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1. Delivering Healthcare amid Crisis: The Humanitarian Response in Myanmar

Author:
Alice Debarre
Publication Date:
02-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Myanmar simultaneously faces multiple armed conflicts and crises, each with its own challenges. In Rakhine state, the government’s persecution of the Rohingya people has led to massive displacement, as have decades of armed conflict in Kachin and northern Shan states. Combined with chronic underdevelopment, these humanitarian crises have left people without access to adequate healthcare, leading international humanitarian actors to step in. The public health system in Myanmar is generally poor, and government funding for health services is among the lowest in the world. There are wide discrepancies in health services between rural and urban populations and between central and peripheral states. In Rakhine, there are only nine public health workers per 10,000 people, and access to secondary and tertiary healthcare is limited. Community-based or ethnic health organizations provide primary healthcare in many areas without government facilities. In crisis-affected areas, UN agencies and international and local NGOs play an important part in providing healthcare services. However, international action can be unbalanced both regionally and medically. In many areas, health actors have focused on responding to diseases like malaria, HIV/AIDS, and tuberculosis, leaving a critical gap in mental health services and clinical health responses to sexual and gender-based violence. Likewise, funding has been imbalanced, with Rakhine state receiving more funding than Kachin or northern Shan. This paper looks at the state of healthcare in Rakhine, Kachin, and northern Shan states, the role of humanitarian actors in the provision of health services, and the trends and challenges affecting the humanitarian health response. It provides several recommendations for improving the humanitarian health response in Myanmar, including: 1. Adjust the scope of the humanitarian response; 2. Advocate for better humanitarian access; 3. Strengthen local capacities, and; 4. Address the dilemmas inherent in providing aid amid a development and human rights crisis.
Topic:
Health, Crisis Management, Public Health, and Humanitarian Crisis
Political Geography:
Southeast Asia and Myanmar

2. Stuck in Crisis: The Humanitarian Response to Sudan’s Health Emergency

Author:
Albert Trithart
Publication Date:
04-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Following decades of war, economic decline, and underinvestment, Sudan’s healthcare system entered a new phase of crisis in 2019 as peaceful protests led to the ouster of President Omar al-Bashir. Among those leading these protests were doctors and other medical personnel fed up with poor working conditions and medicine shortages. This speaks to the degraded state of healthcare in the country, particularly in the conflict-affected regions of Darfur, South Kordofan, and Blue Nile. This paper looks at the humanitarian response to health-related needs in these conflict-affected parts of Sudan. After providing an overview of the state of Sudan’s healthcare system, it explores the main trends and challenges in the humanitarian health response, including the difficult partnerships between international and Sudanese health actors, restricted humanitarian access, and the effort to shift toward more sustainable approaches. It concludes that the humanitarian health response in Sudan is stuck: most agree on the need to move beyond short-term approaches, but the national capacity and development funding needed to make this transition are missing. At the same time, with newly accessible areas exposing unmet needs and conflict and displacement ongoing, a robust humanitarian response is still desperately needed. This situation calls for the UN, donors, and health NGOs to continue their efforts to respond to needs while strengthening the healthcare system, to coordinate humanitarian and development funding, and to advocate for maintaining and extending humanitarian access.
Topic:
Health, Crisis Management, and Humanitarian Crisis
Political Geography:
Africa and Sudan

3. Toward a More Effective UN-AU Partnership on Conflict Prevention and Crisis Management

Author:
Daniel Forti and Priyal Singh
Publication Date:
10-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
The United Nations and the African Union (AU) have worked in tandem since the AU’s establishment in 2002. During this time, their partnership has evolved to focus increasingly on conflict prevention and crisis management, culminating in the 2017 Joint UN-AU Framework for Enhanced Partnership in Peace and Security. But while the organizations’ collaboration on peacekeeping has been extensively studied, other dimensions of the partnership warrant a closer look to understand how to foster political coherence and operational coordination. This report, done in partnership with the Institute for Security Studies (ISS), therefore considers the evolution of the strategic partnership between the UN and the AU, with a focus on their approach to conflict prevention and crisis management. It looks at this partnership at the member-state level in the UN Security Council and AU Peace and Security Council, as well as at the operational level between various UN and AU entities. It also assesses the partnership across several thematic issues, including the AU’s Silencing the Guns initiative; mediation; women, peace, and security; electoral support; peacebuilding and post-conflict reconstruction and development; and youth, peace, and security. Based on this analysis, the paper offers several recommendations to guide UN and AU stakeholders in improving cooperation. These include strengthening council-to-council engagement, working toward a collective approach to conflict prevention and crisis management, creating a dedicated team within the AU Peace and Security Department to support the partnership, better aligning work on peacebuilding and post-conflict reconstruction and development, building momentum on the AU’s Silencing the Guns initiative, and expanding diplomatic capacities to support the partnership.
Topic:
Security, United Nations, Crisis Management, and African Union
Political Geography:
Africa and Global Focus

