• Access to health care for undocumented migrants in Italy

      Ravinetto, R; Lodesani, C; D'Alessandro, U; De Filippi, L; Pontiroli, A; Médecins Sans Frontières, Rome, Italy; Institute of Tropical Medicine, Antwerp, Belgium; Médecins Sans Frontières, Brussels, Belgium (2009-06-20)
    • Addressing psychosocial needs in the aftermath of the tsunami.

      de Jong, K; Prosser, S; Ford, N; Kaz.de.Jong@amsterdam.msf.org (2005-06)
    • Adult and paediatric mortality patterns in a referral hospital in Liberia 1 year after the end of the war

      Huerga, H; Vasset, B; Prados, E; Médecins Sans Frontières-France, Kenya Programme, Paris, France; Clinica de Medicina Forense, Segovia, Spain (2009-02-24)
      The aim of this study was to describe and analyse hospital mortality patterns after the Liberian war. Data were collected retrospectively from January to July 2005 in a referral hospital in Monrovia, Liberia. The overall fatality rate was 17.2% (438/2543) of medical admissions. One-third of deaths occurred in the first 24h. The adult fatality rate was 23.3% (241/1034). Non-infectious diseases accounted for 56% of the adult deaths. The main causes of death were meningitis (16%), stroke (14%) and heart failure (10%). Associated fatality rates were 48%, 54% and 31% respectively. The paediatric fatality rate was 13.1% (197/1509). Infectious diseases caused 66% of paediatric deaths. In infants <1 month old, the fatality rate was 18% and main causes of death were neonatal sepsis (47%), respiratory distress (24%) and prematurity (18%). The main causes of death in infants > or =1 month old were respiratory infections (27%), malaria (23%) and severe malnutrition (16%). Associated fatality rates were 12%, 10% and 19%. Fatality rates were similar to those found in other sub-Saharan countries without a previous conflict. Early deaths could decrease through recognition and early referral of severe cases from health centres to the hospital and through assessment and priority treatment of these patients at arrival.
    • Advocating "Dignity" and "Return" for Lebanon's Palestinians: Imagining a Diasporic Project

      Bianchi, S (2014-06-23)
      The 2010 reform of the legal regime regulating Palestinians’ access to the labour market in Lebanon ignited a heated debate among Lebanese, Palestinians, and international political actors. This article analyses the advocacy initiatives preceding the reform to answer the following question: what signifiers of Palestinian-ness have Palestinian political entrepreneurs mobilised? In a nutshell, it shows how a group of non-governmental organizations working with Palestinian refugees in Lebanon re-shaped the references to “Return” and “Dignity” in order to create an intellectual environment favourable to their demands for legal reform. However, these two signifiers not only concern the issue of the work-related rights of Lebanon’s Palestinians, but they also envisage a specific form of emplacement of the Palestinian community in that country. From this perspective, they are the constitutive elements of a “diasporic project” of emplacement in which Palestinians collectively exist in an in-between (imagined) space situated somewhere between their host society and their homeland.
    • Afghanistan--humanitarian aid and military intervention don't mix.

      Ford, N (Royal College of General Practice, 2001-11)
    • The aftermath of Cyclone Idai—building bridges where we can

      Frieden, M (BMJ Publishing Group, 2019-04-03)
      Marthe Frieden is the medical team leader in MSF’s emergency response to the destruction caused by tropical Cyclone Idai. On the night of 15 March, the cyclone hit Zimbabwe’s mountainous Manicaland province, causing flooding and deadly landslides, particularly in the Chimanimani District. Before Idai hit, Marthe was working on an MSF pilot project for managing diabetes and hypertension in the nearby Chipinge District, in partnership with Zimbabwe’s health ministry. Writing from the worst hit districts of Chimanimani and Chipinge, Marthe describes the events of the first six days as an MSF team of 10 people rapidly switched from their regular activities to emergency mode.
    • Aid and safety for Guinea's refugees.

