When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up

Despite a surge in initiatives to integrate foreign-trained physicians into local health systems and a drive to learn from localised humanitarian initiatives under the COVID-19 pandemic, we still know little about the on-the-ground strategies developed by refugee doctors to meet the needs of refugee...

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Main Authors: Diane Duclos, Fouad Mohamed Fouad, Karl Blanchet
Format: Article
Language:English
Published: University of Edinburgh Library 2021-09-01
Series:Medicine Anthropology Theory
Subjects:
Online Access:http://www.medanthrotheory.org/article/view/5159
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author Diane Duclos
Fouad Mohamed Fouad
Karl Blanchet
author_facet Diane Duclos
Fouad Mohamed Fouad
Karl Blanchet
author_sort Diane Duclos
collection DOAJ
description Despite a surge in initiatives to integrate foreign-trained physicians into local health systems and a drive to learn from localised humanitarian initiatives under the COVID-19 pandemic, we still know little about the on-the-ground strategies developed by refugee doctors to meet the needs of refugee patients. In Lebanon, displaced Syrian health professionals have mounted informal, local responses to care for displaced Syrian patients. Drawing on ethnographic work shadowing these healthcare providers across their medical and non-medical activities, we explore how clinical encounters characterised by shared histories of displacement can inform humanitarian medicine. Our findings shed light on the creation of breathing spaces in crises. In particular, our study reveals how displaced healthcare workers cope with uncertainty, documents how displaced healthcare workers expand the category of ‘appropriate care’ to take into account the economic and safety challenges faced by patients, and locates the category of ‘informality’ within a complex landscape of myriad actors in Lebanon. This research article shows that refugee-to-refugee healthcare is not restricted to improvised clinical encounters between ‘frontliners’ and ‘victims of war’. Rather, it is proactively enacted from the ground up to foster appropriate care relationships in the midst of violent, repeated, and protracted disruptions to systems of care.
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spelling doaj.art-43246f7a052e483cb6477569b7e4012f2022-12-21T21:25:22ZengUniversity of Edinburgh LibraryMedicine Anthropology Theory2405-691X2021-09-018312210.17157/mat.8.3.51595159When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground UpDiane Duclos0Fouad Mohamed FouadKarl Blanchetlondon School of Hygiene and Tropical MedicineDespite a surge in initiatives to integrate foreign-trained physicians into local health systems and a drive to learn from localised humanitarian initiatives under the COVID-19 pandemic, we still know little about the on-the-ground strategies developed by refugee doctors to meet the needs of refugee patients. In Lebanon, displaced Syrian health professionals have mounted informal, local responses to care for displaced Syrian patients. Drawing on ethnographic work shadowing these healthcare providers across their medical and non-medical activities, we explore how clinical encounters characterised by shared histories of displacement can inform humanitarian medicine. Our findings shed light on the creation of breathing spaces in crises. In particular, our study reveals how displaced healthcare workers cope with uncertainty, documents how displaced healthcare workers expand the category of ‘appropriate care’ to take into account the economic and safety challenges faced by patients, and locates the category of ‘informality’ within a complex landscape of myriad actors in Lebanon. This research article shows that refugee-to-refugee healthcare is not restricted to improvised clinical encounters between ‘frontliners’ and ‘victims of war’. Rather, it is proactively enacted from the ground up to foster appropriate care relationships in the midst of violent, repeated, and protracted disruptions to systems of care.http://www.medanthrotheory.org/article/view/5159culturally-appropriate carerefugeessyrialebanonethnography
spellingShingle Diane Duclos
Fouad Mohamed Fouad
Karl Blanchet
When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
Medicine Anthropology Theory
culturally-appropriate care
refugees
syria
lebanon
ethnography
title When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
title_full When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
title_fullStr When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
title_full_unstemmed When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
title_short When Refugees Care for Refugees in Lebanon: Providing Contextually Appropriate Care from the Ground Up
title_sort when refugees care for refugees in lebanon providing contextually appropriate care from the ground up
topic culturally-appropriate care
refugees
syria
lebanon
ethnography
url http://www.medanthrotheory.org/article/view/5159
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