4. Navigating Crisis and Opportunity: The Peacekeeping Transition in Darfur

Author:
Daniel Forti
Publication Date:
12-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
In the face of evolving security dynamics and geopolitical pressures, the African Union (AU) Peace and Security Council and the UN Security Council initiated the withdrawal of the AU-UN Mission in Darfur (UNAMID) in 2017. This transition is a uniquely complex undertaking—all the more so following Sudan’s political revolution in April 2019, which required the UN and AU to rapidly adapt their support to the country. This complex environment is putting all the principles of peacekeeping transitions to the test. This paper examines the dynamics of this peacekeeping transition in Darfur, focusing on UNAMID’s drawdown and reconfiguration, as well as the UN’s efforts to build the capacity of other actors to sustain peace following the mission’s exit. It highlights five broad priorities for this transition going forward: Strengthening political engagement between the UN Security Council and AU Peace and Security Council; Translating the AU-UN joint political strategy into an effective follow-on presence; Reinforcing the transition concept; Integrating human rights and protection in all areas of work; and Sustaining international attention and financial support. This paper is part of a larger IPI project on UN transitions and is complemented by similar case studies on UN peacekeeping transitions in Côte d’Ivoire, Haiti, and Liberia, as well as a paper exploring experiences and lessons from these three transitions.
Topic:
Security, United Nations, Peacekeeping, Geopolitics, Crisis Management, and African Union
Political Geography:
Africa, Darfur, Haiti, Liberia, and Côte d'Ivoire

5. Pivoting from Crisis to Development: Preparing for the Next Wave of UN Peace Operations Transitions

Author:
Daniel Forti and Lesley Connolly
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
UN peace operations are going through an accelerated period of reconfiguration and drawdown. Between June 2017 and March 2018, long-standing peacekeeping missions in Côte d’Ivoire and Liberia closed, while the mission in Haiti was reconfigured into a transitional peacekeeping mission. Looking ahead, the Security Council has mandated the closure of the peacekeeping mission in Darfur and the initial drawdown of the peacebuilding mission in Guinea-Bissau, and its attention is starting to shift to other missions. With these upcoming transitions in mind, this issue brief explores experiences and lessons from recent UN transitions in Côte d’Ivoire, Haiti, and Liberia. Each of these transitions has been the subject of a detailed IPI policy report published as part of IPI’s project on “Planning for United Nations Peacekeeping Operations Transitions.” Drawing on this research, this issue brief recommends how to manage politics and recalibrate policies to better shape future transitions. Its recommendations include to: Adopt shared and long-term political strategies, particularly in Security Council mandates and benchmarks, as well as through regular sharing of assessments from the field. Ensure integration in field-level planning strategies well before the Security Council sets transition timelines, with senior leadership from the mission shaping the vision, driving planning, and providing concrete recommendations for the future UN presence in the country. Strategically engage the host society to align peacebuilding priorities and to communicate the core message that the mission is leaving but the UN is remaining in the country. Engage early to secure adequate financing, capitalizing on debates surrounding the transition while it is still on the Security Council’s agenda. Institutionalize dedicated transition support capacity within the UN system, including policy and programmatic guidance, operational support, planning expertise, and surge capacities. Sustain long-term peacebuilding through partnerships, ensuring that residual peacebuilding challenges are mainstreamed into national development plans and international and regional development frameworks.
Topic:
Development, United Nations, Peacekeeping, Crisis Management, and Transition
Political Geography:
Africa, Haiti, Liberia, and Côte d'Ivoire