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Social determinants of health in countries in conflict - What is GIS ...

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Chapter 2<br />

Approaches<br />

2.1 Def<strong>in</strong>itions<br />

Th<strong>is</strong> publication focuses on <strong>countries</strong> experienc<strong>in</strong>g “armed <strong>conflict</strong>” and its aftermath;<br />

“armed <strong>conflict</strong>” <strong>is</strong> a better term than “war”, as the legal def<strong>in</strong>ition <strong>of</strong> war <strong>is</strong> controversial.<br />

Armed <strong>conflict</strong> has been def<strong>in</strong>ed as “a contested <strong>in</strong>compatibility that concerns government<br />

and/or territory where the use <strong>of</strong> armed force between two parties, <strong>of</strong> which at least one <strong>is</strong><br />

the government <strong>of</strong> a state, results <strong>in</strong> at least 25 battle-related deaths <strong>in</strong> one calendar year” [8].<br />

In the Eastern Mediterranean Region, armed <strong>conflict</strong>s <strong>in</strong>volve the use <strong>of</strong> armed force<br />

by the government <strong>of</strong> that country or an external state. They are fuelled by “collective<br />

violence” on the part <strong>of</strong> people who identify themselves as members <strong>of</strong> a group and by<br />

external political forces—governmental or nongovernmental [1].<br />

Stated briefly, by the International Committee <strong>of</strong> the Red Cross (ICRC), “Territory<br />

<strong>is</strong> considered ‘occupied’ when it <strong>is</strong> actually placed under the authority <strong>of</strong> foreign armed<br />

forces, whether partially or entirely, without the consent <strong>of</strong> the domestic government.<br />

A situation <strong>of</strong> occupation confers both rights and obligations on an occupy<strong>in</strong>g power.”<br />

[9].<br />

At one time or another, all or parts <strong>of</strong> the six <strong>countries</strong> <strong>in</strong> the Region which currently<br />

or very recently have experienced armed <strong>conflict</strong> also experienced a “humanitarian<br />

cr<strong>is</strong><strong>is</strong>”, an almost total breakdown <strong>of</strong> authority and security, which requires an<br />

<strong>in</strong>ternational response to protect civilians, who are the ma<strong>in</strong> casualties.<br />

2.2 Sources <strong>of</strong> <strong>in</strong>formation<br />

Th<strong>is</strong> publication draws on reports from civil society <strong>in</strong> affected <strong>countries</strong> and an<br />

extensive review <strong>of</strong> publ<strong>is</strong>hed and grey literature. Huge quantities <strong>of</strong> grey literature and<br />

on-l<strong>in</strong>e resources <strong>of</strong> vary<strong>in</strong>g reliability currently ex<strong>is</strong>t. An attempt has been made to focus<br />

as much as possible on specific <strong>is</strong>sues, such as the conditions <strong>of</strong> daily life and <strong>health</strong> for<br />

those caught up <strong>in</strong> <strong>conflict</strong>. Where possible, sources publ<strong>is</strong>hed <strong>in</strong> peer-reviewed literature<br />

and <strong>of</strong>ficial reports have been used.<br />

The collection <strong>of</strong> materials from civil society, us<strong>in</strong>g a qualitative research approach,<br />

was coord<strong>in</strong>ated by the Association for Health and Environmental Development<br />

(AHED), a Cairo-based facilitator for civil societies <strong>in</strong> the Region. AHED staff identified<br />

SDH-chapters-<strong>countries</strong> <strong>in</strong> <strong>conflict</strong>-7 Oct.<strong>in</strong>dd 14 08/10/2008 14:24:49

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