Health Policy Development in Wartime: Establishing the Baito Health System in Tigray, Ethiopia
This paper documents health experiences and the public health activities of the Tigray People's Liberation Front (TPLF). The paper provides background data about Tigray and the emergence of its struggle for a democratic Ethiopia. The origins of the armed struggle are described, as well as the i...
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| Veröffentlicht in: | Health policy and planning 1997-03, Vol.12 (1), p.38-49 |
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| creator | Barnabas, Gebre Ab Zwi, Anthony |
| description | This paper documents health experiences and the public health activities of the Tigray People's Liberation Front (TPLF). The paper provides background data about Tigray and the emergence of its struggle for a democratic Ethiopia. The origins of the armed struggle are described, as well as the impact of the conflict on local health systems and health status. The health-related activities and public health strategies of the TPLF are described and critiqued in some detail, particular attention is focused on the development of the baito system, the emergent local government structures kindled by the TPLF as a means of promoting local democracy, accountability, and social and economic development. Important issues arise from this brief case-study, such as how emerging health systems operating in wartime can ensure that not only are basic curative services maintained, but preventive and public health services are developed. Documenting the experiences of Tigray helps identify constraints and possibilities for assisting health systems to adapt and cope with ongoing conflict, and raises possibilities that in their aftermath they leave something which can be built upon and further developed. It appears that promoting effective local government may be an important means of promoting primary health care. |
| doi_str_mv | 10.1093/heapol/12.1.38 |
| format | Article |
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The paper provides background data about Tigray and the emergence of its struggle for a democratic Ethiopia. The origins of the armed struggle are described, as well as the impact of the conflict on local health systems and health status. The health-related activities and public health strategies of the TPLF are described and critiqued in some detail, particular attention is focused on the development of the baito system, the emergent local government structures kindled by the TPLF as a means of promoting local democracy, accountability, and social and economic development. Important issues arise from this brief case-study, such as how emerging health systems operating in wartime can ensure that not only are basic curative services maintained, but preventive and public health services are developed. Documenting the experiences of Tigray helps identify constraints and possibilities for assisting health systems to adapt and cope with ongoing conflict, and raises possibilities that in their aftermath they leave something which can be built upon and further developed. 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The paper provides background data about Tigray and the emergence of its struggle for a democratic Ethiopia. The origins of the armed struggle are described, as well as the impact of the conflict on local health systems and health status. The health-related activities and public health strategies of the TPLF are described and critiqued in some detail, particular attention is focused on the development of the baito system, the emergent local government structures kindled by the TPLF as a means of promoting local democracy, accountability, and social and economic development. Important issues arise from this brief case-study, such as how emerging health systems operating in wartime can ensure that not only are basic curative services maintained, but preventive and public health services are developed. Documenting the experiences of Tigray helps identify constraints and possibilities for assisting health systems to adapt and cope with ongoing conflict, and raises possibilities that in their aftermath they leave something which can be built upon and further developed. It appears that promoting effective local government may be an important means of promoting primary health care.</description><subject>Armed conflict</subject><subject>Civil War</subject><subject>Civil wars</subject><subject>Communicable Disease Control - organization & administration</subject><subject>Community Health Planning - organization & administration</subject><subject>Delivery Systems</subject><subject>Developing Countries</subject><subject>Ethiopia</subject><subject>Ethiopia - epidemiology</subject><subject>Health administration</subject><subject>Health planning</subject><subject>Health Policy</subject><subject>Health Services</subject><subject>Health Services Needs and Demand</subject><subject>Health Status</subject><subject>Local government</subject><subject>Preventive Health Services - organization & administration</subject><subject>Primary Health Care</subject><subject>Public Health Administration</subject><subject>Refugees</subject><subject>Starvation</subject><subject>Tigray</subject><subject>Warfare</subject><issn>0268-1080</issn><issn>1460-2237</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkk1vEzEYhC0EoqFw5QZaCQk4sKnf9Tc3KCkBqgKiqIgDltf1dh32C9tB5N-z0UYV4tBc7MM8MyO9GoQeAp4DVuSodmbomyMo5jAn8haaAeU4LwoibqMZLrjMAUt8gO7FuMIYKKXsLjoADJyPzwz9WDrTpDr71DfebrI37rdr-qF1Xcp8l12YkHzrXmaLmEzZ-Fj77ipLtcteG5_6bGf-sonJtVvDub8KZvMiW6Ta94M399GdyjTRPdj9h-jryeL8eJmffnz77vjVaW6pIjLnFgtrrJKGKlw6wy0reaF4ScGaqrCmpKysZFHZCqjizAlCKlNahi2vqktCDtGzKXcI_a-1i0m3PlrXNKZz_TpqSRSWtGBb8umNpJBqrGBib6TgFGPBOd8byYFRUgixFxxbFaaCjeDzG0EQHATmhGzLn_yHrvp16MZja5BCAJcC6EjNJ8qGPsbgKj0E35qw0YD1dkh6GpKGQoMmcjQ83sWuy9Zd_oNPyxmBRxOwiqkP1zplWCoKeNTzSffjNv5c6yb81FwQwfTy23d9dqHkyfvPH_QZ-QvKutvi</recordid><startdate>199703</startdate><enddate>199703</enddate><creator>Barnabas, Gebre Ab</creator><creator>Zwi, Anthony</creator><general>Oxford University Press</general><general>OXFORD UNIVERSITY PRESS</general><general>Oxford University Press, in association with the London School of Hygiene and Tropical Medicine</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HJHVS</scope><scope>HQAFP</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope></search><sort><creationdate>199703</creationdate><title>Health Policy Development in Wartime: Establishing the Baito Health System in Tigray, Ethiopia</title><author>Barnabas, Gebre Ab ; Zwi, Anthony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4938-6c07cac98a490bea6c5b6296b41caf2cab45bf82fcf14965e733fabc50c6ffd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Armed conflict</topic><topic>Civil War</topic><topic>Civil wars</topic><topic>Communicable Disease Control - 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Documenting the experiences of Tigray helps identify constraints and possibilities for assisting health systems to adapt and cope with ongoing conflict, and raises possibilities that in their aftermath they leave something which can be built upon and further developed. It appears that promoting effective local government may be an important means of promoting primary health care.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>10166101</pmid><doi>10.1093/heapol/12.1.38</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0268-1080 |
| ispartof | Health policy and planning, 1997-03, Vol.12 (1), p.38-49 |
| issn | 0268-1080 1460-2237 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Oxford Open; Alma/SFX Local Collection; JSTOR; Sociological Abstracts; EZB Electronic Journals Library; Periodicals Index Online |
| subjects | Armed conflict Civil War Civil wars Communicable Disease Control - organization & administration Community Health Planning - organization & administration Delivery Systems Developing Countries Ethiopia Ethiopia - epidemiology Health administration Health planning Health Policy Health Services Health Services Needs and Demand Health Status Local government Preventive Health Services - organization & administration Primary Health Care Public Health Administration Refugees Starvation Tigray Warfare |
| title | Health Policy Development in Wartime: Establishing the Baito Health System in Tigray, Ethiopia |
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