Comparative analysis of the health status of the population in six health zones in South Kivu: a cross-sectional population study using the WHODAS

Abstract Background The eastern Democratic Republic of Congo (DRC) has experienced decades-long armed conflicts which have had a negative impact on population’s health. Most research in public health explores measures that focus specific problem rather than overall population status. aim this study was to assess the status and its predictors conflict settings South Kivu province, using World Health Organization Disability Assessment Schedule (WHODAS). Methods Between May June 2019, we conducted community-based cross-sectional survey among 1440 adults six zones (HZ), classified according their level intensity chronicity four types (accessible stable, remote intermediate unstable). data were collected by questionnaire including socio-demographic WHODAS 2.0 tool with 12 items. main variable summary score measuring individual’s synthesize domains disability (household, cognitive, mobility, self-care, social society). Univariate analysis, correlation comparison tests as well hierarchical multiple linear regression performed. Results median accessible stable (AS), (RS), (I) unstable (U) HZ 6.3 (0–28.6); 25 (6.3–41.7); 22.9 (12.5–33.3) 39.6 (22.9–54.2), respectively. Four domain scores mobility society) most altered UHZs. RSHZ IHZ statistically comparable global scores. HZs remote) lower UHZ all In factors significantly associated an poor (or higher score) advanced age, being woman, membership association; divorced, separated or widower living HZ. Conclusions Armed people’s perceived health, particularly crisis zones. area, must accentuate actions aiming strengthen psychosocial well-being.