Allocation of public health services across urban and rural regions and armed conflicts in Sub-Saharan Africa.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Public Health Policy Pub Date : 2024-09-01 Epub Date: 2024-07-03 DOI:10.1057/s41271-024-00472-7
Demet Yalcin Mousseau, Michael Mousseau
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Abstract

Armed conflicts exacerbate public health challenges in Sub-Saharan Africa. Inequality across groups and poverty in rural areas can be an important factor in triggering local wars. This study investigates whether equitable distribution of public services by governments across urban and rural geographical regions reduces the risk of local wars initiated by armed groups in Sub-Saharan African countries. Does an equitable distribution of public services such as healthcare and clean water public services across regions decrease the risk of armed conflicts? Uneven distribution of public services can increase the risk of conflict by contributing to group grievances, rural poverty, and rent-seeking competition over government resources. Analyses of 39 Sub-Saharan African countries from 1947 to 2021 show that a one-standard deviation increase in equal access to public services by urban-rural location lowers the risk of armed conflict, a substantial 37 to 53 percent with consideration of a battery of control variables.

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撒哈拉以南非洲城市和农村地区公共卫生服务的分配以及武装冲突。
武装冲突加剧了撒哈拉以南非洲地区的公共卫生挑战。不同群体之间的不平等和农村地区的贫困可能是引发局部战争的重要因素。本研究探讨了在撒哈拉以南非洲国家,政府在城市和农村地区公平分配公共服务是否会降低武装组织发起局部战争的风险。医疗保健和清洁水等公共服务在不同地区的公平分配是否会降低武装冲突的风险?公共服务分配不均会导致群体不满、农村贫困和对政府资源的寻租竞争,从而增加冲突风险。从 1947 年到 2021 年对 39 个撒哈拉以南非洲国家进行的分析表明,城乡公共服务均等化程度每提高一个标准差,就会降低武装冲突的风险,在考虑一系列控制变量的情况下,风险会大幅降低 37% 到 53%。
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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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