Lilja, Jannie, Ferrari, Giulia 
ORCID: 0000-0002-1670-4905, Alvarado, José, Fabich, Laura-Alina, Asylbek Kyzy, Gulzhan, Kenny, Leah ORCID: 0000-0003-0297-1276 and Hossain, Mazeda ORCID: 0000-0002-1878-8145
(2024)
Territorial control by non-state armed groups and gendered access to healthcare in conflict using a new complex adaptive systems framework.
Humanities and Social Sciences Communications.
ISSN 2662-9992
(In Press)
Abstract
The growing prevalence and influence of Non-State Armed Groups (NSAGs) in armed conflict requires a deeper understanding of how their territorial control and contestation affect sub-national healthcare availability and outcomes, particularly with regard to gender dynamics. However, there are gaps in existing research in understanding how NSAG governance influences health care outcomes. Furthermore, a disconnect exists between the literatures on international humanitarian interventions, NSAG governance, and national health systems. Each perspective tends to prioritize a specific health service provider— whether NSAGs, State actors, or international humanitarian organizations —and often treats populations as homogenous. To address this gap, we propose a complex adaptive system framework centred on the influence of territorial control for health services in intra-state conflict settings, with a gender lens. This systems framework accounts for the influence of all parties significant for health service delivery within an armed conflict setting. It recognizes that those governing the localized health system may differ from those physically delivering health services. Our framework enables empirical examination of health service delivery. We apply the framework to three conflict-affected settings (Colombia, Iraq, Mali) using publicly available data and offer recommendations for policymakers and practitioners targeting health service provision in intra-state conflict contexts.
| Item Type: | Article |
|---|---|
| Additional Information: | © 2024 The Author(s) |
| Divisions: | IGA: Centre for Women Peace and Security |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine J Political Science J Political Science > JZ International relations |
| Date Deposited: | 20 Jun 2024 15:33 |
| Last Modified: | 25 Jun 2024 14:36 |
| URI: | http://eprints.lse.ac.uk/id/eprint/123937 |
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