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

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  • Foghammar, Ludvig
  • Jang, Suyoun
  • Kyzy, Gulzhan Asylbek
  • Weiss, Nerina
  • Sullivan, Katherine A.
  • Gibson-Fall, Fawzia
  • Irwin, Rachel

Abstract

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.

Suggested Citation

  • Foghammar, Ludvig & Jang, Suyoun & Kyzy, Gulzhan Asylbek & Weiss, Nerina & Sullivan, Katherine A. & Gibson-Fall, Fawzia & Irwin, Rachel, 2016. "Challenges in researching violence affecting health service delivery in complex security environments," Social Science & Medicine, Elsevier, vol. 162(C), pages 219-226.
    • Handle: RePEc:eee:socmed:v:162:y:2016:i:c:p:219-226
    DOI: 10.1016/j.socscimed.2016.03.039
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    References listed on IDEAS

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    1. Footer, Katherine H.A. & Meyer, Sarah & Sherman, Susan G. & Rubenstein, Leonard, 2014. "On the frontline of eastern Burma's chronic conflict – Listening to the voices of local health workers," Social Science & Medicine, Elsevier, vol. 120(C), pages 378-386.
    2. Philippe Bourgois, 1990. "Confronting Anthropological Ethics: Ethnographic Lessons from Central America," Journal of Peace Research, Peace Research Institute Oslo, vol. 27(1), pages 43-54, February.
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    Cited by:

    1. Sweet, Rachel & Kasali, Noé, 2024. "Public health intervention amidst conflict: Violence, politics, and knowledge frames in the 2018-20 Ebola epidemic in Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 350(C).
    2. Elnakib, Shatha & Elaraby, Sarah & Othman, Fouad & BaSaleem, Huda & Abdulghani AlShawafi, Nagiba A. & Saleh Al-Gawfi, Iman Ahmed & Shafique, Fouzia & Al-Kubati, Eman & Rafique, Nuzhat & Tappis, Hannah, 2021. "Providing care under extreme adversity: The impact of the Yemen conflict on the personal and professional lives of health workers," Social Science & Medicine, Elsevier, vol. 272(C).

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