Effect of Refugee Influx on the Right to Health of Refugees in Nakivale Settlement Camp in Uganda

  • Rogers Barigayomwe, PhD Kampala International University
  • Yvette Dusabimana Kampala International University
Keywords: Refugee Influx, Right to Health, Nakivale Settlement, Uganda, Health Care System, Policy Recommendations
Share Article:

Abstract

This study investigates the effect of refugee influx on the right to health of refugees in the Nakivale settlement camp in Uganda. Utilizing a cross-sectional case study design, the research surveyed a sample of 158 refugees from a target population of 260. Data was collected through questionnaires, interviews, focus group discussions, and document reviews. The results indicate that while the refugee influx has positively impacted certain aspects of the healthcare system—such as the construction of new health facilities and the provision of hospital beds—significant challenges remain. Specifically, maternal health and access to essential medicines have suffered, highlighting a negative impact on the overall right to health. The correlation analysis revealed a strong relationship (r = 0.76, p < 0.05) between refugee influx and health outcomes, affirming the hypothesis that refugee influx significantly affects health rights. Furthermore, regression analysis showed that factors related to refugee influx account for 63.5% of the variance in health service delivery. The study underscores the necessity for improved coordination, policy formulation, and resource allocation to enhance refugee health services. Recommendations include integrating health services for refugees and local populations, improving health financing, and promoting continuity of care, particularly for vulnerable groups. Addressing these issues is crucial for ensuring equitable access to health services in the context of growing refugee populations.

Downloads

Download data is not yet available.

References

Aggrawal A. (2015). "Refugee Medicine". In Payne-James JJ, Byard RW, Corey TS, Henderson C. Encyclopedia of Forensic and Legal Medicine. 3. London: Elsevier Academic Press.

Ahimbisibwe, F. (2013). The Effect of Land Conflicts on the Livelihoods of Refugees: Implications for Refugee Protection in Uganda. Research Journal of Social science and management

Aleinikoff, T. (2015). From Dependence to Self-Reliance: Changing the paradigm in protracted refugee situations. Migration Policy Institute (MPI). https://www.migrationpolicy.org/research/dependence-self-reliance-changing-paradigmprotracted-refugee-situations

Alfredsson, G. (2016). Human rights to healthcare: A critical element in the protection of human rights. Journal of Human Rights Practice, 8(1), 1-20. https://doi.org/10.1093/jhuman/huw001

Ali, A, David I, Ocha, W (2017). The Refugee Crisis in Kenya: Exploring Refugee-Host Community Causes of Tensions and Conflicts in Kakuma Refugee Camp. Journal of International Relations and Foreign Policy December 2017, Vol. 5, No. 2, pp. 39-51

Alston, M., & Bowles, W. (1998). Research methods in rural settings. Oxford: Oxford University Press.

Amin, M. (2015). Research methods: A quantitative approach. Kampala: Makerere University Press.

Andrew, C. (2009). The impact of conflict on refugee movements in Africa. African Journal of Political Science, 4(2), 45-67. https://doi.org/10.4314/ajps.v4i2.54756

Assembly of Heads of State and Government (Sixth Ordinary Session) (September 1969). "OAU convention governing the specific aspects of refugee problems in Africa".

Bagenda. E, Naggaga. A and Smith. E. (2003). Land problems in Nakivale Refugee Settlement and Implications for Refugee Protection in Uganda, Refugee Law Project Working Paper No. 8, Makerere University, Kampala, Uganda.

Bassel, Leah (2012). Refugee Women: Beyond Gender Versus Culture.

Betts, A. et al (2019). Refugee Economies in Uganda: What Difference Does the Self-Reliance Model Make? Refugee Studies Centre, University of Oxford. https://data2.unhcr.org/en/documents/download/68402 Centre for Global Development & IRC (2017).

Black, T. R. (1999). Doing quantitative research in the social sciences. London: Sage Publications.

Brante, T., & Korsnes, M. (2016). Case study research: A qualitative approach. Oslo: University of Oslo Press.

Campbell, J., & Cochrane, A. (2019). Evidence-based health care: A guide for practitioners. London: Routledge.

Cassese, Antonio (2013). Cassese's International Criminal Law (3rd ed.). Oxford University Press. pp. 63– 66.Guilfoyle, D. (2016). International criminal law. Oxford University Press.

Coicaud, J. M. (2003). The role of the United Nations in the protection of refugees. International Journal of Refugee Law, 15(3), 345-367. https://doi.org/10.1093/ijrl/15.3.345

Crisp, J. (1999). "A State of Insecurity: The Political Economy of Violence in Refugee-Populated Areas of Kenya". New Issues in Refugee Research (Working Paper No. 16).

