Reason,emotion, compassion: can altruism survive professionalisation in the humanitarian sector?

The humanitarian sector has grown enormously over the past two decades. Some fear that professionalisation comes at the expense of altruistic volunteering. This may be a valid concern if altruism is the product of organisational culture and individual experiences rather than an innate trait. This paper examines advances in evolutionary biology and neurology that provide evidence in support of both the nature and nurture arguments, echoing earlier insights from social sciences. It then questions to what extent humanitarian principles build on altruistic impulses or instead seek to constrain them, and reviews recruitment profiles of selected humanitarian organisations and applicants' letters accordingly. This initial investigation warrants further research to identify how altruism as a personal trait and an organisational principle has influenced diverse humanitarian actors and traditions. This paper outlines how training curricula and organisational reward systems can build on—rather than stifle—natural altruism to nurture critical, reflexive practitioners.     

Accelerating progress on salt iodisation in Sudan: time for action

This paper uses a public health approach to examine briefly: (a) the progress of universal salt iodisation (USI) in Sudan; (b) the roles of the main actors involved; and (c) the main issues around accelerating USI. The literature, especially that coming from the UN agencies, is analysed and experiences from the recently revitalised USI programme, and related relevant meetings, are distilled. In Sudan the prevalence of goitre is 22 per cent. It is assumed that productivity among the people affected is reduced by 5–25 per cent. Little apparent progress has been made with USI. The Government of Sudan, UN multilateral agencies, international consultative groups, bilateral agencies, global and national non-governmental organisations and, increasingly, the private sector must work together to find innovative approaches to increase awareness of the broader social, public health and nutritional contexts, and to advocate for increased national nd international funding.     

Accelerating progress on salt iodisation in Sudan: time for action

This paper uses a public health approach to examine briefly: (a) the progress of universal salt iodisation (USI) in Sudan; (b) the roles of the main actors involved; and (c) the main issues around accelerating USI. The literature, especially that coming from the UN agencies, is analysed and experiences from the recently revitalised USI programme, and related relevant meetings, are distilled. In Sudan the prevalence of goitre is 22 per cent. It is assumed that productivity among the people affected is reduced by 5-25 per cent. Little apparent progress has been made with USI. The Government of Sudan, UN multilateral agencies, international consultative groups, bilateral agencies, global and national non-governmental organisations and, increasingly, the private sector must work together to find innovative approaches to increase awareness of the broader social, public health and nutritional contexts, and to advocate for increased national nd international funding.     

The health sector gap in the southern Africa crisis in 2002/2003

The southern Africa crisis represents the first widespread emergency in a region with a mature HIV/AIDS epidemic. It provides a steep learning curve for the international humanitarian system in understanding and responding to the complex interactions between the epidemic and the causes and the effects of this crisis. It also provoked much debate about the severity and causes of this emergency, and the appropriateness of the response by the humanitarian community. The authors argue that the over-emphasis on food aid delivery occurred at the expense of other public health interventions, particularly preventative and curative health services. Health service needs were not sufficiently addressed despite the early recognition that ill-health related to HIV/AIDS was a major vulnerability factor. This neglect occurred because analytical frameworks were too narrowly focused on food security, and large-scale support to health service delivery was seen as a long-term developmental issue that could not easily be dealt with by short-term humanitarian action. Furthermore, there were insufficient countrywide data on acute malnutrition, mortality rates and performance of the public health system to make better-balanced evidence-based decisions. In this crisis, humanitarian organisations providing health services could not assume their traditional roles of short-term assistance in a limited geographical area until the governing authorities resume their responsibilities. However, relegating health service delivery as a long-term developmental issue is not acceptable. Improved multisectoral analytical frameworks that include a multidisciplinary team are needed to ensure all aspects of public health are dealt with in similar future emergencies. Humanitarian organisations must advocate for improved delivery and access to health services in this region. They can target limited geographical areas with high mortality and acute malnutrition rates to deliver their services. Finally, to address the underlying problem of the health sector gap, a long-term strategy to ensure improved and sustainable health sector performance can only be accomplished with truly adequate resources. This will require renewed efforts on part of governments, donors and the international community. Public health interventions, complementing those addressing food insecurity, were and are still needed to reduce the impact of the crisis, and to allow people to re-establish their livelihoods. These will increase the population's resilience to prevent or mitigate future disasters.     

