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Background The wars in the Democratic Republic of Congo have left indelible marks on the mental health and functioning of the Congolese civilians that sought refuge in Uganda. Even though it is clear that civilians who are exposed to potentially traumatizing events in war and conflict areas develop trauma-related mental health problems, scholarly information on gender differences on exposure to different war-related traumatic events, their conditional risks to developing PTSD and whether the cumulative exposure to traumatic events affects men and women differently is still scanty. Methods In total, 325 ( n  = 143 males, n  = 182 females) Congolese refugees who lived in Nakivale, a refugee settlement in the Southwestern part of Uganda were interviewed within a year after their arrival. Assessment included exposure to war-related traumatic events, and DSM-IV PTSD symptom severity. Results Our main findings were that refugees were highly exposed to war-related traumatic events with experiencing dangerous flight as the most common event for both men (97%) and women (97%). The overall high prevalence of PTSD differed among women (94%) and men (84%). The highest conditional prevalence of PTSD in women was associated with experiencing rape. The dose-response effect differed significantly between men and women with women showing higher PTSD symptom severity when experiencing low and moderate levels of potentially traumatizing event types. Conclusion In conflict areas , civilians are highly exposed to different types of war-related traumatic events that expose them to high levels of PTSD symptoms, particularly women. Interventions focused at reducing mental health problems resulting from war should take the context of gender into consideration.

\"Inspired by a true story, two teens kidnapped by an African warlord find salvation through love in a powerful and healing historical novel. Anthony Opoka and Florence Okori are coming of age in Uganda in the 1990s. Outstanding students, they believe in being good humans before they are kidnapped and forced into the fanatical Lord's Resistance Army. In a legion of young recruits, no one gets closer than Anthony to powerful messianic warlord Joseph Kony and his darkest secrets. To stay sane as he spirals through chaos, Anthony clings to his childhood lessons about being a good human. Florence's upbringing grounds her, too, helping her keep her dreams alive even as she's pulled deeper into the insanity of Kony's war. At the lowest points of their lives, certain they'll never go home, Anthony and Florence meet by chance, fall in love, and begin to dream of surviving their captivity. They devote their lives to helping their fellow child soldiers escape bondage and return to their families and redemption by following the stars. By turns tender, shocking, moving, desperate, and ultimately triumphant, Florence and Anthony's story is an epic drama of humanity, a life-affirming tale, and an experience readers will never forget.\" -- Goodreads.

While rumors predominate in conflict settings, researchers have not identified whether and why they influence the start of organized armed conflict. In this paper, we advance a new conceptualization of initial rebel group formation that aims to do so. We present a simple game-theoretic network model to show why the structure of trusted communication networks among civilians where rebel groups form—which carry credible rumors about the rebels—can influence whether incipient rebels become viable. We argue further that in rural Sub-Saharan Africa, kinship network structures favorable to nascent rebels often underlie ethnically homogeneous localities, but not heterogeneous ones. In doing so, we advance a new explanation for why ethnicity influences conflict onset, and show why ethnic grievances may not be a necessary condition for the emergence of “ethnic rebellion.” We illustrate our arguments using new evidence from Uganda that provides a rare window into rebel group formation.

Some rebel groups abuse noncombatant populations, while others exhibit restraint. Insurgent leaders in some countries transform local structures of government, while others simply extract resources for their own benefit. In some contexts, groups kill their victims selectively, while in other environments violence appears indiscriminate, even random. This book presents a theory that accounts for the different strategies pursued by rebel groups in civil war, explaining why patterns of insurgent violence vary so much across conflicts. It does so by examining the membership, structure, and behavior of four insurgent movements in Uganda, Mozambique, and Peru. Drawing on interviews with nearly two hundred combatants and civilians who experienced violence firsthand, it shows that rebels' strategies depend in important ways on how difficult it is to launch a rebellion. The book thus demonstrates how characteristics of the environment in which rebellions emerge constrain rebel organization and shape the patterns of violence that civilians experience.

We study the effect of civil conflict on social capital, focusing on Uganda's experience during the last decade. Using individual and county-level data, we document large causal effects on trust and ethnic identity of an exogenous outburst of ethnic conflicts in 2002-2005. We exploit two waves of survey data from Afrobarometer (Round 4 Afrobarometer Survey in Uganda, 2000, 2008), including information on socioeconomic characteristics at the individual level, and geo-referenced measures of fighting events from ACLED. Our identification strategy exploits variations in the both the spatial and ethnic intensity of fighting. We find that more intense fighting decreases generalized trust and increases ethnic identity. The effects are quantitatively large and robust to a number of control variables, alternative measures of violence, and different statistical techniques involving ethnic and spatial fixed effects and instrumental variables. Controlling for the intensity of violence during the conflict, we also document that post-conflict economic recovery is slower in ethnically fractionalized counties. Our findings are consistent with the existence of a self-reinforcing process between conflicts and ethnic cleavages.

