Publications

    Phuong Pham, Manasi Sharma, Kennedy Kihangi Bindu, Pacifique Zikomangane, Rachel C. Nethery, Eric Nilles, and Patrick Vinck. 2/16/2022. “Protective Behaviors Associated With Gender During the 2018-2020 Ebola Outbreak in Eastern Democratic Republic of the Congo.” JAMA Network Open. Read PublicationAbstract

    Importance: In 2018 to 2020, the Democratic Republic of the Congo experienced the world’s second largest Ebola virus disease (EVD) outbreak, killing 2290 individuals; women were disproportionately infected (57% of all cases) despite no evidence of differential biological EVD risk. Understanding how gender norms may influence exposure to EVD, intensity, and prognosis as well as personal protective behaviors against the virus is important to disease risk reduction and control interventions.

    Objective: To assess whether men and women differ in personal protective behaviors (vaccine acceptance, health-seeking behaviors, physical distancing) and the mediating role of EVD information and knowledge, perceived disease risk, and social relations.

    Design, Setting, and Participants: This cross-sectional, multistage cluster survey study of 1395 randomly selected adults was conducted in the Ebola-affected regions of North Kivu from April 20, 2019, to May 10, 2019. Path analyses were conducted using structural equation modeling to examine associations among study variables. Statistical analysis was conducted from August 2019 to May 2020.

    Main Outcomes and Measures: The main behavioral outcomes of interest were (1) vaccine acceptance, (2) formal health care seeking, and (3) self-protective behaviors. The primary factor of interest was self-reported gender identity. We also assessed sociodemographic factors.

    Results: Among the study’s 1395 participants, 1286 (93%) had Nande ethnicity and 698 (50%) were women; the mean (SD) age was 34.5 (13.1) years. Compared with female participants, male participants reported significantly higher levels of education, wealth, and mobile phone access. There were associations found between gender and all EVD preventive behavioral outcomes, with evidence for mediation through EVD knowledge and belief in rumors. Men reported greater EVD knowledge accuracy compared with women (mean [SE] score for men: 12.06 [0.13] vs women: 11.08 [0.16]; P < .001), and greater knowledge accuracy was associated with increases in vaccine acceptance (β = 0.37; P < .001), formal care seeking (β = 0.39; P < .001), and self-protective behaviors (β = 0.35; P < .001). Lower belief in rumors was associated with greater vaccine acceptance (β = −0.30; P < .001), and greater EVD information awareness was associated with increased adoption of self-protective behaviors (β = 0.23; P < .001).

    Conclusions and Relevance: This survey study found gender differences in adopting preventive protective behaviors against EVD. These findings suggest that it is critical to design gender-sensitive communication and vaccination strategies, while engaging women and their community as a whole in any response to infectious disease outbreaks. Research on the potential link between gender and sociodemographics factors associated with disease risk and outcomes is needed.

    Adrienne Fricke and Rahaf Safi. 3/2021. Window of Hope: Sustaining education of health professionals in northwest Syria.Abstract
    This report is based on a comprehensive needs assessment carried out remotely by the HHI team in Syria in 2019. The OSF HESP grant was awarded to a larger project to understand the impact of humanitarian emergencies, including armed conflict, on students enrolled in medical and nursing programs. The goal is to produce a needs assessment toolkit to help support professional health care education programs during conflict. In addition to Syria, where the conflict is ongoing, the project examines Colombia, a recent post-conflict setting, and Rwanda, a developed post-conflict setting.
    Emmanuel Tronc and Anaïde Nahikian. 7/21/2020. “Ukraine - Conflict in the Donbas: Civilians Hostage to Adversarial Geopolitics”. Read PublicationAbstract
    Since 2014, the war in the Donbas, fueled and sustained by local and regional political priorities, has inflicted a heavy burden of civilian death, injury, displacement, destruction, and lasting trauma. As the conflict continues, the people of Donbas are more isolated than ever from the rest of their country, subjected to discrimination and stigmatization by both the Ukrainian authorities and separatist leaders. Today, a confluence of factors continues to drive conflict in Eastern Ukraine. Triggered by the 2013 Euromaidan protests in Kyiv, the rupture between the post-Maidan Ukrainian government and local elites in the Donbas over aspirations of independence and self-determination highlighted the growing schism between those with Russian-oriented ambitions and those supporting the new Ukrainian regime. As clans, warlords, and oligarchs within Ukraine fight for political influence and financial gain, Russian influence continues to destabilize the Westward-leaning Ukrainian authorities in Kyiv, reinvigorating the enduring geopolitical rivalry between Russia and the West. Humanitarian operations in Eastern Ukraine are also under significant pressure by the separatist authorities. Agencies struggle to bridge the gap between critical needs and their response capacity, while being forced to rely almost exclusively on local organizations. In the process of humanitarian and access negotiations, agencies must guard against the instrumentalization of aid, the blurring of lines between political, military, and relief operations, and an ever-shrinking humanitarian space. What drives this protracted conflict? How have global politics and local agendas contributed to sustaining a “frozen” conflict at the expense of communities and in the interest of asserting nationalist independence at all costs? How have the hopes of local communities in the Donbas withered over time, as they navigate the dissonance in geopolitical rhetoric and their lived reality? What avenues exist for reconciliation and unity amidst this violent divisiveness? This report explores these questions and offers reflections based on more than 250 interviews undertaken during two field visits to Ukraine, in both government and separatist-controlled areas, and one visit to Russia, between November 2019 and January 2020. It also draws on an extensive desk analysis of relevant literature to complement the findings of these interviews and consultations.
    Abdulrazzaq Al-Saiedi, Kevin Coughlin, Muslih Irwani, Waad Ibrahim Khalil, Phuong Pham, and Patrick Vinck. 6/2020. “English Version: "Never Forget: Views on Peace and Justice Within Conflict-Affected Communities in Northern Iraq"”.Abstract

