Articles

The study The Patient Perspective of Quality of Care: A Review of the Literature, which we present here was carried out by Hannah Barnett a public health student at George Washington University, intern with CRASH from June to August 2018. This work sums up seventy articles from a variety of disciplines including medicine and public health. It is part of a reflection initiated by MSF a few years ago on medical quality and the patient-centered approach.

This book describes and analyses the work of Médecins Sans Frontières (MSF) in the Great Lakes Region between 1982 and 1997. It explores the everyday, operational and political dilemmas faced by MSF staff in the field and the debates that followed, as they asked themselves: ‘how should we react and what action should we take’ in the wake of mass violence (p. 4). In effect, the authors ask: (how) could MSF prevent itself being manipulated or becoming complicit in the everyday atrocities in the field?

To mark Editions MFSH’s publication of Les coulisses du monde des catastrophes « naturelles », on 14 November 2018, CERI (Centre de recherches internationales Sciences Po - CNRS) presented a discussion with its author, Sandrine Revet, CERI anthropologist and co-founder of the Association pour la Recherche sur les Catastrophes et les Risques en Anthropologie (ARCRA), and Rony Brauman. CRASH recommends this book to anyone with an interest in natural disasters and international relations.

Dont acte, la politique de harcèlement judiciaire, administratif, politique aura eu raison de l’Aquarius, déployé entre 2015 et le milieu de l’année 2018 en mer Méditerranée.
Tribune de Mego Terzian (Médecin, président de Médecins sans frontières) et Michaël Neuman (Directeur d'études au CRASH de MSF) publiée le 07 décembre 2018 dans Le Monde.

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.

Although much has been written about the 1994 genocide in Rwanda, two recent volumes offer fresh perspectives and add considerable insights. Guichaoua’s From War to Genocide: Criminal Politics in Rwanda 1990–1994 takes the reader deep into the belly of the beast. The book describes and analyzes the real politics of the politics of genocide based on extraordinary detailed evidence with respect to the strategies and tactics of key military and political players. Bradol and Le Pape’s Humanitarian Aid, Genocide and Mass Killings: Médecins Sans Frontières, The Rwandan Experience, 1982–97 offers a unique understanding of the consequences of this murderous political game from the point of view of humanitarian aid workers in general and the NGO Doctors Without Borders (Médecins Sans Frontières – MSF) in particular.

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.

Numerous politicians, from Daniel Cohn-Bendit to Marine Le Pen and including Emmanuel Macron, denounce what they claim is collusion between organisations helping migrants (humanitarian workers) and smugglers (criminals). One group operates in full public view, the other out of sight, but both are said to be working together to help people illegally cross borders.

Humanitarian organisations coming to the rescue of migrants in the Mediterranean Sea are kindly required either to watch them drown or to hand them over to human traffickers and torturers. We have seen countless political statements, opinion polls and editorials on the need to take a harder line against African migrants and accusing NGOs of being the accomplices of “smugglers”. We have even heard it said that these NGOs are organising the departures of those aspiring to migrate to Europe coincide with the presence of a rescue ship, making relief workers conscious actors in a criminal enterprise.

Humanitarian aid organisations carrying out rescues at sea were made into the accomplices of human traffickers. This accusation is as absurd as it is unacceptable. Not only do rescue operations at sea save people from drowning, but they evacuate people in situations of immediate danger in Libya, MSF recalls.

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.

Tomorrow’s war?  Bertrand Badie is pessimistic given the extremely high tension in the Middle East. Modern conflicts in the region are defined by their uncertain, composite and heterogeneous nature, as well as by their permanence, as there are no winners and no losers. The situation can be interpreted vertically as a “superposition of logics of conflict” and horizontally as an “aggregate of logics of coalition”. Bertrand Badie explained that a conflict situation is really dangerous when it combines several logics of conflict and several logics of alliance, making it virtually impossible to reach a compromise. Today, we can distinguish fives layers of conflict in the Middle East, a level of superposition never previously attained, according to this specialist in international relations.