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This book examines the impact of epidemics in Africa, exploring some of the adaptation and crisis management strategies adopted to tackle COVID-19, Ebola, and HIV-AIDS. The authors reflect on lessons learned from solving complex problems and difficult decisions made by leaders on pandemic management to shape the security environment and, thus, the well-being of people living in Africa for years to come. Drawing on cases from across the continent, the book demonstrates that, significantly, during the COVID-19 pandemic, African countries and communities frequently displayed regional solidarity, creativity in decision-making, decisiveness in dealing with corruption and opportunism, and resilien...
The ‘War crimes and politics of terror in Chechnya 1994-2004’ case study describes the constraints, questions and dilemmas experienced by MSF while speaking out during the two Russian-Chechen wars and the following years of ‘normalization’. Was speaking out the right thing to do with regard to Russia, a power with a veto at the UN Security Council and a tradition of propaganda control of the public arena? Was it realistic to rely on raising the awareness of other UN member states via their public’s opinion? In a context of terror, when dealing with a regime in denial of the reality of a conflict, was it useful and was it up to MSF to call for having this situation qualified as ‘w...
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 resistan...
On 14 December 1995, the signing of the Dayton Peace Accords ended the separatist war in former Yugoslavia and created the State of Bosnia-Herzegovina. Twenty years on, MSF reveals how the organization spoke out about a conflict marked by ethnic cleansing, crimes against humanity, targeted assaults of humanitarian organizations and individuals, and the unfulfilled promises by the International Community. MSF claimed that mass distributions of aid were simply a ‘humanitarian alibi’ of the international community that lacked the will to take political and military measures to end the conflict. Some MSF leaders even called for an armed intervention against the Bosnian-Serb artillery bombing...
The anthropologist Jonah Lipton was in Freetown, Sierra Leone, when the largest Ebola outbreak in history hit. In the Time of Ebola is his account of the epidemic, centering on the residents of a neighborhood swept up in the emergency. Lipton follows the lives of young men and women over a period of seven years, revealing what the epidemic looked like on the ground. He explores its causes, impacts, and legacies in a place where crisis might be considered the norm, not the exception. The emergency was disruptive and challenging, not least due to the short-term international response. Yet for many youths Ebola was a time of unusual clarity on the ambiguities around care, work, and coming of age experienced in a context of vast economic and social inequalities. Lipton shows how residents of this historically cosmopolitan West African city drew on centuries-old frameworks for managing foreign intervention. In the Time of Ebola questions dominant framings of crisis and offers ways of theorizing, researching, and responding to emergencies that make the home, the family, and "ordinary life" their starting point.
When Médecins Sans Frontières (MSF) was founded in 1971, it was founded with both international and associative dimensions. International because it wouldn’t have made sense for MSF France, on its own, to aid threatened populations around the world and associative because civil law in France, especially the 1901 law governing charitable bodies, was perfectly suited to the MSF organisation’s guiding precepts, which are democratic and selfless in nature. Yet, MSF’s development from a small, purely French organisation to an international associative movement was never carefully planned or particularly smooth. MSF’s development was the result of various compromises between the movement...
An engaging history of how the idea of development has shaped Africa's past and present encounters with the West.
The ‘Violence against Kosovar Albanians NATO’s intervention 1998-1999’ case study describes the constraints and dilemmas facing Médecins Sans Frontières teams that witnessed a process of terror and expulsion which they described as the ‘deportation’ of Kosovar Albanians by Serb forces. It also described MSF’s reaction to NATO aerial bombings and the control exercised over the refugee camps by this party to the conflict. Should MSF denounce the violence being committed against Kosovars at the risk of being excluded from access to these people and of encouraging the NATO intervention? Should MSF take a stance on the NATO intervention? What sort of relationship should be establish...
The “Rwandan refugee camps in Zaire -Tanzania 1994-1995” case study is describing the constraints and dilemmas met by MSF when confronted with camps under the tight control of ‘refugee leaders” responsible for the genocide of the Rwandan Tutsis from April to June 1994. The camps were transformed into rear bases from which the reconquest of Rwanda was sought, via a massive diversion of aid, violence, propaganda, and threats against refugees wishing to repatriate. Was it acceptable for MSF to assist people who had committed genocide? Should MSF accept that its aid was instrumentalised by leaders who used violence against the refugees and proclaim their intention to continue the war in order to complete the genocide they had started? For all that, could MSF renounce assisting a population in distress and on what basis should its arguments be founded?
Alex Green argues that states arise under contemporary international law only when two abstract conditions are fulfilled. First, emerging states must constitute 'genuine political communities': collectives within which particular kinds of ethically valuable behaviour are possible. Second, such communities must emerge in a manner consistent with the ethical importance of individual political action. This uniquely 'Grotian' theory of state creation provides a clear legal framework comprising four factual 'antecedents' and five procedural principles, rendering the law of statehood both coherent and normatively attractive.