    This survey offers a snapshot of the perceptions and attitudes about peace and justice within communities affected by the conflict with the Islamic State (IS). It is based on 5,213 interviews conducted in 2019 among a representative sample of internally displaced persons in northern Iraq and residents of the city of Mosul and surrounding areas.The research documents a severe lack of trust in official institutions, particularly in the Government of Iraq itself, stemming in large part from the belief that these institutions do not act in the best interest of the population. Few respondents had confidence in the Government of Iraq’s ability to investigate the crimes committed by the Islamic State fairly and accurately and to provide justice to survivors of the conflict.Despite the mistrust, respondents favor local justice and truth-seeking mechanisms. They view these efforts as necessary to build a durable peace, alongside measures to address the root causes of the rise of IS and longstanding divisions between the people of Iraq. However, rather than the challenge being diversity itself, the challenge is the Government of Iraq’s ability to promote and facilitate reconciliation and unity.Without an accountable government that is perceived to be legitimate and is trusted by all Iraqis, calls for justice and accountability may go unanswered, and the country risks slipping back into another conflict.

    The research was conducted by the Harvard Humanitarian Initiative in partnership with Mosul University and the Iraq-based Public Policy Institute. It was supported by the Ministry of Foreign Affairs of the Netherlands, which played no role in the design, analysis or publication of the research.

    Abdulrazzaq Al-Saiedi, Kevin Coughlin, Muslih Irwani, Waad Ibrahim Khalil, Phuong Pham, and Patrick Vinck. 6/2020. “الترجمة العربية (Arabic Version): "Never Forget: Views on Peace and Justice Within Conflict-Affected Communities in Northern Iraq"”.Abstract

    This survey offers a snapshot of the perceptions and attitudes about peace and justice within communities affected by the conflict with the Islamic State (IS). It is based on 5,213 interviews conducted in 2019 among a representative sample of internally displaced persons in northern Iraq and residents of the city of Mosul and surrounding areas.The research documents a severe lack of trust in official institutions, particularly in the Government of Iraq itself, stemming in large part from the belief that these institutions do not act in the best interest of the population. Few respondents had confidence in the Government of Iraq’s ability to investigate the crimes committed by the Islamic State fairly and accurately and to provide justice to survivors of the conflict.Despite the mistrust, respondents favor local justice and truth-seeking mechanisms. They view these efforts as necessary to build a durable peace, alongside measures to address the root causes of the rise of IS and longstanding divisions between the people of Iraq. However, rather than the challenge being diversity itself, the challenge is the Government of Iraq’s ability to promote and facilitate reconciliation and unity.Without an accountable government that is perceived to be legitimate and is trusted by all Iraqis, calls for justice and accountability may go unanswered, and the country risks slipping back into another conflict.

    The research was conducted by the Harvard Humanitarian Initiative in partnership with Mosul University and the Iraq-based Public Policy Institute. It was supported by the Ministry of Foreign Affairs of the Netherlands, which played no role in the design, analysis or publication of the research.

    Emmanuel Tronc, Rob Grace, and Anaïde Nahikian. 6/2019. “Realities and Myths of the “Triple Nexus”: Local Perspectives on Peacebuilding, Development, and Humanitarian Action in Mali”.Abstract

     

    Despite decades of development programming for a country once upheld as a “model democracy” in Africa, Mali remains a country destabilized by extreme poverty; escalating violence and instability; and diminishing prospects for Malians’ futures in education, livelihoods, and stability. Even in light of an ongoing international presence and intervention in the country, and millions of dollars raised and spent each year on humanitarian programming, the persistent degradation of governance, livelihoods, and security continues.

