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缅甸军事政变和新冠疫情后境内流离失所者的健康与福祉脆弱性

Vulnerability to health and well-being of internally displaced persons (IDPs) in Myanmar post-military coup and COVID-19.

作者信息

Khai Tual Sawn

机构信息

School of Graduate Studies, Lingnan University, Hong Kong (SAR), People's Republic of China.

Refugee Law Initiative (RLI), School of Advanced Study, University of London, London, UK.

出版信息

Arch Public Health. 2023 Oct 21;81(1):185. doi: 10.1186/s13690-023-01204-1.

Abstract

Across the globe, the COVID-19 pandemic has aggravated particular challenges for internally displaced people (IDPs). Over 1.9 million people in Myanmar have been displaced due to the escalation of armed conflict after the military coup in 2021. The vulnerability faced by IDPs in Myanmar, coupled with the impact of the recent military coup and the ongoing COVID-19 pandemic, has received little global attention. This study examined how military coup exacerbated the health and well-being of IDPs in Myanmar post the military coup. The study employed purposive sampling and Non-Government Organisations (NGOs) referrals to find participants. Qualitative in-depth telephone interviews were conducted with a total of 17 IDPs. A thematic analysis of the findings indicates that IDPs experience anxiety and fear daily, adversely affecting their mental health due to the increased escalation of armed conflict and attacks on civilian places, including IDPs shelters. Some IDPs contract COVID-19 and suffer from malaria and dengue fever owing to their precarious living conditions. Moreover, the military's restrictions on humanitarian aid distribution, including healthcare, medicine, and food, have severely impacted the health and well-being of IDPs in Myanmar, exacerbating food shortages and limiting healthcare access.

摘要

在全球范围内,新冠疫情给境内流离失所者带来了特殊挑战。自2021年军事政变后,缅甸武装冲突升级,超过190万人流离失所。缅甸境内流离失所者面临的脆弱性,加上近期军事政变和新冠疫情的影响,几乎未得到全球关注。本研究探讨了军事政变如何加剧了缅甸军事政变后境内流离失所者的健康和福祉问题。该研究采用目的抽样和非政府组织转介的方式寻找参与者。对17名境内流离失所者进行了定性深入电话访谈。研究结果的主题分析表明,由于武装冲突升级以及包括境内流离失所者收容所在内的平民场所遭受袭击,境内流离失所者每天都经历焦虑和恐惧,对他们的心理健康产生了不利影响。一些境内流离失所者感染了新冠病毒,由于生活条件不稳定,还患有疟疾和登革热。此外,军方对包括医疗、药品和食品在内的人道主义援助分发的限制,严重影响了缅甸境内流离失所者的健康和福祉,加剧了粮食短缺并限制了医疗服务的可及性。

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