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1. Providing Healthcare in Armed Conflict: The Case of Mali

Author:
Alice Debarre
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Due to ongoing conflict and insecurity in northern Mali, 1.8 million people require humanitarian health assistance, and 2.5 million are considered food insecure. Given the level of need, Mali’s healthcare system is ill-equipped to respond, and humanitarian health actors play an important role filling the gaps. This issue brief maps the challenges these health actors face and assesses their response. It accompanies a policy paper published in 2018 entitled “Hard to Reach: Providing Healthcare in Armed Conflict,” as well as another case study on provision of healthcare in Nigeria. These papers aim to assist UN agencies, NGOs, member states, and donor agencies in providing and supporting the provision of adequate health services to conflict-affected populations. This issue brief concludes with recommendations for how health actors can improve delivery of health services in Mali: UN agencies, international NGOs, and donors should continue to focus on strengthening and supporting Mali’s community healthcare structures. Military, political, and humanitarian actors need to preserve the humanitarian space in Mali. Relevant UN agencies, local and international health NGOs, donors, and the Ministry of Health should place greater emphasis on noncommunicable diseases, particularly mental health. Humanitarian health actors and donors, as well as development actors and global health actors, should improve coordination with each other on the health response. Humanitarian health actors should better ensure that they are accountable for the health services they provide, in particular to affected populations.
Topic:
Health, United Nations, Peace, and Armed Conflict
Political Geography:
Africa and Mali

2. Pursuing Coordination and Integration for the Protection of Civilians

Author:
Alice Debarre and Namie Di Razza
Publication Date:
02-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
In recent years, the UN and its member states have promoted comprehensive approaches and integrated structures and processes to improve coherence and consistency between political peacekeeping, humanitarian, human rights, and development efforts undertaken by the UN and its partners. For POC specifically, coordination between the military, police, and civilian components of peace operations; between peace operations and UN agencies, funds, and programs; and between the UN system and other protection actors has been pursued to maximize impact in the field. Joint planning, analysis, and action at these three levels are key to leveraging different types of expertise, tools, and responses in a holistic way in order to better prevent and respond to threats to civilians. However, while the UN’s normative and policy frameworks provide the basis for coordination and organizational arrangements have been set up to facilitate integrated efforts at these three levels, recent developments in the peace and security sphere have reinvigorated the debate over the costs and benefits of integration. Coordination for POC has proven to be increasingly difficult in non-permissive environments where, for example, peacekeepers may be perceived as party to the armed conflict or as having too close or tense a relationship with the host state or non-state actors. Integration in such contexts has led to debates around the preservation of humanitarian space, the independence of human rights advocacy, and the security of actors too closely linked to peacekeeping efforts. This issue brief analyzes the costs, benefits, and challenges of coordinated and integrated approaches to POC in peacekeeping contexts. It considers the added value of mission-wide and system-wide coordination for POC and concerns over comprehensive coordination between peacekeeping and humanitarian actors, which have different rationales and methodologies for protection. In a context of UN reform emphasizing prevention and political strategies, it questions the political and institutional push for more comprehensive POC strategies and reflects on the associated risks. It also offers considerations for how to coordinate and integrate multi-actor efforts in order to better protect civilians.
Topic:
Human Rights, United Nations, Peacekeeping, and Civilians
Political Geography:
Global Focus

3. Safeguarding Medical Care and Humanitarian Action in the UN Counterterrorism Framework

Author:
Alice Debarre
Publication Date:
09-2018
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
In the past decade, counterterrorism measures have had an increasingly adverse impact on the provision of medical care and the conduct of principled humanitarian action in armed conflict settings. Whether inadvertently or not, they have impeded, and at times prevented, the provision of essential and lifesaving aid, often in violation of international humanitarian law (IHL). This paper aims to assist the Security Council, relevant UN organs, UN member states, and other stakeholders in upholding their obligations under IHL. It maps the UN counterterrorism framework and looks into the extent to which it guides states in complying with these obligations. In doing so, it offers several recommendations for the way forward: All UN resolutions and other UN and national policies that pertain to counterterrorism should contain an exemption for humanitarian activities. Every relevant UN counterterrorism measure should continue to reiterate that counterterrorism efforts need to comply with international law. Humanitarian actors should engage with UN counterterrorism structures more actively, strategically, and systematically. UN bodies that engage in counterterrorism should systematically include humanitarian actors in relevant conversations. The UN Counter-Terrorism Committee’s Executive Directorate and Office of Counter-Terrorism should better integrate IHL considerations into their work. Member states, UN entities, humanitarian actors, counterterrorism and sanctions experts, and other stakeholders should step up efforts to start a wide political discussion on tensions between counterterrorism and humanitarian action.
Topic:
Health, Humanitarian Aid, United Nations, Violent Extremism, and Counter-terrorism
Political Geography:
Global Focus