Citizen feedback in a fragile setting: social accountability interventions in the primary healthcare sector in Sierra Leone

Fragile and conflict‐affected states are frequently characterised by their inability to fulfil three core governance functions: provision of security, effective delivery of basic public goods and services, and managing political participation and accountability. This article explores the utility of social accountability interventions in fragile environments. Successful social accountability interventions can lead to joint examinations of public service standards by service‐users and providers, resulting in collaborative improvement efforts. The few available studies of such interventions implemented in fragile or conflict‐affected states show reasons for optimism as well as challenges. This article advocates the continued use of social accountability methods in fragile settings and provides examples of social accountability interventions in the health sector in Sierra Leone. The study suggests that social accountability can improve interaction between citizens and public service providers. Successful social accountability interventions can also lead to better quality and more accessible public services, which, in turn, can enhance state legitimacy.     

Humanitarian governance and the consequences of the state‐fragility discourse in the Democratic Republic of Congo's health sector

This paper examines how the discourse on state fragility affects the preferences of key actors in humanitarian governance for different types of health‐sector interventions in the Democratic Republic of Congo. It argues that, instead of focusing on the actual meaning of state fragility, attention should be paid to interactive processes around the discourse among stakeholders in the health sector. The lack of consensus on state fragility influences humanitarian governance, especially the perceptions of and interactions between the host government, donors, and international non‐governmental organisations. The latter have legitimised the persistence of vertical, emergency‐based interventions by emphasising state fragility, whereas state officials have preferred to assert political statehood and a higher degree of control. Nevertheless, they agree that donors’ financial contributions ensure the survival of the public health sector. Looking ahead, a policy coalition based on harmonised views about addressing fragility is necessary for effective engagement and the sustainability of interventions, but this is unlikely to happen any time soon.     

The Role of the Zairian Health Services in the Rwandan Refugee Crisis

In July 1994, a stream of Rwandan refugees entered the southern part of North Kivu Region, Zaire. The public health consequences of this crisis for the host population and health services have not been analysed up to now. The lack of human and financial resources did not prevent Zairian health structures and personnel from taking care of the many refugees settled outside the camps, following their arrival. The public health consequences of the crisis for the local population should be considered an integral part of the disaster.     

The impact of the Gulf crisis on Qatar's humanitarian sector

The 2017 Gulf crisis is one of the most challenging episodes faced by Qatar since its independence in 1971, with major economic, social, and political impacts on the Arab Gulf nation. Its economic prognosis has been brought into doubt, the map of regional alliances has been redrawn, and any prospects of deeper regional integration have been dashed. This paper analyses the little-documented impact of the crisis on Qatar's humanitarian sector, which has unfolded as the small, gas-rich emirate has striven to become a major humanitarian donor. It concludes that while there have been disruptions to humanitarian operations and regional coordination, the Gulf crisis has triggered and in some cases accelerated already intended reforms across the Qatari humanitarian sector. In the long term, the reorganisation and adaptation implemented to weather the storm of the crisis may help Qatar to emerge from the crisis with a more sustainable and resilient humanitarian sector.     

Repetitive flood victims and acceptance of FEMA mitigation offers: an analysis with community-system policy implications

Of all natural disasters, flooding causes the greatest amount of economic and social damage. The United States' Federal Emergency Management Agency (FEMA) uses a number of hazard mitigation grant programmes for flood victims, including mitigation offers to relocate permanently repetitive flood loss victims. This study examines factors that help to explain the degree of difficulty repetitive flood loss victims experience when they make decisions about relocating permanently after multiple flood losses. Data are drawn from interviews with FEMA officials and a survey of flood victims from eight repetitive flooding sites. The qualitative and quantitative results show the importance of rational choices by flood victims in their mitigation decisions, as they relate to financial variables, perceptions of future risk, attachments to home and community, and the relationships between repetitive flood loss victims and the local flood management officials who help them. The results offer evidence to suggest the value of a more community-system approach to FEMA relocation practices.     

