Cross-Border Health Governance in Collapse: The Case for Buffer Health Corridors in the Gaza Strip.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Muhammad Hamza Shah, Bilal Irfan
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引用次数: 0

Abstract

The collapse of Gaza's health system has rendered traditional models of health planning and humanitarian coordination functionally obsolete. With fewer than half of Gaza's hospitals partially operational and over 90% of health infrastructure damaged or destroyed, the territory is no longer capable of delivering essential services such as dialysis, obstetric care, or oncology treatment. This letter argues that a permanent, internationally managed cross-border health corridor-anchored via the Rafah crossing-offers a feasible and urgent solution to provide structured, rights-based care amid systemic collapse. Drawing on precedents from Syria, the Democratic Republic of Congo, and global humanitarian law, we outline the legal, operational, and political frameworks necessary to establish such a corridor. The corridor model is presented as not only a response to Gaza's immediate crisis but also a replicable framework for other protracted conflict zones where national health systems have irreversibly failed.

崩溃中的跨界卫生治理:加沙地带缓冲卫生走廊的案例。
加沙卫生系统的崩溃使传统的卫生规划和人道主义协调模式在功能上已经过时。加沙只有不到一半的医院在部分运作,90%以上的卫生基础设施遭到破坏或摧毁,该领土不再能够提供透析、产科护理或肿瘤治疗等基本服务。这封信认为,通过拉法过境点建立一个永久性的、由国际管理的跨境卫生走廊,提供了一个可行和紧迫的解决方案,可以在系统性崩溃的情况下提供有组织的、基于权利的保健。根据叙利亚、刚果民主共和国和全球人道主义法的先例,我们概述了建立这样一条走廊所需的法律、行动和政治框架。走廊模式不仅是对加沙当前危机的应对措施,也是其他国家卫生系统不可逆转地失败的长期冲突地区的可复制框架。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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