Basic health, women's health, and mental health among internally displaced persons in Nyala Province, South Darfur, Sudan

Am J Public Health. 2007 Feb;97(2):353-61. doi: 10.2105/AJPH.2005.073635. Epub 2006 Nov 30.

Abstract

Objectives: We assessed basic health, women's health, and mental health among Sudanese internally displaced persons in South Darfur.

Methods: In January 2005, we surveyed 6 registered internally displaced persons camps in Nyala District. Using systematic random sampling, we surveyed 1293 households, interviewing 1 adult female per household (N=1274); respondents' households totaled 8643 members. We inquired about respondents' mental health, opinions on women's rights, and the health status of household members.

Results: A majority of respondents had access to rations, shelter, and water. Sixty-eight percent (861 of 1266) used no birth control, and 53% (614 of 1147) reported at least 1 unattended birth. Thirty percent (374 of 1238) shared spousal decisions on timing and spacing of children, and 49% (503 of 1027) reported the right to refuse sex. Eighty-four percent (1043 of 1240) were circumcised. The prevalence of major depression was 31% (390 of 1253). Women also expressed limited rights regarding marriage, movement, and access to health care. Eighty-eight percent (991 of 1121) supported equal educational opportunities for women.

Conclusions: Humanitarian aid has relieved a significant burden of this displaced population's basic needs. However, mental and women's health needs remain largely unmet. The findings indicate a limitation of sexual and reproductive rights that may negatively affect health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Altruism
  • Demography
  • Depressive Disorder, Major / epidemiology
  • Depressive Disorder, Major / ethnology
  • Female
  • Food Supply
  • Health Services Needs and Demand / statistics & numerical data*
  • Health Surveys*
  • Housing
  • Humans
  • Mental Disorders / epidemiology*
  • Mental Disorders / ethnology
  • Middle Aged
  • Morbidity
  • Refugees / statistics & numerical data*
  • Sudan / epidemiology
  • Surveys and Questionnaires
  • Warfare
  • Water Supply
  • Women's Health* / ethnology
  • Women's Rights