Alkhaldi Mohammed, Hamdonah Zeana, El Khatib Lyne
Department of Public Health, Canadian University Dubai, Dubai, United Arab Emirates.
Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.
Risk Manag Healthc Policy. 2024 Dec 14;17:3161-3169. doi: 10.2147/RMHP.S483791. eCollection 2024.
The interrelationality of health and peace is complex, multifactorial, and imbued with political and economic challenges. Peace and health outcomes reflect shared fundamental values related to the achievement of a balanced holistic condition on the individual and collective level. This causal relationship between social inequity and health requires special attention be paid to the impact of political instability and structural violence on undermining health systems in conflict zones. The mutual dependency between peace and health means that peace cannot be achieved without the existence of physical, mental, social, and spiritual health, and holistic health cannot be sustained under violent conditions. The interrelationality of peace and health as mutual conditions shapes our understanding of global solidarity and advocacy in relation to health diplomacy and peace promotion if addressed equally across all conflict zones. This commentary analyzes the unique interdisciplinary contextual factors that contribute to, or undermine the realization of global health and peace in three active conflict zones: Palestine, Ukraine, and Venezuela. Contextual analysis, review of the evidence, and synthesis of the authors' perspectives were used. The health-peace nexus remains a theoretical approach and lacks real application in most settings under crisis. Peace is a multifaceted phenomenon that necessitates the participation, dedication, and action of all sectors and stakeholders in global societies, including health policymakers, scientists, professionals, and people. Both the "right to health" and the "right to peace" even at the minimum remains unfulfilled, particularly in Palestine, and can be realized through two trajectories: (1) honest, responsible, and fair accountability, transparency, and political commitment empowered by reliable global health diplomacy for maintaining peace, eliminating the roots of injustice, and protecting health systems, and (2) equitable and real implementation of peace-health approaches, policies and actions driven by monitoring mechanisms that promote health, well-being, health security and equity for all nations under conflicts.
健康与和平的相互关系复杂、多因素且充满政治和经济挑战。和平与健康成果反映了与在个人和集体层面实现平衡的整体状况相关的共同基本价值观。社会不平等与健康之间的这种因果关系要求特别关注政治不稳定和结构性暴力对冲突地区卫生系统的破坏影响。和平与健康的相互依存意味着没有身心健康、社会和精神健康的存在就无法实现和平，而在暴力条件下整体健康也无法维持。如果在所有冲突地区平等对待，和平与健康作为相互条件的相互关系塑造了我们对与卫生外交及促进和平相关的全球团结和倡导的理解。本评论分析了在三个活跃冲突地区——巴勒斯坦、乌克兰和委内瑞拉——中有助于或破坏全球健康与和平实现的独特跨学科背景因素。采用了背景分析、证据审查以及作者观点的综合。健康 - 和平关系在大多数危机情况下仍然是一种理论方法，缺乏实际应用。和平是一个多方面的现象，需要全球社会所有部门和利益攸关方的参与、奉献和行动，包括卫生政策制定者、科学家、专业人员和民众。即使是最低限度的“健康权”和“和平权”在很大程度上仍未实现，尤其是在巴勒斯坦，并且可以通过两条途径来实现：（1）由可靠的全球卫生外交赋予权力，进行诚实、负责和公平的问责、透明和政治承诺，以维护和平、消除不公正根源并保护卫生系统；（2）通过监测机制推动公平和切实实施和平 - 健康方法、政策和行动，促进冲突中所有国家的健康、福祉、卫生安全和公平。
