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The role of health-related data in promoting the security of health care in armed conflict and other emergencies

Published online by Cambridge University Press:  05 March 2014

Robin Coupland
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Abstract

Health-related data provide the basis of policy in many domains. By using a methodology specifically designed to gather data about any form of violence and its impact, violence affecting health-care personnel, health-care facilities, and the wounded and sick in these facilities can be quantified on an objective basis. The impact of this form of violence and its accompanying insecurity goes beyond those directly affected to the many who are ultimately denied health care. Reliable data about both the violence affecting health-care personnel and facilities and the ‘knock-on’ effects of this violence on the health of many others have a critical role to play in influencing the policies of all stakeholders, including governments, in favour of greater security of effective and impartial health care in armed conflict and other emergencies. The International Committee of the Red Cross has undertaken a study that attempts to understand on a global basis the nature and impact of the many different kinds of violence affecting health care.

Keywords

health-care dataHealth Care in Dangerviolence against health caredenial of access to health careSixteen-Country Studyinsecurity of health care
Type
Research Article
Information
International Review of the Red Cross , Volume 95 , Issue 889: Violence against health care Part I: The problem and the law , March 2013 , pp. 61 - 71
Copyright
Copyright © icrc 2014 

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References

1 Coupland, Robin, ‘Security, insecurity and health’, in Bulletin of the World Health Organization, Vol. 85, No. 3, March 2007, pp. 181–183CrossRefGoogle ScholarPubMed.

2 Rubenstein, Leonard and Bittle, Melanie D., ‘Responsibility for protection of medical workers and facilities in armed conflict’, in The Lancet, Vol. 375, 2010, pp. 329–340CrossRefGoogle ScholarPubMed. See also ICRC, ‘Health Care in Danger: first steps at London Symposium’, 25 April 2012, available at: www.icrc.org/eng/resources/documents/feature/2012/health-care-in-danger-feature-2012-04-25.htm. All internet references were last accessed in February 2013.

3 ICRC, Health Care in Danger: Making the Case, ICRC, Geneva, August 2011, available at: www.icrc.org/eng/resources/documents/publication/p4072.htm.

4 Perrin, Pierre, War and Public Health, ICRC, Geneva, 1996, pp. 6–8Google Scholar.

5 See Insecurity Insight's description of the ‘Taback-Coupland model’, available at: www.insecurityinsight.org/practice.html.

6 The definition of violence adopted by the WHO is ‘the intentional use of physical force or power – threatened or actual – against oneself, another person, or against a group or community that results in or has the likelihood to result in injury or death, psychological harm, maldevelopment or deprivation’. See Violence Prevention Alliance, ‘Definition and typology of violence’, available at: www.who.int/violenceprevention/approach/definition/en/index.html.

7 ICRC, Health Care in Danger: A Sixteen-Country Study, ICRC, Geneva, August 2011, available at: www.icrc.org/eng/resources/documents/report/hcid-report-2011-08-10.htm.

8 Editor's note: this article mainly focuses on the methodology used during the Sixteen-Country Study. Since then, the methodology has evolved and the ICRC, in the context of its monitoring activities, continues to collect data on incidents affecting the delivery of health care, through various sources of information.

9 See Taback-Coupland model, above note 5.

10 See ‘Keeping the promise: a forward-looking review to promote an agreed action agenda to achieve the Millennium Development Goals by 2015’, Report of the Secretary-General to the United Nations General Assembly, UN Doc. A/64/665, 12 February 2010, pp. 3 and 11. See also ‘What will it take to achieve the Millennium Development Goals? An international assessment’, United Nations Development Programme, June 2010, pp. 19–20, available at: http://content.undp.org/go/cms-service/stream/asset/;jsessionid=aMgXw9lbMbH4?asset_id=2620072; ‘Beyond the midpoint: achieving the Millennium Development Goals’, United Nations Development Programme, January 2010, pp. 60–75, available at: http://content.undp.org/go/cms-service/stream/asset/?asset_id=2223855; Chapter 5, ‘Deadly connections: wartime violence and indirect deaths’, and Chapter 7, ‘The death toll in the Democratic Republic of Congo’, in Human Security Report 2009–2010 – The Causes of Peace and the Shrinking Costs of War, Human Security Report Project, Simon Fraser University – Canada, Oxford University Press, New York, Oxford, 2011.

