This article explores the methodology and main findings of field studies conducted for the ICRC's Health Care in Danger project in Afghanistan, Somalia, and the Democratic Republic of the Congo between 2010 and 2013. It discusses some of the actions that the ICRC takes in its health programmes to facilitate access to health care, and its approach to promoting better respect for the laws protecting it. It then suggests what more needs to be done to curb the violence.
Neutrality as a guiding principle of humanitarian action was roundly rejected by most actors in Afghanistan's latest conflict. One party to the conflict commandeered assistance and aid organizations into a counter-insurgency campaign, and the other rejected Western aid organizations as agents of an imperialist West. The murder in 2003 of the International Committee of the Red Cross (ICRC) water engineer Ricardo Munguia, because of what he symbolized, cast doubt on whether the ICRC could be perceived as neutral in this highly polarized context. Rather than abandon a neutral stance, however, as so many aid organizations did, the ICRC persevered and, through some innovative and sometimes risky initiatives, managed to show both sides the benefits of having a neutral intermediary in conflict. Today, the ICRC continues to expand its reach to Afghans in dire need of humanitarian assistance.
Far from rejecting the classicist approach, as Thomas Weiss claims, Médecins Sans Frontières (MSF) follows the fundamental principle of providing aid in proportion to need and without discrimination. Actions that on Weiss's political continuum would be termed solidarist are less an expression of political preference than a determination to claim and operate within humanitarian space as well as to maintain accountability to international civil society through testimony (témoignage) regarding mass violations of human rights. Although providing aid in conflict is implicitly political, involving humanitarian actors and aid in conflict resolution initiatives, as Weiss advocates, risks diluting the primary responsibility of humanitarian aid to alleviate suffering. It also further shifts the responsibility for conflict resolution and the respect of international legal conventions from accountable political institutions to the private sphere. Is this where we want to lead humanitarianism?
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