      Rostrup, M; Ford, N; Médecins Sans Frontières, London, UK. (Elsevier, 2001-04-07)
    • Antibiotic resistance in Palestine: an emerging part of a larger crisis

      Kanapathipillai, R; Malou, N; Baldwin, K; Marty, P; Rodaix, C; Mills, C; Herard, P; Saim, M (The BMJ, 2018-10-15)
    • Assessment of international medical evacuations in Macedonia.

      Kelly, M; Bedell, R; Davis, A; Ford, N; Médecins Sans Frontières, Amsterdam. (Elsevier, 1999-12-11)
    • Attacks on medical missions: overview of a polymorphous reality: the case of Médecins Sans Frontières

      Sa‘Da, C A; Duroch, F; Taithe, B (Cambridge University Press - awaiting permission, 2014-06-11)
      The aim of this article is to carry out a preliminary analysis of issues relating to the types of violence that are directed against humanitarian medical missions. Starting from the observation that violence can cause some degree of disruption for a medical organisation such as Médecins Sans Frontières, despite its wide experience which has brought it much wisdom and generated numerous and sporadic responses to such events, the article offers a more subtle analysis of terms and of situations of violence so as to contribute to the establishment of a research project and, in a second phase, to an awareness-raising campaign focusing on these complex phenomena.
    • Barriers to Health Care for Burmese Migrants in Phang Nga Province, Thailand

      Veerman, R; Reid, T; Médecins Sans Frontières, Brussels; Médecins Sans Frontières, Nairobi, Kenya (2010-12-29)
      The article describes barriers to health care experienced by Burmese migrants in a province of Thailand based on the experience of Medecins Sans Frontieres over the past three years. In addition to the barriers, the article makes suggestions for improving the conditions for the migrant workers.
    • Be Near a Road: Humanitarian Practice and Displaced Persons in North Kivu

      Healy, S; Tiller, S (Oxford University Press We regret that this article is behind a paywall., 2016-06-01)
      In 2012, an uprising by the March 23 Movement in North Kivu led to significant internal displacement in Eastern Democratic Republic of the Congo. The humanitarian community’s strategy was to distribute assistance according to the principle of impartiality. A closer analysis, however, shows that assistance was not so much determined by need as by status and location – in other words, how people were displaced and their proximity to Goma had a large influence on the level of assistance they received. This article argues that such imbalances can be partly explained by policies adopted within the humanitarian community: first, by privileging the political considerations of the Congolese Government when deciding which groups of internally displaced persons would receive better levels of assistance and protection; secondly, through a growing unwillingness by many agencies to negotiate their own access to populations with all parties of the conflict; and thirdly, in an inflexibility towards programme financing and management, which added considerable bureaucratic delays and difficulties to the delivery of assistance. By reflecting on the choices made by aid agencies in the context of mass displacement, this article shows how humanitarianism can restrict rather than enhance the options of forcibly displaced populations.
    • Between War and Peace: Humanitarian Assistance in Violent Urban Settings

      Lucchi, E; Médecins Sans Frontières, Spain (2010-06-07)
      Cities are fast becoming new territories of violence. The humanitarian consequences of many criminally violent urban settings are comparable to those of more traditional wars, yet despite the intensity of the needs, humanitarian aid to such settings is limited. The way in which humanitarian needs are typically defined, fails to address the problems of these contexts, the suffering they produce and the populations affected. Distinctions between formal armed conflicts, regulated by international humanitarian law, and other violent settings, as well as those between emergency and developmental assistance, can lead to the neglect of populations in distress. It can take a lot of time and effort to access vulnerable communities and implement programmes in urban settings, but experience shows that it is possible to provide humanitarian assistance with a significant focus on the direct and indirect health consequences of violence outside a traditional conflict setting. This paper considers the situation of Port-au-Prince (Haiti), Rio de Janeiro (Brazil) and Guatemala City (Guatemala).
    • Can aid switch gears to respond to sudden forced displacement? The case of Haut-Uele, DRC

