chapter  7
38 Pages

The Intergenerational Effects of War on the Health of Children

WithDelan Devakumar, Marion Birch, David Osrin, Egbert Sondorp

The adverse effects of war on the health of children have been well documented [1-4], but less well known is how exposure to violence can propagate effects across generations. Conflict causes injury, illness and breakdown in the structures that provide preventive, curative and ameliorative care. It has profound effects on society that form a permissive framework for the effects we describe. The mediators of loss are many, but include population displacement and breakdown of health services and schooling, on a background of economic decline and supply constraint. Figure 1 shows how these indirect effects are related with conflict and have a pervasive influence that reaches down to the next generation.