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Use of verbal autopsy for establishing causes of child mortality in camps for internally displaced people in Mogadishu, Somalia: A population-based, prospective, cohort study

 Greenland and Robins

Exploring the temporal patterns and crisis-related risk factors for population displacement in Somalia (2016-2018)

INTRODUCTION: Over the past 30 years, south-central Somalia, Puntland (north-east) and Somaliland (north-west) have experienced recurring drought- and conflict-related crises. By the end of 2018, the number of internally displaced persons (IDPs) in the region had reached 2.6 million; most were displaced to larger towns under government control, where humanitarian assistance was more accessible. Understanding the drivers of crisis-related displacement can provide insight into how responses can best manage and respond to displacement to prevent downstream morbidity and mortality. We aimed to explore the temporal patterns and crisis-related risk factors for population displacement in Somalia from 2016 to 2018, a period of severe drought. METHODS: We conducted an ecological study of secondary panel data stratified by district and month. The study population included all people in the region from 2016 to 2018. The outcome was defined as the number of new out-migrating internally displaced persons (IDPs) per district-month. Exposure variables included armed conflict, rainfall, food insecurity and food security services. Lags at one, two and three months were generated to explore possible delayed effects. All univariate and multivariate analyses were conducted using negative binomial regression models with mixed effects incorporating the district as a random effect. RESULTS: From 2016 to 2018, the proportion of IDPs increased from 9% to 25% in Somalia, Puntland and Somaliland. We observed strong associations between IDP out-migration rate and failed rains at a three-month lag, food insecurity at a one-month lag, and the presence of therapeutic food services with no lag. IDP out-migration rate was not associated with armed conflict intensity, and cash- and rations-based food security services. DISCUSSION: This study identified temporal, and socially and biologically plausible associations between key crisis-related risk factors and displacement in Somalia. The findings suggest a sequence of events spanning a few months, where failed rains and consequent food insecurity likely prompted early population out-migration to larger urban centers where humanitarian services were more accessible. The presence of therapeutics-based food security services could represent a more general correlate of crisis severity and the decision to migrate.

Risk Information Exchange (RiX)

Human Climate Horizons (HCH)

Uncovering the challenges of domestic energy access in the context of weather and climate extremes in Somalia

In Somalia, challenges related to energy access is influenced by both weather and climate extremes and associated conflict. The objective of this article is to gain an improved understanding of these risks and challenges, which are faced by the most vulnerable populations in the country. In particular, cooking energy-related challenges faced by households affected by weather and climate extremes and conflicts include protection risks, malnutrition, health risks, environmental degradation and heightened tension and conflict between social groups. Interventions to address these issues should focus on both fuel supply and fuel demand as well as on improving the livelihoods of affected populations. In the aftermath of an extreme weather event it is recommended that assessments of the energy needs of all affected populations, including both hosts and Internally Displaced People (IDPs), be conducted. Post-disaster support should include the promotion of energy-efficient technologies for cooking as well as alternative sources of fuel where available, including non-wood based renewable energy. The implementation of a field inventory to assess the status of natural resources in areas vulnerable to climate impacts could help to determine woody biomass trends and enable the development of ecosystem restoration plans. These could include provisions for the establishment of woodlots and agro-forestry, thus building resilience to environmental degradation while maintaining woody biomass resources in and around displacement camps. Interventions should also be designed jointly with partners, and activities should be conflict-sensitive to ensure an enhanced state of resiliency and preparedness among vulnerable populations.

Space-time mapping of wasting among children under the age of five years in Somalia from 2007 to 2010

Environmental predictors of stunting among children under-five in Somalia: Cross-sectional studies from 2007 to 2010

Assessing comorbidity and correlates of wasting and stunting among children in Somalia using cross-sectional household surveys: 2007 to 2010

Extreme weather and civil war: Does drought fuel conflict in Somalia through livestock price shocks?

Spatial prediction of Plasmodium falciparum prevalence in Somalia

Solar Powered Water Systems in Somaliland