Conflict and social determinants of health: would global health diplomacy resolve the Afghanistan healthcare conundrum?

Abstract

ABSTRACT Public health, conflict/war, Social Determinants of Health (SDHs) and Global Health Diplomacy (GHD) are believed to be strongly interwoven. Afghanistan that is known as the ‘Graveyard of the Empire’ has been passing through a very critical phase given the prolonged civil war during the last couple of decades, wherein the ongoing current situation further pushed the country towards the collapse of the political and economic systems. Thereby, Afghanistan’s healthcare system has been entrapped into the civil war conundrum causing the SDHs to be seriously affected. Conflict in any form, i.e. local, regional, or international, has left black swan impacts on not only the SDHs but also led to health crises given the inaccessibility, unaffordability, and more of lack of the infrastructure, and exodus of trained medical staff and healthcare inequity. In this situation, it is anticipated that GHD could play a significant role in providing equitable healthcare to people at stake. Against this backdrop, the focus of this paper is; how the SDHs have been impacted by the civil conflict and how the public healthcare has been turned into a conundrum; would the GHD resolve the healthcare crisis in the prevailing scenario?