Working short and working long: can primary healthcare be protected as a public good in Lebanon today?
| Autor: | Enrica Leresche, Jennifer Leaning, Rawan Hammoud, Ola Kdouh, Randa Hamadeh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Economic growth Health (social science) media_common.quotation_subject lcsh:Special situations and conditions Context (language use) Health system resilience 03 medical and health sciences 0302 clinical medicine Order (exchange) Political science Health care medicine 030212 general & internal medicine Lebanon Disaster response media_common Primary health care Protracted conflict business.industry 030503 health policy & services Public health lcsh:RC952-1245 Public Health Environmental and Occupational Health Health services research lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Public good Port (computer networking) Commentary Psychological resilience 0305 other medical science business Covid-19 |
| Zdroj: | Conflict and Health Conflict and Health, Vol 15, Iss 1, Pp 1-9 (2021) |
| ISSN: | 1752-1505 |
| Popis: | In this commentary we propose four questions to be addressed while building a meaningful public primary healthcare response in Lebanon today. These questions emerge from two imperatives: the necessity to consider both short- and longer-term struggles in a context of protracted conflict and the need to protect public health as a public good whilst the public Primary Healthcare Network (PHCN) is facing the Covid19 pandemic. In order to identify how these questions are related to the need to be working short and long, we look at the imprints left by past and present shocks. Profound shocks of the past include the Lebanese civil war and the Syrian refugee crisis. We analyse how these shocks have resulted in the PHCN developing resilience mechanisms in order to ensure a space for healthcare provision that stands public in Lebanon today. Then, we consider how two present shocks -- the economic breakdown and the blast of ammonium nitrate in Beirut port -- are affecting and threatening the progress made by the PHCN to ensure that primary healthcare remains a public good, a fragile space acquired with difficulty in the past half century. We identify what questions emerge from the combined consequences of such traumas, when the immediate constraints of the present meet the impediments of the past. We consider what such questions mean more broadly, for the people living in Lebanon today, and for the PHCN ability to respond to the Covid 19 pandemic in a relevant way. Our hypothesis is that in a protracted conflict, such as the one defining the circumstances of Lebanon now, public access to primary healthcare might persist for the people as one safeguard, in which social and moral continuity can be anchored to protect a sense of public good. |
| Databáze: | OpenAIRE |
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