Thursday, January 26, 2017

Across The Crescent Moon: War and Public Health


In today’s world marred by chaos, bullying and divisiveness, the Filipino motion picture “Across The Crescent Moon” dares to bring the message of peace and unity. The movie “Across The Crescent Moon” tells the story of Abbas (Matteo Guidicelli), a Muslim Special Action Force (SAF) Exemplary Officer who is married to a Christian. Abbas is tasked to investigate a human trafficking syndicate. In the process of carrying out the mission, he runs into conflict with his family, tests his fidelity to Islam, and even endangers his life. In addition, the movie portrayed a picture of healthcare in places with conflicts like in Mindanao. This socio-political determinant is so important because violence and threats against health workers and facilities, along with interference with access to health care, impedes the ability of people from receiving the health services they need. Targeted attacks on health undermine and sometimes destroy health systems and infrastructure, force health workers to flee areas where they are most needed, and prevent children from getting essential vaccinations. Looking at health through the lens of political determinants means analyzing how different power constellations, institutions, processes, interests, and ideological positions affect health within different political systems and cultures and at different levels of governance.
One of the most troubled areas in our country continues to be in Mindanao. The war in Mindanao has displaced thousands of refugees in the past years and that number only continues to grow, and as all of these victims are relocated into other places, many of them are in desperate need of medical care. Even though there is a huge need for supplies and doctors within these areas, they are targets for further attacks and violence from rebels and terrorists. Whether or not valuable and innocent members of society should be sent to these areas is a major point of contention. Violent attacks on health workers and facilities are common in war zones while laws to protect them are increasingly impotent, according to a new study from the International Committee of the Red Cross (ICRC) that suggests this problem is “one of the most crucial yet overlooked humanitarian issues of today.” So the big question is “Should emergency health workers be sent into conflict zones if their lives are in danger?” As mentioned earlier, health workers are an often the targeted group and when health workers are killed, the patients that they are supposed to be helping have their lives in jeopardy as well.  So Robin Coupland says, “The wounded and the hospitals are being integrated into the conflict. However, a larger conundrum comes into play when we consider the thousands of lives that could be saved if emergency doctors worked to help heal the wounded.” Then the December 2014 UN General Assembly resolution created a roadmap for states and UN agencies to strengthen protection of health care in situations of armed conflict or political violence. It laid out specific preventive measures to enhance and promote the safety and protection of medical and health personnel and to promote respect for their respective professional codes of ethics. Consistent with this mandate, states should implement the following reforms and intervene in the following way:
·         Ensure that national law precludes any form of criminal or civil sanction for acts by health workers consistent with their ethical duty of impartiality, regardless of the affiliation, acts, or beliefs of individuals they treat.
·         Train police, militaries, and paramilitary organizations in the requirements of respect and protection of health services, including conduct required in situations such as hospital entry, operations of checkpoints, and ambulance passage.
·         Incorporate rights and responsibilities of health workers in training programs for health workers.
·         Ensure that health workers are protected from attacks or interference by third parties.
·         Collect data on attacks or interference with health care, and cooperate with the WHO’s initiative to expand surveillance and reporting of attacks.
·         Develop robust accountability mechanisms for attacks or interference with health services through criminal law and domestic and regional human rights mechanisms.
Steps should also be taken at the global level to support these actions:
·         The WHO should complete its methodology for data collection and implement a global system in cooperation with member states and NGOs.
·         The Office of the High Commissioner for Human Rights should include protection and respect for health care in country-level work.
·         The special representative of the secretary general for children in armed conflict should investigate attacks on health services in accordance with the mandate of UN Security Council resolution 1998.
·         The prosecutor of the International Criminal Court should prosecute these attacks as war crimes when committed during armed conflicts or as crimes against humanity when they are committed as part of a widespread or systematic attack directed against any civilian population.
With the mentioned roadmap being created, there is an assurance of safeguarding health workers in conflict places.

The movie, ACROSS THE CRESCENT MOON is inspiring and informative. It is a true classic and must be enjoyed, internalized and shared with every patriotic Filipino worldwide.  The movie revealed the horrible menace of human trafficking, modern day slavery of women, prostitution, drug trade and other social ills - and how abject poverty is the root cause of these problems and the impact of conflicts in delivering healthcare. It also revealed the contrast between the frivolity and comforts of city life vs. the instability and simplicity of living in a conflict-laden place. The movie promoted love because we Filipinos are one family. The movie served as an inspiration and enlightenment to what Filipinos should value most— lasting peace, love, preservation of family unity, and displaying the respectability and acceptability of each other’s faith because in a peaceful country there will be an efficient healthcare delivery. 
Here is the trailer video of the movie.


FULL MOVIE

 






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