      Derderian K; Schockaert L; Medecins Sans Frontieres Brussels (2012-06)
    • Caring for Rohingya Refugees With Diphtheria and Measles: On the Ethics of Humanity

      Asgary, R (Annals of Family Medicine, 2020-03-01)
      Hundreds of thousands of Rohingya refugees arrived in Bangladesh within weeks in fall 2017, quickly forming large settlements without any basic support. Humanitarian first responders provided basic necessities including food, shelter, water, sanitation, and health care. However, the challenge before them—a vast camp ravaged by diphtheria and measles superimposed on a myriad of common pathologies—was disproportionate to the resources. The needs were endless, resources finite, inadequacies abundant, and premature death inevitable. While such confines force unimaginable choices in resource allocation, they do not define the humanitarian purpose—to alleviate suffering and not allow such moral violations to become devoid of their horrifying meaning. As humanitarian workers, we maintain humanity when we care, commit, and respond to moral injustices. This refusal to abandon others in desperate situations is an attempt to rectify injustices through witnessing and solidarity. When people are left behind, we must not leave them alone.
    • Changing tracks as situations change: humanitarian and health response along the Liberia-Côte d'Ivoire border.

      Derderian, K (Wiley-Blackwell, 2014-09-05)
      In recent years, protracted crises and fragile post-conflict settings have challenged the co-existence, and even the linear continuum, of relief and development aid. Forced migration has tested humanitarian and development paradigms where sudden-onset emergencies, violence and displacement arise alongside ongoing development work. Drawing on Médecins Sans Frontières interventions in the region from December 2010 to May 2011, this paper examines aid and healthcare responses to displacement in Côte d'Ivoire and Liberia; it focuses on challenges to the maintenance of preparedness for such foreseeable emergencies and to adaptation in response to changing situations of displacement and insecurity. This 'backsliding' from development to emergency remains a substantial challenge to aid; yet, in exactly such cases, it also presents the opportunity to ensure access to medical care that is much more urgently needed in times of crisis, including the suspension of user fees for medical care.
    • Chaos in Afghanistan: famine, aid, and bombs.

      Ford, N; Davis, A; Médecins Sans Frontières, 124-32 Clerkenwell Road, EC1R 5DJ, London, UK. Nathan_FORD@msf.org (Elsevier, 2001-11-03)
    • Civilian Landmine Injuries in Sri Lanka.

      Meade, P; Mirocha, J; Medecins Sans Frontieres/Doctors Without Borders, Department of Surgery, King Drew Medical Center, Los Angeles, California 90059, USA. (2000-04)
      OBJECTIVES: The purpose of this study was to describe the injuries sustained by displaced people returning home after a military conflict when landmines were not removed. METHOD: This study describes the landmine injuries to patients at the Jaffna Teaching Hospital in northern Sri Lanka over a 20-month period, from May 1, 1996, to December 31, 1997. RESULTS: There were definite and identifiable landmine injury patterns. Patients were most often wounded in the lower extremities, had multiple wounds, and were injured together in groups. Victims were most often male, but there were unusually high numbers of women, children, and elderly injured. Mortality rates and amputation rates were high. Deaths occurred early after injury. Higher incidences of mine injuries could be associated with two important activities: returning home and agriculture. CONCLUSIONS: Civilians returning home after armed conflicts are at risk of injury when landmines are not removed. No one is spared. This problem is preventable.
    • Clinic entrance interviews: a new method to assess needs after a sudden impact disaster

      Von Schreeb, J; Karlsson, N; Rosling, H (Open Medicine, 2007)
    • Collaboration between Médecins Sans Frontières and Oxford Medical Case Reports

      Balinska, MA; Watts, RA (Oxford University Press, 2019-04-15)