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Humanitarian crises create opportunities for both in-person and remote aid. Durable, complex, and team-based care may leverage a telemedicine approach for comprehensive support within a conflict zone. Barriers and enablers are detailed, as is the need for mission expansion due to initial program success. Adapting a telemedicine program initially designed for critical care during the severe acute respiratory syndrome coronavirus 2 pandemic offers a solution to data transfer and data analysis issues. Staffing efforts and grouped elements of patient care detail the kinds of remote aid that are achievable. A multiprofessional team-based approach (clinical, administrative, nongovernmental organization, government) can provide comprehensive consultation addressing surgical planning, critical care management, infection and infection control management, and patient transfer for complex care. Operational and network security create parallel concerns relevant to avoid geolocation and network intrusion during consultation. Deliberate approaches to address cultural differences that influence relational dynamics are also essential for mission success.

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Este artigo teve por objetivo identificar pontos de encontro entre ação humanitária e direito à saúde. Para tal, foi realizada busca na plataforma Biblioteca Virtual de Saúde e em publicações do Instituto de Estudios sobre Conflictos y Acción Humanitaria. Também se buscaram artigos diretamente pelo nome de autores consagrados no campo de saúde global. A associação entre ação humanitária e direito à saúde existe desde os primórdios do campo humanitário e ainda hoje é caracterizada pelo acesso a tratamento, bens e serviços e direitos do paciente, mas a dimensão moderna do conceito de saúde ainda não está muito clara na prática da ação humanitária. Sobre esta última, a diretriz geral, inclusive da Agenda pela Humanidade estabelecida pela Organização das Nações Unidas, é que ocorra concomitantemente a ações de cooperação para o desenvolvimento, mas pouco se discutem ações humanitárias paralelamente ao fortalecimento do Regulamento Sanitário Internacional. O encontro entre ação humanitária e direito à saúde ainda é permeado pelos paradoxos e desafios internos desses dois campos.

This article aimed to identify meeting points between humanitarian aid and the right to health. To this end, a search was performed on the Virtual Health Library and on publications by the Institute for Conflict Studies and Humanitarian Action. Articles were also searched directly by typing the name of renowned authors in the field of global health. The association between humanitarian aid and right to health comes from the origin of the humanitarian field and is still characterized by access to treatment, goods, and services and by the right of patients, but the modern dimension of the concept of health is not very clear in humanitarian actions. Regarding the latter, the general guideline, including the one proposed in the Agenda for Humanity, is that it must occur concomitantly with development cooperation actions; however, little is discussed about humanitarian aid in parallel with the strengthening of the International Health Regulations. The encounter between humanitarian aid and right to health is still permeated by the paradoxes and internal difficulties of these two fields.

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Durante el enfrentamiento a la pandemia de COVID-19, más de 40 países recibieron la ayuda solidaria de Cuba a través de las brigadas del Contingente Henry Reeve, ejemplo de esto fue su participación en México entre diciembre 2020 y abril de 2021. Con el objetivo de exponer las experiencias de las brigadas médicas cubanas del Contingente Henry Reeve durante el enfrentamiento de la epidemia de la COVID-19 en la Ciudad de México desde diciembre de 2020 hasta abril de 2021, se relatan algunos desafíos enfrentados por el equipo de cooperación médica internacional cubano durante tres meses de intensa labor que gracias, además, a la estrecha colaboración de las autoridades sanitarias y sociales, la Secretaría de Defensa, y la Secretaría de Marina mexicanas les permitió aumentar sus conocimientos sobre bioseguridad y de enfrentamiento a situaciones de graves epidemias en hospitales de campaña. Así alcanzó una eficiente respuesta con 1700 vidas salvadas. La labor desempeñada por las brigadas sanitarias cubanas junto al personal de salud mexicano permitió brindar atención de calidad a los enfermos de COVID-19 y fortalecer los lazos de hermandad entre ambos pueblos(AU)

During the confrontation to the COVID-19 pandemic, more than 40 countries received solidarity aid from Cuba through the brigades of the Henry Reeve Contingent, and an example of this was their presence in Mexico from December 2020 to April 2021. With the objective of showing the experiences of the Cuban medical brigades of the Henry Reeve Contingent during the confrontation of COVID-19 epidemic in Mexico City from December 2020 to April 2021, some challenges faced by the Cuban international medical cooperation team during 3 months of intense work are reported thanks to, in addition, the close collaboration of the health and social authorities, the Ministry of Defense, and the Mexican Ministry of the Navy, that allowed health workers to increase their knowledge about biosecurity and dealing with situations of serious epidemics in field hospitals. Thus, the efforts reached an efficient response with 1700 lives saved. The work carried out by the Cuban health brigades together with Mexican health personnel allowed to provide quality care to those sick with COVID-19 and strengthen the bonds of brotherhood between both peoples(AU)

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Thousands of Central American women have been displaced from their countries of origin by violence. While the violence committed against them is often portrayed as isolated acts of aggression, women's suffering is also produced and perpetuated by humanitarian interventions that immobilize women in dangerous transit zones. Interventions are then justified by institutional logics that juxtapose women's vulnerability against the threat of their own mobility. This article draws on 14 months of ethnographic fieldwork along the southern Mexico border among migrant women who sought out humanitarian assistance following violent encounters. Central to my argument is the concept of mobility imaginaries, or widely shared social assumptions about how mobility should and can be accessed, by whom, and under what circumstances. Through this framework, I show how gendered mobility biases that underlie institutional logics compound other forms of institutional inequality, which often serves to reproduce, rather than mitigate, root causes of gender-based vulnerability.

