Between Local Patronage Relationships and Securitization: The Conflict Context in the Bekaa Region

Al-Masri, Muzna; Support, Lebanon

doi:10.28943/cskc.003.00027

Cited by 6 publications

(4 citation statements)

References 1 publication

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“…This may be explained by the fact that the Bekaa region hosts the highest number of refugees, namely Syrian refugees, in Lebanon [46]. The Bekaa region is also characterized by an overall inadequate access to health services even prior to the influx of Syrian refugees, due to fragmented infrastructure and lack of essential resources [47]. In fact, Benage et al reported that Syrian refugees in the Bekaa governorate accessed ANC services less than refugees located in other regions of the country [24].…”

Section: Suboptimal Anc Visitsmentioning

confidence: 99%

Maternal health outcomes in the context of fragility: a retrospective study from Lebanon

Dimassi,

Alameddine,

Sabra

et al. 2023

Confl Health

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Background and aims The Lebanese healthcare system faces multiple challenges including limited capacities, shortage of skilled professionals, and inadequate supplies, in addition to hosting a significant number of refugees. While subsidized services are available for pregnant women, representing the majority of the refugee population in Lebanon, suboptimal access to antenatal care (ANC) and increased maternal mortality rates are still observed, especially among socioeconomically disadvantaged populations. This study aimed to review the maternal health outcomes of disadvantaged Lebanese and refugee pregnant women seeking ANC services at primary healthcare centers (PHCs) in Lebanon. Methods A retrospective chart review was conducted at twenty PHCs in Lebanon, including Ministry of Public Health (MOPH) and United Nations Relief and Works Agency for Palestine refugees (UNRWA) facilities. Data was collected from medical charts of pregnant women who visited the centers between August 2018 and August 2020. Statistical analysis was performed to explore outcomes such as the number of ANC visits, delivery type, and onset of delivery, using bivariate and multivariable logistic regression models. Results In the study, 3977 medical charts were analyzed. A multivariate logistic regression analysis, revealed that suboptimal ANC visits were more common in the Beqaa region and among women with current abortion or C-section. Syrians had reduced odds of C-sections, and Beqaa, Mount Lebanon, and South Lebanon regions had reduced odds of abortion. Suboptimal ANC visits and history of C-section increased the odds of C-section and abortion in the current pregnancy. As for preterm onset, the study showed an increased likelihood for it to occur when being Palestinian, having current C-section delivery, experiencing previous preterm onset, and enduring complications at the time of delivery. Conclusion This study suggests the need for low-cost interventions aiming at enhancing access to ANC services, especially among pregnant women in fragile settings.

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Section: Suboptimal Anc Visitsmentioning

confidence: 99%

Maternal health outcomes in the context of fragility: a retrospective study from Lebanon

Dimassi,

Alameddine,

Sabra

et al. 2023

Confl Health

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“…This structured and legitimised more autonomous, fragmented responses at the municipal level while simultaneously denying them financial support and making them dependent on international aid (Mourad, 2017; Sanyal, 2018). Consequently, municipalities gained an outsized role in monitoring security and mediating conflict in relation to the Syrian refugees (al‐Masri, 2015). By 2013, 142 municipalities throughout the country had imposed discriminatory evening and nighttime curfews on Syrians (Mourad, 2017).…”

Section: Localising Aid In Urban Displacement Settings With Multiple ...mentioning

confidence: 99%

Localising aid: Urban displacement, contested public authority and legitimacy in Jordan and Lebanon

te Lintelo,

Liptrot

2023

Global Policy

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Globally, tens of millions of forcibly displaced people live in informal urban neighbourhoods. Although critical sites for humanitarian and development intervention, municipal authorities may have only a limited presence. Especially in conflict and post‐conflict settings, other non‐state actors emerge to compete for public authority. While the localisation agenda of international donors seeks to better engage local governance actors, little is known about how aid donors take account of non‐state public authority actors as they seek to achieve stability, state building, security and refugee resilience objectives. Accordingly, this study adopts a qualitative methodology to analyse how, why and to what effect donors conceive of and seek to address the legitimacy of state and non‐state urban public authority actors in their response to urban displacement. Analysis of the Syrian refugee crisis in Jordan and Lebanon shows that municipalities remain the focus, as donors hold three key assumptions that inform their interventions. Adopting sophisticated tools for understanding non‐state actors' pursuit of public authority, donor interventions seek to undergird, shift, work around, blank or ban their legitimacy‐making practices. We conclude that while donors embrace empirical legitimacy approaches, development and humanitarian responses to urban protracted displacement in marginal urban neighbourhoods are restricted by powerful normative legitimacy approaches rooted in foreign policy objectives.

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“…Clashes between the Lebanese army and jihadists further increased tensions. However while the public discourse on refugees became generally more focused on security, these events and associated discourses translate differently in the municipalities (al-Masri 2015). While humanitarian and development projects might successfully mitigate conflict between refugee and host population, Syrians are generally not part of decision-making processes.…”

Section: Refugee Policies and Rising Tensionsmentioning

confidence: 99%

The Education of Syrian Children in Istanbul

Aytaçoğlu¹,

Demirkol²

2016

“Guests and Aliens”: Re-Configuring New Mobilities in the Eastern Mediterranean After 2011 - With a Special Focus on Syrian Ref

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Between Local Patronage Relationships and Securitization: The Conflict Context in the Bekaa Region

Cited by 6 publications

References 1 publication

Maternal health outcomes in the context of fragility: a retrospective study from Lebanon

Maternal health outcomes in the context of fragility: a retrospective study from Lebanon

Localising aid: Urban displacement, contested public authority and legitimacy in Jordan and Lebanon

The Education of Syrian Children in Istanbul

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