All the warning lights are flashing red this year: drought, the high prices of grains and fertilisers exacerbated by the war in Ukraine, reduced imports and speculation, numerous armed conflicts, a record number of refugees to be fed, disengagement of institutional donors,… With the exception of locusts, all the determinants of severe food scarcity are there, from Afghanistan to the Sahel, including Yemen, the Horn of Africa, and the Indian subcontinent. To the point of threatening all of the progress that was made in treating undernutrition after the 2005 crisis in Niger, which was the starting point for global advances in managing malnutrition in places where it is commonplace. It is time for a general mobilisation to limit the scale of the coming catastrophe. Interview with Jean-Hervé Bradol by Elba Rahmouni.
Twenty years after the charity concerts for the Sahel Nigerien politicians, institutional donors, aid agencies and humanitarian organisations clashed on the nature and substance of the crisis affecting Niger in 2005. Identifying the causes of, and adequate responses to, the situation also gave rise to profound disagreements. Having set up their most ambitious emergency nutrition programme to date, Médecins Sans Frontières found itself at the forefront of these controversies.
In the context of emergency appeals in the Horn of Africa, Rony Brauman recalls the contemporary definition of a famine. While recognising the progress made in major crisis response mechanisms, he questions the alarmist attitude of the UN.
Using Niger as an example, this text seeks to explore the dilemmas involved in medical responses to child malnutrition when such malnutrition is endemic (strong, permanent presence) and gives rise to seasonal peaks (epidemics) each year.
Four years after the Nigerian crisis, many things have changed in the nutrition field. This Cahier du Crash aims at considering this evolution and explore new possibilities for action for MSF.
In 2008, Southern Ethiopia was the epicentre of a vast nutritional intervention: more than 100,000 malnourished children received assistance from a mix of actors including both international actors and local health facilities.
Dr. Jean-Hervé Bradol, Former President of MSF-France presented data based on MSF's experience in Niger that showed the implementation of the UN recommendation for the treatment of severe acute malnutrition was not possible in a high burden setting.
With 13,000 humanitarian workers and a hundred relief agencies, Darfur hosts the largest humanitarian operation in the world. The aid apparatus started its full deployment in mid-2004 in a context of acutely high mortality among internally displaced persons (IDPs) gathered in camps and civilians remaining in rural areas.