title: Maternal and Child Health of Internally Displaced Persons in Ukraine: A Qualitative Study.
abstract: Due to the conflict that started in spring 2014 in Eastern Ukraine, a total of 1.75 million internally displaced persons (IDPs) fled the area and have been registered in government-controlled areas of the country. This paper explores perceived health, barriers to access to healthcare, caring practices, food security, and overall financial situation of mothers and young children displaced by the conflict in Ukraine. This is a qualitative study, which collected data through semi-structured in-depth interviews with nine IDP mothers via Skype and Viber with a convenience sample of participants selected through snowball technique. Contrary to the expectations, the perceived physical health of mothers and their children was found not to be affected by conflict and displacement, while psychological distress was often reported. A weak healthcare system, Ukraine's proneness to informal payments, and heavy bureaucracy to register as an IDP were reported in our study. A precarious social safety net to IDP mothers in Ukraine, poor dietary diversity, and a generalized rupture of vaccine stocks, with halted or delayed vaccinations in children were identified. Increasing social allowances and their timely delivery to IDP mothers might be the most efficient policy measure to improve health and nutrition security. Reestablishment and sustainability of vaccine stocks in Ukraine is urgent to avoid the risks of a public health crisis. Offering psychological support for IDP mothers is recommended.
authors.affiliation: Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Université catholique de Louvain, Brussels 1200, Belgium. nidzvetskaya@gmail.com.
authors.forename: Svitlana
authors.initials: S
authors.lastname: Nidzvetska
authors.affiliation: Food Security Unit, Sustainable Resources Directorate, European Commission Joint Research Centre, I-21027 Ispra, Italy. jose-manuel.rodriguez-llanes@jrc.ec.europa.eu.
authors.forename: Jose M
authors.initials: JM
authors.lastname: Rodriguez-Llanes
authors.affiliation: Institute of Health and Society, Université catholique de Louvain, Brussels 1200, Belgium. isabelle.aujoulat@uclouvain.be.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Aujoulat
authors.affiliation: Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Université catholique de Louvain, Brussels 1200, Belgium. julita.gilcuesta@uclouvain.be.
authors.forename: Julita
authors.initials: J
authors.lastname: Gil Cuesta
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. hannah.tappis@jhu.edu.
authors.forename: Hannah
authors.initials: H
authors.lastname: Tappis
authors.affiliation: Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Université catholique de Louvain, Brussels 1200, Belgium. joris.vanloenhout@uclouvain.be.
authors.forename: Joris A F
authors.initials: JA
authors.lastname: van Loenhout
authors.affiliation: Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Université catholique de Louvain, Brussels 1200, Belgium. debarati.guha@uclouvain.be.
authors.forename: Debarati
authors.initials: D
authors.lastname: Guha-Sapir
mesh_terms: D000328:Adult; D002648:Child; D000067576:Child Health / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D000068097:Maternal Health / Q000706:statistics & numerical data*; D011634:Public Health; D036301:Qualitative Research; D012036:Refugees / Q000523:psychology*; D014455:Ukraine; D055815:Young Adult
keywords: IDPs; Ukraine; child health; conflict; crisis; humanitarian response; maternal health; mental health; reproductive health