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.
This article seeks to document and analyse violence affecting the provision of healthcare by Médecins Sans Frontières (MSF) and its intended beneficiaries in the early stage of the current civil war in South Sudan. Most NGO accounts and quantitative studies of violent attacks on healthcare tend to limit interpretation of their prime motives to the violation of international norms and deprivation of access to health services. Instead, we provide a detailed narrative, which contextualises violent incidents affecting healthcare, with regard for the dynamics of conflict in South Sudan as well as MSF’s operational decisions, and which combines and contrasts institutional and academic sources with direct testimonies from local MSF personnel and other residents. This approach offers greater insight not only into the circumstances and logics of violence but also into the concrete ways in which healthcare practices adapt in the face of attacks and how these may reveal and put to the test the reciprocal expectations binding international and local health practitioners in crisis situations.
In the summer of 2015, the French section of Médecins Sans Frontières started aid projects for migrant populations in Greece and France. The launch of these operations was the occasion for lively discussions within the association, both in terms of public positioning (how to justify an intervention in a rich country and not get lost in "political" territory?), and in terms of revising our operating methods, knowing that the primary needs of migrants were not primarily medical. Some people then recalled the association's militant practices in the 1990s, which were sometimes considered as abuses. By retracing the history of the French Mission, Michaël Neuman seeks to understand, with regard to the migration issue, the complex articulation between operational constraints, political positioning and militant practices.
In the eyes of Rony Brauman of Médecins sans Frontières, wars are always triggered in the name of morality. Today’s “humanitarian” interventions are little more than new moral crusades – and their justifications are based on lies.
The study The Patient Perspective of Quality of Care: A Review of the Literature, which we present here was carried out by Hannah Barnett a public health student at George Washington University, intern with CRASH from June to August 2018. This work sums up seventy articles from a variety of disciplines including medicine and public health. It is part of a reflection initiated by MSF a few years ago on medical quality and the patient-centered approach.
This book describes and analyses the work of Médecins Sans Frontières (MSF) in the Great Lakes Region between 1982 and 1997. It explores the everyday, operational and political dilemmas faced by MSF staff in the field and the debates that followed, as they asked themselves: ‘how should we react and what action should we take’ in the wake of mass violence (p. 4). In effect, the authors ask: (how) could MSF prevent itself being manipulated or becoming complicit in the everyday atrocities in the field?
Dont acte, la politique de harcèlement judiciaire, administratif, politique aura eu raison de l’Aquarius, déployé entre 2015 et le milieu de l’année 2018 en mer Méditerranée.
Tribune de Mego Terzian (Médecin, président de Médecins sans frontières) et Michaël Neuman (Directeur d'études au CRASH de MSF) publiée le 07 décembre 2018 dans Le Monde.
Although much has been written about the 1994 genocide in Rwanda, two recent volumes offer fresh perspectives and add considerable insights. Guichaoua’s From War to Genocide: Criminal Politics in Rwanda 1990–1994 takes the reader deep into the belly of the beast. The book describes and analyzes the real politics of the politics of genocide based on extraordinary detailed evidence with respect to the strategies and tactics of key military and political players. Bradol and Le Pape’s Humanitarian Aid, Genocide and Mass Killings: Médecins Sans Frontières, The Rwandan Experience, 1982–97 offers a unique understanding of the consequences of this murderous political game from the point of view of humanitarian aid workers in general and the NGO Doctors Without Borders (Médecins Sans Frontières – MSF) in particular.
Numerous politicians, from Daniel Cohn-Bendit to Marine Le Pen and including Emmanuel Macron, denounce what they claim is collusion between organisations helping migrants (humanitarian workers) and smugglers (criminals). One group operates in full public view, the other out of sight, but both are said to be working together to help people illegally cross borders.
Humanitarian organisations coming to the rescue of migrants in the Mediterranean Sea are kindly required either to watch them drown or to hand them over to human traffickers and torturers. We have seen countless political statements, opinion polls and editorials on the need to take a harder line against African migrants and accusing NGOs of being the accomplices of “smugglers”. We have even heard it said that these NGOs are organising the departures of those aspiring to migrate to Europe coincide with the presence of a rescue ship, making relief workers conscious actors in a criminal enterprise.