INTRODUCTION:
Global health is built on ideals of solidarity and equity, yet political borders and power structures continue to determine whose suffering is visible and whose access to care is protected. Conflict-affected populations—especially refugees and besieged communities—face structural exclusion from health systems and accountability mechanisms.

METHODS:
This oral presentation uses a narrative public health approach, combining testimonies, media framing analysis, and emergency health response experiences from Gaza, Lebanon, and refugee settings. It links lived experience to public health concepts including structural violence, health governance, and humanitarian ethics.

RESULTS:
Narratives reveal how borders shape health outcomes through restricted mobility, unequal humanitarian access, fragmented service delivery, and politicized visibility. Health storytelling emerges as an evidence tool—supporting dignity, countering disinformation, and strengthening advocacy. The presentation identifies how youth-led and community-based narratives can improve risk communication and increase accountability for health rights violations.

CONCLUSIONS:
Borders should not determine access to health or protection. Public health institutions must adopt justice-oriented approaches that center affected voices and shift from charity-based humanitarianism toward solidarity-based systems and policy change.