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Health system recovery in Northwest Syria–challenges and operationalization

Author

Listed:
  • Orwa Al-Abdulla

    (University of Eastern Finland
    Strategic Research Center (ÖZ SRC) – Turkey)

  • Abdulkarim Ekzayez

    (King’s College London
    Syria Public Health Network (SPHN))

  • Agneta Kallström

    (University of Eastern Finland
    Strategic Research Center (ÖZ SRC) – Turkey)

  • Camilo Valderrama

    (Indpendent researcher)

  • Maher Alaref

    (University of Eastern Finland
    Strategic Research Center (ÖZ SRC) – Turkey)

  • Jussi Kauhanen

    (University of Eastern Finland)

Abstract

The demonstrations in Syria in 2011 became an uncompromising conflict that divided the country into three main areas of control: governmental areas, northeast Syria, and Northwest Syria. A series of United Nations resolutions adopted in 2014 authorizing official cross-border humanitarian aid in opposition-held areas to allow humanitarian agencies and organizations to use routes across the border from neighborhood countries like Turkey to deliver humanitarian assistance to people in need in Syria. The resolution was extended annually until 2021 when it was adapted to involve a cross-line humanitarian response from governmental areas besides cross-border operations. The last adaptation of the cross-border resolution, whose original form was interpreted as a politicized action by Russia and China, implicates an unframed and unplanned transition from an emergency to an Early Recovery status. Without an appropriate framework for the current geopolitical complexity in Syria, Early Recovery programs are doomed to fail, resulting in further complications in the political and humanitarian scenes. Moreover, the effectiveness of the cross-line mechanism is questionable, considering the lack of accessibility and acceptability for Damascus-based humanitarian operations in areas out of government control. The article reviews studies about Early Recovery guidelines and operational frameworks of health systems recovery in post-conflict settings to derive a practical and hybrid framework for operationalizing health system recovery in Northwest Syria, considering current geopolitical and humanitarian circumstances. This article draws upon the six building blocks of the health system, the essential package of public health services, Early Recovery integration criteria, health system resilience dimensions in the literature, and public health determinants to identify context-specific health system recovery challenges and priorities. As a result, we introduce a new health system recovery framework, which is operationalized for the context of Northwest Syria.

Suggested Citation

  • Orwa Al-Abdulla & Abdulkarim Ekzayez & Agneta Kallström & Camilo Valderrama & Maher Alaref & Jussi Kauhanen, 2023. "Health system recovery in Northwest Syria–challenges and operationalization," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-10, December.
    • Handle: RePEc:pal:palcom:v:10:y:2023:i:1:d:10.1057_s41599-023-01898-2
    DOI: 10.1057/s41599-023-01898-2
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    References listed on IDEAS

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    1. Josephine Borghi & Garrett W. Brown, 2022. "Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19," Global Policy, London School of Economics and Political Science, vol. 13(2), pages 193-207, May.
    2. Salti, Nisreen & Chaaban, Jad & Moussa, Wael & Irani, Alexandra & Al Mokdad, Rima & Jamaluddine, Zeina & Ghattas, Hala, 2022. "The impact of cash transfers on Syrian refugees in Lebanon: Evidence from a multidimensional regression discontinuity design," Journal of Development Economics, Elsevier, vol. 155(C).
    3. Filipov, Filip, 2006. "Post-conflict peacebuilding: strategies and lessons from Bosnia and Herzegovina, El Salvador and Sierra Leone," Políticas Sociales 6127, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    4. Chaudhuri, Anoshua & Roy, Kakoli, 2008. "Changes in out-of-pocket payments for healthcare in Vietnam and its impact on equity in payments, 1992-2002," Health Policy, Elsevier, vol. 88(1), pages 38-48, October.
    5. Suzanna Huber & Eva Mach, 2019. "Policies for increased sustainable energy access in displacement settings," Nature Energy, Nature, vol. 4(12), pages 1000-1002, December.
    6. Francesco Colona & Rivke Jaffe, 2016. "Hybrid Governance Arrangements," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 28(2), pages 175-183, April.
    7. Turenne, Charlotte Pailliard & Gautier, Lara & Degroote, Stéphanie & Guillard, Etienne & Chabrol, Fanny & Ridde, Valéry, 2019. "Conceptual analysis of health systems resilience: A scoping review," Social Science & Medicine, Elsevier, vol. 232(C), pages 168-180.
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