Minimal resilience and insurgent conflict
Qualitative analysis of the resilience process in six primary health centres in central Mali
Bibliographic Data
| ID | 21880561 |
|---|---|
| Authors | Thomas Lerosier (Mali-Folkecenter, corresponding author), Laurence Touré (0000-0002-0109-8906, Miseli, Bamako, Mali), Lassana Toure (0000-0003-0926-5454, Mali-Folkecenter), Seydou Diabaté (Mali-Folkecenter), Yacouba Diarra (Mali-Folkecenter), Valery Ridde (0000-0001-9299-8266, Inserm) |
| Year | 2023 |
| Volume | 7 |
| Issue | Suppl 9 |
| Pages | e010683 |
| Publication date | 2023-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2022-010683 |
| PMID | 37185362 |
| OpenAlex | W4366993153 |
| Language | EN |
| Citations received | 5 |
| References cited | 46 |
BACKGROUND: In the context of universal health coverage in the Sahel, the study focuses on primary health centres and the difficulties of their implementation in the context of insurgency conflicts in central Mali. METHODS: This is qualitative research through a multiple case study. We selected six health centres according to a reasoned choice to bring together contrasting situations. We conducted 96 semistructured interviews and consulted secondary quantitative data on attendance. By focusing on community health centres, the conceptual approach focuses on the process of resilience that unfolds in a dual context of chronic health system dysfunctions and armed conflict. RESULTS: The resilience strategies deployed by health professionals were relatively basic and uncoordinated. In the end, it was the individuals who showed absorption. However, their room for manoeuvre was limited. In the most isolated health centres, resilience was based on subordinate, poorly trained staff, often from the locality. Degraded working conditions and fear caused a form of resignation among health workers. CONCLUSION: The strategies and resources used showed a form of minimal resilience. This form is unfolding in a context marked by two structuring features. On the one hand, the Malian health system was relatively dysfunctional before the crisis, and on the other hand, the type of conflict was relatively low intensity that allowed health centres to remain open
Political science · Psychological resilience · Public health · Qualitative analysis · Qualitative research · Social science · Sociology · Computer Science · Disaster Response and Management · Global Maternal and Child Health · Medicine · Nursing · Psychology · Social Psychology · Viral Infections and Outbreaks Research
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| Unique citing works | 5 |
|---|---|
| Citations per year | 2,5 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |