Refugees In Lebanon Research Articles

Refugee Resettlement and Preferences

Aid organizations spend considerable time lobbying for aid to be sent to refugees in poorer states, rather than campaigning for more refugees to be resettled to wealthy states. Lawmakers in wealthy countries similarly tend to focus on aiding refugees abroad, rather than resettling more refugees into their countries. One justification raised for focusing on aid rather than resettlement is that refugees prefer to remain in poorer neighboring countries so that they can quickly repatriate when the time is safe. Yet, few have established what refugees’ preferences are. Drawing upon an original data set of a representative sample of Syrian refugees in Lebanon, we find that most prefer remaining to resettling when the details of resettlement are not clarified, but roughly half prefer to resettle if offered certain types of resettlement. We further argue that organizations and states have reason to account for whether preferences are “adaptive.” Such preferences arise when refugees prefer remaining in neighboring countries to resettling only when resettling to other countries is not an option, but would prefer resettling if this option were available. We present a novel philosophical reason for not appealing to adaptive preferences as a justification for not resettling refugees. We further apply a novel experimental method for evaluating whether preferences are adaptive.

The impact of posttraumatic stress disorder and head injury on reactive and appetitive aggression in adult Syrian refugees in Lebanon.

Refugees are highly vulnerable to mental health disorders and head injuries. The primary aim of this study is to examine the impact of posttraumatic stress disorder (PTSD) and head injury on reactive and appetitive aggression in adult Syrian refugees in Lebanon. A cross-sectional study was conducted targeting adult Arab United Nations High Commissioner for Refugees-registered Syrian refugees residing in Beirut and southern regions of Lebanon. Eligible refugees completed a battery of questionnaires including the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition, the Trauma Events and Head Injury sections of the Harvard Trauma Questionnaire, the Buss-Perry Aggression Questionnaire, and the Appetitive Aggression Scale. A total of 191 Syrian refugees participated in the study: 62.83% were females, and the mean age was 31.01 years (SD = 10.98). The severity of PTSD (adjusted B = 0.18, 95% CI [0.05, 0.31], p = .006), having experienced at least one head injury trauma event (adjusted B = 10.20, 95% CI [1.61, 18.79], p = .020), and the severity of somatic symptoms (adjusted B = 0.71, 95% CI [0.23, 1.20], p = .004) were significant risk factors of reactive aggression. As for appetitive aggression, males (females adjusted OR [aOR] = 0.06, 95% CI [0.02, 0.18], p < .001), younger individuals (aOR = 0.95, 95% CI [0.91, 0.99], p = .024), and higher severity of somatic symptoms (aOR = 1.20, 95% CI [1.09, 1.32], p < .001) were significant risk factors. PTSD and head injury are independent risk factors for reactive aggression but not appetitive aggression in Syrian refugees in Lebanon, while the severity of somatic symptoms is an independent risk factor for both reactive and appetitive aggression. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Animating the Jesuit mission while using education as a form of humanitarian aid: A case-study on the Jesuit Refugee Service in Lebanon

The Jesuit Refugee Service provides education programmes as a form of humanitarian aid for Syrian refugees in Lebanon. The Jesuit Refugee Service is called to support the mission of the Jesuits and the vision that Saint Ignatius of Loyola had for the Society of Jesus and Jesuit schools. The Jesuit Refugee Service needs to have a distinct service that separates them from simply offering aid in the same manner as a secular Non-Government Organization. This case study on the work of one project by the Jesuit Refugee Service in the Bekaa Valley of Lebanon helps to illustrate how a Jesuit organization can animate the mission of the Jesuits and the Catholic Church while offering education as a form of humanitarian aid to non-Catholics.

The cultural significance of Syrian refugees' traditional childbirth and postpartum practices

ProblemChildbirth and the postpartum period are critical times for both mothers and babies. Traditional cultural practices often play a significant role in providing support during this time. However, in exceptional circumstances, such as those faced by refugees giving birth in disrupted social environments, these practices may be inaccessible, leading to emotional distress and delayed physical recovery. AimTo explore the cultural significance of traditional motherhood practices in Syria that are still observed by some Syrian refugees in Lebanon. MethodsThe study used a phenomenological approach and included in-depth interviews with eight Syrian mothers residing in informal settlements in Lebanon. FindingsFindings were organized around three themes: (1) Familial Support during the Postpartum Period, (2) Specific Cultural Practices during the Postpartum Period, and (3) Emotional Experiences during the Postpartum Period DiscussionUnderstanding these cultural practices is essential for developing culturally sensitive interventions that can improve wellbeing of refugee mothers.

