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.

On August 1st 2018, the Democratic Republic of Congo’s health authorities declared the country’s tenth outbreak of Ebola virus disease (EVD), this time in North Kivu province.  Just over a year later, this outbreak is still ongoing, with several dozen new cases reported each week. In the space of 12 months, 3000 people contracted the disease and 2000 of them have since died. This latest outbreak can be seen as a failure at two levels: first, it is already the second biggest EVD outbreak ever recorded, and second, two out of three patients have died. What are the reasons for this failure? What operational strategies should we develop in response? 
Interview with Jean-Hervé Bradol, Director of studies at CRASH, by Elba Rahmouni.

Le 1 dédie son numéro de rentrée à la situation en Méditerranée. A cette occasion, il s'est entretenu avec Michaël Neuman sur les différentes phases du cycle migratoire entamé en 2015. S’il déplore les politiques européennes, il salue ceux qui, à l’échelon local, se mobilisent pour y résister.

In 2016, the Operations Department commissioned a critical review of the operations carried out between 2015 and 2016 in Borno State by MSF France in the north east of Nigeria. In response, and with the help of Epicentre, Judith Soussan and Fabrice Weissman from CRASH produced a detailed historical account of the analyses made of the situation by the teams, capital and headquarters at the time, as well as the objectives they set themselves, the actions they undertook, the obstacles they encountered and the results they achieved.  As part of this project, some of the directors and operations managers who had been involved in these operations took a retrospective look at their own practices: were they late in responding to the catastrophic situation in the IDP camps in rural areas and on the outskirts of Maiduguri, the capital of Borno State, in 2016 and, if so, why?  What conclusions can be drawn a posteriori about the operational choices made and the effectiveness of MSF intervention strategies? And, to take things a step further, what does this experience teach us about how MSF functions and how our teams work? Interview with Isabelle Defourny, Operations Director at MSF-OCP. By Elba Rahmouni. 

Rebecca Grais, Research Director at Epicentre, MSF’s epidemiology arm, and Pierre Mendiharat, Deputy Director of Operations for MSF-France, offer their insights on the Ebola outbreak in North Kivu Province in the eastern Democratic Republic of the Congo (DRC). This joint interview in four parts (the outbreak, social context, treatments, and vaccination) aims to show how science and practice interact around each outbreak.

As an MSF nurse, François-Xavier Daoudal returned at the end of June after spending three weeks on board the Aquarius. During his time on the ship, 629 people were rescued. However, immediately after the rescue operation, the Italian and Maltese authorities refused the ship permission to dock, triggering a huge political and media furor. The Aquarius was left stranded at sea for several days before being able to transfer some of the rescued migrants to two Italian navy ships. All passengers were finally disembarked in Spanish port Valencia. What can be drawn from such an experience? Read on to see what F-X had to say during an interview on the political implications, life on board the Aquarius and the issue of people smuggling. He also shared with us what the migrants themselves had to say.

Rony Brauman takes a critical look at "humanitarian wars" and argues for political solutions that could include Islamists. He recently published "Humanitarian Wars? Lies and intox "(Textuel, 2018). This interview was published on July 03, 2018 in l'Opinion.

How much is known about the daily experiences of humanitarian workers in extreme situations such as major conflict or disaster? In their new book, “Humanitarian Aid, Genocide and Mass Killings: Médecins sans frontières, the Rwandan experience, 1982-97”, Marc Le Pape and Jean-Hervé Bradol set out to answer some of these questions. The book is also informed by Bradol’s experience of working for Médecins Sans Frontières in Rwanda during the genocide. 

Former president of the NGO Médecins Sans Frontières and current director of studies at the MSF Foundation’s Centre de réflexion sur l’action et les savoirs humanitaires (CRASH), Dr Rony Brauman, explains the difficulties involved in obtaining reliable figures on the human costs of natural disasters.

Interviewé par Le Monde Afrique, Rony Brauman préconise de tenir compte des disparités sur le terrain pour mieux aider les populations.

Marc Le Pape, sociologist and member of MSF-Crash Scientific Committee, is interviewed by Boris Martin, Editor-in-chief of Alternatives Humanitaires, about his and Jean-Hervé Bradol's latest book "Humanitarian aid, genocide and mass killings: MSF, the Rwandan experience (1982-1977)".

Entretien avec Rony Brauman, réalisé par Claire Guyot pour le journal La Croix, sur les régions du Sahel affectées par l'insécurité alimentaire et sur l'organisation de l'aide humanitaire dans ces pays, dont celle de MSF.