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Médecins sans Frontières (MSF) conducted a study to identify health needs and access barriers of Venezuelan migrants and refugees at La Guajira and Norte de Santander Colombian border states. The Migration History tool was used to gather information that included various health-related issues such as referred morbidity, exposure to violence, mental health, and access to health care services. A group migration profile with long-term permanence plans was identified. Was evidenced an important share of young population (50% under 20), indigenous people (20%), and returnees (11%). The respondents referred to a mixed pattern of chronic and acute diseases, for which the main difficulty was accessing diagnosis and continuous treatment. Health-seeking behavior was identified as the main barrier to access health care services. The article compiles main findings on the Venezuelan migrants and refugees' health conditions, contributing important evidence for the humanitarian responses in migration contexts.

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Building on empirical material gathered in Haiti, this paper advances a new and innovative understanding of the internal brain drain phenomenon-the poaching of local skilled workers by international organisations (IOs) or international non-governmental organisations (INGOs)- by conceptualising it as an equilibrium. This equilibrium is composed of two sets of tensions: (i) those between the salary conditions in the public sector and those on offer to local personnel working for IOs and INGOs; and (ii) those inherent in the dual salary scale used by IOs and INGOs for local and international staff. These two sets of tensions contribute in their specific ways to international migration, and, as such, the internal brain drain has a bearing on external brain drain dynamics. In addition, the paper addresses the difficult policy choices facing development and humanitarian organisations, since every set of policies that impacts on one side of the equilibrium is bound to affect its other side.

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This paper investigates the confluence of humanitarian aid, centralisation, and politics. The 7.0 magnitude earthquake in Haiti on 12 January 2010 led to more than USD 16 billion in pledges. By contrast, Hurricane Matthew, which made landfall in Haiti on 4 October 2016, stayed in the shadows, attracting about one per cent of the amount. While the earthquake exhibited one face of centralisation, the Category 4 storm laid bare rural vulnerabilities shaped by postcolonial state neglect, and reinforced by the influx of non-governmental organisations in the 'Republic of Port-au-Prince'. The study draws on data from four case studies in two departments to illuminate the legacies of hyper-centralisation in Haiti. Compounding matters, Matthew struck in the middle of an extended election that the international community attempted to control again. The paper argues that disaster assistance and politics are uncomfortably close, while reflecting on the momentary decentralisation of aid after the hurricane and its effectiveness.

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The way people at the receiving end of humanitarian assistance perceive this intervention may provide invaluable bottom-up feedback to improve the quality of the intervention. We analyzed and mapped Haitians' views regarding international humanitarian aid in cases of natural disaster. Two hundred fifty participants-137 women and 113 men aged 18-67-who had suffered from the consequences of the earthquake in 2010 were presented with a series of vignettes depicting a humanitarian team's action and were asked to what extent these actions corresponded to what ought to be expected from an international aid mission. Four factors were considered in the vignettes (a) whether the team worked in close association with local institutions, (b) whether it was composed of competent people who were prepared for their mission, (c) whether they treated people as a function of immediate needs, and (d) whether they behaved in a respectful way. Through cluster analysis, five qualitatively different positions were found: (a) Complete hostility to any kind of humanitarian aid (6%); (b) Strong hostility to humanitarian aid in the case of disrespectful attitudes or behaviors (4%); (c) Technical competence is the only factor that matters (25%); (d) Both manifestation of respect for the population and technical competence matter (38%) and (e) Undetermined (27%). Most Haitians expect humanitarian teams to be technically competent, but even very competent aid is not considered adequate if provided in an arrogant and disrespectful manner.

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Natural disasters in populated areas may result in massive casualties and extensive destruction of infrastructure. Humanitarian aid delegations may have to cope with the complicated issue of patient prioritization under conditions of severe resource scarcity. A triage model, consisting of five principles, is proposed for the prioritization of patients, and it is argued that rational and reasonable agents would agree upon them. The Israel Defense Force's humanitarian mission to Haiti following the 2010 earthquake serves as a case study for the various considerations taken into account when designing the ethical-clinical policy of field hospitals. The discussion focuses on three applications: the decision to include an intensive care unit, the decision to include obstetrics and neonatal units, and the treatment policy for compound fractures.

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Se resultados de las indagaciones sobre la valoración que las mismas víctimas del conflicto armado, del municipio de San Carlos Antioquia (Colombia), hacen de la implementación de la Ley 1448 (Ley de Victimas); dicho proceso de investigación, evidenció entre otroshallazgos, la contradicción entre el discurso oficial y el relato de las víctimas en relación a los procesos de reparación, discursos contradictorios respecto a la transición, el estadode vulneración e insatisfacción de necesidades básicas de las personas victimizadas así como una alta confusión en la implementación de la Ley. Estos resultados, entre otros,permiten afirmar que, la reparación hoy, dista mucho de ser un proceso que aporte a la reconstrucción del tejido social, a la paz y la reconciliación.

The results of the inquiries on the valuation that the very victims make of the armed conflict, in the Municipality of San Carlos, Antioquia, Colombia of the implementation of the 1448 Law (Law of victims); such a process of research, made evident among other findings, the contradiction between the official discourse and the story of the victims inrelation to the processes of repair, contradictory speeches regarding the transition, the state of infringement and dissatisfaction of victimized people’s basic needs, as well as a highconfusion in the implementation of the Law. These findings, among others, allow to affirm that, repair today, is very far from being a process that contributes to the reconstruction ofthe social fabric, to peace, and reconciliation.

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