Background Firearm violence is a growing public health problem causing death globally. With easy accessibility to firearms, suicides, homicides, and homicide-suicides have increased among security officers, especially in developing countries affected by long-standing civil wars/political insurgencies. No study has explored firearm violence in East African countries. This study describes the press media reporting of suicides, homicides, and homicide-suicides among security officers in two East African countries (Uganda and Kenya). Methods Due to the absence of suicide databases among East African countries, the present study reviewed press media reports. We utilized content analysis of suicides, homicides, and homicide-suicides reports among security forces. Relevant media reports between January-2020 and May-2023 were searched. Using ANOVA and chi-square tests, we tested for statistical differences in characteristics between victims and perpetrators. Results Among the 56 perpetrated reports, most of them were homicides 44.64% (n = 25/56), 30.36% (n = 17/56) were homicide-suicides, and 25% (n = 14/56) were suicides. Perpetrators’ age ranged from 21 to 47 years, majority being males [53/56 (94.64%)]. Victims were 58, mostly Ugandans [41/58 (73.21%)] with a mean age of 33.5 ± 8.81 years. Among the three main outcomes, statistically significant difference existed by country (χ 2  = 23.88, p  < 0.001), and perpetrators’ age (F = 8.59, p  = 0.005). There was a significant difference between perpetrators and the number of victims lost by age of victims (F = 10.37, p  = 0.002). Among victims, type of security of perpetrator and citizenship of victims (χ 2  = 24.18, p  < 0.001) showed statistical difference with Ugandans having more victims to army officers while Kenyans to police officers. Brief incident descriptions pointed towards relationship dysfunctions, alcohol/substance abuse, intentional harm, and financial disagreements, as the potential causes. Only two perpetrators were reported to have mental health-related conditions. Conclusion This study shows that media reported firearms-related suicides, homicides, and homicide-suicides among security forces commonly involve males. Perpetrators in Uganda are mainly army officers while in Kenya the perpetrators are mostly police officers. Mental health conditions were not frequently reported among perpetrators. We recommend strengthening and enforcing gun regulation policies among security officers to curb this growing problem in these countries. Routine screening of mental health problems to enable early interventions is recommended among security officers.

Dominant storylines about armed conflicts and rebel groups, such as the Lord’s Resistance Army (LRA) rebel group in Uganda, typically focus on violence, suffering, harm, and abuse. Without a doubt, life within insurgency groups, including in the LRA, is characterized by immense social suffering, typically portrayed to be beyond the pale of humanity. Yet, what of the connections of compassion, joy, love, and care that emerged in the context of cohesion and alongside these aspects and experiences of violence, suffering, and abuse? Over the years, our interlocutors narrated to us what can be understood as meaningful forms of kinship, social connections, or intimacy during and after their time with the group; in the context of conjugal spousal relations, among fellow recruits, or between abductees and their families and communities. This article focuses on these practices of love and care within and in the wake of life in the LRA, and how they are entangled with and sit alongside experiences of violence. The simultaneities of care and suffering constitute a key aspect of this analysis; not intending to negate, downplay, ignore, or trivialize the detrimental impact of violence within rebel groups in general, nor to idealize the relations of compassion, love, or care that emerged within this context. This dual focus, we maintain, is important for unearthing the complexities, intricacies, and nuances of peoples’ lived realities in the context of insurgency movements, and in the context of armed conflict more broadly, holding important analytical and ethical implications.

Since 1990, negotiated settlements have become the preferred means for settling civil wars. Historically, however, these types of settlements have proven largely ineffective: civil wars ended by negotiated settlement are more likely to recur than those ending in victory by one side or the other. A theoretical and statistical analysis of how civil wars end reveals that the type of ending influences the prospects for longer-term outcomes. An examination of all civil war endings since 1940 finds that rebel victories are more likely to secure the peace than are negotiated settlements. A statistical analysis of civil wars from 1940 to 2002 and the case of Uganda illustrate why rebel victories result in more stable outcomes. Expanding scholarly and policy analysis of civil war termination types beyond the current default of negotiated settlement to include victories provides a much larger set of cases and variables to draw upon to enhance understanding of the conditions most likely to support long-term stability, democracy, and prosperity.

Deaths during the perinatal period remain a big challenge in Africa, with 38 deaths per 1000 pregnancies in Uganda. The consequences of these deaths can be detrimental to the women; some ending up with postpartum depression. We examined the association between perinatal death and postpartum depression among women in Lira district, Northern Uganda. We conducted a community-based cross-sectional study of 1,789 women. Trained research assistants screened women for postpartum depressive symptoms on day 50 postpartum using the Edinburgh postpartum depression scale (EPDS). Socio-demographic, economic, birth and survival status of the neonate were collected during pregnancy and within one week postpartum. We used generalized estimating equation for the Poisson family with a log link using Stata to estimate the prevalence ratio of the association between postpartum depressive symptoms (EPDS scores ≥14) and perinatal death. Mothers who lost their babies between 7-49 days postpartum were excluded. Of the 1,789 participants symptomatically screened for postpartum depression, 377 (21.1%) [95% confidence interval (95%CI): 17.2%, 23.0%] had probable depressive symptoms. The prevalence of postpartum depressive symptoms among the 77 women who had experienced perinatal death (37 stillbirths and 40 early neonatal deaths (≤7 days of life)) was 62.3% [95% CI: 50.8%, 72.6%] compared to 19.2% [95% CI: 17.4%, 21.2%], among 1,712 with live infants at day 50 postpartum. Women who had experienced a perinatal death were three times as likely to have postpartum depressive symptoms as those who had a live birth [adjusted prevalence ratio 3.45 (95% CI: 2.67, 4.48)]. The prevalence of postpartum depressive symptoms, assessed by EPDS, was high among women who had had a perinatal death in Northern Uganda. Women experiencing a perinatal death need to be screened for postpartum depressive symptoms in order to intervene and reduce associated morbidity.