ENGENDERING HUMANITARIAN SUPPORT IN NIGERIA: A CROSS-SECTIONAL SURVEY OF HEALTH-RELATED QUALITY OF LIFE OF INTERNALLY DISPLACED PERSONS IN BENUE STATE.

Authors

  • Ruth Ochanya ADIO-MOSES

Keywords:

Engendering, Humanitarian Support Health Related Quality of Life, Internally Displaced Persons

Abstract

 The humanitarian crisis which was induced by armed conflict in the North Central geo-political zone in Nigeria has assumed a tragic dimension. The crisis has forced hundreds of thousands of people to flee their homes thereby necessitating settlements in internally displaced persons camps. Benue state became the epicenter of the farmers/herdsmen crisis and the year 2018 witnessed an alarming loss of lives and properties including sacking of villages by armed militias thus necessitating IDP camps. Planning, execution and evaluation of humanitarian and health services require understanding health needs and social realities of internally displaced persons (IDPs). It was against this backdrop that the present study was designed to assess and document health related quality of life (HRQoL) of IDPs in Benue State IDP camps. A cross-sectional survey design was adopted and instrument modified from the WHOQOL-BREF. Health related quality of life was assessed using two dimensions of physical and socio-emotional health dimensions. Generated data were analysed using descriptive statistics and inferential statistics of t-test and One-Way ANOVA at 0.05 alpha level. Findings of the study showed poor health related quality of life in both dimensions. There was also significant gender difference in health related quality of life (tcal. = 4.230, df = 746, tcrit.  = 1.645, p=<0.05) with female IDPs reporting lower HRQoL. The study also suggests that older respondents reported lower HRQoL than younger ones. It is concluded based on the findings of this study that HRQoL of IDPs in Benue State is significantly low and that IDPs have both poor physical, social and emotional health status. It was thus concluded that female and aged IDPs compared to male and younger IDPs face more distress. Provision of humanitarian and health support services for IDPs with specialized care for women, children and aged is strongly recommended.   

References

Adio-Moses, R.O (2018). Health and safety needs of homeless people in Ibadan Metropolis, Oyo State. Journal of

Peace, Security and development. 4,(1) 2360-9435

Abdalla A. R., Hamid M & Saif A. Musa (2010) Mental health problems among internally Displaced persons in

Darfur, International Journal of Psychology, 45:4, 278-285 https://doi.org/10.1080/00207591003692620

Araya, M., Chotai, J., Komproe, I.H., & de Jong, J.T. (2007). Effect of trauma on quality of life as mediated by mental

distress and moderated by coping and social support among post conflict displaced Ethiopians. Quality of Life

Research.;16 (6):915–27.

Bowling A. (2005). Measuring health. Third Ed.. Maidenhead: Open University Press.

Brazier J, Connell J, Papaioannou D, Mukuria C, Mulhern B, Peasgood T, Lloyd Jones M. Paisley S, O’Cathain A, Barkham M, Knapp M, Byford S, Gilbody S & Parry G. (2014). A systematic review, psychometric analysis and

qualitative assessment of Generic Preference-Based Measures of Health in Mental Health Populations and the

estimation of mapping functions from widely used specific measures. Health Technology Assessment,

(34) https://doi.org/10.3310/hta18340

de Jong, J.T., Komproe, I.H., & Ommeren, V. M. (2003) Common mental disorders in Post-conflict settings. Lancet;

(9375):2128–30. https://doi.org/10.1016/S0140-6736(03)13692-6

Duru, P. (March, 2018). Farmers/Herdsmen Crisis: 80,450 Children Trapped in Eight IDP Camps Across Benue.

Vanguard Newspapers. Available Online at

https://www.vanguardngr.com/2018/03/farmers-herdsmen-crisis-80450-children-trapped-eight-idp-camps-across-benue/

Getanda, E.M., Papadopoulos, C. & Hala, E. (2015). The mental health, quality of life and life satisfaction of internally

displaced persons living in Nakuru County, Kenya. BMC Public Health, 15. 755. https://doi.org/10.1186/s12889-015-2085-7

Hays, R.D., & Reeve, B.B. (2010). Measurement and Modeling of Health-Related Quality of Life. In: Killewo J,

Heggenhougen HK, Quah SR, editors. Epidemiology and Demography in Public Health. Academic Press;

p. 195–205

.

