This paper questions the pertinence of the humanitarian aid localization agenda in Latin America, at least in the narrow sense embraced by the 2016 World Humanitarian Summit. Localized support has been the standard practice in the region for decades, thanks to at least two correlated factors: the Monroe Doctrine limiting intervention to the USA and regional efforts to resist such intervention. Instead, humanitarian action in the region is an example of a particular way of understating localization, mainly specialized support to specific issues, no distinction between humanitarian or development divisions, and coexistence of different response approaches, synthesizing international and local experiences that intermingle with community practices and traditions, under national government leadership. Governments, together with NGOs, civil protection, and other relevant actors from international cooperation and development, engage in crises based on a long-standing tradition of risk management at national and regional levels. Fears of abuses hidden behind the non-interference principle, human rights activism, and disaster risk management approaches to emergencies created a complex ecosystem for humanitarian localization.
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http://dx.doi.org/10.1186/s41018-022-00120-3 | DOI Listing |
J Med Biogr
January 2025
Faculty of Humanities and Social Sciences, Sakarya University, Sakarya, Turkey.
This article explores the life and work of Dr Caroline F. Hamilton, one of the pioneering female physicians sent from the USA to the Ottoman Empire in the late 19th century. Over a career spanning three decades, Hamilton provided critical medical care, especially to women, at the Azariah Smith Memorial Hospital in Aintab, overcoming legal, cultural, and political obstacles to become one of the first women licensed to practise medicine in the region.
View Article and Find Full Text PDFLancet Reg Health Am
December 2024
Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Background: Protecting the health of migrants and refugees during the pandemic was a significant challenge in the Latin American region. We aimed to describe and contrast the response of the health systems of Mexico, Colombia and Perú to migrants' and refugees' health needs during the COVID-19 pandemic, and to situate the response in the context of the migration and health policies of each country.
Methods: We conducted case studies of the three countries.
Emerg Med J
January 2025
Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA.
Introduction: Civilian healthcare workers (HCW) and medical facilities are directly and indirectly impacted by armed conflict. In the Russia-Ukraine war, acute trauma care needs grew, the workforce was destabilised by HCW migrating or shifting roles to meet conflict needs, and facilities faced surge events. Chemical, biological, radiological, nuclear and explosive (CBRNE) exposure risks created unique preparedness needs.
View Article and Find Full Text PDFJ Int Humanit Action
December 2024
Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
In the last decade, there has been a push for greater evidence-based practice within the humanitarian sector, alongside an increasing turn towards localising humanitarian assistance. Humanitarian actors and organisations have been increasing their production and use of evidence, while also being encouraged to reflect more critically on power hierarchies and decolonise humanitarian aid. This paper explores the intersection of these two narratives, examining how the use of evidence in humanitarian decision-making fits within a localisation agenda.
View Article and Find Full Text PDFJ Cardiothorac Surg
December 2024
University Teaching Hospital of Kigali, Kigali, Rwanda.
Background: While the number of cardiac surgery programs in sub-Saharan Africa are increasing, it is still insufficient. With only 0.08 pediatric cardiac surgeons per million people, few cardiac centers routinely perform pediatric cardiac surgery.
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