Document Detail

Documenting the health consequences of endemic warfare in three pastoralist communities of northern Kenya: a conceptual framework.
MedLine Citation:
PMID:  19880236     Owner:  NLM     Status:  MEDLINE    
Violent conflict represents the third most important source of mortality around the world, yet violence-related mortality remains profoundly undercounted (Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002). As a step toward documenting the consequences of even the "smallest wars" we offer a conceptual framework for a recently initiated project that comparatively examines the direct and indirect consequences of intercommunity violence among Pokot, Samburu, and Turkana herding communities of Northern Kenya. While a substantial body of work has accumulated on the social responses to this violence very little is known about the differential impacts on community health. Based on our cumulative ethnographic experience in the area, we offer a conceptual framework that merges a context-sensitive ethnographic approach with a comparative epidemiological one centered on documenting the lived experience of violence and inequality. In this paper, we provide evidence for the importance of a contextualized approach detailing how social environments that include chronic episodes of violence produce variations in health. We do so by presenting the results of previous work to highlight what is known and follow this by identifying what remains to be understood about how violence, inequality, and health interact in these communities. While much is known about the importance of access to livestock herds for health, nutrition, and child growth in this difficult physical environment, far less is known about how the social responses to violence interact with access to herds to create new patterns of nutrition and health. With respect to pastoralists, additional areas that remain only nominally understood include age-specific mortality patterns, reproductive health, and psychosocial/mental health, topics that we view as central to the current study. In sum, we suggest that health offers one of the most useful tools for examining the costs of violence by creating opportunities for advocacy.
Ivy L Pike; Bilinda Straight; Matthias Oesterle; Charles Hilton; Adamson Lanyasunya
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-10-31
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  70     ISSN:  1873-5347     ISO Abbreviation:  Soc Sci Med     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-04     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-52     Citation Subset:  IM    
University of Arizona, Anthropology, 1009 E South Campus Drive, Tucson, AZ 85721, USA.
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MeSH Terms
Animal Husbandry*
Educational Status
Health Services Accessibility
Health Status*
Interpersonal Relations
Interviews as Topic
Kenya / epidemiology
Longitudinal Studies
Residence Characteristics
Social Environment
Socioeconomic Factors
Stress, Psychological / epidemiology*
Violence / psychology*

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