Articles

Conférence sur les Pratiques de MSF à Ouganda Aurélie Baumel Interview

From bureaucratic inertia to “policy fragility”

09/08/2020 Jean-Hervé Bradol

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.

Read more
MSF office MSF/Antoine Kremer Interview

Management at MSF - Part 2

07/20/2020 Marion Péchayre Elba Rahmouni

In our first interview, Marion Péchayre discussed a variety of management-related problems at Médecins Sans Frontières: working in silos, the ever-growing number of management tools for monitoring, the endless validation requests, the vanishing role of the individual in favour of pseudoscientific presentations of events and projects, etc. This interview, conducted by Elba Rahmouni, focuses on solutions to these problems and hypotheses on how to improve our ways of working. Rather than offering set recipes, Marion Péchayre advocates an approach based on “practical wisdom” (a concept from the sociology of professions) and deliberative management that every individual and team can apply in their own way. 

Read more
MSF intervention in care homes Olmo Calvo/MSF Opinion

I do not clap at 8 o’clock

05/10/2020 Jean-Hervé Bradol

The biggest oversight in the response to this epidemic has been the EHPADs. For the staff, the directive was clear: continue to work and provide an alternative to hospitalisation. No matter the conditions. For the residents, it was to die alone without treatment to alleviate their suffering.

Read more
COVID-19 Project in Mons, Belgium Pablo Garrigos/MSF Interview

The triage procedure

04/06/2020 Jean-Hervé Bradol Elba Rahmouni

In exceptional circumstances where the demand for care exceeds the supply, how do you decide who to start with? Triage is necessary where there is exceptional demand, leading to the use of a specific procedure to establish priorities. Interview of Jean-Hervé Bradol conducted by Elba Rahmouni based on the article “In a disaster situation: get your bearings, triage and act” published in the book La médecine du tri. Histoire, éthique, anthropologie edited by Céline Lefève, Guillaume Lachenal and Vinh-Kim Nguyen.  

Read more
La Médecine du tri Puf Analysis

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

04/03/2020 Jean-Hervé Bradol

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. 

Read more
Camp de rétention de Dar El Jebel Michaël Neuman / MSF Opinion

Libya: the forgotten ones

03/02/2020 Michaël Neuman

Michaël Neuman spent ten days in Libya with Médecins Sans Frontières teams working in detention centres for migrants. From his stay, he brings back the following impressions that illustrate the gloomy situation of the people who are held there, for months or years, and the even more difficult situation of all those subject to kidnapping and torture.

Read more
MSF office MSF/Antoine Kremer Interview

Management at MSF

02/28/2020 Marion Péchayre Elba Rahmouni

In this interview, different issues related to management at MSF are broached with Marion Péchayre, Director of Studies at the CRASH, such as the fragmentation of different components of our work, professionalisation drifting towards an attitude of control as embodied by the multiplication of management tools and the omnipresence of requests for validation, and the devaluation of the role of the individual against the promotion of a pseudo-scientific presentation of facts and projects.

Read more