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Livelihood dynamics and challenges to wellbeing in the drylands of rural East Africa - the Drylands Transform study population in the Karamoja border region
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linnaeus University, Linnaeus Knowledge Environments, Sustainable Health.ORCID iD: 0000-0002-9722-0370
Makerere University, Uganda.
Umeå University, Sweden.
Umeå University, Sweden.
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2025 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 18, no 1, article id 2490330Article in journal (Refereed) Published
Abstract [en]

Background

The Karamoja region in the East African drylands is a rural, impoverished setting where pastoralism is increasingly replaced by other livelihood strategies. Understanding the socioeconomic contexts as well as their local variations is key for sustainable development of communities.

Objective

The aim of the present paper is to describe the baseline survey of the Drylands Transform project, its setting, methods and key findings.

Methods

In June 2022, a survey was conducted with 944 randomly selected households at four study sites in the Karamoja border region of Kenya and Uganda. Data were analyzed using descriptive statistics.

Results

Main livelihood forms were pastoralism and agropastoralism, while many households also relied on other sources of income. At some study sites, livestock keeping was abandoned by many residents due to cattle raiding and droughts. Only 4% of households were rated as food secure. The proportion of malnutrition among children aged 6-59 months varied across sites between 3% and 17% and was considerably higher among women.

Conclusions

Climate change, water shortage, social conflicts and marginalization pose barriers to food security and wellbeing for rural populations in the East African drylands. There are, however, opportunities for development through income diversification, the improvement of land health, the promotion of kitchen gardens and other measures of sustainable agriculture.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2025. Vol. 18, no 1, article id 2490330
Keywords [en]
Kenya, Uganda, agro-pastoralism, malnutrition, sustainable development
National Category
Public Health, Global Health and Social Medicine
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-138307DOI: 10.1080/16549716.2025.2490330ISI: 001473812000001PubMedID: 40270287Scopus ID: 2-s2.0-105003982006OAI: oai:DiVA.org:lnu-138307DiVA, id: diva2:1956648
Available from: 2025-05-06 Created: 2025-05-06 Last updated: 2026-04-10Bibliographically approved

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Schumann, Barbara

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