1 day ago · Essay about rain water harvesting in english. Doctors without borders case study, essay about business ethics doctors without borders case study, early morning at the beach essay. Outline for 15 page research paper about essay robotic competition English sentence starter for essay. Favourite personality mother essay, essay on e business One day, I would like to become involved with Doctors Without Borders. NYU gives me the optimal resources combined with engaging experiences to work toward my goal. I believe a person’s health is the fundamental pillar of stability and sustainability; thus, I want Oct 14, · I hope to work for humanitarian organizations, such as Doctors Without Borders, in Africa, where HIV and polio are rampant, as are numerous other diseases. Imagine the stars once more. From across the world, I will look at the same stars in the future, as I help children secure the ability to not only look at the stars, but do much more
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Subscriber Account essay about doctors without borders since. One day, when Ali N'Simbo was a boy, the radio he was listening to went dead.
He looked up to see missiles flying in his direction. His family quickly gathered what they could — some food, blankets, a few photos — and fled their home in Bukavu, in eastern Democratic Republic of Congo.
He remembers jumping over dead bodies as he ran through the streets. In the coming days and months, as the horrors of the First Congo War swept across his homeland, N'Simbo would see soldiers execute a man begging for his life after being pulled from his car. He would be shot at, and forced to help dig mass graves.
But amid the devastation, N'Simbo saw people helping. Essay about doctors without borders night, he watched cars emblazoned with "Médecins Sans Frontières" — the Nobel Peace Prize-winning relief organization known in the US as Doctors Without Borders and internationally by its French acronym, MSF — drive through the streets of eastern Congo, ferrying the wounded and sick.
N'Simbo dreamed that one day he would be inside one of those MSF cars, meeting violence with insistent care. About a decade later, N'Simbo went on to earn his medical degree in the provincial capital city of Kisangani. Byhe was an MSF physician in Congo, battling cholera and measles outbreaks and treating people wounded in conflicts, essay about doctors without borders, sometimes walking days to reach them. He regularly negotiated with rebels and warlords to ensure the safety of MSF workers.
The work was essential, and grueling. But even though he was a doctor and a team leader, MSF paid N'Simbo a fraction of what it paid the European and North American colleagues who essay about doctors without borders alongside him. MSF, a nonprofit funded largely by individual donations, provided visiting staff members with free housing, transportation, and a per diem that amounted to nearly as much as N'Simbo made in a month.
Meanwhile, N'Simbo and other local workers skipped meals to make ends meet. But N'Simbo still believed in the organization and the work he was doing. It changed his life; he even met his wife, an American physician named Lucy Doyle, while working with MSF in Congo.
They later moved to the United States; from there, N'Simbo signed up for a stint as an MSF field doctor in South Sudan. But even after he had ascended to the more highly regarded — and better paid — position of an international staffer, he continued to face discrimination. Two white colleagues repeatedly humiliated him, and essay about doctors without borders called another African colleague a chimpanzee.
N'Simbo wanted change. Inhe became the first African elected to the board of the MSF-USA Association, the governing body for MSF's American arm. He began agitating for essay about doctors without borders and fairness in the way the organization treated its workers, and calling out the discrimination he saw. While some rallied to N'Simbo's cause, the uncompromising way he drew attention to race and privilege made some powerful people within the organization uncomfortable.
MSF staff members are immensely proud of the work they do around the world, and are protective of the group's mission to provide assistance "irrespective of race, religion, creed, or political convictions.
N'Simbo's journey from war-torn Bukavu to the highest levels of one of the world's top relief organizations came to a head in the spring ofin a windowless conference room of MSF-USA's headquarters. During a board meeting, as N'Simbo pressed his case, the conversation grew heated.
N'Simbo was shocked to hear one of his colleagues threaten him. N'Simbo was stunned, and deflated. Decades before, he had witnessed the professionalism with which MSF's doctors dealt with violence in his country.
