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    ABSTRACT: There has been greater discussion among humanitarians in recent years about the rise in the number of 'strong states', and the suggestion has been made that states are increasingly reasserting their sovereignty. This introduction to this special issue of Disasters on 'State Sovereignty and Humanitarian Action' contends that it is not states that have changed, but rather the international framework that surrounds humanitarian action. The latter has altered so substantially that a fundamental gap has developed between states and international humanitarian actors in terms of describing what sovereignty entails and how it is expressed. At the heart of this dilemma are the urgent needs of people caught up in crises, whose well-being becomes the contested ground on which states and humanitarian actors clash. This paper explores the current and historical dimensions of these shifts, and provides a conceptual overview for this special issue.
    Full-text · Article · Jul 2013 · Disasters
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    ABSTRACT: Abstract While scholarship on health in conflict-affected countries is growing, there has been relatively little analysis of how armed conflict affects health systems in specific African countries, especially former French colonies. There is even less literature on the role of history in shaping health systems and how historical factors such as inequity may influence health impacts of armed conflict. Based on Côte d'Ivoire, this article argues that historical multidisciplinary analysis can provide valuable insight into the macro-level political, economic and social determinants of the health system over time. It explores how armed conflict has affected health services and exacerbates historically inherited challenges to the health system including unequal distribution of health services, bias towards curative care in urban areas, inadequate human resources and weak health governance. In the post-conflict period, this understanding may assist governments and other stakeholders to develop more appropriate health policies that address both urgent and long-term health needs.
    No preview · Article · May 2013 · Global Public Health

  • No preview · Article · May 2013 · The Lancet
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