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Médecins Sans Frontières

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Médecins Sans Frontières

Médecins Sans Frontières (MSF; pronounced [medsɛ̃ sɑ̃ fʁɔ̃tjɛʁ] ), sometimes known as Doctors Without Borders, is a charity that provides humanitarian medical care. It is a non-governmental organisation (NGO) of French origin known for its projects in conflict zones and in countries affected by endemic diseases. The organisation provides care for diabetes, drug-resistant infections, HIV/AIDS, hepatitis C, tropical and neglected diseases, tuberculosis, vaccines and COVID-19. In 2019, the charity was active in 70 countries with over 35,000 personnel; mostly local doctors, nurses and other medical professionals, logistical experts, water and sanitation engineers, and administrators. Private donors provide about 90% of the organisation's funding, while corporate donations provide the rest, giving MSF an annual budget of approximately US$1.63 billion.

MSF was founded in 1971, in the aftermath of the Biafran famine of the Nigerian Civil War, by a small group of French doctors and journalists who sought to expand accessibility to medical care across national boundaries and irrespective of race, religion, creed or political affiliation. MSF's principles and operational guidelines are highlighted in its Charter, the Chantilly Principles, and the later La Mancha Agreement. Governance is addressed in Section 2 of the Rules portion of this final document. MSF has an associative structure where operational decisions are made, independently, by the six operational centres (Amsterdam, Barcelona-Athens, Brussels, Geneva, Paris and West and Central Africa – with a headquarter office in Abidjan, Ivory Coast). Common policies on core issues are coordinated by the International Council, in which each of the 24 sections (national offices) is represented. The International Council meets in Geneva, Switzerland, where the International Office, which coordinates international activities common to the operational centres, is based.

MSF has general consultative status with the United Nations Economic and Social Council. It received the 1999 Nobel Peace Prize in recognition of its members' continued efforts to provide medical care in acute crises, as well as raising international awareness of potential humanitarian disasters. James Orbinski, who was the president of the organisation at the time, accepted the prize on behalf of MSF. Prior to this, MSF also received the 1996 Seoul Peace Prize. Christos Christou succeeded Joanne Liu as international president in June 2019.

During the Nigerian Civil War of 1967 to 1970, the Nigerian military formed a blockade around the nation's newly independent south-eastern region, Biafra. At this time, France was one of the few major countries supportive of the Biafrans (the United Kingdom, the Soviet Union and the United States sided with the Nigerian government), and the conditions within the blockade were unknown to the world. A number of French doctors volunteered with the French Red Cross to work in hospitals and feeding centers in besieged Biafra. One of the co-founders of the organisation was Bernard Kouchner, who later had a career in French politics, rising to the position of Minister for Europe and Foreign Affairs, which he held 2007–2010.[citation needed]

After entering the country, the volunteers, in addition to Biafran health workers and hospitals, were subjected to attacks by the Nigerian Armed Forces, and witnessed civilians being murdered and starved by the blockading forces. The doctors publicly criticised the Nigerian government and the Red Cross for their seemingly complicit behaviour. These doctors concluded that a new aid organisation was needed that would ignore political/religious boundaries and prioritise the welfare of survivors. Apart from Nigeria, MSF exists in several African countries including Benin, Zambia, Uganda, Kenya, South Africa, Rwanda, Sudan, Sierra Leone, and others.

The Groupe d'intervention médicale et chirurgicale en urgence ("Emergency Medical and Surgical Intervention Group") was formed in 1971 by French doctors who had worked in Biafra, to provide aid and to emphasize the importance of survivors' rights. At the same time, Raymond Borel, the editor of the French medical journal TONUS, had started a group called Secours Médical Français ("French Medical Relief") in response to the 1970 Bhola cyclone, which killed at least 625,000 in East Pakistan (now Bangladesh). Borel had intended to recruit doctors to provide aid to survivors of natural disasters. On 22 December 1971, the two groups of colleagues merged to form Médecins Sans Frontières (Doctors Without Borders).

MSF's first mission was to the Nicaraguan capital, Managua, where a 1972 earthquake had destroyed most of the city and killed between 10,000 and 30,000 people. The organisation, today known for its quick response in an emergency, arrived three days after the Red Cross had set up a relief mission. On 18 and 19 September 1974, Hurricane Fifi caused major flooding in Honduras and killed thousands of people (estimates vary), and MSF set up its first long-term medical relief mission.

Between 1975 and 1979, after South Vietnam had fallen to North Vietnam, millions of Cambodians immigrated to Thailand to avoid the Khmer Rouge. In response, MSF set up its first refugee camp missions in Thailand. When Vietnam withdrew from Cambodia in 1989, MSF started long-term relief missions to help survivors of the mass killings and reconstruct the country's health care system. Although its missions to Thailand to help victims of war in Southeast Asia could arguably be seen as its first wartime mission, MSF saw its first mission to a true war zone, including exposure to hostile fire, in 1976. MSF spent nine years (1976–1984) assisting surgeries in the hospitals of various cities in Lebanon, during the Lebanese Civil War, and established a reputation for its neutrality and willingness to work under fire. Throughout the war, MSF helped both Christian and Muslim soldiers alike, helping whichever group required the most medical aid at the time. In 1984, as the situation in Lebanon deteriorated further and security for aid groups was minimised, MSF withdrew its volunteers.[citation needed]

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