Senior Lecturer in Emergency Medicine, Royal Centre for Defence Medicine.
Conflict and Health Research Group, King's CollegeLondon.
Disaster Med Public Health Prep. 2020 Oct;14(5):568-576. doi: 10.1017/dmp.2019.76. Epub 2019 Aug 22.
Civil-military relationships are necessary in humanitarian emergencies but, if poorly managed, may be detrimental to the efforts of humanitarian organizations. Awareness of guidelines and understanding of risks relating to the relationship among deployed military personnel have not been evaluated.
Fifty-five military and 12 humanitarian healthcare workers in South Sudan completed questionnaires covering experience, training and role, agreement with statements about the deployment, and free text comments.
Both cohorts were equally aware of current guidance. Eight themes defined the relationship. There was disagreement about the benefit to the South Sudanese people of the military deployment, and whether military service was compatible with beneficial health impacts. Two key obstacles to the relationship and 3 areas the relationship could be developed were identified.
This study shows that United Kingdom military personnel are effectively trained and understand the constraints on the civil-military relationship. Seven themes in common between the groups describe the relationship. Current guidance could be adapted to allow a different relationship for healthcare workers.
军民关系是人道主义紧急情况下所必需的，但如果管理不善，可能会对人道主义组织的工作产生不利影响。人们尚未意识到与部署的军事人员之间关系有关的准则和了解相关风险。
在南苏丹，55 名军人和 12 名人道医疗工作者完成了涵盖经验、培训和角色、对有关部署的陈述的认同以及自由文本评论的问卷。
两个队列都同样了解当前的指导意见。有八个主题定义了这种关系。对于军事部署对南苏丹人民的好处以及军事服务是否符合有益的健康影响存在分歧。确定了关系的两个主要障碍和可以发展关系的三个领域。
这项研究表明，英国军人接受了有效的培训，并且理解军民关系的限制。这两个群体之间有 7 个共同的主题描述了这种关系。可以调整现行准则，以便为医疗工作者建立不同的关系。