Essay about doctors without borders, after working his way into the inner sanctums of power and forcing a conversation about MSF's own failings, he faced a threat from within. MSF is perhaps the most famous of all international relief organizations. It's been around for nearly 50 years and employs 63, people from around the world, many of whom leave behind comfortable lives to tend to the sick and wounded in some of the world's most difficult settings.
It promotes an image of stoic neutrality in the face of intractable conflict, with its volunteers bearing sober witness — t é moignagein MSF parlance — to the horrors they confront.
It is hard not to be moved by the public perception that MSF has cultivated of dashing young physicians spurning well-paying jobs in global capitals to save lives in conflict zones. But on the eve of its 50th anniversary this December, and four years after Ali N'Simbo faced down a boardroom threat, MSF confronts a deepening crisis. Current and former staffers are bearing witness with stories of racism, discrimination, and inequitable treatment they say are baked into the organization's global operations.
In Julyamid the global reckoning about racial inequality ignited by the killing of George Floyd, more than 1, current and former staff members signed an open letter to leadership outlining their concerns about the organization's structurally racist practices and demanding change. An investigation by Insider in collaboration with the nonprofit radio show and podcast "Reveal," based on interviews with about current and former staffers in nearly 30 countries and a review of thousands of pages of documents, has found that a segregated, two-tiered workplace is firmly ingrained within MSF, essay about doctors without borders.
While a small number of international workers wield disproportionate decision-making power and enjoy plush benefits, local workers say they often feel like second-class citizens, without access to the same quality medical care, pay, and promotions that their international counterparts enjoy. And dozens of current and former employees say that people of color, regardless of their position within the organization, are treated unequally.
Even local doctors performing nearly the exact same tasks as foreign doctors earn a smaller salary, and have more limited benefits. In extreme cases, essay about doctors without borders, locals have been abandoned by MSF in war zones while their colleagues from Europe, North America, and elsewhere are evacuated to safety. In parts of sub-Saharan Africa, MSF deliberately sends non-white staff members into violent areas through a practice referred to internally as essay about doctors without borders based on the understanding that white, European, and American staffers are more likely targets for kidnappers.
In many cases, staff were not informed beforehand as to why they were selected for the more dangerous missions. Many staff members said their respect for MSF's ideals and its work in some of the world's hardest-to-reach places made recognizing its failings and speaking out even harder.
Some said that when they criticized the organization they were accused of putting workers before patients. MSF says it has acknowledged its past and current flaws and is taking strides to increase diversity and fairness in the way it treats its staff around the world. However, we are making progress, essay about doctors without borders.
Over the past several years MSF has begun to confront hard truths about how racism and colonialism are embedded within the organization, and how this affects our colleagues and patients.
Full disclosure: One of the authors of this story, Mara Kardas-Nelson, was employed in South Africa by MSF in and Founded in Paris in by a small group of doctors, former Red Cross workers, and journalists who believed that humanitarian aid should be untethered from political influence, MSF today has a bureaucratic, sprawling, and idiosyncratic structure that reflects both its global ambitions and its European heritage.
In its early days, European clinicians responded to crises around the globe: an earthquake in Nicaragua, a famine in Ethiopia, a refugee crisis in Southeast Asia, essay about doctors without borders. But as the organization grew, it set up more, longer-term projects in places with stubborn conflicts like Afghanistan and protracted health crises like the HIV epidemic in sub-Saharan Africa.
Those changes demanded more bodies, and more long-term capacity. Relying just on short-term European volunteers didn't make sense anymore. So the organization hired local workers to keep operations humming. MSF colloquially refers to these local workers, whether they are in Kabul or Port-au-Prince, as "national staff.
Meanwhile, the healthcare professionals who parachute in for mostly short-term assignments are routinely referred to as "international staff" or "expats. The result of this structure — a common one among global nongovernmental organizations — is a two-tiered system in which a relatively small band of expat professionals, disproportionately from Europe and North America, oversee a caste of lower-paid largely brown and Black support workers essay about doctors without borders sites spanning the globe.
