Laurie M, Petchesky R P
Mailman School of Public Health, Columbia University, New York, USA.
Glob Public Health. 2008;3 Suppl 1:25-41. doi: 10.1080/17441690801892125.
In this paper, we investigate the intersections of gender, health and human rights in sites of political exclusion. We apply the political theory of Giorgio Agamben on 'states of exception', seeking to better understand how the recent 'war on terror', that seemingly knows no limits of time or space, is driving health outcomes in refugee and Internally Displaced Persons (IDP) camps. Reproductive health, militarization, and gender-based violence in camps are explored in depth. The evidence presented reveals a number of contradictions of refugee and IDP camps, further highlighting the need for a more rights based humanitarianism. We conclude that foregrounding states of exception, as a way of understanding current gender dynamics in the social determinants of health, is both epidemiologically necessary and conceptually useful. We find that, in these sites of exclusion, the indispensability of a human rights approach to gender and health equity issues is revealed most directly. Furthermore, we are able to make new connections between the 'crisis of humanitarianism', gender, and health.
在本文中,我们研究了政治排斥场所中性别、健康与人权的交叉问题。我们运用乔治·阿甘本关于“例外状态”的政治理论,试图更好地理解近期看似不受时间或空间限制的“反恐战争”如何影响难民和境内流离失所者营地中的健康状况。我们深入探讨了营地中的生殖健康、军事化以及基于性别的暴力问题。所呈现的证据揭示了难民和境内流离失所者营地存在的一些矛盾之处,进一步凸显了建立更基于权利的人道主义的必要性。我们得出结论,将例外状态作为理解健康社会决定因素中当前性别动态的一种方式,在流行病学上是必要的,在概念上也是有用的。我们发现,在这些排斥场所中,人权方法对于性别和健康公平问题的不可或缺性最为直接地显现出来。此外,我们能够在“人道主义危机”、性别和健康之间建立新的联系。