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August 5, 2025Conflict and HealthOpen Access

Healthcare under fire: quantifying the impact of violence on medical services in facilities supported by International Medical Corps in three prefectures of Central African Republic, 2016–2020

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Authors

NKNatalya KostandovaJOJennifer OKeeffeAMAudrey Mahieu

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Overview

Analysis reveals significant disruptions in healthcare due to violence in Central African Republic, highlighting urgent data needs.

Key Points

  • Attacks on healthcare in CAR resulted in 127 recorded incidents affecting medical services from 2016 to 2020.
  • The analysis showed service delivery changes ranged from a decline of 100% to an increase of 655% across facilities post-attacks.
  • Outpatient consultations showed over 25% deficits in four facilities due to violence, impacting healthcare access.
  • Data collection and monitoring were identified as critical for improving healthcare service resilience in conflict-affected regions.

Cite This Study

Kostandova et al. (2025) studied this question.

synapsesocial.com/papers/689521d79f4f1c896c4279d3https://doi.org/10.1186/s13031-025-00686-w
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1“It's normal to be afraid”: attacks on healthcare in Ouaka, Haute-Kotto, and Vakaga prefectures of the Central African Republic, 2016–20202024 · 11 citations
  2. 2A Decade of Reported Attacks on Health Care and Aid Workers Across 20 Conflict-Affected Settings (2016-2024): A Descriptive, Per-Capita Comparison Using Open-Source Incident Data2026
  3. 3Impacts of attacks to female health care workers in three territories of Colombia2024 · 6 citations
  4. 4Impact of Terrorism on the Use of Healthcare Services in Burkina Faso Between 2015 and 20222024
  5. 5Attacks on Health Care, Personnel, and Patients: From Bad to Worse? An Analysis of the WHO’s Surveillance System (SSA)2026