    What drives this state of affairs? How have international and regional actors contributed to sustaining a stagnating state at the expense of civilian populations and in the interest of preventing transnational Sahelian turmoil from expanding into the Maghreb and beyond to
    European borders? What are the expectations and aspirations of local communities as they navigate the interconnected influences of extremist groups, government actors, and international military forces?

    This paper examines these questions and offers reflections on various dynamics of the international response and the perceptions of local communities in this context. In particular, this analysis assesses the viability of the “triple nexus” concept, which aims—in protracted
    and complex crises such as Mali—to forge an operational and policy alignment between international peacebuilding, development, and humanitarian efforts. The paper is based on a desk analysis of relevant literature, as well as over 130 interviews and consultations
    undertaken with a variety of stakeholders, including government and non-state armed group representatives, civil society members, activists, journalists, humanitarians, analysts, diplomats, entrepreneurs, beneficiaries, displaced people, and students. The interviews were conducted in Mali, particularly in Bamako and in Central Mali, as well as abroad, between December 2018 and March 2019. The paper proceeds in four parts. Part I examines the key elements driving instability in this context. Part II focuses on international responses. Part III discusses the implications for the “triple nexus.” Part IV offers concluding remarks.

     

    Patrick Vinck, Phuong Pham, Kenedy Bungu, Juliet Bedford, and Eric Nilles. 3/2019. “Institutional trust and misinformation in the response to the 2018–19 Ebola outbreak in North Kivu, DR Congo: a population-based survey.” The Lancet Infectious Diseases, 19, 5, Pp. 529-536. Read PublicationAbstract
    The current outbreak of Ebola in eastern DR Congo, beginning in 2018, emerged in a complex and violent political and security environment. Community-level prevention and outbreak control measures appear to be dependent on public trust in relevant authorities and information, but little scholarship has explored these issues. We aimed to investigate the role of trust and misinformation on individual preventive behaviours during an outbreak of Ebola virus disease (EVD).
    Emmanuel Tronc and Anaïde Nahikian. 12/2018. Fragile Future: The human cost of conflict in Afghanistan. Read PublicationAbstract
    This context analysis examines the humanitarian, political, societal, and economic dimensions that make the protracted conflict in Afghanistan intractable and precarious for civilian populations. The report is based on field visits to numerous regions in Afghanistan in July 2018 — which included interviews and consultations with a variety of actors, including political stakeholders, humanitarian agencies, and populations affected by conflict — as well as a review of recent and relevant literature. The purpose of this analysis is to (1) provide a current assessment of the conflict, drawing from field interviews and an in- depth assemblage of various reports and resources, (2) examine the interconnected and interdependent interests fueling the conflict, and (3) suggest that if these dynamics persist in the way they have for decades, recent elections and peace talks will represent yet another setback for Afghan communities and a peaceful future for the country.
    Emmanuel Tronc, Rob Grace, and Anaïde Nahikian. 11/2018. Humanitarian Access Obstruction in Somalia: Externally Imposed and Self-Inflicted Dimensions . Read PublicationAbstract

    Access obstruction in conflict settings has emerged as a critical operational and policy concern across the humanitarian sector, but there remains a dearth of analysis regarding the ways in which humanitarian organizations perpetuate self-inflicted access obstacles. Drawing on qualitative interviews conducted with local and international actors negotiating frontline humanitarian access in Somalia, this paper will examine the ways in which this context elucidates this phenomenon. Toward this end, this paper examines two dimensions of humanitarian access obstruction in this context. The first set of dynamics consists of externally imposed obstacles that stem from governmental actors, Al-Shabaab, access "gatekeepers" motivated by financial gain, and the insecure nature of the environment. The second set of dynamics consists of self-inflicted dimensions of access obstruction that emanate from decisions that international humanitarian organizations (IHOs) have made at the strategic or policy level. These issues include the physical "bunkerization" of IHOs, programmatic shortcomings, the discounting of local humanitarian actors' agency, and the ways that IHOs exhibit programmatic partiality in response to donors' interests and counterterrorism legislation. Through examining these issues, this paper highlights fact that, although the discourse on humanitarian access obstruction tends to emphasize difficulties arising from externally imposed obstacles, it is also important to interrogate the value and methods of humanitarian programming itself.

