Assessing refugee health in long term settlements in Northern Uganda

Diffusion of Lot Quality Assurance Sampling from humanitarian settings in South Sudan.


This project addressed the need for access to reliable information which is critical for both effective coordination among humanitarian partners, and the provision of quality health services in refugee settlements.

This study was conducted April-December 2019

Key Findings

The West Nile Refugee Response Program displayed uneven success in the provision of services as reported in this two-district household survey:

  • Antenatal care use was high yet TT2 and IPTp3 coverage during pregnancy very low.
  • Postpartum care for the mother and infant was very low and well below regional averages.
  • Prevalence of fever and diarrhoea were higher than regional averages, yet knowledge about ORT was very low as well as the use of treated bednets for malaria prevention in children under 5 years.
  • Unmet need for family planning was high.
  • Compared to host communities, refugee children had inadequate meal frequency, poor minimum dietary diversity, and lacked minimum acceptable diet
  • High access to water sources and improved latrines in refugee communities, yet hygiene in both refugee and host communities was very poor.

A presentation of the key findings and policy implications can be found here

Toolkit for rapid assessment of health coverage and barriers to health services in humanitarian settings

The following is a list of tools and documents used in this programme.

The METRe team at LSTM has also produced a video demonstrating the benefits of using LQAS surveys in planning, managing and improving health programmes in Africa.
This video was created to act as a companion to LQAS training, the videos offer a step by step guide to the system including a chapter reviewing what has been learned.

The METRe team at LSTM:

Other team members

Robert Anguyo - LSTM based in South Sudan
Charles Nkolo - LSTM Uganda
Julia Petras - MSC Student at LSTM at the time of this project
Brice Daverton  - MSC Student at LSTM at the time of this project

This project, Assessing refugee health in camps and settlements in Northern Uganda: diffusion of Lot Quality Assurance Sampling from humanitarian settings in South Sudan, is funded and supported by Elrha’s Humanitarian Innovation Fund (HIF), a grant-making facility which improves outcomes for people affected by humanitarian crises by identifying, nurturing and sharing more effective, innovative and scalable solutions.

Elrha’s HIF is funded by aid from the UK Department for International Development (DFID).

Elrha is a global charity that finds solutions to complex humanitarian problems through research and innovation. Visit to find out more.


Contact Us

For further enquiries about this project or any tools developed by the team please contact:

The METRe Team
Department of International Public Health
Liverpool School of Tropical Medicine
Pembroke Place Liverpool