Voices of Women Public Healthcare Workers amidst the Armed Conflict in Southern Philippines
DOI:
https://doi.org/10.31674/mjn.2024.v15i04.011Abstract
Background: Healthcare workers face hazards and risks that are inherent in their job. However, the most tragic and perilous encounter for these professionals in the Southern Philippines occurred when Maute-ISIS insurgents took over the Islamic City of Marawi in the Province of Lanao del Sur. Methods: This study delves into the experiences of women public healthcare workers at the time of human-induced conflict using a qualitative phenomenological research design. Results: Data revealed that they experienced fear, anxiety, flashbacks, and trauma, though they were accustomed to hearing gunshots, as claimed. Furthermore, they have exhausted all means to survive, helped one another, and served their constituents despite being in a terrible situation. Conclusion: Disturbances can be seen on the physical, emotional, and mental levels as typical reactions to an unwelcome and terrifying situation. Camaraderie among Muslims and Christians became evident in times of trouble, such as the armed conflict. In addition, the respondents demonstrated their zeal to serve, notwithstanding the perilous situation. Setting up institutional policies on disaster preparedness for human-induced crises is beneficial for sound crisis management.
Keywords:
Conflict, Hazards, Healthcare WorkersDownloads
References
Amnesty International. (2017, November 17). Philippines: ‘Battle of Marawi’ leaves trail of death and destruction. https://www.amnesty.org/en/latest/press-release/2017/11/philippines- battle-of-marawi-leaves-trail-of-death-and-destruction/ . Accessed on 13th April, 2023.
Bentz, L., Vandentorren, S., Fabre, R., Bride, J., Pirard, P., Doulet, N., ... & Pradier, C. (2021). Mental health impact among hospital staff in the aftermath of the Nice 2016 terror attack: the ECHOS de Nice study. BMC Public Health, 21, 1-17. https://doi.org/10.1186/s12889-021- 11438-9
Brunner, L. S. (2010). Brunner & Suddarth's textbook of medical-surgical nursing (Vol. 1). Lippincott Williams & Wilkins. https://efaidnbmnnnibpcajpcglclefindmkaj/https://rspmanguharjo.jatimprov.go.id/wp- content/uploads/2020/02/11.-Handbook-for-Brunner-and-Suddarths-Textbook-of-Medical- Surgical-Nursing-12th-Edition-Suzann.pdf
Cabalza, C. (2017, July 6). How clan feuds and Ethnic tensions breed terrorism in the Philippines. The Diplomat. https://thediplomat.com/2017/07/how-clan-feuds-and-ethnic- tensions-breed-terrorism-in-the-philippines/ . Accessed on 17th April, 2023.
Carpiniello, B. (2023). The mental health costs of armed conflicts—a review of systematic reviews conducted on refugees, asylum-seekers and people living in war zones. International Journal of Environmental Research and Public Health, 20(4), 2840. https://doi.org/10.3390/ijerph20042840
Davies, G. (2017, May 30). ISIS teenage fighters are 'shooting people dead for failing to quote the Koran' in besieged Philippines city as Duterte's military warns jihadis to 'surrender or die'. Mail online. https://www.dailymail.co.uk/news/article-4553998/Philippines-lawmakers- want-debate-martial-law-amid-siege.html . Accessed on 13th April, 2023.
Hannawa, A. F., Wu, A. W., Kolyada, A., Potemkina, A., & Donaldson, L. J. (2022). The aspects of healthcare quality that are important to health professionals and patients: A qualitative study. Patient Education and Counseling, 105(6), 1561-1570. https://doi.org/10.1016/j.pec.2021.10.016
International Committee of the Red Cross. (2020, June 10). Women and War. https://www.icrc.org/en/publication/0944-women-andwar#:~:text=This%20publication%20looks%20at%20the,protection%20for%20women% 20in%20war. Accessed on 20thMarch, 2023.