Predicting poor mental health among older Syrian refugees in Lebanon during the COVID-19 pandemic: a nested cross-sectional study

IntroductionThe COVID-19 pandemic has worsened pre-existing vulnerabilities among older Syrian refugees in Lebanon, potentially impacting their mental health. The study aims to describe the evolution of poor mental health over...

On the margins of refuge: Queer Syrian refugees and the politics of belonging and mobility in post-2019 Lebanon

This paper explores the dual marginalization of LGBTIQ+ Syrian refugees in Lebanon, highlighting the interplay between national policies on deportation and the crackdown on the LGBTIQ+ community post-2019. Lebanon, home to 1.5 million Syrian refugees—the highest per capita globally—is a case study in how social, political, economic, and legal frameworks do not merely overlook refugee challenges but actively intensify their isolation. Particularly for LGBTIQ+ Syrian refugees, everyday experiences of violence, discrimination, stigmatization, and isolation are exacerbated by these frameworks. In 2022, this situation worsened when Lebanon's Minister of Interior, yielding to pressure from religious groups, directed security forces to disrupt gatherings within the LGBTIQ+ community. Employing qualitative research methods, this study delves into the compounded effects of these policies on the intersectional vulnerabilities of queer Syrian refugees. It examines their perceptions of vulnerability and security, underlining the profound impacts of overlapping decisions on deportation and the suppression of LGBTIQ+ rights.

By the numbers and in their own words: A mixed methods study of unmet needs and humanitarian inclusion of older Syrian refugees in Lebanon.

Older people constitute an overlooked vulnerable population in humanitarian crises. Lebanon is a small country that hosts the largest number of refugees per capita in the world. With exacerbating socioeconomic conditions, exclusionary policies against refugees, and a fragmented humanitarian system, the status of older Syrian refugees (OSRs) requires special attention. This study aimed to explore OSRs' unmet needs, coping strategies, available humanitarian services, and some indicators of the humanitarian inclusion standards focusing on the shelter, health, nutrition and food security, and water, sanitation and hygiene sectors. We conducted a convergent mixed-methods study between December 2021 and March 2022 in the North and Bekaa, including a cross-sectional survey with 461 participants and 14 semi-structured interviews. Results show that OSRs lived in inappropriate shelters (cold, leaking rainwater), especially in informal tented settlements. High rent prices pushed refugee households with elderly to prioritize paying rent at the expense of other needs such as food and medication, particularly when food cash transfer is the sole source of income, jeopardizing food security and intake. Access to dignifying and accessible bathing facilities was compromised in ITSs with shared facilities. Substantial medical costs hindered OSRs access to healthcare such as surgeries. Due to the crisis, chronic medications are not always available in dispensaries for subsidized cost, pushing OSRs to non-compliance and selling food assistance to buy medications. Soaring fuel prices hindered OSRs access to heating and transportation to receive healthcare. No efforts were reported in collecting data on OSRs' needs, targeting them with information on services, or soliciting feedback for programming, especially in the absence of any age-tailored interventions. Findings shed light on the precarious living conditions of OSRs in Lebanon and add to the body of evidence documenting their invisibility to the humanitarian response. An age-inclusive response is needed through holistic, tailored, and sustainable interventions.

How governance under the ‘grand compromise’ affects refugee preferences for relocation: evidence from Syrian refugees in Lebanon

ABSTRACT We examine how governance actors in first-asylum countries affect refugees' relocation preferences. We argue that external humanitarian actors and host country actors can have different effects on refugees' aspiration and perceived ability to relocate away from the first-asylum country. Using an original survey of Syrian refugees in Lebanon, we find that when refugees believe external actors are effective at dealing with refugee issues, they are significantly less likely to aspire to migrate but significantly more likely to feel able to do so. When refugees believe the host government is effective at providing security, they are significantly more likely to aspire to relocate but significantly less likely to feel able to do so. In other words, the effectiveness of host actors is associated with ‘involuntary immobility’. To probe this finding further, we rely on a modified conjoint experiment. In line with our observational findings, we find that refugees who believe host actors are effective are more likely to choose relocation over staying when presented with a legal opportunity, indicating involuntary immobility. Refugees who believe external actors are effective are no more likely than others to choose relocation when presented with a legal resettlement opportunity.

Views: Exclusion and Violence: The Dark Side of Nationalism for Syrian Refugees in Lebanon

Views: Exclusion and Violence: The Dark Side of Nationalism for Syrian Refugees in Lebanon

Biomonitoring Environmental Exposure in Syrian Refugees in Lebanon.

Over one million Syrian refugees have been residing in substandard living conditions in Lebanon for the past decade. Non-invasive biomonitoring of fractional exhaled nitric oxide (FeNO) as a pulmonary inflammation biomarker was conducted following and preceding indoor environmental assessments (which revealed elevated mould counts in informal tented settlements and non-residential shelters) to further evaluate effects of environmental exposure to indoor contaminants. Results of biomonitoring (n = 57) provided some insight regarding existing respiratory conditions and the possible implementation of minimally invasive methods to establish susceptibility profiles in Syrian refugees amid limited access to healthcare. The clinical interpretation of FeNO results suggested possible persistent exposure to allergens in addition to significant type 2 inflammation in some subjects. These findings warrant the need to expand this study, investigate other biomarkers, and attempt to correlate findings with environmental conditions to evaluate if a dose-response relationship exists.

Cultural assimilation of adult Syrian refugees in Lebanon: Effect modification by religiosity and sex on the relation between cultural adversities and common mental health disorders.

In this study, we aimed to explore the prevalence and determinants of common mental health disorders (CMHDs, posttraumatic stress disorder [PTSD], depression, and anxiety) in Syrian refugees in Lebanon. Specifically, we examined how the associations between cultural adversities (discrimination, unemployment, and separation from family) and CMHDs are modified by levels of religiosity and sex. Between March and June 2017, a cross-sectional study was conducted targeting adult Arab Syrian refugees residing in Beirut and Southern Lebanon. Eligibility criteria comprised being a United Nations High Commissioner for Refugees-registered Syrian refugee residing in Lebanon, 18 years and older, and having no history of mental disorder or physical disability. A total of 191 refugees agreed to participate and complete a battery of six questionnaires. Exposures were measured using a sociodemographic questionnaire, the Postmigration Living Difficulties Checklist, the Harvard Trauma Questionnaire, and the Belief into Action Scale, while outcomes were measured using the Posttraumatic Stress Disorder Checklist for DSM-5 and the Depression and Anxiety Scale-21 Items. Half (50.3%) of our sample had high PTSD risk, 73.8% had high depression risk, and 73.8% had high anxiety risk. Stratified analysis revealed religiosity and sex to be effect modifiers of the associations between cultural adversities and CMHDs. Specifically, cultural adversities were only significantly associated with CMHDs in the low religiosity stratum and males. Only unemployment was a significant risk factor for PTSD in both males (OR = 4.53, 95% CI [1.44, 14.27]) and females (OR = 2.77, 95% CI [1.14, 6.74]). Religiosity and sex are effect modifiers of the associations between cultural adversities and CMHDs. Religious and spiritual interventions in mental health care should be adopted in refugee settings. Moreover, there is an urgent need for capacity-building initiatives addressing social determinants of mental health among Syrian refugees in Lebanon. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