David, M. (2004). Sampling techniques in social research. New York: Wiley.

Dehghanpisheh, Babak (2013-04-10). "Iraqi refugees in Syria feel new strains of war". The Washington Post.

Development Pathways (2018). Analysis of Refugee Vulnerability in Uganda and Recommendations for Improved Targeting of Food Assistance. https://data2.unhcr.org/en/documents/download/72299

Executive Committee of the High Commissioner's Programme (13 October 2009). "Problem of Refugees and Asylum-Seekers Who Move in an Irregular Manner from a Country in Which They Had Already Found Protection".

Fan, Shihe. (2010). "Independent Variable." In Encyclopedia of Research Design. Neil J. Salkind, editor. Thousand Oaks, CA: SAGE, pp. 592-594

Fazel, M; Wheeler, J; Danesh, J (2015). "Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: a systematic review". Lancet. 365 (9467): 1309–14.

Fell, Peter and Debra Hayes (2017), "What are they doing here? A critical guide to asylum and immigration." Venture Press.

Gelber, Yoav (1993). "The Historical Role of the Central European Immigration to Israel". The Leo Baeck Institute Year Book.

Gibney, Matthew J. (2004), "The Ethics and Politics of Asylum: Liberal Democracy and the Response to Refugees"', Cambridge University Press.

Goldberg, Diana (29 November 2016). "From refugee to citizen: a Guatemalan in Mexico". UNHCR. Retrieved 9 July 2016.

GoU. (2020). The state of refugees in Uganda: A comprehensive report. Kampala: Government of Uganda.

Harrell-Bond, B. (2002) ‘Towards the economic and social ‘integration’ of refugee populations in host countries in Africa’, paper presented at an International conference on protracted refugee situations in Africa, Entebbe Uganda.

Harrell-Bond, B. E. (1986) Imposing Aid: Emergency Assistance to Refugees, Oxford, Oxford University Press

Hassell, J. E. (1991). Russian refugees in France and the United States between the world wars (Vol. 81). American Philosophical Society.

Hassell, James E. (1991). Russian Refugees in France and the United States Between the World Wars. American Philosophical Society.

Hayes, B. (2017). Understanding the refugee definition: A comprehensive overview. Refugee Studies Quarterly, 36(2), 1-20. https://doi.org/10.1093/rsq/hax004

Herbert, S. & Idris, I. (2018). Refugees in Uganda: (in)stability, conflict and resilience. Rapid Literature Review. GSDRC, University of Birmingham. https://gsdrc.org/wpcontent/uploads/2018/07/Refugees_in_UgandaInstability_conflict_and_resilience.pdf

Higgins, C. (2016). "New evidence on refugee status determination in Australia, 1978–1983". Refugee Survey Quarterly.

Hogenstijn, M., Van Middelkoop, D., &Terlouw, K. (2008). The established, the outsiders and scale strategies: studying local power conflicts. The sociological review, 56(1), 144-161

Hovil, L. (2016). The global refugee crisis: A call for a global response. Forced Migration Review, 52, 12- 14. https://www.fmreview.org/globalcrisis

Human Rights Law in Africa, E. Oau Convention Governing The Specific Aspects Of Refugee Problems In Africa. Human Rights Law in Africa Online, 1(1), 122-125.

ICISS. (2001). The responsibility to protect: Report of the International Commission on Intervention and State Sovereignty. Ottawa: International Development Research Centre.

James, Paul (2014). "Faces of Globalization and the Borders of States: From Asylum Seekers to Citizens". Citizenship Studies.

Kalyango Ronald and Huff Kirk (2002) Refugees in the city: status determination, resettlement and the changing nature of forced migration in Uganda, Refugee Law Project Working Paper No. 6, Kampala Uganda.

Kalyango, S.R (July 2006). Land conflicts and their impact on refugee women’s livelihoods in south-western Uganda. Department of Women and Gender Studies Makerere University Uganda. New Issues in Refugee Research. Research Paper No. 127

Karim, AM; Hussain, I; Malik, SK; Lee, JH; Cho, IH; Kim, YB; Lee, SH (2016). "Epidemiology and the Clinical Burden of Malaria in the War-Torn Area, Orakzai Agency in Pakistan" (PDF). PLOS Neglected Tropical Diseases.

Kazmi, JH; Pandit, K (2016). "Disease and dislocation: the impact of refugee movements on the geography of malaria in NWFP, Pakistan". Social Science & Medicine.