    Phuong Pham, Vandana Sharma, Rebecca Hémono, Jessica Jean-Francois, and Jennifer Scott. 5/2018. DEPP Evaluation Summative Phase Report.Abstract
    This report provides the summative results from the three-year external impact evaluation of the Disasters and Emergencies Preparedness Programme (DEPP) conducted by a team at the Harvard Humanitarian Initiative (HHI). The DEPP was a £40 million programme funded by the Department for International Development (DFID) that aimed to strengthen skills and capacity and improve the quality and speed of humanitarian response in countries that are at risk of natural disasters or emergencies.
    Phuong Pham, Vandana Sharma, Rebecca Hémono, Jessica Jean-Francois, and Jennifer Scott. 5/2018. DEPP Evaluation Summative Phase Report Annexes.Abstract

    This report provides the summative results from the three-year external impact evaluation of the Disasters and Emergencies Preparedness Programme (DEPP) conducted by a team at the Harvard Humanitarian Initiative (HHI). The DEPP was a £40 million programme funded by the Department for International Development (DFID) that aimed to strengthen skills and capacity and improve the quality and speed of humanitarian response in countries that are at risk of natural disasters or emergencies.

    This document provides the annexes of the report. 

    Rob Grace. 9/2017. “The Humanitarian as Negotiator: Developing Capacity Across the Sector”.Abstract

    This paper examines the dynamics at play in ongoing efforts to cultivate negotiation capacity among professionals working in the humanitarian sector. Based on extensive interviews conducted with humanitarian practitioners, this paper addresses three overarching issues. The first is humanitarian professionals' current understanding of humanitarian negotiation as a concept. On this issue, the paper examines the difficulties of defining humanitarian negotiation and the competing answers to the question of how to conceptually delineate humanitarian negotiation as an activity. The second is the types of negotiation capacity—cognitive, emotional, social, and cultural—that humanitarian practitioners deem to be relevant to their work. The third is the difficulties likely to be faced as capacity building efforts in this field continue to unfold. Overall, this paper aims to paint a portrait of the state of humanitarian negotiation capacity building, as well as what will be needed moving forward.

    For more information click this link

    Federica du Pasquier. 11/2016. Gender Diversity Dynamics in Humanitarian Negotiations: The International Committee of the Red Cross as a Case Study on the Frontlines of Armed Conflicts.Abstract
    Negotiations for access are crucial for the success of humanitarian operations. They also occur in contexts of armed conflict and violence that typically entrench gender identities. Building on the vast research showing that gender affects the conduct and outcome of negotiations, this paper explores gender dynamics in a humanitarian setting. After outlining its methodology and surveying the relevant literature, this paper sketches out the ways 21 practitioners at the International Committee of the Red Cross see gender dynamics affecting their work in the field. These interviews support previous findings on men and women’s diverging conceptions of gender’s impact and relevance, as well as on the cross-cultural consistency of gender dynamics in war. In a context where, unlike in many corporate settings, women’s work as humanitarian actors is congruent with prescriptive gender stereotypes, this study shows that they can be perceived as more legitimate because they are thought of as selfless caregivers and potential mothers. This paper ultimately argues that, rather than studying the impact of gender in isolation, further research should explore how the intersectionality of different diversity dimensions—such as gender, race/ethnicity, age, and religion—affect humanitarian negotiations. In terms of policy implications, this study makes the case for actively fostering diversity, including in terms of gender, within negotiating teams to ensure they are more flexible in adapting to different scenarios and more creative in dealing with complex problems.
    Advanced Training Program Humanitarian Action on (ATHA). 10/2016. Protecting Humanitarian Action: Key Challenges and Lessons from the Field.Abstract

    This paper presents an overview of key challenges and dilemmas faced in the protection of humanitarian action and aims to provide an initial overview of the legal, policy, and operational trends and issues identified by ATHA through its ongoing research and discussions with practitioners. On the basis of this analysis, this paper addresses three key areas. The first section highlights knowledge and questions regarding security incidents, trends, and causes of violence, including around causes and motives for attacks, and tensions between individual and collective responses. The next section then explores the role of the humanitarian principles, and the perceptions of humanitarian actors, in affecting their security in the field. Building on this, the final section examines the protection of humanitarian action under international law, and the impunity gap resulting from effective implementation or enforcement of the law. The purpose of this paper is to provide key background information and to serve as a starting point for dialogue and reflection on the protection of humanitarian action from attack. It is based on research and consultations with experts and humanitarian practitioners in the field.

