hope in hell inside the world of doctors without borders

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Doctors Without Borders

Author : Renée C. Fox
ISBN : 9781421413556
Genre : Medical
File Size : 49. 43 MB
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This study of Médecins Sans Frontières / Doctors Without Borders (MSF) casts new light on the organization’s founding principles, distinctive culture, and inner struggles to realize more fully its "without borders" transnational vision. Pioneering medical sociologist Renée C. Fox spent nearly twenty years conducting extensive ethnographic research within MSF, a private international medical humanitarian organization that was created in 1971 and awarded the Nobel Prize for Peace in 1999. With unprecedented access, Fox attended MSF meetings and observed doctors and other workers in the field. She interviewed MSF members and participants and analyzed the content of such documents as communications between MSF staff members within the offices of its various headquarters, communications between headquarters and the field, and transcripts of internal group discussions and meetings. Fox weaves these threads of information into a rich tapestry of the MSF experience that reveals the dual perspectives of an insider and an observer. The book begins with moving, detailed accounts from the blogs of women and men working for MSF in the field. From there, Fox chronicles the organization’s early history and development, paying special attention to its struggles during the first decades of its existence to clarify and implement its principles. The core of the book is centered on her observations in the field of MSF’s efforts to combat a rampant epidemic of HIV/AIDS in postapartheid South Africa and the organization’s response to two challenges in postsocialist Russia: an enormous surge in homelessness on the streets of Moscow and a massive epidemic of tuberculosis in the penal colonies of Siberia. Fox’s accounts of these crises exemplify MSF’s struggles to provide for thousands of people in need when both the populations and the aid workers are in danger. Enriched by vivid photographs of MSF operations and by ironic, self-critical cartoons drawn by a member of the Communications Department of MSF France, Doctors Without Borders highlights the bold mission of the renowned international humanitarian organization even as it demonstrates the intrinsic dilemmas of humanitarian action. -- James Orbinski, MSF International Council President 1998-2001, and Research Chair in Global Health, Balsillie School of International Affairs, Professor of Medicine, University of Toronto

Life In Crisis

Author : Peter Redfield
ISBN : 9780520955189
Genre : Social Science
File Size : 53. 90 MB
Format : PDF, Mobi
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Life in Crisis tells the story of Médecins Sans Frontières (Doctors Without Borders or MSF) and its effort to "save lives" on a global scale. Begun in 1971 as a French alternative to the Red Cross, the MSF has grown into an international institution with a reputation for outspoken protest as well as technical efficiency. It has also expanded beyond emergency response, providing for a wider range of endeavors, including AIDS care. Yet its seemingly simple ethical goal proves deeply complex in practice. MSF continually faces the problem of defining its own limits. Its minimalist form of care recalls the promise of state welfare, but without political resolution or a sense of well-being beyond health and survival. Lacking utopian certainty, the group struggles when the moral clarity of crisis fades. Nevertheless, it continues to take action and innovate. Its organizational history illustrates both the logic and the tensions of casting humanitarian medicine into a leading role in international affairs.

Band Aid For A Broken Leg

Author : Damien Brown
ISBN : 9781743310212
Genre : Biography & Autobiography
File Size : 23. 53 MB
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A powerful, heart-breaking, surprisingly funny, honest and ultimately uplifting account of life on the medical frontline, and a moving testimony of the work done by Medecins Sans Frontieres and the extraordinary and sometimes eccentric people who work for it. Damien Brown, a young Australian doctor, thinks he's ready when he arrives for his first posting with Medecins Sans Frontieres in Africa. But the town he's sent to is an isolated outpost of mud huts, surrounded by landmines; the hospital, for which he's to be the only doctor, is filled with malnourished children and conditions he's never seen; and the health workers - Angolan war veterans twice his age and who speak no English - walk out on him following an altercation on his first shift. In the months that follow, Damien confronts these challenges all the while dealing with the social absurdities of living with only three other volunteers for company. The medical calamities pile up - a leopard attack, a landmine explosion, and having to perform surgery using tools cleaned on the fire being among them - but it's through Damien's evolving friendships with the local people that his passion for the work grows. Band-Aid for a Broken Leg is a powerful, sometimes heart-breaking, often funny, always honest and ultimately uplifting account of life on the medical frontline in Angola, Mozambique and South Sudan. It is also a moving testimony of the work done by medical humanitarian groups and the extraordinary and sometimes eccentric people who work for them.