Khamis, V (2015). "Post-traumatic stress disorder among school age Palestinian children". Child Abuse Negl.

Khan MS, Osei-Kofi A, Omar A, Kirkbride H, Kessel A, Abbara A, Heymann D, Zumla A, Dar O. Pathogens, prejudice, and politics: the role of the global health community in the European refugee crisis. Lancet Infect Dis. published online June 17. 2016; https://doi.org/10.1016/S1473-3099(16)30134-7.

Khan, M. (2016). Universal health coverage: A global perspective. Geneva: World Health Organization.

Khan, M. S., Osei-Kofi, A., Omar, A., Kirkbride, H., Kessel, A., Abbara, A., & Dar, O. (2016). Pathogens, prejudice, and politics: the role of the global health community in the European refugee crisis. The Lancet Infectious Diseases, 16(8), e173-e177.

Kocks, A. et al. (2018). Building Bridges Between International Humanitarian and Development Responses to Forced Migration. A Review of Conceptual and Empirical Literature with a Case Study on the Response to the Syria Crisis. EBA Report 2018:02, Expert Group for Aid Studies, Sweden, and German Institute for Development Evaluation (DEval), Germany.

Kolaczinski, J. H. (2004). "Subsidized Sales of Insecticide-Treated Nets in Afghan Refugee Camps Demonstrate the Feasibility of a Transition from Humanitarian Aid Towards Sustainability". Malaria Journal.

Koser, K. (2015). The demographic profile of refugees in Europe: Implications for policy. European Journal of Migration and Law, 17(1), 1- 20. https://doi.org/10.1163/15718166-12342001

Kumssa, A., Jones, J. F., & Herbert Williams, J. (2009). Conflict and human security in the North Rift and North Eastern Kenya. International Journal of Social Economics, 36(10), 1008-1020.

Leiden. (1912-1924). Greek and Turkish refugees and deportees. Universiteit

Lewis, C. S. (1954). The humanitarian theory of punishment. London: Macmillan.

Liebig T, Mo J. The fiscal impact of immigration in OECD countries. In: International Migration Outlook 2013. Paris, OECD; 2013. ch. 3. www.globalmigrationgroup.org/system/files/Liebig_and_Mo_2013.pdf. Accessed 18 June 2018.

Liebig, T., & Mo, J. (2013). The fiscal impact of immigration in OECD countries. International migration outlook, 2013, 125-189.

Mahmoud, Hala W. "Shattered dreams of Sudanese refugees in Cairo" (PDF). Forced Migration Review (FMR).

Markus, Francis (17 October 2014). "Tanzania grants citizenship to 162,000 Burundian refugees in historic decision".

Martens, P., & Hall, L. (2000). Malaria on the move: human population movement and malaria transmission. Emerging infectious diseases, 6(2), 103.

Matlin SA, Depoux A, Gemenne F, Philibert A, El Aouad R, Kowalski C, Flahault A. Climate change, human migration and health: bridging from dialogue to action. Conference Report. Paris: Université Sorbonne Paris Cité/Centre Virchow-Villermé for Public Health; 2017. p. 38. http://virchowvillerme.eu/wp-content/uploads/2017/06/COPP22-Conference-report_2016.pdf. Accessed 18 June 2018

Matlin SA, Depoux A, Schütte S, Schaeffner E, Kurth T, Stöckemann S, Puig-Malet S, Kowalski C, Hémono M, Flahault A. Climate, migration and health. Conference Report. Paris: Université Sorbonne Paris Cité/entre Virchow-Villermé for Public Health; 2016. p. 45. http://virchowvillerme.eu/wp-content/uploads/2014/10/Climate-Migration-and-Health_2016.pdf. Accessed 18 June 2018

Matlin, S. A., Depoux, A., Gemenne, F., Philibert, A., El Aouad, R., Kowalski, C., & Flahault, A. Climate Change, Human Migration and Health. Act of immigration in OECD countries. International migration outlook, 2013, 125-189.

McCarthy, Justin (1995). Death and Exile: The Ethnic Cleansing of Ottoman Muslims, 1821-1922. Darwin Press.

Mertans, P; Hall, L (2015). "Malaria on the move: human population movement and malaria transmission" (PDF). Emerging Infectious Diseases.

Mugenda, O. M., & Mugenda, A. G. (1999). Research methods: Quantitative and qualitative approaches. Nairobi: African Centre for Technology Studies Press.

