Delivering Humanitarian Health Services in Violent Conflicts
Rescue: Refugees and the Political Crisis of Our Time
Feia molt de temps que no llegia Daedalus, una gran revista. Hi he anat a parar i he trobat un article d'en David Miliband i Ken Sofer que m'ha interessat. Posa en context el món en guerra actual i com els serveis de salut també s'han convertit en un objectiu militar. Una qüestió de la que ja n'he parlat abans.
Potser recordeu David Miliband quan va ser ministre d'exteriors britànic, un tipus singular que va deixar petjada. Podeu consultar què fa ara al comitè internacional de rescat. Generalment rebem notícies de les guerres però no tantes d'aquestes persones que hi dediquen tot el seu esforç per tal d'alleujar el sofriment.
Fa uns anys va escriure un llibre on explica l'estat dels refugiats al món, i parlava de 65 milions de persones que necessiten ajuda i es troben desplaçats. A hores d'ara són molts, molts més. El món s'ha complicat amb noves guerres que tenim properes i fem com si no hi fossin.
A l'article introductori de Daedalus actualitza les dades i diu que hi ha 274 milions de persones en necessitat humanitària al setembre de 2022 (ara encara serien moltes més):
Two hundred seventy-four million people-one in thirty people on the planet-are in humanitarian need as of September 2022.1 More than one hundred million of these individuals are displaced, usually as a result of crisis: conflict, political upheaval, economic meltdown, or climate shocks.2 In a humanitarian crisis, health is the most urgent and paramount need. But today the system for preventing and addressing humanitarian crisis is failing, and with it, the health needs of millions of vulnerable people are under threat. From treating childhood acute malnutrition to delivering COVID-19 vaccines to ensuring access to sexual, reproductive, maternal, and newborn health, health care in humanitarian contexts requires a dramatic rethink amid growing challenges to access and service delivery.
I que el sector salut es veu compromès:
Health care in conflict, crisis, and humanitarian settings remains an uphill battle. The essays in this issue of Dædalus highlight how modern conflicts and, in particular, civil wars impact humanitarian health, analyzing the unique challenges humanitarian health responders face working in conflict zones and with nonstate actors. Taken together, these essays show that health care for civilians in conflict settings around the world is suffering not just from operational or technical challenges, but from a broader “system failure” globally. With more than fifty active conflicts in the world and a record one hundred million people forced to flee their homes because of conflict and disaster, the system for preventing and addressing humanitarian crisis, built on the twin pillars of, first, state sovereignty and responsibility, and second, international law and rights, is failing. The reasons for that failure speak to the very structure of the international system, and that means things will get worse unless action is taken.
En Miliband cita al final com l'estructura del sistema internacional no dona resposta i com les situacions actuals aniran a pitjor si no es fa res per canviar-ho. Mentrestant estem parlant de com augmentar la despesa en defensa, això és tot el que es fa, afegir llenya al foc.
