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Requirements for Independent Community-Based Quality Assessment and Accountability Practices in Humanitarian Assistance and Disaster Relief Activities

  • Thomas D. Kirsch (a1) (a2), Paul Perrin (a1), Frederick M. Burkle (a3), William Canny (a4), Susan Purdin (a5), William Lin (a6) and Lauren Sauer (a2)...

During responses to disasters, the credibility of humanitarian agencies can be threatened by perceptions of poor quality of the responses. Many initiatives have been introduced over the last two decades to help address these issues and enhance the overall quality of humanitarian response, often with limited success. There remain important gaps and deficiencies in quality assurance efforts, including potential conflicts of interest. While many definitions for quality exist, a common component is that meeting the needs of the “beneficiary” or “client” is the ultimate determinant of quality. This paper examines the current status of assessment and accountability practices in the humanitarian response community, identifies gaps, and recommends timely, concise, and population-based assessments to elicit the perspective of quality performance and accountability to the affected populations. Direct and independent surveys of the disaster-affected population will help to redirect ongoing aid efforts, and generate more effective and comparable methods for assessing the quality of humanitarian practices and assistance activities.

Kirsch TD, Perrin P, Burkle FM Jr, Canny W, Purdin S, Lin W, Sauer L. Requirements for independent community-based quality assessment and accountability practices in humanitarian assistance and disaster relief activities. Prehosp Disaster Med. 2012;27(3):1-6.

Corresponding author
Corresponding Author: Thomas D. Kirsch, MD, MPH 5801 Smith Avenue Davis Bldg., Suite 3220 Baltimore, MD 21209 USA E-mail
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1.LM Franco , DR Silimperi , TV van Zanten , . Sustaining Quality of Healthcare: Institutionalization of Quality Assurance. Bethesda, MD: Center for Human Services; 2002. Accessed May 15, 2012.

4.SM Campbell , MO Roland , SA Buetow . Defining quality of care. Soc Sci Med. 2000;51(11):1611-1625.

6. Slim H. International Council on Human Rights Policy. By what authority? The legitimacy and accountability of non-governmental organisations. 2002. Journal of Humanitarian Assistance. Accessed May 25, 2012.

8. Center for Global Development. When Will We Ever Learn? Improving Lives Through Impact Evaluation. Washington, DC: Center for Global Development; 2006. Accessed May 15, 2012.

11. Pan American Health Organization. Proceedings of the WHO/PAHO Technical Consultation of Foreign Medical Teams Post Sudden Onset Disasters; December 7-9, 2010; Havana, Cuba. Accessed May 15, 2012.

14. Code of Conduct for the International Red Cross and Red Crescent Movement and NGOs in Disaster Relief, 1995. International Federation of Red Cross and Red Crescent Societies Web site. Accessed May 25, 2012.

16. Scheuren JM, le Polain O, Below R, et al. Annual Disaster Statistical Review: The Numbers and Trends 2007. Brussels, Belgium: Center for Research on the Epidemiology of Disasters (CRED). Accessed May 15, 2012.

19. Canny B. A review of NGO coordination in Aceh post-earthquake/tsunami. Study sponsored by International Council of Voluntary Agencies (ICVA). 2005. Accessed May 15, 2012.

23. Office for the Coordination of Humanitarian Affairs (OCHA) Strategic plan. In: OCHA in 2011: Annual Plan and Budget—Responding in a Changing World. Geneva, Switzerland: OCHA; 2011:8-10. Accessed May 15, 2012.

24.I Subbarao , MK Wynia , FM Burkle Jr. The elephant in the room: collaboration and competition among relief organizations during high-profile disasters. J Clin Ethics. 2010;21(4):328-334.

26.P Walker , S Purdin . Birthing Sphere. Disasters. 2004;28(2):100-111.

27.A Griekspoor , S Collins . Raising standards in emergency relief: how useful are Sphere minimum standards for humanitarian assistance? BMJ. 2001;323(7315):740-742.

28.C Dufour , V Geoffrey , H Maury , F Grünewald . Rights, standards and quality in a complex humanitarian space: Is Sphere the right tool? Disasters. 2004;28(2):124-141.

29.J Tong . Questionable accountability: MSF and Sphere in 2003. Disasters. 2004;28(2):176-189.

30.D Hilhorst . Being good at doing good? Quality and accountability of humanitarian NGOs. Disasters. 2002;26(3):193-212.

31.L Aharony , S Strasser . Patient satisfaction: What we know about and what we still need to explore. Med Care Rev. 1993;50(1):49-79.

32.J Campbell . How consumers/survivors are evaluating the quality of psychiatric care. Eval Rev. 1997;21(3):357-363.

33.L Hansson , T Björkman , I Berglund . What is important in psychiatric inpatient care? Quality of care from the patient's perspective. Qual Assur Health Care. 1993;5(1):41-47.

34.E Rutta , H Williams , A Mwansasu , . Refugee perceptions of the quality of healthcare: findings from a participatory assessment in Ngara, Tanzania. Disasters. 2005;29(4):291-309.

36.PR Spence , KA Lachlan . Disasters, crises, and unique populations: suggestions for survey research. New Directions for Evaluation. 2010;126:95-106.

37.P Walker , K Hein , C Russ , . A blueprint for professionalizing humanitarian assistance. Health Aff (Milwood). 2010;29(12):2223-2230.

38.FM Burkle Jr. Future humanitarian crises: challenges for practice, policy, and public health. Prehosp Disaster Med. 2010;25(3):191-199.

41.Institute of Medicine of the National Academies. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report. Washington, DC: The National Academies Press; 2009. Accessed May 15, 2012.

42. Coordination SUD. The French national platform of international solidarity. Accessed May 15, 2012.

44. How do we rate charities’ financial health? Charity Navigator Web site. Accessed May 15, 2012.

45. COMPAS method: a quality assurance method for humanitarian aid. Quality COMPAS Web site. Accessed May 15, 2012.

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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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