Authors :
Dr. Moussa Mbodji; Dr. Berte Dramane
Volume/Issue :
Volume 9 - 2024, Issue 11 - November
Google Scholar :
https://tinyurl.com/2vk4zdb7
Scribd :
https://tinyurl.com/jxew58av
DOI :
https://doi.org/10.5281/zenodo.14513001
Abstract :
This research examines the important role of
former combatants in assisting with the vaccination of
Zero-Dose children (ZDC) in the Central African
Republic (CAR). It shows how their participation
enables access to hard-to-reach areas and builds trust
with local communities. By leveraging their good
integration into their environment, former combatants
succeed in negotiating access to high-risk zones, allowing
health teams to carry out vaccination operations. A
mixed methodological approach, which combines
quantitative analysis of vaccination rates and qualitative
interviews with communities and health workers,
highlights the effectiveness of including former
combatants in public health strategies. The study
demonstrates a significant increase in vaccination
coverage in previously inaccessible areas, with former
combatants contributing not only to better health
outcomes but also to the reduction of conflicts and the
building of peace. The research emphasizes the
importance of adapting health programs to recognize
and strengthen local skills, providing recommendations
for more inclusive health policies that are tailored to the
specific needs of fragile and post-conflict environments.
Keywords :
Zero-Dose Children (ZDC),Central African Republic (CAR), Former Combatants, Vaccination Coverage , Public Health Strategies, Hard-to-Reach Areas, Community Trust , Access Negotiation , Post-Conflict Environments, Mixed Methodological Approach.
References :
- Dupont, P., & Leclerc, R., 2016, "Community Resilience in Post-Conflict Settings: The Role of Health Initiatives." International Journal of Public Health, 61(8), 933-942, https://link.springer.com/journal/38.
- Mwangi, A., & Kamau, J., 2017, "The Impact of Armed Conflict on Health Infrastructure: The Case of Somalia." African Journal of Conflict Resolution, 17(2), 95-112, https://www.accord.org.za/ajcr/.
- UNICEF, 2017, Strategies for Improving Vaccine Coverage in Conflict Zones. UNICEF Report CAR-17-24, https://www.unicef.org/.
- GAVI Alliance, 2019, Challenges and Opportunities in Expanding Immunization in Central Africa. Proceedings of the Global Health Forum, Geneva, Switzerland, June, pp. 89-102, https://www.gavi.org/.
- WHO, 2020, Assessing the Impact of COVID-19 on Routine Immunization in the Central African Republic. Working paper, World Health Organization, https://www.who.int/.
- Johnson, P., 2021, Central African Republic faces new challenges in vaccination efforts. The Guardian, 15 April, https://www.theguardian.com/.
- World Bank, Improving Health Services in Conflict-Affected Regions of Central Africa, Date of access: 10/08/2023, http://www.worldbank.org/en/news/improving-health-services-central-africa.
- CENTRAL AFRICAN REPUBLIC, Ministry of Health, 2018, National Health Policy Document, Government of Central African Republic, report 2546.
- UNITED NATIONS GENERAL ASSEMBLY, Special Session on Health, 2020, Resolutions on Global Immunization Strategies, United Nations, report A/75/L.47.
- World Health Organization (WHO), 2019, "Health System Recovery in Conflict-Affected States." WHO Report, https://www.who.int/.
- Doe, S., & Lee, R., 2018, "Community-Based Approaches to Peacebuilding: The Role of Local Health Projects." Peace and Conflict Studies, 25(2), https://www.peaceandconflictstudies.org/.
- Global Fund to Fight AIDS, Tuberculosis and Malaria, 2022, "Strategies for Health Interventions in Conflict Zones." Global Fund Report, https://www.theglobalfund.org/.
- Breen, M., et al., 2019, "Utilizing Non-Traditional Community Health Workers in Post-Conflict Areas: A Review of Health Service Delivery in the Aftermath of War." Social Science & Medicine, 239, 112534, https://www.journals.elsevier.com/social-science-and-medicine.
- Thompson, R. L., 2018, "The Role of Local Champions in Conflict Zones: A Case Study Approach." Journal of International Development, 30(5), 825-844, https://onlinelibrary.wiley.com/journal/10991328.
- United Nations Development Programme (UNDP), 2021, Reintegration of Ex-Combatants through Community-Based Approaches in Health Systems. UNDP Report, https://www.undp.org/.
- Gavi, the Vaccine Alliance, 2020, Community-Based Approaches to Immunization in Africa. Gavi Report, https://www.gavi.org/.
- Bedford, H., & Elliman, D., 2010, "Concerns about Immunization." BMJ, 340, c1368, https://www.bmj.com/.
- Ahmed, M., & Garcia, L., 2019, "Health as a Tool for Peacebuilding: Lessons from South Sudan." Journal of Peace Research, 56(3), 352-365, https://journals.sagepub.com/home/jpr.
- National Institute of Health, 2021, Health Interventions in Conflict-Affected Areas: A Review of Best Practices. NIH Report, https://www.nih.gov/.
This research examines the important role of
former combatants in assisting with the vaccination of
Zero-Dose children (ZDC) in the Central African
Republic (CAR). It shows how their participation
enables access to hard-to-reach areas and builds trust
with local communities. By leveraging their good
integration into their environment, former combatants
succeed in negotiating access to high-risk zones, allowing
health teams to carry out vaccination operations. A
mixed methodological approach, which combines
quantitative analysis of vaccination rates and qualitative
interviews with communities and health workers,
highlights the effectiveness of including former
combatants in public health strategies. The study
demonstrates a significant increase in vaccination
coverage in previously inaccessible areas, with former
combatants contributing not only to better health
outcomes but also to the reduction of conflicts and the
building of peace. The research emphasizes the
importance of adapting health programs to recognize
and strengthen local skills, providing recommendations
for more inclusive health policies that are tailored to the
specific needs of fragile and post-conflict environments.
Keywords :
Zero-Dose Children (ZDC),Central African Republic (CAR), Former Combatants, Vaccination Coverage , Public Health Strategies, Hard-to-Reach Areas, Community Trust , Access Negotiation , Post-Conflict Environments, Mixed Methodological Approach.