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Military Preventive Medicine: Mobilization and Deployment, Vol 2 Chapter The International Humanitarian Response System and the US Military
The International Humanitarian Response System and the US Military
Chapter 45
THE INTERNATIONAL HUMANITARIAN
RESPONSE SYSTEM AND THE
US MILITARY
ANDREW S. NATSIOS, MPA
INTRODUCTION
PRIVATE VOLUNTARY ORGANIZATIONS AND THE US MILITARY
PROFILE OF THE PRIVATE VOLUNTARY ORGANIZATION CULTURE
Goals and Personnel
Types
Funding Pressures
Chain of Command
Security Issues
INTERNATIONAL COMMITTEE OF THE RED CROSS
Mission
How It Operates
Staff
THE UNITED NATIONS
Organizational Structure
Humanitarian Relief Operations
Constraints on Reform
DONOR-GOVERNMENT AID AGENCIES
WORKING TOGETHER
Civil Affairs
Who Is in Charge?
The Military’s Capabilities
SUMMARY
1351
Military Preventive Medicine: Mobilization and Deployment, Volume 2
A.S.
Natsios,
Lieutenant Colonel, US Army Reserve (Retired); Administrator, US Agency for International Development, Ronald Reagan
Building, Washington, DC 20523-1000
This chapter is adapted from: Natsios AS. The international humanitarian response system.
Parameters
.
Spring 1995:68–81. © Copyright 1995 by Andrew S. Natsios
.
1352
The International Humanitarian Response System and the US Military
INTRODUCTION
The chaos spreading through many countries in
the developing world has drawn together an un-
usual, sometimes incompatible, assortment of or-
ganizations to respond to these multiplying crises.
Each year from 1978 to 1985 saw an average of
five complex humanitarian emergencies, the term
used in the disaster discipline for these crises (see
Chapter 43, Complex Emergencies); by contrast,
there were 17 in 1992, 20 in 1993, and 25 in 1997.
The increase in these emergencies appears to be one
of the few clear patterns in the post–Cold War
world.
Virtually the entire international emergency re-
sponse system is a post–World War II phenomenon;
part of it was in its infancy but most of it was not
even conceived of at the time of the Marshall Plan.
For those who work in the relief discipline, it seems
a small miracle that the existing system works as
well as it does, given the conflicting mandates of
the responding organizations, the enormous com-
plexity of the problems addressed, and the organi-
zational incongruities that have emerged in the
years since the United States helped Europe recover
from World War II.
This chapter examines the existing humanitarian
response system—made up of private voluntary
organizations (PVOs), the International Committee
of the Red Cross (ICRC), and United Nations (UN)
agencies—through which the international commu-
nity responds to these emergencies. Understanding
the cultures and operational habits of this triad of
organizations and the manner in which each inter-
acts with the others is crucial for anyone who tries
to work with them but particularly for military
personnel. A civilian US government agency, the
Office of Foreign Disaster Assistance (OFDA) in
the US Agency for International Development
(USAID), coordinates US responses to foreign di-
sasters and so is another major participant in these
efforts. Examples of how the US military has fit into
this complex system are taken from missions in the
1990s.
PRIVATE VOLUNTARY ORGANIZATIONS AND THE US MILITARY
What is known in the United States as a PVO is
known in Europe and the rest of the world as a non-
governmental organization. A PVO is a private,
nonprofit organization that specializes in humani-
tarian relief and development work in the Third
World and, increasingly, in formerly communist
countries. American PVOs employ more than
100,000 people in developing countries. In 1996,
they received $4.8 billion in private revenue and
$1.4 billion in public revenue from USAID.
1
They
communicate with the public through newsletters
and magazines whose aggregate circulation is in the
millions.
Most American PVOs, although private by
charter, accept grants of federal money from the
USAID. For a PVO to remain eligible to receive
such grants or food aid, it must by law raise at
least 20% of its total income from private sources.
While the proportion of a PVO’s income from the
US government, whether in the form of cash
grants or food aid, varies according to its corporate
strategy, some PVOs raise so little private funding
that they are dangerously close to this 20% limit.
A few PVOs accept no USAID money so they can
maintain their distance from the government,
whose policies they find objectionable.
The PVO suspicion of US government influence
extends to the military as well. When President
Bush ordered US military forces to Kurdistan in
June 1991, several PVOs, particularly European
ones, refused to cooperate with them. Kurdistan
became a seminal experience for American PVOs
as it showed them that they could work together
productively with US forces in a humanitarian
emergency, something that even organizations not
opposed to close association with the military had
doubted.
