Peace in the Clinic: Rethinking "Global Health Diplomacy" in the Somali Region of Ethiopia
Peace in the Clinic: Rethinking "Global Health Diplomacy" in the Somali Region of Ethiopia
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DOI：
10.1007/s11013-015-9455-6
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发表时间：
2016-06-01
影响因子：
1.7
通讯作者：
Carruth, Lauren
中科院分区：
文献类型：
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作者：
Carruth, Lauren
本文通过对索马里人、援助组织和埃塞俄比亚索马里地区卫生保健机构内的人种学研究，认为所谓的“全球卫生外交”，尽管其起源和在国家间政治中的表述，从根本上讲是地方性的和人际的。作为证据，我概述了埃塞俄比亚索马里地区的两个截然不同的卫生项目，以及在每个项目中，现有的敌意和政治不满是如何得到加强或削弱的。我认为，在像埃塞俄比亚索马里地区这样的政治不安全和冲突后环境中提供医疗保健是不稳定的，但也是关键的：医疗接触有可能使冲突和危机再次发生的条件恶化，或建立新的人际和政府信任关系。因此，有效的全球卫生外交不能仅限于建立诊所和捐赠药品，还必须明确包括在临床空间内的对立团体之间建立积极的信任关系。
Drawing on ethnographic research with Somalis, within aid organizations, and within health care facilities in the Somali Region of Ethiopia, this article argues that what is called "global health diplomacy," despite its origins and articulations in interstate politics, is fundamentally local and interpersonal. As evidence, I outline two very different health programs in the Somali Region of Ethiopia, and how, in each, existing animosities and political grievances were either reinforced or undermined. I argue that the provision of health care in politically insecure and post-conflict settings like the Somali Region of Ethiopia is precarious but pivotal: medical encounters have the potential to either worsen the conditions in which conflicts and crises recur, or build new interpersonal and governmental relations of trust. Effective global health diplomacy, therefore, cannot be limited to building clinics and donating medicine, but must also explicitly include building positive relationships of trust between oppositional groups within clinical spaces.