Search

Emergency response itself is not particularly addressed; the article, instead, focuses on the humanitarian efforts that typically spawn from multi-week and month long conflicts. These are not necessarily the first-line individuals, but rather the workers (such as MSF) which come in to provide aid in the middle, late, or final stages of a conflict. The report delves into the responsibilities and hurdles of dealing with sexual violence in humanitarian efforts, which includes both emergent and non-emergent care.  

1) "It is important to note that these changes that incorporated gender-based violence into the human rights realm also brought the law to bear as a primary instrument of change and struggle. Calling this ‘governance feminism’, Janet Halley argues that this was the work of a certain group of feminists who came together in the 1990s, taking criminal law as a primary instrument of reform, and working in a top-down fashion to institute punishment for a global war against women."

2) "This approach inherently limits the mode of intervention. The mandate of humanitarianism – again, as defined by the new wave of ‘sans frontiere-ism’ exemplified by ` MSF – is not to reform or improve the kind of life one lives, only to preserve life itself. And yet gender-based violence is about the kind of life one lives. Under the rubric of human rights, freedom from gender-based violence is part of a parcel of rights that define what it means to be human in ways that include the right to be free from violence, the right to equality and the right to dignity"

3) "In MSF’s General Assembly debate, Rony Brauman, the former president of MSF, suggested that rather than descending into politics, humanitarians should make a distinction between describing what one witnesses, and qualifying it, which entails making a judgement. He asked one of the MSF Holland representatives, ‘How do you know the women were raped? Did you see it happening?’ Brauman proposed sticking close to what one sees, and letting others take it from there – he felt strongly that MSF should not have called for action. For him, and many others, humanitarianism is not about justice, politics or taking sides. The MSF Holland representative responded that there was a slippery slope between political neutrality and irresponsibility, and a fierce debate ensued"

1) MSF policy on neutrality: One of the main aspects of humanitarian aid is to remain removed in the conflict at hand, thus assuring unbiased help towards all individuals involved. This comes from neutrality, a tenant stating that MSF and other humanitarian agencies working under MSF will not "pick" or join one side of the conflict nor will they grant a side an advantage. 

2)MSF operations head arrest: At the time of the Sudanese conflict, the Dutch branch of MSF released a report decrying the severe sexual violence perpetrated during fighting. This, in turn, led to the imprisonment and charging of MSF head of mission, Paul Foreman. The MSF report was read in the 2005 Annual International General Assembly, entailing the ongoing violence against women in the Darfur conflict in an attempt to raise awareness about the continued issue. 

3) Darfur Conflict: An major armed conflict started in 2003 with the rebellion of several liberation movements (SLM & JEM) against the Sudanese government. The violence reached a cease fire in 2010 where talks began, propagated by Doha mediators, but an agreement was never met. Thus, violence has continued through 2016, including a chemical weapon attack in September.

Miriam Ticktin, PhD, is a current associate professor of Anthropology and a co-director of Zolberg Institute of Migration and Mobility. She received degrees from both Stanford University, Oxford University, and Ecoles de Hautes Etudes en Sciences Sociales. Her work typically focuses on the intersection of medicine, science, law, anthropology, and postcolonial feminist theory. She has multiple publications on the above subjects, including journal articles, books, special journal issues, and chapters. 

Dr. Ticktin states in her introduction the report came about through both her personal experience with humanitarian efforts & sexual violence treatment and through supplemental studies. Her bibliography reflects this, and includes multiple studies/reports from humanitarian organizations. Additionally, she utilized multiple independent media sources discussing sexual violence in conflicts, the targeting of female populations, and humanitarian efforts within this realm. The bibliography also includes a multitude of research articles from various human rights journals and publications pertaining to female rights during conflicts.

The first portion of the article focuses on the shift of sexual violence from a woman's rights issue to the larger title of "gender-violence". From there, Dr. Ticktin argues the nuances of this transition necessitated medicalizing sexual violence, and turned it into a condition to be treated by tools within the humanitarian kit. Just as how we now attempt to treat polio by handing out vaccines and flyers, rape is covered by blanket protocols and procedures. In attempts to make this issue more respected, we sacrificed the nuances of care necessary for adequate treatment.

This is further exemplified in Dr. Ticktin's description of humanitarian aid-- the preservation of life itself, with disregard to the kind of life being lived. She goes on to contend that sexual violence is by its very definition a "kind" of life, thus creating an inherent conflict in the overarching goal of treating sexual violence and humanitarian interventions.

Dr. Ticktin also pays respect to the inherent difficulty in maintaining the typical principles used during humanitarian aid efforts, especially when attempting to treat gender violence. One of her primary examples is the work of MSF in the Congo Republic. During the conflict, roadblocks would be set by armed men, and thus MSF were forced to accept military escorts-- destroying the key humanitarian tenant of neutrality. Moreover, many of these militia men were perpetrators of the sexual violence, something MSF was seeking to treat. 

This report has been cited by 22 other works-- including articles, books, reports, reviews, and studies. This includes several these, book chapters, and dissertations. It appears mostly in anthropological and STSS works, indicating it has yet to move from these social sciences into the realms of policy. 

This article primarily argues the increased attention on gender-based violence, and subsequent attempts to alter humanitarian guidelines, hinders efforts to address sexual violence and politicizes the issues. This, in turn, creates exclusionary methodologies to address sexual assault from a humanitarian stand point, manifesting as secondary victimization, labeling of the issues as gender-specific, and preventing universal solutions. 

The article appears to be a compilation of ethnographic work from various humanitarian organizations in the US, France, and Morocco. The author had first-hand experience working on projects with these organizations at these locations, and thus utilizes this perspective for the majority of the work. She supplements her assertions with data from other recent publications from these organizations, studies by independent researchers, and media analysis.