To paraphrase management expert Chester
Barnard, the US military and American PVOs are
unalike in every important way.
2
Indeed, it is diffi-
cult to imagine two more dissimilar cultures. The
military is highly disciplined, hierarchical, politi-
cally and culturally conservative, and tough; it has
a mission to defeat the enemy. American PVOs are
generally independent, resistant to authority, po-
litically and culturally liberal (with the exception
of some Christian PVOs), and sensitive and under-
standing; they have a mission to save lives. Because
military missions tend to be explicit and tangible,
the military sometimes fails to appreciate all the
subtleties of humanitarian mission statements,
where objectives can be implicit and intangible.
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Military Preventive Medicine: Mobilization and Deployment, Volume 2
PROFILE OF THE PRIVATE VOLUNTARY ORGANIZATION CULTURE
Goals and Personnel
public policy before their workers and programs are
threatened by government officials intolerant of
criticism.
Some PVOs specialize by sector, such as health,
education, or economic development. A few do only
relief work, others only development. Some do
both, particularly the larger PVOs, such as the three
largest in the United States: Care, Catholic Relief
Services, and World Vision. Since the Ethiopian fam-
ine of 1985, a body of scholarship has developed
suggesting that well-conceived relief work should
be designed with developmental components and
that good development work should include disas-
ter prevention and mitigation measures to reduce
the need for relief in disaster-prone areas. Agricul-
tural development programs in drought-prone ar-
eas, for example, should include drought-resistant
crop varieties and water conservation measures.
3
Although most PVOs of US origin employ indig-
enous staff to manage their programs, some remain
Western in their leadership, culture, and standards.
In most developing countries, there is an array of in-
digenously organized and managed PVOs that do
relief and development work, sometimes forming
partnerships with Western PVOs to meet common
objectives. While many of these indigenous groups
run fine programs, some are suspect in their opera-
tional capacity, professionalism, and accountability.
Their reputation, good or bad, usually precedes them.
The assumption that Western PVOs can be
trusted and Third World PVOs cannot is both un-
fair and simplistic. Such an assumption, all too easy
to make during planning, can endanger a mission
if it is used to support operational decisions. In So-
malia in the early 1990s, the UN and, before it, the
United States gave short shrift to Somali PVOs, with
unfortunate consequences. When the battle was
joined with General Aideed, Somali PVOs might
have rallied support for the international presence
in the country. Instead, the UN received little help
from the more responsible elements of Somali soci-
ety that were represented by local PVOs.
All PVOs have ideologies and missions based,
to some degree, on each organization’s private do-
nor base and institutional history. Many are firmly
on the ideological left, others are more centrist, still
others are on the right. PVO comfort levels in work-
ing with the US military decline as one moves from
right to left on that spectrum. Nearly all PVOs share
a devotion to the concept of sustainable develop-
ment in any country or region in which they oper-
ate. They share an aversion to quick fixes, which
they believe military operations tend to emphasize.
Their own painful experiences through 4 decades
in the field have taught them that real development
is a slow, difficult process. One political value all
PVOs share is a robust internationalism; there are
no isolationists in these organizations.
PVOs tend to recruit former Peace Corps workers,
religiously committed activists in the faith-based
PVOs, and young people with graduate degrees in
development economics and public health. Most get
the bulk of their operational training on the job;
there are few equivalents to military doctrine or
field manuals to describe how a particular program
is to be run. Where PVO doctrine does exist, it is
developed from generally shared experiences and
responses, is seldom written down, and is not al-
ways followed uniformly. Field experience in the
culture of PVOs is comparable to combat experi-
ence in the military: a badge of honor, accorded the
highest respect.
Types
PVOs are a diverse group and may be divided
into those that attempt to influence public policy
and remain focused on advocacy work and those
that manage projects in the field and remain focused
on operational issues. Most large PVOs do both
because they have realized that thoughtless or per-
nicious behavior (whether government policy, do-
nor attitudes, or developing country demands) can
quickly undo generally well-conceived and well-
implemented community development work.
