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Epidemics and the military: responding to COVID-19 in Uganda

Parker, Melissa, Baluku, Moses, Ozunga, Bono E., Okello, Bob, Kermundu, Peter, Akello, Grace, MacGregor, Hayley, Leach, Melissa and Allen, Tim (2022) Epidemics and the military: responding to COVID-19 in Uganda. Social Science and Medicine, 314. ISSN 0277-9536

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Identification Number: 10.1016/j.socscimed.2022.115482


The UN Security Council's response to Ebola in 2014 legitimised militarised responses. It also influenced responses to COVID-19 in some African countries. Yet, little is known about the day-to-day impacts for ordinary citizens of mobilising armies for epidemic control. Drawing on 18 months ethnographic research, this article analyses militarised responses to COVID-19 during, and following, two lockdowns at contrasting sites in Uganda: a small town in Pakwach district and a village in Kasese district. Both field sites lie close to the border of the Democratic Republic of Congo. Although the practice of health security varied between sites, the militarised response had more impact than the disease in these two places. The armed forces scaled back movement from urban conurbations to rural and peri-urban areas; while simultaneously enabling locally based official public authorities to use the proclaimed priorities of President Museveni's government to enhance their position and power. This led to a situation whereby inhabitants created new modes of mutuality to resist or subvert the regulations being enforced, including the establishment of new forms of cross-border movement. These findings problematise the widely held view that Uganda's response to COVID-19 was successful. Overall, it is argued that the on-going securitisation of global health has helped to create the political space to militarise the response. While this has had unknown effects on the prevalence of COVID-19, it has entrenched unaccountable modes of public authority and created a heightened sense of insecurity on the ground. The tendency to condone the violent practice of militarised public health programmes by international and national actors reflects a broader shift in the acceptance of more authoritarian forms of governance.

Item Type: Article
Additional Information: Funding Information: This research was funded by a Wellcome Trust Collaborative Award ( 212536/Z/18/Z ) on ‘Pandemic preparedness: local and global concepts and practices in tackling disease threats in Africa’; a grant from the UK Economic and Social Research Council to support the Centre for Public Authority and International Development ( ES/W00786X/1 ); and an EU Horizon grant ( 101016233 ) on Pan-European Response to the Impacts of COVID-19 and Future Pandemics and Epidemics (PERISCOPE). For the purpose of open access, the authors have applied a CC BY public copyright license to any Author Accepted Manuscript version arising from this submission. Publisher Copyright: © 2022 The Authors
Divisions: International Development
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences
R Medicine
Date Deposited: 23 Nov 2022 11:39
Last Modified: 29 Nov 2022 13:03

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