Territorial control by non-state armed groups and gendered access to healthcare in conflict using a new complex adaptive systems framework

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Lilja, J, Ferrari, G, Alvarado, J, Fabich, L-A, Kyzy, GA, Kenny, L and Hossain, M ORCID: https://orcid.org/0000-0002-1878-8145, 2024. Territorial control by non-state armed groups and gendered access to healthcare in conflict using a new complex adaptive systems framework. Humanities and Social Sciences Communications, 11: 855. ISSN 2662-9992

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Official URL: https://doi.org/10.1057/s41599-024-03345-2

Abstract

The growing prevalence and influence of non-state armed groups (NSAGs) in armed conflict requires a deeper understanding of how their territorial control and contestation affect sub-national healthcare availability and outcomes, particularly with regards to gender dynamics. However, there are gaps in existing research in understanding how NSAG governance influences health care outcomes. Furthermore, a disconnect exists between the literature on international humanitarian interventions, NSAG governance and national health systems. Each perspective tends to prioritise a specific health service provider-whether NSAGs, State actors, or international humanitarian organisations-and often treats populations as homogenous. To address these gaps, we propose a complex adaptive system framework centred on the influence of territorial control for health services in intra-state conflict settings, with a gender lens. This systems framework accounts for the influence of all parties significant for health service delivery. It recognises that those governing the localised health system may differ from those physically delivering health services. Our framework enables empirical examination of health service delivery and outcomes. We apply the framework to three conflict-affected settings (Colombia, Iraq, Mali) using publicly available data and offer recommendations for policymakers and practitioners targeting health service provision in intra-state conflict contexts.

Item Type:	Journal article
Publication Title:	Humanities and Social Sciences Communications
Creators:	Lilja, J., Ferrari, G., Alvarado, J., Fabich, L.-A., Kyzy, G.A., Kenny, L. and Hossain, M.
Publisher:	Springer Nature
Date:	2024
Volume:	11
ISSN:	2662-9992
Identifiers:	Number Type 10.1057/s41599-024-03345-2 DOI 1910397 Other
Rights:	© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	05 Jul 2024 12:37
Last Modified:	05 Jul 2024 12:37
URI:	https://irep.ntu.ac.uk/id/eprint/51695