OVERGROWING REFUGEE PROBLEM IN LEBANON

The growing issue of Syrian refugees in Lebanon weaves tightly with Lebanon's past. It's a country with a complex history surrounding refugees, especially Palestinian refugees, and a long past with Syria. This rising refugee concern started after the Syrian Civil War. It's also tied to political, social, and economic elements that shaped Lebanon's reaction to this human crisis. Lebanon serving as a sanctuary for refugees isn't a new thing. It started before the Syrian refugee wave that came after the 2011 Civil War. The long-standing Palestinian refugee community, who've lived in Lebanon's camps for about seven decades, remarkably impacted Lebanon's view on welcoming refugees. Lebanese-Palestinian history carries weight due to the Arab-Israeli conflicts and PLO's role in the Lebanese Civil War. This past creates a hesitant, suspicious attitude in Lebanon towards refugees. It impacts how they handle the crisis of Syrian refugees. Also, the lasting stay of Syrian soldiers in Lebanon following its Civil War added tension. This, combined with Syria's large political sway, has intensified the rift between the countries. The long-term effects of this situation have stirred negativity towards Syrians and refugees in Le Banon. It's impacted both societal views and politics. It's also determined how Lebanon's government handles the necessities of Syrian refugees. Lebanon has a special governance system. It gives roles to people based on their religion. It has really influenced how they treat the refugee situation. Why? Because they're scared. They're scared about their population changing. Scared about tension between religious groups. That worry makes them hesitant in giving legal status to the refugees. They're worried that this might make the refugees want to stay longer. The past vents highlight the complex reasons for Lebanon's approach to the increasing refugee situation. The Syrian Civil War started, and Lebanon became home to roughly 1.5 million Syrian refugees. That's a ton for a place with around only 6.8 million people. Lebanon faces a massive dilemma now. It tests their shaky economy and society greatly. Lebanon's challenge is dealing with a large number of refugees. Their old residency rules make it tough. Many Syrians don't have official status. They can't work, go to school, or get healthcare. They might be taken advantage of and can't do much legally about it. Additionally, tough management hurdles, like the twice-yearly complex registration for refugees over 15, carry on their unstable situation. Various refugees, scared off by the difficult renewal steps, choose not to renew their legal status. This worsens their risk and blocks their way to vital services. The refugee crisis has had a profound and far-reaching impact on the fundamental rights and well-being of those affected, particularly in the areas of education, healthcare, and basic living conditions. These dire circumstances permeate all aspects of their lives, potentially perpetuating long-term vulnerabilities and significantly affecting their daily existence. In this context, international aid has played a crucial role in addressing the immense humanitarian needs created by Lebanon's refugee crisis. However, the necessary funds to adequately support these individuals have fallen short, resulting in approximately 54% of the required 2014 funding remaining unmet. This financial strain has only added to the already daunting challenges of providing essential support and services to the refugees.

Covid-19 skepticism and public health norms during refugee assistance: does skepticism always lead to poor safety protocol adherence?

BackgroundSkepticism about COVID-19’s existence or severity has spread as fast as the disease itself, and in some populations has been shown to undermine protective public health behaviors that can mitigate infection. For populations that are especially vulnerable to COVID spread and severity, such as refugees, COVID skepticism is particularly problematic.MethodsWe examine data collected from observations of humanitarian services provided to refugees in Lebanon, Türkiye, and Jordan to determine if skepticism is related to adherence to specific health-protective protocols (masking, social distancing, and hand sanitizing), and whether the effects of COVID skepticism are mediated by particular populations of refugees or the country in which those refugees receive assistance.ResultsWe found that community skepticism (the frequency of COVID skepticism expressed by others within a service location) is associated with lower adherence to certain protocols and not others. We also found that with certain protocols, the country in which refugees receive services mediates the relationship between community skepticism and protocol adherence, but for other protocols the relationship between skepticism and adherence is independent of either country in which refugees reside or the refugee population being served.ConclusionsThe existence of skepticism about COVID-19 does not always lead to an unwillingness to take protective measures to avoid infection. The mechanisms underlying the relationship between skepticism and adherence to health-protective protocols vary based on the type of protocol in question. In order to increase protocol adherence, the specific variables predicting adherence to different protocols need to be assessed in order to increase adherence and improve public health during humanitarian services.

Association of pre-migration socioeconomic status and post-migration mental health in Syrian refugees in Lebanon: a descriptive sex-stratified cross-sectional analysis

