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Choosing not to weaponize healthcare: politics and health service delivery during Nepal's civil war, 1996-2006. | LitMetric

AI Article Synopsis

  • The study explores the civil war in Nepal (1996-2006) where both conflict sides largely avoided targeting healthcare facilities, contrasting with typical cases where healthcare is compromised during war.
  • Four key factors contributed to this decision: the need for both sides to maintain health system functionality, lack of healthcare as an ideological issue, the influence of humanitarian organizations, and the proactive role of health professionals.
  • The research utilizes key informant interviews and documentary analysis to highlight how these factors shaped the conflict dynamics around healthcare delivery.

Article Abstract

Healthcare has often been 'weaponized' during armed conflicts, with parties to the conflict interfering with or violently attacking health facilities and personnel for their own strategic ends. In this exploratory study of the civil war in Nepal (1996-2006), by contrast, we look at a case in which both sides (with some exceptions) came to see it as in their interests to avoid targeting health facilities or deliberately disrupting healthcare delivery. Drawing on key informant interviews and documentary analysis, we identify four factors that appear to have contributed to the two sides making this choice: i) their interest in the continued functioning of the health systems (specifically, the need of the Maoists to access government-run facilities for treatment of their cadres, and the fact that Maoist healthcare provision ensured that at least some service delivery continued in areas under their control; ii) the fact that healthcare did not become an important 'ideological battleground' in the conflict; iii) the roles played by humanitarian and development organizations in shaping the behaviour of both the warring sides; and iv) the part played by health professionals in navigating the pressures on them and quickly mobilizing to resist more sustained attempts at interference with healthcare.

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Source
http://dx.doi.org/10.1080/13623699.2020.1794366DOI Listing

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