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Background <p>Armed conflict can lead to injury, trauma, and long-term disability. The war in Tigray caused widespread civilian harm, yet population-level evidence on conflict-related disability remains limited. This study aimed to identify and estimate the prevalence and distribution of war associated civilian disability in Tigray.</p> Methods <p>A community-based cross-sectional survey was conducted from August 1 to 30, 2023, across 19 districts in six zones of Tigray. A total of 13,915 households were selected using a stratified multistage cluster sampling approach with a response rate above 95%. Adult respondents, primarily women or caregivers, provided information on all household members. Disability was assessed using a structured questionnaire based on the Washington Group Short Set covering six functional domains: seeing, hearing, walking, cognition, self-care, and communication. Individuals reporting “a lot of difficulty” or “cannot do at all” in at least one domain were classified as having a disability. War associated disability was defined as a functional limitation that occurred after November 2020 and was self-reported as directly related to conflict events.</p> Results <p>Overall, 592 households (4.25%) reported at least one member with war associated disability. At the individual level, 1212 persons (1.8%) were affected. Men had the highest prevalence (3.09%), followed by older adults (1.06%) and women (1.04%), while under-five children accounted for 0.1%. The highest burden was observed in Mekelle zone. Extrapolated to the regional population, an estimated 127,800 individuals and 68,580 households were affected.</p> Conclusion <p>War associated civilian disability in Tigray represents a substantial public health burden, disproportionately affecting men, older adults, and socioeconomically disadvantaged populations. Strengthening disability inclusive health services, rehabilitation, and targeted social support is essential for post conflict recovery.</p>

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War related civilian disability in Tigray region Ethiopia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月4日

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  • Kiros Demoz,
  • Desalegn Meresa,
  • Brhane Ayele,
  • Hailay Gebretnsaea,
  • Tsegay Hadgu,
  • Mussie Alemayehu,
  • Mulgeta Tlahun,
  • Mulgeta Weldu,
  • Abrham Aregay Desta,
  • Fana Gebreslaea,
  • Asfawesen Aregay,
  • Ataklti Gebretsadik,
  • Adhana Ayalew,
  • Mebrhatu Kalayu,
  • Reda Shamie,
  • Assefa Ayalew,
  • Liya Mamo,
  • Tadelle Tesfaen,
  • Tsegay Wellay,
  • Haben Haileselassia,
  • Ferehiwot Hailemariam,
  • Znabu Hadush,
  • Abrham Gebrelibanos,
  • Gebrehawaria Gebrekurstos,
  • Amanuel Haile,
  • Melaku Abrha,
  • Mohammedtahir Yahya,
  • Araya Abrha Medhanyie,
  • Afewerki Mulugeta,
  • Ashenafi Asmelash,
  • Hayelom Kahsay

摘要

Background

Armed conflict can lead to injury, trauma, and long-term disability. The war in Tigray caused widespread civilian harm, yet population-level evidence on conflict-related disability remains limited. This study aimed to identify and estimate the prevalence and distribution of war associated civilian disability in Tigray.

Methods

A community-based cross-sectional survey was conducted from August 1 to 30, 2023, across 19 districts in six zones of Tigray. A total of 13,915 households were selected using a stratified multistage cluster sampling approach with a response rate above 95%. Adult respondents, primarily women or caregivers, provided information on all household members. Disability was assessed using a structured questionnaire based on the Washington Group Short Set covering six functional domains: seeing, hearing, walking, cognition, self-care, and communication. Individuals reporting “a lot of difficulty” or “cannot do at all” in at least one domain were classified as having a disability. War associated disability was defined as a functional limitation that occurred after November 2020 and was self-reported as directly related to conflict events.

Results

Overall, 592 households (4.25%) reported at least one member with war associated disability. At the individual level, 1212 persons (1.8%) were affected. Men had the highest prevalence (3.09%), followed by older adults (1.06%) and women (1.04%), while under-five children accounted for 0.1%. The highest burden was observed in Mekelle zone. Extrapolated to the regional population, an estimated 127,800 individuals and 68,580 households were affected.

Conclusion

War associated civilian disability in Tigray represents a substantial public health burden, disproportionately affecting men, older adults, and socioeconomically disadvantaged populations. Strengthening disability inclusive health services, rehabilitation, and targeted social support is essential for post conflict recovery.