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Doctors without Borders
Crises occur across the globe and often without warning. Humanitarian organizations dispatch relief personnel to provide food and to conduct rescue operations after these crises have occurred. Physicians, nurses, and allied health professionals are often called upon to respond to these crises. Journalists are often on the scene to report information about the crisis to the general public. In 1971, a group of physicians and journalists in France formed Médecins Sans Frontières (MSF), or Doctors Without Borders, in an effort to respond to a variety of crises across the globe. The organization operates as an independent group and is supported with donations and volunteer personnel; it is not connected to any government agency. Doctors Without Borders responds to calls for assistance during natural, human-caused, and technological crises. These include floods, earthquakes, tsunamis, cyclones, and famine, much of which is caused by acts of armed conflict. Medical care and pharmacy services are provided for epidemics such as cholera, tuberculosis, influenza, malaria, and tetanus. Although Doctors Without Borders maintains neutrality, it often works to bring attention to the plight of those affected by crisis. This may involve bringing attention to areas facing famine, armed conflict, or the forced relocation of ethnic populations without a country or region.
Organization
The primary organization maintains support offices in over 60 countries and partners with 19 associative organizations, allowing for global coverage. Each country is divided into field offices comprising over 22,000 administrative and medical staff. This includes physicians, nurses, radiological technicians, laboratory technicians, surgeons, and mental health professionals. Supportive care is provided by logisticians, water and wastewater treatment engineers, and communications personnel. Epidemiologists, chemists, and pharmacists provide medical care, pharmacy services, and specialized medications in areas affected by epidemics such as human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), malaria, tuberculosis, cholera, or similar outbreaks. Each site is managed by volunteer administrators who are charged with ensuring that all services run smoothly. Doctors Without Borders works with local physicians and hospitals in order to enhance the quality of medical care instead of trying to replace it. This method increases the likelihood that local agencies will work with the organization to provide the best medical care possible.

A malnourished child waits in a Doctors Without Borders treatment tent in the Dolo Ado camp, near Ethiopia's border with Somalia, July 2011. The United Nations declared a famine in five regions of Somalia by early August. By December, “Malnutrition rates are still very high; this is still an emergency situation,” said Voitek Asztabski, emergency coordinator for Doctors Without Borders in the camp. Over 50 percent of children in the camp were suffering from malnutrition at that time, according to the United Nations.
Team Medical Equipment
Doctors Without Borders responds to crises using the latest, most advanced medical equipment available. The majority of the medical equipment is designed to be used in the field environment, making it fully transportable and easily moved. This is especially important in areas of armed conflict because the team may be required to quickly relocate in order to protect staff, patients, and equipment. The organization has the ability to provide medical care in mobile sites, temporary sites, and fixed locations such as former hospitals. Equipment includes radiological equipment to conduct X-rays, exam areas, emergency triage and treatment equipment, specialized surgical equipment, laboratory equipment, and mobile pharmacies. Moreover, each site is fully self-supportive with both water filtration equipment and wastewater treatment facilities. Comfort care is provided in the form of free blankets, pillows, and clothing.
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- Agencies, United Nations
- Bureau for Crisis Prevention and Recovery, UN (UNDP/BCPR)
- Environment Programme, UN (UNEP)
- Food and Agriculture Organization of the United Nations (FAO)
- International Children's Fund, UN (UNICEF)
- International Strategy for Disaster Reduction, UN (UNISDR)
- Interregional Crime and Justice Research Institute, UN (UNICRI)
- Office for the Coordination of Humanitarian Affairs (OCHA), UN
- World Health Organization (WHO), UN
- Agencies, U.S.
- Centers for Disease Control and Prevention (CDC)
- Department of Homeland Security (DHS)
- Emergency Management Agencies, City and County
- Federal Bureau of Investigation (FBI)
- Federal Emergency Management Agency (FEMA)
- National Oceanic and Atmospheric Administration (NOAA)
- State Emergency Management Agencies
- U.S. Geological Survey (USGS)
- Categories of Crises: Engineering and Technological
- Air Traffic Control
- Air Travel
- Biological Engineering Risk
- Bridges
- Buildings
- Chemical Risk
- Cyber Crime
- Cyber Security
- Cyber Warfare
- Dams, Levees, and Seawalls
- Electronics Waste
- Environmental Contamination
- Hazardous Materials
- Hazardous Waste Disposal
- Improvised Explosive Devices
- Manufacturing Risks
- Marine Shipping
- Marine Travel
- Mining
- Nanotechnology
- Nuclear Risks
- Ozone Layer Depletion
- Petrochemical Risk
- Sewage Spill
- Smog
- Spaceflight
- Transportation Systems, Vulnerability
- Y2K Bug
- Categories of Crises: Financial and Business
- Categories of Crises: Natural Disasters
- Categories of Crises: Politics, International Relations, and Civil Violence
- Arms Control
- Biological Weapons