Newman, E. (2009). The responsibility to protect: A global response to humanitarian crises. Global Governance, 15(1), 93-110. https://doi.org/10.5555/ggov.2009.15.1.93

Nougayrède N. Angela Merkel is right: The migration crisis will define this decade. Guardian 21 August 2015. www.theguardian.com/commentisfree/2015/aug/21/angela-merkel-migration-crisis-europes-biggest-challenge. Accessed 18 June 2018.

Nougayrède, N. (2015). Angela Merkel is right: the migration crisis will define this decade. The Guardian, 21.

Pandey A, et al. (2013) Frataxin directly stimulates mitochondrial cysteine desulfurase by exposing substrate-binding sites, and a mutant Fe-S cluster scaffold protein with frataxin-bypassing ability acts similarly. J Biol Chem 288(52):36773-86

Patrick, R. (2012). Human agency and social change: A theoretical perspective. New York: Palgrave Macmillan.

Pavanello, S. (2017). The impact of refugee influx on host communities in Uganda. Journal of Refugee Studies, 30(3), 1-20. https://doi.org/10.1093/jrs/fex034

Poole, L. (2019). The Refugee Response in Northern Uganda: Resources beyond international humanitarian assistance. Overseas Development Institute (ODI).

Poole, L. (2019). The Refugee Response in Northern Uganda: Resources beyond international humanitarian assistance. Overseas Development Institute (ODI).

Rechel B, Mladovsky P, Devillé W, Rijks B, Petrova-Benedict R, McKee M, editors. Migration and health in the European Union. Maidenhead: Open University Press; 2011. p. 4. www.euro.who.int/__data/assets/pdf_file/0019/161560/e96458.pdf. Accessed 18 June 2018

Rechel, B., & Mladovsky, P. (2011). Migration and health in the European Union. McGraw-Hill Education (UK).

Refugee number statistics taken from 'Refugee', Encyclopædia Britannica CD Edition (2004).

Salkind, Neil J. (2010). "Dependent Variable." In Encyclopedia of Research Design, Neil J. Salkind, editor. Thousand Oaks, CA: SAGE, 2010, pp. 348-349

Schaeffer, P. (2010), 'Refugees: On the economics of political migration.' International Migration 48(1): 1-22.

Sekaran, U. (2003). Research methods for business: A skill-building approach. New York: Wiley.

Siegfried K. New refugee framework “dead in the water” without more international support. IRIN News 17 July 2017. www.irinnews.org/analysis/2017/07/10/new- refugee- framework-dead-water-without-more-international-support. Accessed 18 June 2018.

Siegfried, K. (2017). New refugee framework “dead in the water” without more international support. The New Humanitarian, 10.

Šmihula, Daniel (2013): The Use of Force in International Relations, p. 67

Tognotti E. Lessons from the history of quarantine, from plague to Influenza A. Emerg Infect Dis. 2013;19(2):254–9. https://doi.org/10.3201/eid1902.120312.

Tognotti, E. (2013). Lessons from the history of quarantine, from plague to influenza A. Emerging infectious diseases, 19(2), 254.

Tomasevski, K. (2003). Human rights obligations in health care. Health and Human Rights, 6(1), 1-20. https://doi.org/10.2307/4065266

UNHCR. (2015). Global trends: Forced displacement in 2015. United Nations High Commissioner for Refugees. Retrieved from https://www.unhcr.org/576408cd7.pdf

UNHCR. (2019). Uganda: Refugee response plan 2019-2020. United Nations High Commissioner for Refugees. Retrieved from https://www.unhcr.org/5c5c1e1f4.pdf

UNHCR. (2019a). Asylum-Seeker. Retrieved from www.unhcr.org/: https://www.unhcr.org/asylum-seekers.html

UNHCR. (2019b, December 31). UNHCR, Government of Uganda, Office of the Prime Minister. Retrieved January 21, 2020, from ugandarefugees.org: https://ugandarefugees.org/en/country/uga

UNHCR. (2019c, May 01). Uganda Refugee Statistics April 2019: Nakivale. Retrieved January 21, 2020, from reliefweb.int: https://reliefweb.int/sites/reliefweb.int/files/resources/69449.pdf

UNHCR. (2020). What is a Refugee? Retrieved January 21, 2020, from unrefugees.org:

Published
21 March, 2025
How to Cite
Barigayomwe, R., & Dusabimana, Y. (2025). Effect of Refugee Influx on the Right to Health of Refugees in Nakivale Settlement Camp in Uganda. East African Journal of Law and Ethics, 8(1), 76-93. https://doi.org/10.37284/eajle.8.1.2792