Health systems resilience in fragile and shock-prone settings through the prism of gender equity and justice: implications for research, policy and practice

Conflict and Health

Chad Hughes¹  Julie Tartaggia¹  Hnin Kalayar Kyaw²  Kyu Kyu Than²  Phone Myint Win²  Lansana Hassim Kallon³  Emma Tiange Gbaoh³  Haja Wurie³  Wesam Mansour⁴  Sally Theobald⁴  Joanna Raven⁴  Rouham Yamout⁵  Fouad Mohamed Fouad⁵  Maya Abou Saad⁵  Sushil Baral⁶  Shophika Regmi⁶  Obindra Chand⁶  Abriti Arjyal⁶  Kate Hawkins⁷ 

[1] Burnet Institute, Melbourne, Australia;Burnet Institute, Yangon, Myanmar;College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone;Department of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, L3 5QA, Liverpool, UK;Faculty of Health and Sciences, American University in Beirut, Beirut, Lebanon;HERD International, Kathmandu, Nepal;Pamoja Communications Ltd., Brighton, UK;

关键词: Gender;    Equity;    Health systems;    Resilience;    Fragile and shock-prone settings;   

DOI  :  10.1186/s13031-022-00439-z

来源: Springer

【 摘 要 】

Fragile and shock-prone settings (FASP) present a critical development challenge, eroding efforts to build healthy, sustainable and equitable societies. Power relations and inequities experienced by people because of social markers, e.g., gender, age, education, ethnicity, and race, intersect leading to poverty and associated health challenges. Concurrent to the growing body of literature exploring the impact of these intersecting axes of inequity in FASP settings, there is a need to identify actions promoting gender, equity, and justice (GEJ). Gender norms that emphasise toxic masculinity, patriarchy, societal control over women and lack of justice are unfortunately common throughout the world and are exacerbated in FASP settings. It is critical that health policies in FASP settings consider GEJ and include strategies that promote progressive changes in power relationships. ReBUILD for Resilience (ReBUILD) focuses on health systems resilience in FASP settings and is underpinned by a conceptual framework that is grounded in a broader view of health systems as complex adaptive systems. The framework identifies links between different capacities and enables identification of feedback loops which can drive or inhibit the emergence and implementation of resilient approaches. We applied the framework to four different country case studies (Lebanon, Myanmar, Nepal and Sierra Leone) to illustrate how it can be inclusive of GEJ concerns, to inform future research and support context responsive recommendations to build equitable and inclusive health systems in FASP settings.

【 授权许可】

CC BY