Social network characteristics and resource access among formerly displaced households in Lira,Uganda

In rural African communities, the support of extended family, friends, and neighbours is essential in borrowing or leveraging land, labour, food, and money, especially at times of social and financial turmoil. Little is known, though, about the nature of the networks and the conditions under which they may generate greater support in post‐conflict communities. This study, conducted in the Lira district of northern Uganda, examined the composition, proximity, and size of the networks that households utilise to gain access to resources during and after resettlement. Network structures with more kin and co‐resident ties were found to offer greater resource access to households in post‐conflict settings. Furthermore, there was a lack of meaningful linkages outside of a person's own village, especially with regard to households whose head has no or a low level of education. These findings enhance understanding of the specific role of relationships in social support for resource access among households in post‐conflict communities.     

Ecological stress and political coercion in the Sudan

This article outlines the impact of state intervention on ecological relations in the Sudan. The establishment of large-scale mechanised agricultural schemes; population and livestock concentration around water sources; and the evolution of large urban centres with high demands for firewood and charcoal have all contributed to ecological degradation. These effects have been coupled with the use of coercive measures to displace traditional farmers and pastoralists from their lands in favour of large-scale farming schemes. The objectives of government policy have suffered a double retreat – from development to crisis management and from crisis management to the bare maintenance of compliance and order. The inability of the state to intervene on behalf of the victims of drought and famine has led to the use of coercion as the only means to legitimise its hold on power.     

Sources of organisational resiliency during the Thailand floods of 2011: a test of the bonding and bridging hypotheses

Based on the Institutional Collective Action framework, this research tests the impact of two competing hypotheses—bonding and bridging—on enhancing organisational resiliency. The bonding hypothesis posits that organisational resiliency can be achieved if an organisation works closely with others, whereas the bridging hypothesis argues that such a structure places considerable stress on an organisation and advocates for an organisation to position itself as a central actor to gain access to novel resources from a diverse set of entities to achieve resiliency. The paper analyses data gathered from semi‐structured interviews with 44 public, private, and non‐profit organisations serving communities affected by the Great Floods of 2011 in the Thai capital, Bangkok (urban), and in Pathum Thani (suburban) and Ayutthaya (rural) provinces. The findings suggest that: organisational resiliency was associated with the bridging effect; organisations in the rural province were more resilient than those in the suburban and urban centres; and private and non‐governmental organisations generally were more resilient than public sector organisations. The findings highlight the importance of fostering multi‐sector partnerships to enhance organisational resiliency for disaster response.     

肺炎疫情期间医护人员心理危机干预效果分析

为提升医护人员心理健康水平,该文对肺炎疫情期间医护人员实施心理危机干预并分析其效果,以参与2020年1月25日-2月25日湖北省武汉市新冠肺炎疫情期间救治工作的300名医护人员作为研究对象,平均划分为实验组和对照组,其中针对实验组实施统一的心理危机干预训练,此期间对照组未参与训练但日常生活与实验组统一,选取四种量表分别对干预前后的两组实施测评。测评结果表明,干预后实验组的SCL-90各因子得分、SDS得分及SAS得分较干预前均下降明显,且下降幅度超过对照组;实验组干预后的GQOLI总得分与各维度得分均较干预前显著升高,且升高幅度高于对照组。综上,心理危机干预可显著提升医护人员的心理健康水平,缓解其心理紧张等症状,能够在一定程度上降低肺炎疫情期间医护人员的心理危机感。     

Characteristics of fear of crime in evacuation shelters after the Great East Japan Earthquake

After the Great East Japan Earthquake in March 2011, numerous evacuees had to stay in evacuation shelters such as school gymnasiums. In general, after a disaster, ensuring the safety and security of evacuees in evacuation shelters is a serious problem. Consequently, many of these evacuees feared that they would be victims of crime in the shelters or that their evacuated homes would be burgled. To examine what factors evoke a general fear of crime in shelters and burglary of evacuated homes, we conducted an online questionnaire on 300 evacuees in Miyagi Prefecture who had stayed at such shelters. From a factor analysis of fear of 16 specific kinds of crime in shelters, we extracted two factors representing fear of property and female-related crime. We then found that a general fear of crime in shelters was associated with being young and a fear of female-related crime, while a fear of burglary of evacuated homes was associated with being female, owning a detached house, and fear of property crime. Based on these results, we provide recommendations aiming to help reduce the fear of crime in shelters and burglary of evacuated homes.     

