Global public health
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Global public health · Jan 2011
Battles on women's bodies: war, rape and traumatisation in eastern Democratic Republic of Congo.
Rape has been used as a weapon in the conflict in eastern Democratic Republic of Congo (DRC) in unprecedented ways. Research into the phenomenon of war-rape is limited, particularly in this context. The aim of this study was to explore perceptions of local leaders in eastern DRC concerning rape and raped women in the war context. ⋯ Furthermore, an exclusive focus on raped women missed the extent of traumatisation entire communities suffered. More significantly, the lack of political will, corruption, greed and inappropriate aid creates a tangled web serving to intensify the war. This complexity has implications for humanitarian interventions including public health.
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Global public health · Jan 2011
Innovation to improve health care provision and health systems in sub-Saharan Africa - promoting agency in mid-level workers and district managers.
Initiatives to address the human resource crisis in African health systems have included expanded training of mid-level workers (MLWs). Currently, MLWs are the backbone of many health systems in Africa but they are often de-motivated and they often operate in circumstances in which providing high quality care is challenging. Therefore, assuming that introducing additional people will materially change health system performance is unrealistic. ⋯ The professionalisation of MLWs and district managers to address confidence, self-esteem and value is considered. The paper describes the thinking behind these interventions, which are currently being tested in Kenya, Nigeria, South Africa and Uganda for their acceptability and appropriateness. We offer the policy community a complementary repertoire to existing human resource strategies in order to effect real change in African health systems.
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Global public health · Jan 2011
Human rights violations during Israel's attack on the Gaza Strip: 27 December 2008 to 19 January 2009.
The Israeli attack on the Gaza Strip from 27 December 2008 to 19 January 2009 was characterised by gross, unprecedented human rights violations, which were the result of a deliberate political decision to overlook the loss of civilian lives in order to save those of Israeli soldiers. These violations included attacking medical personnel and civilians, impeding emergency medical evacuations, restricting health care for the civilian population, preventing referral to care outside the Gaza Strip and jeopardising distribution of medical supplies and food. ⋯ It will emphasise how the Palestinian medical system has been stretched to its breaking point, severely and negatively affecting the provision of medical services; the consequences of denying patients referral to care outside the Gaza Strip; and other severe violations of human rights. It will conclude by reiterating that only the withdrawal of Israeli occupation from Palestinian land can guarantee the right to health of Palestinians.
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Displacement is a hallmark of modern humanitarian emergencies. Displacement itself is a traumatic event that can result in illness or death. Survivors face challenges including lack of adequate shelter, decreased access to health services, food insecurity, loss of livelihoods, social marginalisation as well as economic and sexual exploitation. ⋯ The following is a discussion of the health impacts of conflict and displacement in the Middle East. A review was conducted of published literature on migration and displacement in the region. Different cases are discussed with an emphasis on the recent, large-scale and urban displacement of Iraqis to illustrate aspects of displacement in this region.