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Skip to 0 minutes and 3 seconds Health Access in Conflict Once again Doctor Samoe finds himself in a deadlock.. but this time with his own staff, nurse Aisha and Nurse Ann. Just then they hear a commotion from the street below. Nurse Ann is first to the window. - Yes it’s our so-called hospital guards again. - Look, can we just get on with it? - I don’t think bringing the armed soldiers with us to these closed villages is a good idea. What might happen? - Ok, we’ve been talking for 20 minutes, and still no ideas? I’m very busy, so let’s try to wrap up! We’re five months behind on the vaccination schedule in the closed villages! Pertussis is now reported in our area. What can we do?

Skip to 0 minutes and 51 seconds If you want to go to your people in those villages without army escort, then be my guest! Anyway, most of our nurses can’t even negotiate in your language for entry to the villages. - Well, that’s the problem right there, isn’t it? This conflict wouldn’t have happened if there had been some respect and sharing from the beginning! Let’s start with one of the closed villages. The one where we have good relations with the mosque. May I approach the Imam on the vaccination issue, and ask his advice? - Interesting. What could he do? He is respected by the villagers and has helped in previous vaccination campaigns for all villages. Not just the muslim ones. Let’s see what he suggests.

A fork in the road...

The healthcare team is faced with some tough choices in delivering services to the community. Their duty to the people is being complicated by the presence of violent conflict.

Do you agree with nurse Aisha or with nurse Ann - should the healthcare team take a military escort with them? Describe the pros and cons.

Write your comment in the general discussion area below. If someone has already voiced one of your thoughts, try replying to their post and take the discussion forward.

Ultimately, the presence of violence in this scenario impairs the ability of healthcare professionals to provide assistance to the population they serve. Understanding the complexity of the situation is important for effectively tackling global health and humanitarian issues.

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Medical Peace Work

University of Bergen

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