A/68/297
29. Such attacks not only violate the right to health of people affected by conflict,
including people involved in the conflict, but may also cripple the health-care
system as a whole. Insecurity, stemming from the targeting of health-care workers
by either the State forces or non-State groups, may result in health-care
professionals fleeing, creating a dearth of trained medical professionals in these
regions. 30 This may result in the increase of preventable health problems such as
maternal health and child mortality and morbidity, besides the morbidity caused by
conflict itself. 31
E.
Military use and militarization of health facilities
30. Militarization refers to the taking over or use of health facilities and services
by armed forces or law enforcement agencies for achieving military objectives.
Such military use poses a serious risk to the life and health of patients and healthcare workers and erodes the role and perception of hospitals as a safe space to
access health care. The impartiality of medical facilities is often compromised by
the constant presence of security forces in hospitals and intimidation of patients and
health-care workers in hospitals and clinics. 32 Hospitals and clinics are sometimes
taken over by security forces in order to identify or arrest protestors injured in
clashes with pro-Government forces. Those identified with protest-related injuries
are often prevented from seeking emergency medical attention, removed from
medical care, tortured or arrested (A/HRC/19/69, para. 63). Militarization of health
care has also led to undesirable fallouts in respect of access to basic health care in
some countries. Widespread fear of persecution leads civilians to avoid seeking
treatment at health facilities and resort to treatment in unsafe conditions instead
(ibid.). Such persecution violates the right to health of persons by impeding their
access to quality health services.
31. In occupied territories and in areas where health care is funded or provided by
the military, health-care workers have been targeted due to their perceived
association with military forces. 33 Health professionals may also be targeted for
providing services to anti-Government groups due to perceived support for such
groups. 34 Misuse of health-care delivery programmes, such as vaccination
programmes, to further military aims may erode the perception of impartiality of
medical personnel and create mistrust of health workers among the civilian
population, which may lead to killings of health-care workers and rejection of
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30
31
32
33
34
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David Stein and Barbara Ayotte, “East Timor: extreme deprivation of health and human rights”,
Lancet, vol. 354, No. 9195 (11 December 1999), p. 2075.
Paul C. Webster, “Roots of Iraq’s maternal and child health crisis run deep”, Lancet, vol. 381,
No. 9870 (16 March 2013), p. 892; Bernadette A. M. O’Hare and David P. Southall, “First do no
harm: the impact of recent armed conflict on maternal and child health in sub-Saharan Africa”,
Journal of the Royal Society of Medicine, vol. 100, No. 12 (December 2007), p. 565.
PHR, Do no harm: a call for Bahrain to end systemic attacks on doctors and patients
(Cambridge, Massachusetts and Washington, D.C., April 2011), pp. 27-29.
MSF, In the Eyes of Others: How People in Crises Perceive Humanitarian Aid (New York, 2012),
pp. 134-154.
Peter Apps, “Once seen as neutral, aid workers fight perceived bias”, Reuters, 31 August 2007.
Available from www.reuters.com/article/2007/08/31/us-aid-bias-idUSL3184999120070831.
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