BackgroundRefugee populations present with high levels of psychological distress, which may vary among sociodemographic characteristics. Understanding the distribution across these characteristics is crucial to subsequently provide more tailored support to the most affected according to their specific healthcare needs. This study therefore seeks to investigate the association between pre-migration socioeconomic status (SES) and post-migration mental health separately for male and female Syrian refugees in Lebanon.MethodsIn a cross-sectional study, a cluster randomized sample of 599 refugees from Syria were recruited between 2016 and 2019 within 12 months after they fled to Lebanon. Logistic regression was used to determine the association between self-reported pre-migration SES and levels of anxiety and depressive symptoms assessed on the Hopkins Symptoms Checklist-25 (HSCL-25) scale, both for the entire sample and stratified by sex. To assess the informative value of self-reported SES, its correlation with education variables was tested. All analyses were conducted in R version 4.3.ResultsUsing complete cases, 457 participants (322 female, 135 male) were included in the analyses. Females showed on average more symptoms of anxiety (Median: 2.5) and depression (Median: 2.4) than males (Median: 2.10 and 2.07, respectively). Below average SES was associated with significantly higher odds for mental illness compared to average SES (anxiety: OR 4.28, 95% CI [2.16, 9.49]; depression: OR 1.85, 95% CI [1.06, 3.36]). For anxiety, differences between SES strata were larger for males than females. The self-reported SES measure showed only a weak positive correlation with education.ConclusionsThis study adds additional descriptive data highlighting mental health differences in Syrian refugees in Lebanon, whereby below average SES is associated with worse mental health outcomes compared to average SES. These findings demand further research into the underlying mechanisms. Improving our understanding of the observed differences will provide valuable insights that can contribute to the future development of targeted measures.

Predictors of Acculturation and Adaptation in a Sample of Syrian Refugees in Lebanon

While the United Nations High Commissioner for Refugees (UNHCR) has a record of approximately 1.5 million Syrian refugees in Lebanon, no studies have focused on understanding the processes of acculturation and sociocultural/psychological adaptation among them in Lebanon. The aim of this study was to evaluate Syrian refugees’ patterns of acculturation and adaptation; to evaluate their association with social and psychological factors such as perceived discrimination, cultural distance, and attachment; and to look for predictors of acculturation and adaptation. The sample consisted of 241 Syrian refugees between 18 and 64 years of age. Correlations were found between acculturation and adaptation, both of which were impacted by reasons for displacement. Moreover, results showed that low cultural distance, perceived discrimination, and insecure attachment predicted both psychological and sociocultural adaptation, whereas lower perceived discrimination, attachment avoidance, and high attachment anxiety predicted high host acculturation. Findings are discussed in light of potential interventions facilitating refugees’ adaptation to the Lebanese culture.

Social ecological determinants of the mental distress among Syrian refugees in Lebanon and Turkey: A transnational perspective

ObjectiveRefugees are frequently shown to have worse mental health outcomes than non-displaced populations. This fact is commonly attributed to traumatic pre-displacement experiences. While important, the focus on trauma risks overlooking the role socioeconomic living-conditions in different arrival and transit contexts can play in determining refugees’ mental distress. Building on the ecological model of refugee distress, we investigate how social ecological conditions relate to the mental distress of Syrians in Lebanon and Turkey. Both countries present important spaces of arrival and transit for millions of displaced Syrians, each with a specific historical, political, social and economic context. MethodsThe empirical analysis is based on data gathered in early 2021 in face-to-face surveys among displaced Syrians in Lebanon (N = 1127) and Turkey (N = 1364). Individual mental distress is evaluated using the Patient Health Questionnaire (PHQ-8) score as the dependent variable in a multivariate regression analysis. ResultsSocial ecological factors do not only differ in their extent of deprivation between Lebanon and Turkey. They also differ in their relationship with individual mental health outcomes. In Lebanon, limited access to the health care system and having family in the same city are major risk factors for elevated mental distress, whereas in Turkey, these are low education, poverty, unemployment as well as employment as day laborer. Discrimination and social isolation emerge as relevant predictors in both countries. ConclusionBased on this analysis, we argue that a context-specific understanding of mental distress amidst the social ecology refugees face in countries of refuge and transit is necessary. This approach needs to be pursued to provide adequate support and alleviate refugees’ mental distress both, in the country of first refuge and after possible onward migration. In addition to clinical implications, the study particularly highlights the important role anti-discrimination and social inclusion policies could play in promoting refugee mental health.

Epidemiology of burns in a humanitarian setting: A national study among refugees in Lebanon

