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 was published in the London Review of books website on September 8, 2023. The former evokes the dire conditions in which roughly 100000 Rohingyas live in Cox’s Bazar, the largest refugee camp in the world. In this coastal district in south-east Bangladesh, the humanitarian deployment is impressive, but commitment by donors is waning. Between March and June, monthly food allocations fell from $12 to $8 per person. The difficulties of accessing care, the social control to which they are subjected and the lack of prospects are many reasons explaining the perils faced by the Rohingya population.
This interview by Didier Billion and Marc Verzeroli was originally published in the Revue internationale et stratégique. To examine the concept of de-westernization, Rony Brauman describes the current state of international relations, marked by fluid alliances and new power relationships. He states and details his reservations about whether universal values truly exist and how the international criminal justice system functions.
In Groupe URD's new issue of "Humanitaires en mouvement" (n°25), Michaël Neuman describes rescue operations in the Mediterranean and the strategies put in place by MSF to adapt to the constraints imposed by governments.
Historicising Humanitarian Action. Synchronicity in Historical Research and Archiving Humanitarian Missions06/30/2023
The central question raised in this discussion relates to two profoundly intermeshed issues for humanitarian practitioners and organisations: the use of history for humanitarian organisations, and the need for them to preserve and maintain archives
This article was published on March 27th, 2023 in the journal Alternatives Humanitaires, in an edition focused on mental health.
On 3rd and 4th February 2022, the CRASH organised a workshop aimed principally at the directors and operational managers of MSF Operational Centre Paris (OCP) to reflect on current debates, and to determine which elements of the discussion would be the most relevant to resolve to support the advancement of MSF OCP’s operational projects. Is access to medicines the same issue today as it was when MSF first became interested in the mid-1990s? Rather than just concentrating on the obstacles to accessing medicines, should the debate be broadened to encompass what are now called ‘health products’ or even further, towards access to care and thus largely structural problems of human resources, financing, or the absence of national health insurance policies?
This article was published on December 22nd, 2021, in the Journal of Humanitarian Affairs (Issue 3, Volume 3).
Despite a concerted international effort in recent decades that has yielded significant progress in the fight against HIV/AIDS, the disease continues to kill large numbers of people, especially in certain regions like rural Ndhiwa district in Homa Bay County, Kenya. Although there is still no definitive cure or vaccine, UNAIDS has set an ambitious goal of ending the epidemic by 2030, specifically via its 90-90-90 (treatment cascade) strategy – namely that 90 per cent of those with HIV will know their status; 90 per cent of those who know their status will be on antiretroviral therapy and 90 per cent of those on antiretroviral therapy will have an undetectable viral load. These bold assumptions were put to the test in a five-year pilot project launched in June 2014 by Médecins Sans Frontières (MSF) and Kenya’s Ministry of Health in Ndhiwa district, where an initial NHIPS 1 study by Epicentre (MSF’s epidemiology centre) in 2012 revealed some of the world’s highest HIV incidence and prevalence, and a poor “treatment cascade”. Six years later a new Epicentre study, NHIPS 2, showed that the 90-90-90 target had been more than met. What explains this ‘success’? And given the still-high incidence, is it truly a success? What follows is an interview on the political, scientific, and operational challenges of the Ndhiwa project with MSF Deputy Director of Operations Pierre Mendiharat and physician Léon Salumu, Head of MSF France Kenya programs, conducted by Elba Rahmouni.
This article was published on December 22nd, 2021 in the Journal of Humanitarian Affairs (Issue 3, Volume 3).
In this article, Natalie Roberts analyses the actions and positioning of MSF during the Ebola outbreak in Nord Kivu (Democratic Republic of Congo, 2018-2020).
In this article, Rony Brauman identifies the dynamics and events that made bending the HIV/AIDS epidemic curve possible. He explains the climate in which the tug-of-war with parts of the pharmaceutical industry played out from MSF’s perspective, and recalls that fears about international security and political stability also helped push governments to mobilise against the epidemic.