Table 2

Main compounding factors related to the lack of infrastructure development

Second-order effectsCausal relationshipsReferences
Inadequate water supplyLack of basic services and commodities
  1. Lack of clean water drives people, who are often displaced, to find alternative water sources that may be contaminated

  2. Delivery of water trucking by humanitarian organizations can provide clean and safe water to affected population. However, the lack of road infrastructure and lack of fuel has made it difficult for water trucking delivery

  3. Lower import levels reflect a lack of shipping confidence due to heavy restrictions and poor port infrastructure

Caccavale et al. (2018), Chao et al. (2014), Federspiel and Ali (2018) 
Power cuts and fuel shortagesLack of basic services and commodities
  1. Inadequate infrastructure limits how waste is disposed of, leading to improper waste management practices

  2. Failure to deliver OCVs until 16 months after cholera outbreak

  3. Only 45% of health facilities operational since beginning of conflict in 2015

Federspiel and Ali (2018), Fuss (2016), WHO (2017) 

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