapeutic process among 30 resettled pregnant women Semi-structured interviews South Sudan
  • Women relied on homemade remedies and concoctions, traditional healers’ cures, magical rituals, and private formal and informal medicine vendors at the local market before seeking a malaria diagnosis and treatment at the health center.

Obol et al. (2013) [53] To establish the prevalence and factors associated with insecticide-treated net (ITN) use among pregnant women in IDP camps Cross-sectional study Northern Uganda
  • Factors that hinder ITN utilization were the hours taken to reach a health centre and being unmarried.

Brooks et al. (2017) [54] To explore the factors influencing bednet ownership and use in an IDP camp with free bednet distribution Mixed methods Eastern Democratic Republic of Congo (DRC)
  • Health information on bednets was routinely provided in the camp, as noted by respondents.

  • Some women who receive bednets resell them for money to purchase food items for their families.