Health and human rights in Karen state, eastern Myanmar

William W. Davis, Luke C Mullany, Eh Kalu Shwe Oo, Adam K. Richards, Vincent Iacopino, Christopher Beyrer

Research output: Contribution to journalArticle

Abstract

Background Decades of conflict in eastern Myanmar have resulted in high prevalence of human rights violations and poor health outcomes. While recent ceasefire agreements have reduced conflict in this area, it is unknown whether this has resulted in concomitant reductions in human rights violations. Methods and Findings We conducted a two-stage cluster survey of 686 households in eastern Myanmar to assess health status, access to healthcare, food security, exposure to human rights violations and identification of alleged perpetrators over the 12 months prior to January 2012, a period of near-absence of conflict in this region. Household hunger (FANTA-2 scale) was moderate/high in 91 (13.2%) households, while the proportion of households reporting food shortages in each month of 2011 ranged from 19.9%in December to 47.0% in September, with food insecurity peaking just prior to the harvest. Diarrhea prevalence in children was 14.2%and in everyone it was 5.8%. Forced labor was the most common human rights violation (185 households, 24.9%), and 210 households (30.6%) reported experiencing one or more human rights violations in 2011. Multiple logistic regression analysis identified associations between human rights violations and poor health outcomes. Conclusion Human rights violations and their health consequences persist despite reduced intensity of conflict in eastern Myanmar. Ceasefire agreements should include language that protects human rights, and reconciliation efforts should address the health consequences of decades of human rights violations.

Original languageEnglish (US)
Article numbere0133822
JournalPLoS One
Volume10
Issue number8
DOIs
StatePublished - Aug 26 2015

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Myanmar
human rights
Health
households
Food Supply
food security
Regression analysis
Logistics
Personnel
household surveys
Forensic Anthropology
Hunger
food shortages
hunger
health status
health services
Health Status
Diarrhea
diarrhea
labor

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Health and human rights in Karen state, eastern Myanmar. / Davis, William W.; Mullany, Luke C; Oo, Eh Kalu Shwe; Richards, Adam K.; Iacopino, Vincent; Beyrer, Christopher.

In: PLoS One, Vol. 10, No. 8, e0133822, 26.08.2015.

Research output: Contribution to journalArticle

Davis, William W. ; Mullany, Luke C ; Oo, Eh Kalu Shwe ; Richards, Adam K. ; Iacopino, Vincent ; Beyrer, Christopher. / Health and human rights in Karen state, eastern Myanmar. In: PLoS One. 2015 ; Vol. 10, No. 8.
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