11 WHO, ‘WHO's response, and role as the health cluster lead, in meeting the growing demands of health in humanitarian emergencies’, 65th World Health Assembly, 21 January 2012, Doc. EB130/SR/12, para. 2(8), available at: http://apps.who.int/gb/ebwha/pdf_files/EB130/B130_R14-en.pdf.

12 Coghlan, Benjamin et al. , ‘Mortality in the Democratic Republic of Congo: a nationwide survey’, in The Lancet, Vol. 367, 2006, pp. 44–51CrossRefGoogle ScholarPubMed.

13 See Open Street Map website, available at: www.openstreetmap.org.

14 See Ushahidi website, available at: www.ushahidi.com.

15 See Crisis Mappers – The Humanitarian Technology Network website, available at: http://crisismappers.net/.

16 ICRC, Health Care in Danger: The Responsibilities of Health Care Personnel Working in Armed Conflict or Other Emergencies, ICRC, Geneva, September 2012, Chapter 11, available at: www.icrc.org/eng/resources/documents/publication/p4104.htm.

17 See ICRC, above note 3.

18 Imogen Foulkes, ‘Red Cross: rise in violence against medics in war zones’, in BBC News, 10 August 2011, available at: www.bbc.co.uk/news/world-europe-14464405.

19 Nathanson, Vivienne, ‘Delivering healthcare in situations of conflict or violence’, in British Medical Journal, Vol. 343, d4671CrossRefGoogle Scholar, 10 August 2011, available at: http://dx.doi.org/10.1136/bmj.d4671.

20 See ICRC, above note 2.

21 United Nations Security Council, Department of Public Information, ‘Secretary-General describes appalling catalogue of violence inflicted on civilians in conflict, says “we must do more to save innocent lives” in Security Council’, Security Council Press Release No. SC/10683, 25 June 2012, available at: www.un.org/News/Press/docs/2012/sc10683.doc.htm.

22 ICRC, Healthcare in Danger: Respecting and Protecting Healthcare in Armed Conflict and Other Situations of Violence, Resolution adopted at the 31st International Conference of the Red Cross and Red Crescent, Geneva, 28 November–1 December 2011, available at: www.rcrcconference.org/docs_upl/en/R5_HCiD_EN.pdf.

23 See L. Rubenstein and M. Bittle, above note 2.

24 See above note 11.

25 See the Safeguarding Health in Conflict Coalition website, available at: www.safeguardinghealth.org.

26 Talk by Dr. Unni Karunakara, President of MSF International, at the London Symposium, 23 April 2012, available at: www.youtube.com/watch?v=hBeOgAdxXs0.

27 See MSF, ‘Medical care under fire’, available at: www.msf.org/topics/medical-care-under-fire.

28 Cam McGrath, ‘Egyptian hospitals under attack as patients lose patience’, in Relief Web, 4 September 2012, available at: http://reliefweb.int/report/egypt/egyptian-hospitals-under-attack-patients-lose-patience. See also Hesketh, Therese et al. , ‘Violence against doctors in China’, in British Medical Journal, Vol. 345, e5730CrossRefGoogle Scholar, 2012, available at: www.bmj.com/content/345/bmj.e5730.

29 See above note 11.

30 See Insecurity Insight, ‘Aid work in danger – security in numbers’, available at: www.insecurityinsight.org/projectshumanitarian.html.

31 Zaracostas, John, ‘Exodus of medical staff strains Iraq's health facilities’, in British Medical Journal, Vol. 334, 28 April 2007, p. 865Google Scholar. See also Oxfam International, ‘Rising to the humanitarian challenge in Iraq’, briefing paper, July 2007, p. 11.

32 See above note 16.

33 See Meier, Patrick, ‘New information technologies and their impact on the humanitarian sector’, in International Review of the Red Cross, Vol. 93, No. 884, 2011, pp. 1239–1263CrossRefGoogle Scholar.