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Publications

War and humanitarianism, medicine and public health, rights and justice... Discover CRASH publications sorted by themes.

The fact that CRASH publications are written from an aid practitioner's, rather than researcher's, perspective, does not exempt them from the demands of rigorous research methods. We try hard at this, with the help of (volunteer) research professionals. The publications are not the MSF party line, but rather tools for reflexion based on MSF's framework and experience. They have only one purpose: to help us better understand what we are doing. Criticisms, comments and suggestions are more than welcome - they are expected.

Types
Residents of Al Mishlab, Raqqa returning back home to check their houses and belongings. The houses in Mishlab that still stand are scorched and reduced to piles of rubble, and the streets are full of rubbish and abandoned belongings: cooking pans, broken children’s toys and documents. Shops are burned and looted, and the empty bullet cases underfoot are an indication of the violence of this war.
Article

Humanitarian Field Practices in the Context of the Syrian Conflict from 2011 to 2018

This article was first published in Issue 2, Volume 2 of The Journal of Humanitarian Affairs. 

How can a medical humanitarian organisation deliver emergency assistance in Syria when there is nowhere in the country where civilians, the wounded and their families, medical personnel and aid workers are not targeted? Not in the areas controlled by the government, nor in those held by the Kurdish Democratic Union Party (PYD), Islamic State of Iraq and the Levant (ISIL) or the different rebel groups. So what action could be taken, and how? Remotely or on site? At the very least, we had to decipher the diverging political and military agendas, and then adapt, persist or sometimes just give up. In this article, I will present the full range of methods used to acquire knowledge and obtain information as well as the various networks used to carry out this venture. I will also show how Médecins Sans Frontières’ operations became a balancing act, punctuated by episodes of adapting to the various difficulties encountered.

District de Jacobabad, Wasayo, Pakistan. Distribution de nourriture par le CICR à 945 foyers touchés par des inondations.
Article

The invention of impartiality: the history of a humanitarian principle, from a legal, strategic and algorithmic perspective

The principle of impartiality, which is often reduced to a principle of mathematical distribution, was originally coined by the International Committee of the Red Cross (ICRC), at that time on a quest for legitimacy. However, reducing impartiality to a resource distribution algorithm strengthens the overarching position held by non-territorial organisations. This is the theory put forward by the author in his latest book.

Deux femmes responsables de matériel MSF en Iran
Article

MSF and kidnappings - the secrets and the dilemmas

On the 31st January, a symposium was held at Sciences Po in support of Fariba Adelkhah and Roland Marchal, researchers at Sciences Po's Center for International Research (CERI) who were arrested in Iran on June 5, 2019. Roland Marchal was released on 20th March 2020 in exchange for an Iranian engineer detained in France. On 6th May Fariba Adelkhah was sentenced to 6 years imprisonment for "propaganda against the political system of the Islamic Republic, and collusion to undermine national security". The researcher was offered conditional release on condition that she terminates her research, but she refused. 

The symposium brought together diplomats, journalists, humanitarians and researchers, with the aim of "nourishing reflection about prisoners and hostages, from a political, legal and ethical point of view". Fabrice Weissman presented the experience of Médecins Sans Frontières in the face of kidnappings.  
 

Conférence sur les Pratiques de MSF à Ouganda
Article

From bureaucratic inertia to “policy fragility”

Interview by Helai Hosseini. A first version was published on the website of the MSF France association on 31 July 2020.

In the wake of the Black Lives Matter movement in the United States, voices have risen within MSF denouncing the racist and discriminatory nature of our organization. Equal opportunity, they say, is not offered to all our employees. Founded in France in the early 70s by a handful of doctors and journalists, the organization has grown and become international,  now employing over 46,000 people around the world, nearly 39,000 of whom are recruited locally. How has MSF’s policy towards its personnel evolved down the years? What is currently being done to fight inequalities? Here is Jean Hervé Bradol’s take on the major phases that have marked MSF’s transformation and the ways in which discussions are engaged today.

Painting "Tuko Poa" benches in Kibera
Cahier

Representations of HIV and impact on care seeking among the men of Homa Bay, Kenya

This study, conducted among the men of Homa Bay in Nyanza Province, Kenya, assesses the representations of HIV and impact on care seeking. It reveals that simply setting up a testing or care campaign does not necessarily mean that the entire population will participate; the message has to be tailored to the target population and fine-tuned even within that population.

La médecine du tri
Article

In a disaster situation: get your bearings, triage and act

On 12 January 2010, a high-magnitude earthquake caused numerous buildings in the city of Port au Prince in Haiti to collapse. Tens of thousands of people were killed or injured by falling blocks of concrete. The aftershocks from the earthquake, the predictions made by some seismologists and public rumours prompted fears of a repeat of the disaster. Houses, schools, churches, hospitals and business premises – all the places that had housed the capital’s residents and their main activities – had become lethal traps and a permanent threat. 

Inside MSF's hospital in Qayyarah, Iraq
Article

The Challenges of Globalization of International Relief and Development

First Published December 1, 1999 - Nonprofit and Voluntary Sector Quarterly (NVSQ) - Volume 28 Issue 1.

This article begins with a look at the role played by Médecins Sans Frontières (MSF) since its inception in 1971, and then looks at the challenges facing MSF today. It focuses on the confusion of humanitarian and political roles and on the goals MSF has laid out for itself to address this confusion. Humanitarian aid has become the favored response of governments to political crises, and governments have increasingly turned to NGOs to carry out their policies. In turn, NGOs have become increasingly dependent on governments for financial support. These changes have politicized aid delivery and made it difficult for NGOs to maintain their independence. In addition, as the number of NGOs increases and their activities become more specialized, there are pressures toward institutionalization and bureaucratization. To respond to these challenges, MSF has identified several goals, including maintaining organizational independence and flexibility and avoiding bureaucratization.