scholarly journals Humanitarian Aid Workers: The Forgotten First Responders

Author(s):  
Robert I.S. Macpherson ◽  
Frederick M. Burkle

Abstract Humanitarian aid workers are an overlooked population within the structure of posttraumatic stress disorder (PTSD) research and assistance. This negligence is an industry-wide failure to address aid workers’ psychological health issues. The suspected numbers of death by suicide, diagnosed PTSD, depression, anxiety disorders, hazardous alcohol and drug consumption, emotional exhaustion, and other stress-related problems are impossible to quantify but are considered endemic. Tools for establishing organizational frameworks for mental health and psychosocial support are readily available. However, the capacity to implement this assistance requires the creation and practice of an open and non-judgmental culture, based on the realistic acceptance that aid work has become inherently dangerous. The possibility of developing a psychological problem because of aid work has increased along with the rise in levels of disease, injury, kidnapping, and assault. As a result, expressions of traumatic stress have become the norm rather than an exception. This commentary outlines the essential steps and components necessary to meet these requirements.

2007 ◽  
Author(s):  
Lynette H. Bikos ◽  
Michael Klemens ◽  
Leigh Randa ◽  
Alyson Barry ◽  
Thomas Bore

Author(s):  
Aleksandra Truszczyńska-Baszak ◽  
Monika Guszkowska ◽  
Emilia Dadura ◽  
Adam Tarnowski

AbstractThe aim of the study was to assess the risk of developing post-traumatic stress disorder in patients after hip acetabular fracture surgery. The study involved 42 patients fulfilling inclusion criteria. Physical ability levels of the patients were determined with the Harris Hip Score, and modified Merle d’Aubigné scale. High risk of post-traumatic stress disorder was assessed with the PTSD-C questionnaire. Patients had in PTSD-C questionnaire 42.86 ± 28,10 points. In Harris Hip Score 63.64 ± 16.06, in Merle scale 11.10 ± 2.82, that was poor results in both scales. Positive correlation with age reached the level of tendency (ρ = 0.294; p = 0.059). Patients at risk of PTSD were in worse functional state measured by HHS (U = 136.0; p = 0.034) and Merle scale (U = 132.0; p = 0.026) and they were older (U = 147.5; p = 0.068). The groups differed significantly in gender ratio (χ2 = 4.01; p = 0.045). Women (8/10) were more often than men (14/32) at risk of PTSD. Patients after surgical fixation of the acetabulum experience significant functional disability. Increased level of disability after fracture and surgery, older age and female sex make patients vulnerable to PTSD. It is advisable to make medical staff who treat accident victims aware towards aspects which may be related to disorders of the patients’ psychological health.


2016 ◽  
Vol 45 (6) ◽  
pp. 1191-1213 ◽  
Author(s):  
Miranda Visser ◽  
Melinda Mills ◽  
Liesbet Heyse ◽  
Rafael Wittek ◽  
Vincenzo Bollettino

A limited body of research has examined satisfaction with work–life balance of expatriate workers who live abroad, residing outside the typical “family” or “life” domain. This study aims to demonstrate how and under which organizational circumstances job autonomy can increase work–life balance satisfaction of humanitarian aid expatriates. We hypothesize that especially in humanitarian work, trust in management can buffer potential negative effects of high autonomy. We test our hypothesis by means of ordinal logistic regression, using survey data collected among expatriates of the Operational Center Amsterdam of Médecins Sans Frontières ( N = 142). Results reveal that high levels of autonomy are positively related with work–life balance satisfaction when trust in the management of the organization is high. When trust in management is low, the effect of high autonomy on work–life balance satisfaction is negative. This implies that trust in management indeed buffers negative effects of high autonomy among expatriate humanitarian aid workers.


Author(s):  
Emizet F. Kisangani ◽  
David F. Mitchell

Abstract Since the end of the Cold War, the UN has extended many of its missions in conflict zones to include political, military, and humanitarian activities. Many humanitarian nongovernmental organizations have been critical of these “integrated” UN missions, claiming that they can blur the distinction between political, military, and humanitarian action, thus placing humanitarian aid workers at risk of retaliation from warring factions opposed to the UN’s political objectives. This proposition is empirically tested using generalized methods of moments statistical analysis of sixty-seven countries that experienced intrastate conflict between 1997 and 2018. When assessing attacks in general—to include the sum of aid workers killed, wounded, and kidnapped—the results indicate that humanitarian aid workers are more likely to come under attack in countries that have an integrated UN mission. However, when the attacks are assessed separately, results show that this relationship holds only with aid workers who are killed in the field.


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