Internal Displacement Monitoring Center (2018). Global report on internal displacement (GRID 2018). Geneva: IDMC

Internal Displacement Monitoring Centre (2018). Turning the Tide on Internal Displacement. Accessed online from

http://www.internal-displacement.org/monitoring-tools/displacement-severity

Kett, M. (2005). Displaced populations and long term humanitarian assistance. The BMJ 331:98-

https://doi.org/10.1136/bmj.331.7508.98

Makhashvili, N., Chikovani, I., McKee, M., Bisson, J., Patel, V., & Roberts, B. (2014). Mental disorders and their

association with disability among internally displaced persons and returnees in Georgia. Journal of Traumatic

Stress.;27(5):509–518 https://doi.org/10.1002/jts.21949

Mooney, E. (2005). The concept of internal displacement and the case for internally displaced persons as a category

of concern. Refugee Survey Quarterly, 24 (3) DOI:10.1093/rsq/hdi049.

Moons, P., Budts, W., & De Geest, S. (2006). Critique on the conceptualisation of quality of life: A review and evaluation

of different conceptual approaches. International Journal of Nursing Studies.; 43:891–901.

https://doi.org/10.1016/j.ijnurstu.2006.03.015

Office of the United Nations High Commissioner for Refugees, (2019) Internally Displaced

Persons No. 75 (XLV) – 1994 retrieved December 02, 2019 from

https://www.unhcr.org/en-us/excom/exconc/3ae68c434/internally-displaced-persons.html

Owoaje, E.T., Uchendu, O.C., Ajayi, T.O., & Cadmus, E.O. (2016). A review of the health problems of the internally

displaced persons in Africa. Nigerian Postgraduate Medical Journal; 23:161-71.

Peasgood, T., Brazier, J., Mukuria, C., & Rowen, D. (2014). A conceptual comparison of well-being measures used in

the UK. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Universities of

Sheffield & York. EEPRU Research Report 026. Policy paper/document.

Roberts, B., Ocaka, I.F., Browne, J., Oyok, T. & Sondorp, E. (2009). Factors associated with the health status of

internally displaced persons in northern Uganda. Journal of. Epidemiology and Community Health;63: 227–232.

http://dx.doi.org/10.1136/jech.2008.076356

Shannon, P.J. (2014). Refugees’ advice to physicians: how to ask about mental health. Family Practice.;31(4):462–6.

https://doi.org/10.1093/fampra/cmu017

Sheikh,T. L., Mohammed,A., Agunbiade, S., Ike, Ebiti, W. N & Adekeye, O (2014). Psycho-

trauma, psychosocial adjustment, and symptomatic post-traumatic stress disorder among internally displaced persons in Kaduna, Northwestern Nigeria. Frontiers in Psychiatry, 12 (5) https://doi.org/10.3389/fpsyt.2014.00127

Siriwardhana, C., Adikari, A., Pannala, G., Siribaddana, S., Abas, M., & Sumathipala, A. (2013) Prolonged internal

displacement and common mental disorders in Sri Lanka: the COMRAID study. PLOS One.;8(5),

e64742. doi: 10.1371/journal.pone.0064742

Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R.A., van & Ommeren M. (2009). Association of torture and other

potentially traumatic events with mental health outcomes among populations exposed to mass conflict and

displacement: a systematic review and meta-analysis. Journal of the American Medical Association 302 (5) 537-

Thapa, S.B., & Hauff, E. (2012). Perceived needs, self-reported health and disability among displaced persons during

an armed conflict in Nepal. Social Psychiatry and Psychiatric Epidemiology.;47(4):589–95.

https://doi.org/10.1007/s00127-011-0359-7

Ware, J.E. & Sherbourne, C.D. (1992). The MOS 36-item short-form health survey (SF-36). Conceptual framework and

item selection. Medical Care. 30(6): 473 - 483, 1992.

WHO (1997). Measuring Quality of Life. http://www.who.int/mental_health/media/68.pdf

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Published

2020-05-20