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

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16 <strong>Social</strong> <strong>determ<strong>in</strong>ants</strong> <strong>of</strong> <strong>health</strong> <strong>in</strong> <strong>countries</strong> <strong>in</strong> <strong>conflict</strong><br />

approach, but one look<strong>in</strong>g at the societal responses, rather than those <strong>of</strong> the <strong>in</strong>dividual<br />

[20,21,22].<br />

Civil society viewpo<strong>in</strong>ts are even more difficult to evaluate. They come from the<br />

grass-roots level, and are mediated by organizations and <strong>in</strong>dividuals sympathetic to these<br />

views. Thus, they <strong>of</strong>ten present alternative perspectives to those <strong>in</strong> ma<strong>in</strong>stream media.<br />

The validity <strong>of</strong> these accounts <strong>is</strong> accepted as hav<strong>in</strong>g been seriously and conscientiously<br />

collected and reviewed, under difficult conditions.<br />

Ethical <strong>is</strong>sues <strong>in</strong>volved <strong>in</strong> collect<strong>in</strong>g <strong>in</strong>formation <strong>in</strong> <strong>conflict</strong> must first and foremost<br />

consider the safety <strong>of</strong> researchers, those who respond to their enquiries, and other<br />

survivors. These <strong>is</strong>sues pose a special challenge when document<strong>in</strong>g sexual violence,<br />

where police and military who are assigned to protect women could be the major<br />

perpetrators <strong>of</strong> sexual violence [23,24].<br />

•<br />

•<br />

•<br />

•<br />

The authors have tried to face problems posed by the evidence by:<br />

declar<strong>in</strong>g their <strong>in</strong>terests, <strong>in</strong> terms <strong>of</strong> the rights <strong>of</strong> all people to <strong>health</strong> and respect<br />

regardless <strong>of</strong> religion, ethnicity and gender;<br />

acknowledg<strong>in</strong>g the right <strong>of</strong> people to speak for themselves, and to be l<strong>is</strong>tened to:<br />

hence, the concern for the views <strong>of</strong> civil society organizations;<br />

identify<strong>in</strong>g all <strong>in</strong>formation sources when th<strong>is</strong> does not put the lives <strong>of</strong> <strong>in</strong>formants<br />

at r<strong>is</strong>k;<br />

be<strong>in</strong>g especially rigorous <strong>in</strong> the assessment <strong>of</strong> validity and reliability.<br />

SDH-chapters-<strong>countries</strong> <strong>in</strong> <strong>conflict</strong>-7 Oct.<strong>in</strong>dd 16 08/10/2008 14:24:49

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