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1.
Disasters ; 48(3): e12616, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38098173

RESUMEN

COVID-19 highlighted interconnections between matters of identity and citizenship, vulnerability, and inclusion in/exclusion from systems of care in times of crisis. Migrant workers from Nagaland state, northeast India, were disproportionately impacted by the pandemic's socioeconomic consequences. The public health emergency brought into question who is 'Indian' and the citizenship rights attached to that identity, heightening migrants' exclusion from central structures. Communitarian responses in Nagaland enhanced resilience in the face of often inadequate government responses; however, COVID-19 also exposed structural inequalities within and between Naga communities. This study shows that identity-based citizenship regimes and multi-nation federalism interact to increase minorities' exclusion during crises, and that crises can strengthen both divisions and solidarity at the local level in multi-nation federal systems. Inclusion in and exclusion from systems of care are shaped by and can reshape notions of identity and citizenship, underlining the need for inclusive sociopolitical systems to mitigate crises in multi-nation federal states.


Asunto(s)
COVID-19 , Migrantes , Humanos , India , Migrantes/psicología , SARS-CoV-2 , Factores Socioeconómicos
2.
BMJ Glob Health ; 7(Suppl 8)2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-36210071

RESUMEN

This case study analyses a health project that focused on peacebuilding in addition to service provision, and the impacts of this dual focus in contested territories of Southeast Myanmar. The Swiss-funded Primary Health Care Project provided equal funds to both 'sides' in a decades-long conflict, and brought people together in ways designed to build trust. The case study demonstrates that health can play a valuable role in peace formation, if relationships are engineered in a politically sensitive way, at the right time. Whereas much of the literature on 'health as a bridge to peace' focuses on the apolitical in health, here the explicitly political approach and the deliberate adoption of neutrality as a tool for engaging with different parties were what enabled health to contribute to peace, using a political window of opportunity created by ceasefires and the beginnings of democratic transition in Myanmar. We argue that this approach was essential for health to contribute to bottom-up processes of peace formation-though the scope of the gains is necessarily limited. Crises like the COVID-19 pandemic and military coup in Myanmar can undermine the resilience and limit the impacts of such endeavours, yet there is reason to be hopeful about the small but significant contributions that can be made to peace through politically sensitive health projects.


Asunto(s)
COVID-19 , Pandemias , Humanos , Mianmar , Pandemias/prevención & control , Atención Primaria de Salud
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