In the field, international staffers are sometimes treated like visiting royalty who must be shielded from the depredations of life in the developing world, essay about doctors without borders their locally employed colleagues are expected to simply endure them. International staffers are paid considerably higher salaries — overall, according to the organization's most recent financial report, the average cost of an international staff member in was nearly essay about doctors without borders times that of the average local worker.
International staffers also receive a per diem, housing, travel, and in-country transportation, sometimes with a driver. In some projects, international staff members are housed in some of the most exclusive neighborhoods in capital cities, essay about doctors without borders, with in-house cooks and cleaners, essay about doctors without borders. Several international staffers said they lived better in the field than they ever did at home.
There are also pay disparities within the international staff. While all expats receive a base salary benchmarked to the French labor market and determined by their qualifications, some who come from higher-income countries are eligible for additional money. An MSF representative said this was out of recognition that some international staffers on short-term assignments might have long-term financial commitments back home: mortgages, taxes, things like that.
Since Switzerland is more expensive than Congo, for instance, a Swiss expatriate would receive more compensation than a Congolese expatriate — even though they're doing the same job, in the same place. Of course, one could argue that conserving payroll costs allows MSF to spread its resources more widely, and that nonprofits have a duty to efficiently steward donor funds.
But some MSF staffers say the pay differential can't be explained by fiscal responsibility alone. In one internal report frominternational staffers complained that the pay system favored Europeans and North Americans and that payment "may not be representative of what is needed for a decent quality of life. While the organization has been debating what to pay its staff for decades, its income has grown almost every year since Last year, owing to a surge in fundraising during the COVID pandemic, MSF had its largest single-year percentage increase in donations and total overall income sincewhen the organization was responding to an Ebola outbreak that was tearing through West Africa.
Unlike many humanitarian aid organizations, nearly all of MSF's funds come from companies and individuals, as opposed to government or foundation grants.
This is deliberate. From its early days, MSF has focused on private donations to maintain independence from governments and institutional funders. As a result, it is free to make its own decisions, whether how to run vaccination programs or how to compensate its staff. In early SeptemberMSF staff members in Syria were under threat.
Just a few weeks before, opposition-controlled areas in Damascus were hit with rockets containing the chemical agent sarin. The US and others essay about doctors without borders the attack on the Syrian government. That September, the US Senate considered a resolution that would authorize the use of force against Syrian President Bashar Assad's troops after President Barack Obama declared the use of chemical weapons was crossing a "red line.
MSF staff members at one project in the Idlib province in northwestern Syria had no idea what was going on. Out of concern their devices would be tracked by the Assad government, essay about doctors without borders, MSF said no one at the site — expat or national — was allowed to use the internet.
They hadn't heard of Obama's red-line remark. They didn't know MSF had released a statement on the chemical attacks a few weeks before, confirming that its hospitals in Damascus were treating 3, patients with symptoms that "strongly indicate mass exposure to a neurotoxic agent," the use of which "would constitute a violation of international humanitarian law. A former international staffer and two national staffers who worked at the Idlib site, and asked not to be named for fear of retaliation, told Insider and "Reveal" that no one from MSF reached out to inform them about what was going on — or to warn them that MSF had made a statement that could be perceived as critical of the Syrian government.
The team learned about it only when a staffer broke the rules, logged on to the internet, and read it all: Obama's red-line remark, MSF's statement, and the looming threat of war. Soon after staff members in Idlib realized what was happening, MSF managers informed local workers that all activities in the area were being suspended indefinitely.
A sign was placed on the hospital's front door: "Closed until further notice. National staffers were left behind. The staffers Insider and "Reveal" spoke with said they understood the need to offer protection for international staffers — without it, desperately needed clinicians and support staff would be unlikely to work in dangerous places.
And the threats are real. In Januaryfive MSF staffers were abducted by an armed group in northern Syria. They were released several months later. Still, the decision to rescue some while leaving others behind was unsettling to those who made it out. At least they could have been evacuated to Turkey, the international source said.
A Day on the Front Line: Doctors Without Borders
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