The use of health facility data to assess the effects of armed conflicts on maternal and child health: experience from the Kivu, DR Congo

Table 1 Regression analysis of the effects of conflict intensity and insecurity on RMCH service provision in the Kivu

Outcome	Threshold 1		Threshold 2		Threshold 3
Difference, reported-expected numbers	Coefficient (95% CI)	P value	Coefficient (95% CI)	P value	Coefficient (95% CI)	P value
ANC4
Severe conflict	1.79 (−1.30; 4.88)	0.251	1.49 (−1.67; 4.64)	0.354	1.27 (−1.94; 4.48)	0.432
Insecurity	1.26 (−1.19; 3.71)	0.309	1.50 (−1.55; 4.54)	0.329	−0.44 (− 4.22; 3.34)	0.818
Facility deliveries
Severe conflict	2.99 (−2.39; 8.37)	0.271	3.43 (− 2.74; 9.59)	0.271	3.69 (− 2.03; 9.40)	0.202
Insecurity	3.04 (−1.89; 7.97)	0.222	2.36 (−3.32; 8;03)	0.410	2.84 (−7.42; 13.09)	0.583
Caesarean section
Severe conflict	0.11 (−0.49; 0.71)	0.721	0.01 (−0.63; 0.65)	0.980	0.03 (−0.56; 0.62)	0.915
Insecurity	0.07 (−0.47; 0.61)	0.800	0.20 (−0.39; 0.79)	0.508	−0.23 (−1.09; 0.64)	0.604
DPT3
Severe conflict	1.35 (−1.67; 4.37)	0.375	0.53 (−2.91; 3.97)	0.760	0.21 (−3.17; 3.58)	0.903
Insecurity	1.45 (−1.28; 4.19)	0.293	1.86 (−1.19; 4.91)	0.227	−0.39 (−5.32; 4.54)	0.874

Threshold 1: Severe conflict = monthly conflict death rate ≥ 5 per 100,000 population; insecurity = conflict event-days ≥1 per 100,000 population. Threshold 2: Severe conflict = monthly conflict death rate ≥ 10 per 100,000 population; insecurity = conflict event-days ≥5 per 100,000 population. Threshold 3: Severe conflict = monthly conflict death rate ≥ 15 per 100,000 population; insecurity = conflict event-days ≥10 per 100,000 population

ISSN: 1472-6963