Johnson, J. L., Adkins, D., & Chauvin, S. (2020). A review of the quality indicators of rigor in qualitative research. American Journal of Pharmaceutical Education, 84(1), 7120. https://doi.org/10.5688/ajpe7120
Jolof, L., Rocca, P., Mazaheri, M., Okenwa Emegwa, L., & Carlsson, T. (2022). Experiences of armed conflicts and forced migration among women from countries in the Middle East, Balkans, and Africa: a systematic review of qualitative studies. Conflict and Health, 16(1), 46. https://doi.org/10.1186/s13031-022-00481-x
Jose, B., & Medie, P. A. (2015). Understanding why and how civilians resort to self-protection in armed conflict. International Studies Review, 17(4), 515-535.https://doi.org/10.1111/misr.12254
Junaid, F. A., Haar, J., & Parker, J. (2018). Local employees working in a terrorist region: HR managers’ perceptions. Labour & Industry: A Journal of The Social and Economic Relations of Work, 28(4), 279-302. https://doi.org/10.1080/10301763.2018.1558692
Landgrebe, Ludwig M. "Edmund Husserl". Encyclopedia Britannica, 9 Feb. 2024. https://www.britannica.com/biography/Edmund-Husserl Accessed on 23th March, 2023.
Lindley-French, J., & Boyer, Y. (2012). conclusions: The Unpredictability of War and Its Consequences. https://doi.org/10.1093/oxfordhb/9780199562930.013.0046
Llego. M.A. (2019). DepEd National Policy Framework on Learners and Schools as Zones of Peace. TEACHERPH. https://www.teacherph.com/deped-national-policy-framework-on- learners-and-schools-as-zones-of-peace/ . Accessed on 11th March, 2023.
Mawson, A. R. (2005). Understanding mass panic and other collective responses to threat and disaster. Psychiatry, 68(2), 95-113. https://doi.org/10.1521/psyc.2005.68.2.95
Mediecins Sans Frontiers. (2018, September 18). “We simply can’t let these people down. But we remain vigilant”: MSF Returns to Bangassou. https://www.msf.org/we-simply- can%E2%80%99t-let-these-people-down-we-remain-vigilant-msf-returns-bangassou Accessed on 14th March, 2023
Ngarm, S. P., Padilla, B., Schletzbaum, M., & Shahpur, T. (2019, February 6). Marawi rebuilding from ashes to a city of faith, hope and peace. https://efaidnbmnnnibpcajpcglclefindmkaj/https://www.centrepeaceconflictstudies.org/wp- content/uploads/Marawi-Rebuilding-from-ashes-to-a-city-of-faith-hope-and-peace.pdf
Office of the United Nations Higher Commissioner for Human Rights (2008, June). The Right to Health.https://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ohchr.org/sites/default/files/Documen ts/Publications/Factsheet31.pdf
Otewa, M. (2020, August 10). Nurses’ welfare goes beyond pay rise. https://meshrn.com/2020/08/10/nurses-welfare-goes-beyond-pay-rise/ . Accessed on 10th March, 2023.
Robinson, L., Smith, M., & Segal, J. (2023, June). Emotional and Psychological Trauma. HelpGuide. https://www.helpguide.org/articles/ptsd-trauma/coping-with-emotional-and- psychological-trauma.html. Accessed on 10th April, 2023.
Ross, E. (2017, June 15). Christians are given hijabs by Muslims in Marawi to help them escape ISIS militants. Newsweek. https://www.newsweek.com/christians-fleeing-isis-are-given- hijabs-muslims-marawi-help-them-escape-625953 Accessed on 22th March, 2023
Ruppel, S., & Steinbach, L. (2023). Hopes and dreams: youth activities in civil society organizations in post-conflict countries. Journal of Youth Studies, 1-16. https://doi.org/10.1080/13676261.2023.2279629
Shai, O. (2022). Does armed conflict increase individuals’ religiosity as a means for coping with the adverse psychological effects of wars? Social Science & Medicine, 296, 114769. https://doi.org/10.1016/j.socscimed.2022.114769
Tanwir, F., Moideen, S., & Habib, R. (2021). Interviews in healthcare: A phenomenological approach a qualitative research methodology. Journal of Public Health International, 4(2), 10- 15. https://doi.org/10.14302/issn.2641-4538.jphi-21-3881
Walansky, A. (2023, May 09). 5 ways tragedy makes you a hella-strong person, says psychologists. Your Tango. https://www.yourtango.com/self/how-tragedy-makes-you- stronger . Accessed on 23th March, 2023.
Wang, Y., Zhang, S., Gong, L., & Huang, Q. (2024). Making it safe: linking healthcare workers' social media use to task performance during public health crises. Industrial Management & Data Systems, 124(2), 761-785. https://doi.org/10.1108/IMDS-11-2022-0711
World Health Organization (2003). Mental and social aspects of health of populations exposed to extreme stressors. Geneva WHO. https://iris.who.int/bitstream/handle/10665/67866/WHO_MSD_MER_03.01.pdf
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.