Realising health justice in Palestine: beyond humanitarian voices

Abstract In the shadow of Israel’s ongoing genocide throughout occupied Palestine, this article examines the moral, political, and epistemic responsibilities of humanitarian, public health, global health, medical and related communities of practice amid profound violence and injustice. In this paper...

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Main Authors: James Smith, Sara el-Solh, Layth Hanbali, Sawsan Abdulrahim, Sali Hafez, Samer Abuzerr, Bram Wispelwey, Mads Gilbert, Mohammed Seyam, Bassam Abu Hamad, Dorotea Gucciardo, Fahd Haddad, Rasha Khoury, Amira Nimerawi, David Mills, Ghassan Abu-Sittah
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Conflict and Health
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Online Access:https://doi.org/10.1186/s13031-024-00634-0
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author James Smith
Sara el-Solh
Layth Hanbali
Sawsan Abdulrahim
Sali Hafez
Samer Abuzerr
Bram Wispelwey
Mads Gilbert
Mohammed Seyam
Bassam Abu Hamad
Dorotea Gucciardo
Fahd Haddad
Rasha Khoury
Amira Nimerawi
David Mills
Ghassan Abu-Sittah
author_facet James Smith
Sara el-Solh
Layth Hanbali
Sawsan Abdulrahim
Sali Hafez
Samer Abuzerr
Bram Wispelwey
Mads Gilbert
Mohammed Seyam
Bassam Abu Hamad
Dorotea Gucciardo
Fahd Haddad
Rasha Khoury
Amira Nimerawi
David Mills
Ghassan Abu-Sittah
author_sort James Smith
collection DOAJ
description Abstract In the shadow of Israel’s ongoing genocide throughout occupied Palestine, this article examines the moral, political, and epistemic responsibilities of humanitarian, public health, global health, medical and related communities of practice amid profound violence and injustice. In this paper we offer a three-part critique of a May 2024 commentary by Karl Blanchet and colleagues, ‘Rebuilding the health sector in Gaza: Alternative humanitarian voices’ (Blanchet et al. in Confl Heal 18:42, 2024). We argue that in relation to the post-genocide reconstruction of the health system in Gaza, the authors have failed to adequately contextualise their analysis, or the health system reconstruction policy proposal as commissioned by the Gaza Health Initiative [Gaza Health Rebuilding Initiative (GHRI), Future of the Gaza health system: Needs assessment. https://static1.squarespace.com/static/656c4ff5b219116063f8099e/t/65c30c4d3e80fd21f1165b57/1707281499127/Final+first+draft+-+Gaza+health+system+report.pdf . Accessed 8 November 2024], and as such have failed to elucidate the root causes of what manifests most immediately as an entirely manufactured humanitarian crisis. This in turn undermines the substance and utility of the recovery proposal as it has been presented. We also argue that the authors have failed to afford due recognition to several key health actors in Palestine, in particular the Palestinian Ministry of Health in Gaza and UNRWA, and that this subtle but critical act of erasure further undermines the relevance and applicability of their recovery proposal as presented. In response we emphasise the centrality of Palestinian perspectives, and the need to uphold Palestinian leadership in all stages of the recovery process. Thirdly, we take issue with the suggested chronology and substance of the recovery proposal as presented, which overlooks response and recovery efforts already underway and led by Palestinians in Gaza, and which overstates ultimately harmful intervention strategies such as networks of internationally managed field hospitals. Against the backdrop of a very limited window for what we consider morally justifiable humanitarian engagement in Gaza, we join many others who have called for a paradigm shift away from the inertia of supposed objectivity and claimed neutrality that function to perpetuate injustice. Instead, we call for the collective practice of critical advocacy, solidarity with people affected by injustice and oppression, and an emancipatory politics in pursuit of justice in Palestine.