Advocacy and operational groups both have
their weaknesses. PVOs that only advocate tend to
have a limited understanding of field realities in
the developing world. They tend to be governed
by ideological preconceptions rather than pragmatic
appraisals of what works. PVOs that exclusively op-
erate in the field can go only so far in criticizing
Funding Pressures
The fundraising imperative, which provides insight
into their sometimes curious behavior, operates to
some degree in all PVOs. PVOs must communicate
with the American people, either through electronic
media or direct mail solicitation, to raise funds. In-
come increases significantly when paid advertise-
ments are combined with coverage of the PVO’s
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The International Humanitarian Response System and the US Military
work on national television and radio news pro-
grams. The more dramatic and heart-wrenching the
scenes and reports of disaster in the developing
world, the more income PVOs can expect from their
solicitations. As well, the donors to the PVOs ex-
pect to see public recognition of their role in media
reports of the success of “their” PVO.
In spite of their nonprofit nature, PVOs need to
compete—less so than private businesses, perhaps,
but compete they must. The quality of their field
programs affects their capacity to win government
grants, and their public visibility affects their pri-
vate contributions. The interest of PVOs in telling
their stories to the news media is not so much a case
of large ego (though that is sometimes there, too)
as it is of survival. US government personnel who
take public credit for a response to a complex
emergency must understand that PVOs find that
annoying; an organization’s financial health can
be affected by military or other government public
affairs announcements. Conversely, a carefully tai-
lored series of such announcements, emphasizing
the teamwork involved in success, would go a long
way to reassuring many PVOs, their workers, and
their donors that young Americans, in and out of
uniform, were together helping those in need.
ing conditions so they can alleviate suffering and
save lives.
Security Issues
PVOs will likely already be anywhere in the
world where a humanitarian crisis exists when US
or other military forces arrive and will generally be
there when military forces depart. (Kurdistan in 1991,
which did not have any PVOs, was an exception to
this rule.) Military action can create animosity in
the indigenous population that will eventually af-
fect the PVOs, who have little or no security and so
are very vulnerable when conflict erupts. The PVOs
can be perceived at worst as Western or at best as
foreigners from the same tribe or clan that produced
the troops. The World Vision headquarters in
Baidoa, Somalia, was bombed in February 1994 by
a Somali militia leader annoyed with UN peace-
keepers over an issue unrelated to World Vision
policies or operations. And in an example of why
PVOs are suspicious of military efforts, when the
staff injured in the bombing needed UN peace-
keeper help to get to a medical facility, the help was
late and hesitant.
PVOs do not rely on guards (whom they seldom
employ) or on weapons (which they virtually never
carry themselves) for their security. They rely on
two aspects of their culture to keep them safe from
violence. The first is the importance of the work they
do for the community. Even after Somalis as a group
had turned violently against the UN presence in
Somalia, they continued to request expansion of
foreign PVO programs in their country. The second
is their perceived nonpartisanship. Many PVOs find
it difficult to remain neutral in conflicts that are in-
herently political (eg, the Cambodian or Rwandan
genocides), but it is essential to their security in such
conflicts. So when military forces, whether under
the flag of the UN or the United States, are perceived
to be supporting one side in a conflict, PVOs are at
increased risk of violence.
4
Chain of Command
PVOs have chains of command just as the mili-
tary does; the chains are not as disciplined or ex-
plicit, though, and they inevitably contribute to ten-
sions between the PVO field staff and the central
staff at headquarters. Differing policy or operational
concepts within the same PVO usually occur because
each level in the hierarchy responds to a different
agenda and a different set of pressures. Headquar-
ters considers donor concerns, budget limitations,
and the worldwide institutional consequences of a
given policy. The field staff focus on the human need
in a particular village, where they struggle daily to
overcome operational difficulties and chaotic work-
INTERNATIONAL COMMITTEE OF THE RED CROSS
The ICRC, founded in 1863, is by far the oldest
humanitarian relief organization. It is also the
largest such organization, with 6,300 employees
worldwide and a budget of $608 million in 1993.
5
It
specializes in conflicts and it and UN Office of the
High Commissioner for Refugees are the only re-
lief organizations with a mandate under interna-
tional law, a fact which ICRC’s managers, called
delegates, frequently cite. Of all humanitarian in-
stitutions, it is the most doctrinally developed. It
has an elaborate system of rules for functioning in
conflicts, which work well most of the time and
which its delegates can recite in their sleep.
While the ICRC is part of the International Red
Cross movement, it has a tenuous and sometimes
acrimonious relationship with the International
Federation of Red Cross and Red Crescent Societ-
ies, the “United Nations” of the Red Cross national
1355
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