IntroductionBurns represent one of the leading causes of morbidity worldwide and disproportionately impact women, children, and socioeconomically disadvantaged individuals. Syrian refugees who fled conflict to land in overcrowded informal settlements across Lebanon are a particularly vulnerable population. This study aims to assess the etiology and risk factors for burns in this population. MethodsThis cross-sectional, cluster-based population study adopted the Surgeons Overseas Assessment of Surgical Need (SOSAS) version 3.0 to capture data from refugees residing in informal settlements in multiple regions across Lebanon. The tool was contextualized and used to collect detailed information on burn cases sustained by refugees during the last 12 months prior to data collection. Univariate logistic regression models were performed to assess the relationship between burns and associated risk factors. ResultsFrom the 1468 households surveyed, a total of 223 households experienced a burn in the last 12 months. Over 63% of burns occurred in children under the age of ten years and almost 57% of burns occurred in females. More than 70% of burns resulted from hot liquid, while 17% were caused by direct heat contact. Over 3/4ths of burns occurred while preparing food (77.4%). Approximately 32% of those burned did not seek healthcare, of which almost 85% noted the cause was mainly due to financial limitations. ConclusionBurns are a common injury in the Syrian refugee population living in Lebanon. Children and women are particularly impacted, often during cooking. Multi-level interventions are necessary to reduce burn injuries and improve care for those affected by burns. Community kitchens can be used to separate cooking and living environments and get stoves and hot liquids off the floor. Importantly, policies should allow for refugees to receive medical care when necessary without a major financial burden.

80. Purported ‘Security’ Raids Against Syrian Refugees in Lebanon: Structural Determinants of Young Adult Wellbeing

80. Purported ‘Security’ Raids Against Syrian Refugees in Lebanon: Structural Determinants of Young Adult Wellbeing

Gender identity as a barrier to accessing adequate and inclusive healthcare for Syrian refugees in Lebanon's Northern regions

The structure and modes of operation of Lebanon's healthcare system cast a blind eye upon refugees' specific challenges and needs. It not only remains highly privatized, but additionally involves a number of exclusionary practices across both private and public sectors. This reality, coupled with political agendas, partisan politics, clientelism, and an overall lack of transparency at the level of public administration, gives private health providers substantial amounts of subjective influence – and more importantly, the authority to be exclusionary. This article explores how gender identity has impacted access to healthcare services for the Syrian refugee community since 2019 – with a specific focus on women and members of the LGBTIQ+ community. The study focuses on the regions of Tripoli and Akkar – regions found to be tainted by socio-cultural sensitivities hindering women and LGBTIQ+ individuals from being honest and expressive about the gender-specific care they need, and thus, hindering adequate service provision. Specifically, the research aims to implore an intersectional lens to exploring health, gender and displacement in application. It aims to respond to the following questions: (1) To what extent have gender identity, gender expression and gender norms impacted Syrian refugees' ability to access gender-sensitive health services in Tripoli and Akkar?; (2) To what extent have the aforementioned gender considerations, when intersecting with refugee status, served as an added layer/barrier to accessing health services in Tripoli and Akkar?; (3) To what extent do socio-cultural norms in Tripoli and Akkar impact Syrian refugee women and LGBTIQ+ refugees' ability to be honest and transparent about their specific health needs? (4) To what extent does the nature of the Lebanese health system, coupled with the limited knowledge among healthcare providers around gender-sensitive care, serve as a catalyst toward exclusionary health access for refugees first, and for sexual and gender minorities (SGM) second?

Health in Crisis: A Paradox of Access for Syrian Refugees and Lebanese Hosts

Background: This study examines the health security of both Lebanese citizens and Syrian refugees in Lebanon. It also assesses the readiness and resilience of the healthcare system in response to the multi-layered crisis that began in late 2019. Methods: A qualitative case study design was employed, utilizing 2 unstructured interviews with health experts/hospital staff, semi-structured interviews with 20 Lebanese participants and a document review. Thematic analysis was used to analyze the data. Results: The study found that Syrian refugees have access to health services under terms, conditions and restrictions including out-of-pocket (OOP) payment. In contrast, Lebanese citizens find traditional health guarantor systems largely ineffective, leading to high OOP costs for most healthcare services, with few exceptions. This study reveals a paradox in healthcare access within Lebanon’s fragile environment. Syrian refugees have greater access to health services, with minimal out-of-pocket (OOP) costs to a certain extent, compared to Lebanese citizens themselves who remain entrenched in inadequate health support services and poor public administration. Conclusion: To address this, targeted interventions and policies are crucial for policymakers and stakeholders, including the private and public sectors, local non-governmental organizations (NGOs), and the international community. Reforms are needed, spearheaded by the Ministry of Public Health (MoPH), other relevant ministries, and government payers, to refinance the traditional guarantor system and restore Lebanese citizens’ health security. Additionally, unifying health coverage across all government payers is vital.