    Stephen Wilkinson and Rob Grace. 9/2016. Preliminary Report on the Role of Laws and Norms in Humanitarian Negotiations .Abstract
    This report focuses on the role that laws and norms play in humanitarian negotiations. The report is based on an initial set of 35 interviews that conducted by the Advanced Training Program on Humanitarian Action (ATHA) with humanitarian professionals between May and August 2016. This document will sketch out ATHA’s preliminary findings and analysis. The report is divided into five sections. Section I offers information about the methodology of the interviews that constitute the core empirical foundation for this report’s findings. Section II focuses on the role of international laws and norms in humanitarian negotiations. Section III addresses other sources of laws and norms (e.g., national laws and Islamic Law) that humanitarian practitioners have integrated into their negotiations. Section IV examines the relationship between interests and legal norms in the practice of humanitarian negotiation. Section V offers concluding remarks.
    Phuong Pham, Patrick Vinck, Bridget Marchesi, Doug Johnson, Peter J. Dixon, and Kathryn Sikkink. 3/2016. “Evaluating Transitional Justice: The Role of Multi-Level Mixed Methods Datasets and the Colombia Reparation Program for War Victims.” Transitional Justice Review, 1, 4. Read PublicationAbstract
    This paper examines the role of mixed and multi-level methods datasets used to inform evaluations of transitional justice mechanisms. The Colombia reparation program for victims of war is used to illustrate how a convergent design involving multiple datasets can be used to evaluate the effectiveness of a complex transitional justice mechanism. This was achieved through a unique combination of (1) macro-level analysis enabled by a global dataset of transitional justice mechanisms, in this case the reparations data gathered by the Transitional Justice Research Collaborative, (2) meso-level data gathered at the organizational level on the Unidad para las Victimas (Victims Unit), the organization in charge of implementing the reparations program and overseeing the domestic database of victims registered in the reparations program, and (3) micro-level population- based perception datasets on the Colombian reparations program collected in the Peacebuilding Data database. The methods used to define measures, access existing data, and assemble new datasets are discussed, as are some of the challenges faced by the inter-disciplinary team. The results illustrate how the use of global, domestic, and micro- level datasets together yields high quality data, with multiple perspectives permitting the use of innovative evaluation methods and the development of important findings and recommendations for transitional justice mechanisms.
    Patrick Vinck and Phuong Pham. 1/2016. Peacebuilding and Reconstruction Polls: Eastern Democratic Republic of the Congo, Poll Report #5 .Abstract
    This poll is the fifth in a series of polls that will be conducted to provide reliable data and analysis on peace, security, justice and reconstruction in the Democratic Republic of the Congo. The project is a joint initiative of the Harvard Humanitarian Initiative (HHI) and the United Nations Development Programme (UNDP), in collaboration with MONUSCO Civil Affairs. HHI is responsible for the data collection, and independent analysis, and reporting of the results, in collaboration with partners at the Université Libre des Pays des Grands Lacs, Université Catholique de Bukavu, and Université de Bunia.
    Rob Grace, Katherine Akkaya, Amna-Noor Al-Gallas, Adelaida Baghdasaryan, Melissa Freeman, Eitan Paul, Thomas Pols, and Brittany Reid. 12/2015. Understanding Humanitarian Negotiation: Five Analytical Approaches.Abstract
    This briefing note aims to support the humanitarian sector’s efforts to apply a deeper level of analytical and strategic thinking to humanitarian negotiation. Toward this end, it provides an overview of how the rich body of literature focused on negotiations in other contexts—political, commercial, and legal settings, for example—can inform our understanding of humanitarian negotiation. In particular, this briefing note focuses on five analytical approaches to negotiation: (1) distributive, or power-based, negotiation; (2) integrative, or interest-based, negotiation; (3) basic human needs-based negotiation; (4) the behavioral approach to negotiation; and (5) culture as a factor in negotiation. By examining humanitarian negotiation through the lens of these five approaches, this briefing note seeks to shed light on the potential factors that drive humanitarian negotiations and to promote further scholarly analysis and professional reflection in this field. 
    Patrick Vinck and Phuong Pham. 11/2015. Peacebuilding and Reconstruction Polls: Eastern Democratic Republic of the Congo, Poll Report #4 .Abstract
    This poll is the fourth in a series of polls that will be conducted to provide reliable data and analysis on peace, security, justice and reconstruction in the Democratic Republic of the Congo. The project is a joint initiative of the Harvard Humanitarian Initiative (HHI) and the United Nations Development Programme (UNDP), in collaboration with MONUSCO Civil Affairs. HHI is responsible for the data collection, and independent analysis, and reporting of the results, in collaboration with partners at the Université Libre des Pays des Grands Lacs, Université Catholique de Bukavu, and Université de Bunia.

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