Shelter, housing and recovery: a comparison of u.s. Disasters

In this paper we examine the issues associated with the temporary sheltering and housing of victims after natural disasters in the United States. Specific topics addressed include differential access to shelter and housing aid according to social class, ethnicity and related demographic factors; the relationship between post-disaster shelter and housing and long-term recovery; the role of social support networks in the sheltering of victims; and the implications of the research for the provision of shelter and housing aid after disasters.     

Decision‐making behaviour during urban search and rescue: a case study of Germany

The objective of assisting with tasks and decisions during incident response is to reduce the risks to victims and rescue personnel while increasing the efficiency of the rescue operation. Handling uncertain information during urban search and rescue (USAR) missions represents additional stress to the decision‐maker. The aim of this study is to identify the decision‐making behaviour of rescuers during USAR missions to pinpoint trapped or buried victims in debris in order to design assistance technologies and decision‐support systems that meet their needs. In 2010, a survey was conducted among 10–15 per cent of all German rescue personnel specialised in search tasks. One of the major results of this survey is that a subjective assessment of the reliability of information available from heterogeneous sources influences the rescuers’ actions and that there is no methodology for decision‐making involving uncertain information. In addition, the study found that compliance with procedures does not require assistance.     

地震灾害心理伤害的相关问题研究

结合唐山地震灾区社会恢复与社会行为问题研究,对将近2000份有关地震社会问题的问卷进行了重新统计、整理,归纳提炼出了与地震灾害心理伤害相关的内容。作者作为地震灾害的幸存者,与灾民相伴,对他们进行了相关的心理帮助,并作了大量和深入的调查研究,了解灾害造成的心理伤害程度,同时进行了灾害心理统计与分析,总结研究了地震发生前后的各种经验教训。     

A review of poliomyelitis epidemics in Jamaica: The immunization policies and socio-economic implications

The prevalence of communicable diseases in the English speaking Caribbean has declined considerably over the last two decades, creating a false sense of security and complacency in implementing continuous preventive measures such as immunization.
Poliomyelitis is one such case in paint. The last case of paralytic poliomyelitis was reported in Jamaica in 1969. Then twelve years later, in May 1982, the Ministry of Health announced the outbreak of poliomyelitis in the parish of St. James, caused by the Type I virus.
This paper traces the history of epidemics of poliomyelitis in Jamaica from 1954 to 1982, the Government's policies and strategies for immunization and demonstrates that preventive intervention through immunization is cheaper and preferable to crisis management caused by epidemics. The evaluation of the social and economic costs of the 1982 poliomyelitis epidemic in Jamaica provides conclusive evidence in support of preventive intervention.     

Post‐crisis analysis of an ineffective tsunami alert: the 2010 earthquake in Maule,Chile

Considering its huge magnitude and its location in a densely populated area of Chile, the Maule seism of 27 February 2010 generated a low amount of victims. However, post‐seismic tsunamis were particularly devastating on that day; surprisingly, no full alert was launched, not at the national, regional or local level. This earthquake and associated tsunamis are of interest in the context of natural hazards management as well as crisis management planning. Instead of focusing exclusively on the event itself, this article places emphasis on the process, systems and long‐term approach that led the tsunami alert mechanism to be ineffectual. Notably, this perspective reveals interrelated forerunner signs of vulnerability.     

Shelter recovery in urban Haiti after the earthquake: the dual role of social capital

This paper documents the culture‐specific understanding of social capital among Haitians and examines its benefits and downsides in post‐disaster shelter recovery following the 12 January 2010 earthquake. The case study of shelter recovery processes in three socioeconomically diverse communities (Pétion‐Ville, Delmas and Canapé Vert) in Port‐au‐Prince suggests that social capital plays dual roles in post‐disaster shelter recovery of the displaced population in Haiti. On the one hand, it provides enhanced access to shelter‐related resources for those with connections. On the other hand, it accentuates pre‐existing inequalities or creates new inequalities among displaced Haitians. In some cases, such inequalities lead to tensions between the have and have‐nots and instigate violence among the displaced.