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陷入交火之中:叙利亚医护人员的暴力经历。

Caught in crossfire: health care workers' experiences of violence in Syria.

机构信息

Laurea University of Applied Sciences, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.

Laurea Institute, Vantaa, Finland.

出版信息

Med Confl Surviv. 2021 Mar;37(1):34-54. doi: 10.1080/13623699.2021.1889654. Epub 2021 Feb 28.

Abstract

Health care is attacked in many contemporary conflicts despite the Geneva Conventions. The war in Syria has become notorious for targeted violence against health care. This qualitative study describes health care workers' experiences of violence using semi-structured interviews ( = 25) with professionals who have been working in Syria. The participants were selected using a snowball sampling method and interviewed in Turkey and Europe between 2016-2017. Analysis was conducted using content analysis. Results revealed that the most destructive and horrific forms of violence health care workers have experienced were committed mostly by the Government of Syria and the Islamic State. Non-state armed groups and Kurdish Forces have also committed acts of violence against health care, though their scope and scale were considered to have a lower mortality. The nature of violence has evolved during the conflict: starting from verbal threats and eventually leading to hospital bombings. Health care workers were not only providers of health care to injured demonstrators, they also participated in non- violent anti-government actions. The international community has not taken action to protect health care in Syria. For health workers finding safe environments in which to deliver health care has been impossible.

摘要

尽管有《日内瓦公约》,但在许多当代冲突中,医疗保健仍受到攻击。叙利亚战争因针对医疗保健的有针对性的暴力行为而臭名昭著。本定性研究使用与在叙利亚工作的专业人员进行的半结构化访谈(= 25)来描述医疗保健工作者遭受暴力的经历。参与者使用滚雪球抽样法选择,并于 2016-2017 年在土耳其和欧洲进行了访谈。采用内容分析法进行分析。结果表明,医疗保健工作者经历的最具破坏性和最可怕的暴力形式主要是由叙利亚政府和伊斯兰国实施的。非国家武装团体和库尔德部队也对医疗保健实施了暴力行为,尽管其范围和规模被认为死亡率较低。冲突期间暴力的性质发生了演变:从言语威胁到最终导致医院爆炸。医疗保健工作者不仅为受伤的示威者提供医疗保健,还参与了非暴力的反政府行动。国际社会没有采取行动保护叙利亚的医疗保健。对于卫生工作者来说,在提供医疗保健的安全环境中工作是不可能的。

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