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spelling doaj-art-b6f0d23882e94917b02c81df525823372025-02-09T12:39:45ZengBMCConflict and Health1752-15052025-02-011911810.1186/s13031-024-00634-0Realising health justice in Palestine: beyond humanitarian voicesJames Smith0Sara el-Solh1Layth Hanbali2Sawsan Abdulrahim3Sali Hafez4Samer Abuzerr5Bram Wispelwey6Mads Gilbert7Mohammed Seyam8Bassam Abu Hamad9Dorotea Gucciardo10Fahd Haddad11Rasha Khoury12Amira Nimerawi13David Mills14Ghassan Abu-Sittah15Centre for Humanitarianism and Social Inclusion, Institute of Epidemiology and Health Care, University College LondonMedactInstitute of Community and Public Health, Birzeit UniversityAmerican University of BeirutHealth in Humanitarian Crises Centre, London School of Hygiene and Tropical MedicineDepartment of Medical Sciences, University College of Science and Technology, Khan YounisPalestine Program for Health and Human Rights, François-Xavier Bagnoud Center for Health and Human Rights, Harvard UniversityUniversity Hospital of North-NorwayFaculty of Medicine, Al-Quds UniversitySchool of Public Health, Al-Quds UniversityThe Glia ProjectDepartment of Emergency Medicine, Deir Al Balah, Shohada Al Aqsa HospitalBoston University School of MedicineHealth Workers for PalestinePalestine Program for Health and Human Rights, François-Xavier Bagnoud Center for Health and Human Rights, Harvard UniversityConflict Medicine Program, American University of BeirutAbstract In the shadow of Israel’s ongoing genocide throughout occupied Palestine, this article examines the moral, political, and epistemic responsibilities of humanitarian, public health, global health, medical and related communities of practice amid profound violence and injustice. In this paper we offer a three-part critique of a May 2024 commentary by Karl Blanchet and colleagues, ‘Rebuilding the health sector in Gaza: Alternative humanitarian voices’ (Blanchet et al. in Confl Heal 18:42, 2024). We argue that in relation to the post-genocide reconstruction of the health system in Gaza, the authors have failed to adequately contextualise their analysis, or the health system reconstruction policy proposal as commissioned by the Gaza Health Initiative [Gaza Health Rebuilding Initiative (GHRI), Future of the Gaza health system: Needs assessment. https://static1.squarespace.com/static/656c4ff5b219116063f8099e/t/65c30c4d3e80fd21f1165b57/1707281499127/Final+first+draft+-+Gaza+health+system+report.pdf . Accessed 8 November 2024], and as such have failed to elucidate the root causes of what manifests most immediately as an entirely manufactured humanitarian crisis. This in turn undermines the substance and utility of the recovery proposal as it has been presented. We also argue that the authors have failed to afford due recognition to several key health actors in Palestine, in particular the Palestinian Ministry of Health in Gaza and UNRWA, and that this subtle but critical act of erasure further undermines the relevance and applicability of their recovery proposal as presented. In response we emphasise the centrality of Palestinian perspectives, and the need to uphold Palestinian leadership in all stages of the recovery process. Thirdly, we take issue with the suggested chronology and substance of the recovery proposal as presented, which overlooks response and recovery efforts already underway and led by Palestinians in Gaza, and which overstates ultimately harmful intervention strategies such as networks of internationally managed field hospitals. Against the backdrop of a very limited window for what we consider morally justifiable humanitarian engagement in Gaza, we join many others who have called for a paradigm shift away from the inertia of supposed objectivity and claimed neutrality that function to perpetuate injustice. Instead, we call for the collective practice of critical advocacy, solidarity with people affected by injustice and oppression, and an emancipatory politics in pursuit of justice in Palestine.https://doi.org/10.1186/s13031-024-00634-0GazaPalestineIsraelGenocideOccupationSettler colonialism
spellingShingle James Smith
Sara el-Solh
Layth Hanbali
Sawsan Abdulrahim
Sali Hafez
Samer Abuzerr
Bram Wispelwey
Mads Gilbert
Mohammed Seyam
Bassam Abu Hamad
Dorotea Gucciardo
Fahd Haddad
Rasha Khoury
Amira Nimerawi
David Mills
Ghassan Abu-Sittah
Realising health justice in Palestine: beyond humanitarian voices
Conflict and Health
Gaza
Palestine
Israel
Genocide
Occupation
Settler colonialism
title Realising health justice in Palestine: beyond humanitarian voices
title_full Realising health justice in Palestine: beyond humanitarian voices
title_fullStr Realising health justice in Palestine: beyond humanitarian voices
title_full_unstemmed Realising health justice in Palestine: beyond humanitarian voices
title_short Realising health justice in Palestine: beyond humanitarian voices
title_sort realising health justice in palestine beyond humanitarian voices
topic Gaza
Palestine
Israel
Genocide
Occupation
Settler colonialism
url https://doi.org/10.1186/s13031-024-00634-0
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