Humanitarian Negotiations Revealed

Author : Claire Magone
ISBN : 9781849041638
Genre : Business & Economics
File Size : 75. 30 MB
Format : PDF, ePub
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From international NGOs to UN agencies, from donors to observers of humanitarianism, opinion is unanimous: in a context of the alleged "clash of civilizations", our "humanitarian space" is shrinking. Put another way, the freedom of action and of speech of humanitarians is being eroded due to the radicalisation of conflicts and the reaffirmation of state sovereignty over aid actors and policies. The purpose of this book is to challenge this assumption through an analysis of the events that have marked MSF's history since 2003 (when MSF published its first general work on humanitarian action and its relationships with governments). It addresses the evolution of humanitarian goals, the resistance to these goals and the political arrangements that overcame this resistance (or that failed to do so). The contributors seek to analyse the political transactions and balances of power and interests that allow aid activities to move forward, but that are usually masked by the lofty rhetoric of "humanitarian principles". They focus on one key question: what is an acceptable compromise for MSF? This book seeks to puncture a number of the myths that have grown up over the forty years since MSF was founded and describes in detail how the ideals of humanitarian principles and "humanitarian space" operating in conflict zones are in reality illusory. How, in fact, it is the grubby negotiations with varying parties, each of whom have their own vested interests, that may allow organisations such as MSF to operate in a given crisis situation - or not.

An Imperfect Offering

Author : James Orbinski
ISBN : 9780091930325
Genre : Biography & Autobiography
File Size : 58. 64 MB
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Born in Britain in 1960, James Orbinski's family moved to Canada when he was seven years old. As a young man, he became a medic to learn how to help, and deal with, the suffering of others. From then on he was plunged into many highly demanding situations, including being Head of Mission for Medecins Sans Frontieres (MSF) during the Rwandan genocide; engaging with the politics of humanitarian work as the President of MSF; being in New York when the twin towers of the World Trade Center fell on September 11; co-founding Dignitas International (an AIDS charity); and finally, returning to Rwanda on the 10th anniversary of the crisis there. In An Imperfect Offering, Orbinski not only tells his own inspiring story but is also remarkably provocative about what governments and agencies should and shouldn't be doing to help the world's poor and very sick. At the same time, he addresses what part each of us can play, so that we never lose sight of the dignity of those being helped, or deny them the right to act in their own lives. His conclusion is blunt and profound: 'Humanity is lost or saved one person at a time, one intention at a time, and one action at a time. There are no utopias waiting to be born. There is only what we do - what you choose to do...'

Emergency Sex And Other Desperate Measures

Author : Andrew Thomson
ISBN : 9781446408254
Genre : Political Science
File Size : 55. 32 MB
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It's the early 1990s and three young people are looking to change their lives, and perhaps also the world. Attracted to the ambitious global peacekeeping work of the UN, Andrew, Ken and Heidi's paths cross in Cambodia, from where their fates are to become inextricably bound. Over the coming years, their stories interweave through countries such as Rwanda, Bosnia, Somalia and Haiti - war-torn, lawless places where the intervention of the UN is needed like nowhere else. Driven by idealism, the three struggle to do the best they can, caught up in an increasingly tangled web of bureaucracy and ineffectual leadership. As disillusionment sets in, they attempt to keep hold of their humanity through black humour, revelry and 'emergency sex'. Brutal and moving in equal measure, Emergency Sex (And Other Desperate Measures) explores pressing global issues while never losing a sense of the personal. Deeply critical of the West's indifference to developing countries and the UN's repeated failure to intervene decisively, the book provoked massive controversy on its initial publication. Kofi Annan called for the book to be banned, and debate was sparked about the future direction of the UN. Brilliantly written and mordantly funny, it is a book that continues to make waves.

Humanitarianism In Question

Author : Michael Barnett
ISBN : 0801473012
Genre : Political Science
File Size : 26. 86 MB
Format : PDF, Kindle
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Years of tremendous growth in response to complex emergencies have left a mark on the humanitarian sector. Various matters that once seemed settled are now subjects of intense debate. What is humanitarianism? Is it limited to the provision of relief to victims of conflict, or does it include broader objectives such as human rights, democracy promotion, development, and peacebuilding? For much of the last century, the principles of humanitarianism were guided by neutrality, impartiality, and independence. More recently, some humanitarian organizations have begun to relax these tenets. The recognition that humanitarian action can lead to negative consequences has forced humanitarian organizations to measure their effectiveness, to reflect on their ethical positions, and to consider not only the values that motivate their actions but also the consequences of those actions. In the indispensable Humanitarianism in Question, Michael Barnett and Thomas G. Weiss bring together scholars from a variety of disciplines to address the humanitarian identity crisis, including humanitarianism's relationship to accountability, great powers, privatization and corporate philanthropy, warlords, and the ethical evaluations that inform life-and-death decision making during and after emergencies.

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