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Life sciences · Journal article
Global Health Action · July 22, 2026
Reinforces what was already believed, rather than introducing something new.
This cross-sectional survey of 600 refugees across three Ugandan settlements documents 84.7% household food insecurity prevalence, with significant variation by climatic region and demographic factors. Rhino Camp, located in a unimodal rainfall region, showed universal food insecurity (100%), while modified Poisson regression quantified associations with household composition and education level.
Cross-sectional design limits causal inference despite structured sampling. Refugee households in three Ugandan settlements (Kiryandongo, Nakivale, and Rhino Camp) across different climatic regions.
Overall household food insecurity prevalence was 84.7% (508/600) across the three settlements Rhino Camp settlement in the unimodal rainfall region had 100% food insecurity prevalence (p < 0.001) Households with 7-12 members had 10% higher food insecurity prevalence compared to those with 1-6 members (APR = 1.10; 95% CI: 1.02-1.19)
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Humanitarian and public health professionals should recognize that agrarian refugee populations in unimodal rainfall regions face near-universal food insecurity, with vulnerability concentrated in larger families, female-headed households, and those with lower educational attainment. Interventions should be tailored to climatic context and prioritize gender-sensitive programming and educational support.
Cross-sectional survey of 600 refugees confirms expected high food insecurity prevalence with quantified associations across climatic and demographic factors.
As stated by the source record.
Quoted from the source exactly as published.
Humanitarian and public health professionals should recognize that agrarian refugee populations in unimodal rainfall regions face near-universal food insecurity, with vulnerability concentrated in larger families, female-headed households, and those with lower educational attainment. Interventions should be tailored to climatic context and prioritize gender-sensitive programming and educational support.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Background. Over a quarter of Uganda's population is food-insecure. Agrarian refugee populations are disproportionately affected; however, evidence on how food insecurity varies across refugee settlements by climatic region remains limited.Objective. We assessed refugee household food insecurity across three settlements located in different climatic regions of Uganda.Methods. A cross-sectional study was conducted among 600 refugees from Kiryandongo, Nakivale, and Rhino Camp (200 per settlement). The Household Food Insecurity Access Scale was used to assess food insecurity and to compare it across and within settlements, using the adjusted chi-square test and post hoc survey-weighted tests. Modified Poisson regression identified factors associated with food insecurity, with 95% confidence intervals.Results. Household food insecurity was high (84.7%, 508/600) and varied significantly by settlement and background characteristics. Prevalence was highest among households in Rhino Camp settlement (100%, p < 0.001), situated within the unimodal rainfall region, among female-headed households (p = 0.009) and among households with heads aged 18-30 years (p = 0.02). Households with 7-12 members had a 10% higher prevalence compared with those with 1-6 members (APR = 1.10; 95% CI: 1.02-1.19). Conversely, food insecurity was 9% lower among households with married heads (APR = 0.91; 95% CI: 0.85-0.97), and 12% lower among households whose heads had secondary education or higher (APR = 0.88; 95% CI: 0.79-0.99).Conclusions. Food insecurity was more prevalent in unimodal rainfall regions, larger families, female-headed households, and those with older heads. In contrast, households with higher education levels were more food secure. Implementing gender-sensitive interventions and educational initiatives would be essential for improving food security.
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