Effects of Climate Change-Related Hazards on Food Security and Health Within Refugee Settlements in Uganda.

Climate change presents more dire impacts on food security and health in Africa than any other region worldwide. These impacts are expectedly more pronounced in predominantly agrarian refugee settings like Uganda, which is also the largest refugee host in Africa. However, there is limited contextual evidence regarding the effects of climate change-related hazards in Uganda to guide context-relevant interventions amidst the ongoing aid cuts. We assessed the impact of climate change-related hazards on food security and the health of refugees in three settlements in Uganda. We conducted a cross-sectional study using concurrent mixed methods in Kiryandongo, Nakivale, and Rhino Camp refugee settlements. We collected data from 600 heads of refugee households using a structured questionnaire, conducted 45 in-depth interviews with refugees, and held 14 key informant interviews with program implementers. Quantitative data were analysed using STATA v16, and a modified Poisson regression model was employed to determine significant associations. Qualitative data were analysed inductively using thematic analysis to complement the quantitative findings. Of the 600 respondents, 60.6