Challenges in researching violence affecting health service delivery in complex security environments

Dados Bibliográficos

ID4591277
AutoresLudvig Foghammar (Karolinska Institutet), Jang (0000-0001-9488-3286, Stockholm International Peace Research Institute), Suyoun Jang, Gulzhan Asylbek Kyzy (0000-0001-9531-6590, Stockholm International Peace Research Institute), N Wei (0000-0001-6055-5743, Fafo Foundation), Katherine A Sullivan, Katherine Sullivan (0000-0003-1661-1984, Stockholm International Peace Research Institute), Fawzia Gibson-Fall (0000-0001-8961-3345, King's College London), Rachel Irwin (0000-0002-0351-1338)
Ano2016
Volume162
Páginas219-226
Data de publicação2016-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSocial Science & Medicine (JOURNAL)
Identificadores do periódicoISSN: 0277-9536 • E-ISSN: 1873-5347
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2016.03.039
PMID27084576
OpenAlexW2314495808
IdiomaEN
Citações recebidas9
Referências citadas21

Complex security environments are characterized by violence (including, but not limited to "armed conflict" in the legal sense), poverty, environmental disasters and poor governance. Violence directly affecting health service delivery in complex security environments includes attacks on individuals (e.g. doctors, nurses, administrators, security guards, ambulance drivers and translators), obstructions (e.g. ambulances being stopped at checkpoints), discrimination (e.g. staff being pressured to treat one patient instead of another), attacks on and misappropriation of health facilities and property (e.g. vandalism, theft and ambulance theft by armed groups), and the criminalization of health workers. This paper examines the challenges associated with researching the context, scope and nature of violence directly affecting health service delivery in these environments. With a focus on data collection, it considers how these challenges affect researchers' ability to analyze the drivers of violence and impact of violence. This paper presents key findings from two research workshops organized in 2014 and 2015 which convened researchers and practitioners in the fields of health and humanitarian aid delivery and policy, and draws upon an analysis of organizational efforts to address violence affecting healthcare delivery and eleven in-depth interviews with representatives of organizations working in complex security environments. Despite the urgency and impact of violence affecting healthcare delivery, there is an overall lack of research that is of health-specific, publically accessible and comparable, as well as a lack of gender-disaggregated data, data on perpetrator motives and an assessment of the 'knock-on' effects of violence. These gaps limit analysis and, by extension, the ability of organizations operating in complex security environments to effectively manage the security of their staff and facilities and to deliver health services. Increased research collaboration among aid organizations, researchers and multilateral organizations, such as the WHO, is needed to address these challenges

Business · Context (archaeology · Corporate governance · Criminalization · Criminology · Environmental health · Health care · Poison control · Political science · Public relations · Service (business · Service delivery framework · Sociology · Global Security and Public Health · Health and Conflict Studies · Law · Medicine · Migration, Health and Trauma