- Border Disputes
- Cabinet Office, UK
- Chemical Weapons
- Civil War
- Ethnic Cleansing
- Failed States
- Foreign Policy Crises
- Hijackings
- Hostage Taking and Negotiation
- Human Trafficking
- Interstate War
- Land Mines
- Missiles
- Nuclear and Radiological Weapons
- Nuclear Proliferation
- Peacekeeping
- Protest
- Religious Violence
- Revolution
- Riots
- Suicide Bombings
- Terrorism
- Transportation Security
- War Crimes
- Weapons Trafficking
- Categories of Crises: Population and Demographics
- Disaster Information Databases
- Nongovernmental Organizations
- Risk Management Standards
- Theory, Issues, and Techniques: Civil
- Agency Notification and Mobilization
- Civil Protection
- Civilian Protection, Post-Conflict
- Contingency Planning
- Continuity of Government
- Crisis Information Management Systems
- Debris Management
- Decision Making
- Decision Support Tools
- Disaster Assessment
- Disaster Declaration
- Disaster Risk Reduction
- Documentation
- Emergency Alert Systems
- Emergency Management System
- Emergency Manager
- Emergency Support Functions
- Financial Risk Management in Higher Education
- Hazard Mitigation
- Incident Action Plans
- National Incident Management System (NIMS)
- National Preparedness Goal
- National Response Framework
- Operational Plans
- Operational Readiness
- Perimeter Control
- Policy Setting
- Political and Organizational Leadership
- Preparedness
- Prevention
- Protection
- Search and Rescue
- Situational Analysis
- Stafford Act
- Sustainability
- Threat Detection
- Theory, Issues, and Techniques: Corporate
- Alternate Site, Corporate
- Auditing
- Backup Facility
- Backup Media
- Backup Strategy
- Business Continuity Management
- Business Continuity Planning
- Business Continuity Planning Life Cycle
- Business Impact Analysis
- Business Resumption Planning
- Classification of Systems
- Cluster
- Cold Site
- Continual Improvement
- Critical Applications
- Critical Business Functions
- Criticality Assessment
- Data Mirroring
- Data Recovery
- Dedicated Site
- Disaster Declaration Officer
- Disaster Recovery
- Disaster Recovery Life Cycle
- Disaster Recovery Plan Test Cycle
- Downtime
- Electronic Vaulting
- Failover
- Fink's Crisis Life Cycle
- Impact Analysis
- Incident Management
- Incident Response
- Insurance
- Journaling
- Losses, Quantitative Versus Qualitative
- Maximum Acceptable Outage
- Minimum Business Continuity Objective
- Mirroring
- Mitroff's Five Stages of Crisis Management
- Mobile Recovery Site
- Reciprocal Agreement
- Reciprocal Site
- Recovery Time Objective
- Reinsurance
- Reputational Risk
- Response Team
- Strengths, Weaknesses, Opportunities, and Threat (SWOT) Analysis
- Supply Chain
- Vital Records
- Warm Site
- Theory, Issues, and Techniques: General
- All-Hazards
- Cascading Crisis
- Catastrophe, Definition of
- Climate Change Adaptation
- Collaboration
- Command and Control
- Contingent Coordination
- Coordination
- Coping Capacity and Response Capability
- Credibility
- Crisis Communications
- Crisis Management, Emerging Trends in
- Crisis Simulations
- Crisis, Definition of
- Critical Infrastructure
- Damage Assessment
- Damage Containment
- Debriefing
- Decision Making Under Stress
- Disaster Drills
- Disaster, Definition of
- Disruption of Organizations
- Early Warning Systems
- Electronic Media
- Emergency Management, Principles of
- Emergency Medical Care
- Emergency Operations Center
- Emergency Public Information
- Emergency Responders
- Emergency, Definition of
- Evacuation
- Exercises
- Fusion Center
- Hazard Vulnerability Analysis
- Hazard, Definition of
- Historical Analogies, Use of
- Impact, Definition of
- Improvising
- Incidents Versus Crises
- Interdependence
- Interoperability
- Legal Liability
- Logistics
- Mass Care
- Mass Fatality Management
- Mass Media
- Mental Models
- Methods, Qualitative
- Methods, Quantitative
- Multiple Disaster Problem
- News Media
- Nongovernmental Organizations
- Nonlinearity
- Panic, Nature and Conditions of
- Pre-Crisis Training and Planning
- Pre-Impact Planning Process
- Public Awareness and Education
- Public Image
- Public Relations
- Recovery
- Residual Risk
- Resiliency
- Resource Management
- Response
- Risk Analysis
- Risk Assessment
- Risk Treatment
- Routine Emergencies Versus True Crises
- Safety Policies
- Scapegoating
- Scenario Planning
- Shelter-in-Place
- Simulations
- Social Media
- Spokesperson, Designating and Utilizing
- Stakeholders
- Strategic Plans
- Training
- Trauma
- Trigger Events
- Uncertainty
- Volunteer Coordination
- Vulnerability
- Warning
- Whistle Blowers
- Worker Error
- Theory, Issues, and Techniques: Public Health
- Cholera
- Drug Resistance
- Ebola Virus
- Emergency Medicine
- Epidemics
- Health and Medical Response Scenarios
- HIV/AIDS Epidemic
- Hospital Emergency Room
- Infectious Disease
- Infestations, Parasite
- Influenza
- Living Modified Organisms
- Malaria
- Measles
- Mental Illness
- Noncommunicable Diseases
- Pandemics
- Post-Traumatic Stress Disorder
- Public Health Surveillance
- Public Safety Canada
- Quarantine
- Severe Acute Respiratory Syndrome (SARS)
- Smallpox
- Social Distancing
- Surge Capacity, Hospitals
- Triage
- Tuberculosis
- Vaccinations
- Theory, Issues, and Techniques: Social Sciences
- Blame, Politics of
- Bounded Rationality
- Bureaucracy
- Chaos Theory
- Cognitive Novelty, Engaging in
- Cosmology Episode
- Coupling
- Decision Making, Theories of
- Decision Stream
- Groupthink
- High Reliability Organization Theory
- Information Asymmetry
- Information Vacuums
- Normal Accident Theory
- Normalization of Deviance
- Organizational Failure
- Paradigm Blindness
- Practical Drift
- Risk Society
- Structural Secrecy
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