security of humanitarian personnel

Soudan du Sud - MSF hospital in Lankien Stefan Pejovic/MSF In the media

Hôpitaux : cibles de guerre

05/03/2026 Rony Brauman

Quel est l’avenir de la protection médicale en temps de guerre ? Dans cet entretien, Pascal Boniface reçoit Rony Brauman, sur sa chaîne YouTube "Comprendre le monde", pour discuter de la protection des hôpitaux, des soignants et des patients en zones de conflit.

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no gun Pierre Fromentin/MSF A to Z

Armed escorts - neither for nor against

09/01/2025 Rony Brauman

Caught between humanitarian commitment to vulnerable populations and security concerns, the issue of the use of armed escorts by humanitarian organisations raises some fraught questions. Médecins Sans Frontières has adopted this practice, controversial as it is, in a number of contexts throughout its history. Can we resort to this type of protection without compromising our neutrality? Are MSF's image and the very safety of its teams threatened by being so close to armed actors?

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msf car Frederic Seguin/MSF Opinion

How do you explain the spectacular increase in serious security incidents recorded by MSF France in recent years?

05/16/2025 Fabrice Weissman

Since 2009, Médecins Sans Frontières has been recording events affecting the physical security of its staff deployed in the field in an online database called SINDY. Over the past two years, there has been a sharp increase in the number of severe security incidents recorded by MSF. Whereas in 2021, only 5 severe events were recorded, and one death reported, 37 severe events were recorded in 2024, resulting in the death of 10 people. How can this trend be explained?

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Mone and Blanca arriving in Madrid Anna Surinyach/MSF In the media

Les termes du débat : otages

12/19/2022 Michaël Neuman

Cette émission des « Termes du débat » a été diffusée sur France culture le 2 décembre 2022. Michaël Neuman et Gilles Ferragu, maître de conférences en histoire contemporaine, y décrivent la manière dont les organisations humanitaires et les Etats font face aux prises d’otage.  

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Second wave of Covid-19: MSF's mobile clinic in Paris Mohammad Ghannam/MSF In the media

ONG : l'humanitaire en milieu hostile

06/01/2021 Michaël Neuman

Le jeudi 27 mai 2021, Michaël Neuman participait à l'émission de  France Culture "Cultures Monde" consacrée au sujet "ONG : l'humanitaire en milieu hostile", aux côtés de Virginie Guiraudon, directrice de recherche CNRS au Centre d’études européennes et de politique comparée de Sciences Po. 

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Two MSF workers in the Sahel region. MSF Analysis

Should we discriminate in order to act? Profiling: a necessary but debated practice

01/28/2021 Françoise Duroch Michaël Neuman

In this article for the Humanitarian Practice Network, head of the Research Unit on Humanitarian Stakes and Practices (UREPH) for MSF Geneva Françoise Duroch and Crash director of studies Michaël Neuman discuss the implications and reasons behind the growing practice of staff profiling for MSF.

In October 2020, MSF organised a workshop in Dakar on staff profiling in operations in the Sahel. Profiling involves the selection of staff based on non-professional criteria, including nationality, skin colour, gender and religion. As such, it raises a number of ethical and practical concerns. As a result of profiling, US nationals have not been deployed in MSF operations in Colombia because of the risk of kidnapping, and Chadians and Rwandans have been excluded in the Central African Republic and eastern Democratic Republic of Congo respectively, because of regional conflicts. The use of profiling has increased in recent years in West Africa, as the threat of kidnapping of Westerners by radical jihadist groups has intensified.

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A mother who gave birth to her child at the obstetric and newborn care service in Dasht-e-Barchi before it was attacked in 2020. Sandra Calligaro Analysis

Afghanistan : Should MSF accept the risk of targeted killings?

12/07/2020 Fabrice Weissman

The May 12th massacre at the MSF-supported maternity hospital in Dasht-e-Barchi (Afghanistan)  raises, yet again, the question of our limits with regard to risk. What is an acceptable level of danger for humanitarian aid workers? How do we set limits? Why would MSF decide to leave Kabul but remain in Herat, for example, or leave Afghanistan but remain in Niger, Burkina Faso, Mali, or Somalia, where the teams also face extreme danger?

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Deux femmes responsables de matériel MSF en Iran MSF Analysis

MSF and kidnappings - the secrets and the dilemmas

09/18/2020 Fabrice Weissman

On the 31st January, a symposium was held at Sciences Po in support of Fariba Adelkhah and Roland Marchal, researchers at Sciences Po's Center for International Research (CERI) who were arrested in Iran on June 5, 2019. Roland Marchal was released on 20th March 2020 in exchange for an Iranian engineer detained in France. On 6th May Fariba Adelkhah was sentenced to 6 years imprisonment for "propaganda against the political system of the Islamic Republic, and collusion to undermine national security". The researcher was offered conditional release on condition that she terminates her research, but she refused. 

The symposium brought together diplomats, journalists, humanitarians and researchers, with the aim of "nourishing reflection about prisoners and hostages, from a political, legal and ethical point of view". Fabrice Weissman presented the experience of Médecins Sans Frontières in the face of kidnappings.  
 

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Vue de l'intérieur de l'hôpital MSF à Kunduz, après son bombardement, octobre 2015 Victor J. Blue Analysis

War Breaks Out: Interpreting Violence on Healthcare in the Early Stage of the South Sudanese Civil War

11/22/2019 Xavier Crombé Joanna Kuper

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.

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