Conflict and Health volume 9 , Article number: 28 Cite this article. Metrics details. Little is known specifically about the effects of conflict and displacement on provision of sexual and reproductive health SRH services.
We aimed to understand the association between levels of conflict and displacement and the availability of SRH services in post-conflict Mali. Data from primary care facilities were analysed, focusing on SRH services. Descriptive analyses and multivariable logistic regression models were used to examine the availability of SRH services by different levels of conflict and displacement.
Of facilities, had data available to identify the details of service provision. The majority of the facilities were part of the public sector Overall Between zones of low concentration of displaced populations and under occupation the likelihood of service availability varied between OR: 2. All of the services within the three domains of SRH were more likely to be available in the low and high concentration displaced population areas compared to the facilities in the under occupation zones, after adjusting for other facility-related variables.
Areas with high concentration of displaced population had less service availability, and areas formerly under occupation had the least service availability. This suggests that those living in conflict areas, and many of those who are internally displaced, have poor access to essential SRH interventions.
The systematic measurement of the availability of health services, including SRH, is feasible and can contribute to recovery planning in post-conflict and humanitarian settings.
