Health and human rights in Chin State, Western Burma: a population-based assessment using multistaged household cluster sampling

The Chin State of Burma (also known as Myanmar) is an isolated ethnic minority area with poor health outcomes and reports of food insecurity and human rights violations. We report on a population-based assessment of health and human rights in Chin State. We sought to quantify reported human rights v...

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Published in:PLoS medicine 2011-02, Vol.8 (2), p.e1001007-e1001007
Main Authors: Sollom, Richard, Richards, Adam K, Parmar, Parveen, Mullany, Luke C, Lian, Salai Bawi, Iacopino, Vincent, Beyrer, Chris
Format: Article
Language:English
Subjects:
Confidence intervals
Crimes against
Criminal investigations
Epidemiology
Evidence
Food
Forced labor
Global Health
Health aspects
Health care access
Households
Human Rights
Humans
Medical research
Medicine
Mortality
Murders & murder attempts
Myanmar
Nutrition
Population
Public Health
Qualitative research
Religion
Torture
Violations
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description The Chin State of Burma (also known as Myanmar) is an isolated ethnic minority area with poor health outcomes and reports of food insecurity and human rights violations. We report on a population-based assessment of health and human rights in Chin State. We sought to quantify reported human rights violations in Chin State and associations between these reported violations and health status at the household level. Multistaged household cluster sampling was done. Heads of household were interviewed on demographics, access to health care, health status, food insecurity, forced displacement, forced labor, and other human rights violations during the preceding 12 months. Ratios of the prevalence of household hunger comparing exposed and unexposed to each reported violation were estimated using binomial regression, and 95% confidence intervals (CIs) were constructed. Multivariate models were done to adjust for possible confounders. Overall, 91.9% of households (95% CI 89.7%-94.1%) reported forced labor in the past 12 months. Forty-three percent of households met FANTA-2 (Food and Nutrition Technical Assistance II project) definitions for moderate to severe household hunger. Common violations reported were food theft, livestock theft or killing, forced displacement, beatings and torture, detentions, disappearances, and religious and ethnic persecution. Self reporting of multiple rights abuses was independently associated with household hunger. Our findings indicate widespread self-reports of human rights violations. The nature and extent of these violations may warrant investigation by the United Nations or International Criminal Court. Please see later in the article for the Editors' Summary.
doi_str_mv 10.1371/journal.pmed.1001007
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Performed the experiments: RS PP. Analyzed the data: RS AKR PP LCM VI CB. Contributed reagents/materials/analysis tools: RS AKR PP LCM SBL VI CB. Wrote the paper: RHS AKR PKP LM SBL VI CB. Designed and led the surveyor training: RHS PKP.</notes><abstract>The Chin State of Burma (also known as Myanmar) is an isolated ethnic minority area with poor health outcomes and reports of food insecurity and human rights violations. We report on a population-based assessment of health and human rights in Chin State. We sought to quantify reported human rights violations in Chin State and associations between these reported violations and health status at the household level. Multistaged household cluster sampling was done. Heads of household were interviewed on demographics, access to health care, health status, food insecurity, forced displacement, forced labor, and other human rights violations during the preceding 12 months. 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subjects Confidence intervals
Crimes against
Criminal investigations
Epidemiology
Evidence
Food
Forced labor
Global Health
Health aspects
Health care access
Households
Human Rights
Humans
Medical research
Medicine
Mortality
Murders & murder attempts
Myanmar
Nutrition
Population
Public Health
Qualitative research
Religion
Torture
Violations
title Health and human rights in Chin State, Western Burma: a population-based assessment using multistaged household cluster sampling
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