Reflections On Humanitarian Action

A critical account of the politics of aid-giving.

What are the ethical issues involved in providing humanitarian aid? What is the real impact of humanitarian groups? Médecins Sans Frontières sought to answer these questions in the Perception Project, a study that spanned four years and more than ten countries. MSF interviewed close to 7,000 people in order to understand the ways that patients, populations, authorities, and communities perceive the Nobel Peace Prize-winning organization's principles and medical practices. While the quality of its medical action is renowned and praised, MSF struggles with the ability to respond to crises, the safety of its teams, and the development of effective interactions with diverse populations and authorities. Dilemmas, Challenges, and Ethics of Humanitarian Action is a series of reflections on the Perception Project that presents the insights and analyses of authors from a diverse array of fields including communications, ethics, medicine, humanitarian studies, and political science. At a time when humanitarian aid is under increasing scrutiny, this book provides insiders' perspectives on how one of largest and most influential non-governmental medical organizations can better serve those in need. Contributors include Caroline Abu-Sada (MSF Switzerland), Naomi Adelson (York University) Donald C. Cole (University of Toronto), François Cooren (Université de Montréal), Sonya De Laat (McMaster University), Laurie Elit (McMaster University), Larissa Fast (University of Notre-Dame), Matthew Hunt ( McGill University), Kirsten Johnson (McGill University), Khurshida Mambetova (Former MSF Canada), Frédéric Matte (Université de Montréal), John D. Pringle (University of Toronto), Lynda Redwood-Campbell (McMaster University), Lisa Schwartz (University of McMaster), Chris Sinding (McMaster), Jennifer Ranford (University of Waterloo), Peter Walker (Feinstein International Center, Tufts University).

As the world reels from the impact of a global pandemic and increasing intensity of climate-caused hazards, the humanitarian sector has never been more relevant. But providing aid to those affected by disasters and crises is more complex than ever. In The Humanitarian Machine aid workers reflect on their own experiences of working in crisis. As they write about their work and the ways in which they each approach the challenges of helping people, they comment on some of the most vexing issues facing the humanitarian sector. Each speaks from their own perspective, asking tough questions, sharing thoughtful reflections about their ongoing work, and unpacking what it really means to be a humanitarian worker. The stories they tell, whether recounting a specific experience or reflecting on years of practice, reveal the dilemmas they face and demystify the overly romanticized aura that sometimes surrounds humanitarian practice. Complementing the candid accounts that humanitarian leaders contribute in this book, the editors examine how their stories, perceptions, and understandings align with similar conversations that take place in other settings. Viewed together in this way, the insights and reflections provided in this book will be invaluable for humanitarian practitioners, students, and researchers alike.

A systematic guide to the central problems involved in humanitarian action."

As the world reels from the impact of a global pandemic and increasing intensity of climate-caused hazards, the humanitarian sector has never been more relevant. But providing aid to those affected by disasters and crises is more complex than ever. In The Humanitarian Machine aid workers reflect on their own experiences of working in crisis. As they write about their work and the ways in which they each approach the challenges of helping people, they comment on some of the most vexing issues facing the humanitarian sector. Each speaks from their own perspective, asking tough questions, sharing thoughtful reflections about their ongoing work, and unpacking what it really means to be a humanitarian worker. The stories they tell, whether recounting a specific experience or reflecting on years of practice, reveal the dilemmas they face and demystify the overly romanticized aura that sometimes surrounds humanitarian practice. Complementing the candid accounts that humanitarian leaders contribute in this book, the editors examine how their stories, perceptions, and understandings align with similar conversations that take place in other settings. Viewed together in this way, the insights and reflections provided in this book will be invaluable for humanitarian practitioners, students, and researchers alike.

Humanitarian intervention has become a much more frequent form of development assistance, and there has been a corresponding need to evaluate the effectiveness of such interventions. This is the first compilation of the experiences of practitioners engaged in humanitarian programme evaluations, and the lessons they have learned. The case studies cover the different kinds of humanitarian emergency characteristic of the past decade. The contributors address the context in which evaluations of humanitarian assistance take place; the actual process of doing evaluations; and the lessons for improving how such evaluations might be better undertaken in future. This pioneering volume should be of practical value to agencies and individuals engaged in both the delivery of humanitarian assistance in complex emergencies and its evaluation.

Timely and controversial, A Bed for the Night reveals how humanitarian organizations trying to bring relief in an ever more violent and dangerous world are often betrayed and misused, and have increasingly lost sight of their purpose. Humanitarian relief workers, writes David Rieff, are the last of the just. And in the Bosnias, the Rwandas, and the Afghanistans of this world, humanitarianism remains the vocation of helping people when they most desperately need help, when they have lost or stand at risk of losing everything they have, including their lives. Although humanitarianism's accomplishments have been tremendous, including saving countless lives, the lesson of the past ten years of civil wars and ethnic cleansing is that it can do only so much to alleviate suffering. Aid workers have discovered that while trying to do good, their efforts may also cause harm. Drawing on firsthand reporting from hot war zones around the world -- Bosnia, Rwanda, Congo, Kosovo, Sudan, and most recently Afghanistan -- Rieff describes how the International Committee of the Red Cross, Doctors Without Borders, the International Rescue Committee, CARE, Oxfam, and other humanitarian organizations have moved from their founding principle of political neutrality, which gave them access to victims of wars, to encouraging the international community to take action to stop civil wars and ethnic cleansing. This advocacy has come at a high price. By calling for intervention -- whether by the United Nations or by "coalitions of the willing" -- humanitarian organizations risk being seen as taking sides in a conflict and thus jeopardizing their access to victims. And by overreaching, the humanitarian movement has allowed itself to be hijacked by the major powers, at times becoming a fig leaf for actions those powers wish to take for their own interests, or for the major powers' inaction. Rieff concludes that if humanitarian organizations are to do what they do best -- alleviate suffering -- they must reclaim their independence. Except for relief workers themselves, no one has looked at humanitarian action as seriously or as unflinchingly, or has had such unparalleled access to its inner workings, as Rieff, who has traveled and lived with aid workers over many years and four continents. A cogent, hard-hitting report from the front lines, A Bed for the Night shows what international aid organizations must do if they are to continue to care for the victims of humanitarian disasters.

From natural disaster areas to conflict zones, humanitarian workers today find themselves operating in diverse and difficult environments. While humanitarian work has always presented unique ethical challenges, such efforts are now further complicated by the impact of globalization, the escalating refugee crisis, and mounting criticisms of established humanitarian practice. Featuring contributions from humanitarian practitioners, health professionals, and social and political scientists, this book explores the question of ethics in modern humanitarian work, drawing on the lived experience of humanitarian workers themselves. Its essential case studies cover humanitarian work in countries ranging from Haiti and South Sudan to Syria and Iraq, and address issues such as gender based violence, migration, and the growing phenomenon of ‘volunteer tourism’. Together, these contributions offer new perspectives on humanitarian ethics, as well as insight into how such ethical considerations might inform more effective approaches to humanitarian work.