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Humanitarian Health Ethics – reflecting on ethical practice - The humanitarian health ethics (hhe) research group is a multidisciplinary team of researchers and practitioners collaborating with the aim of helping to clarify ethical issues in humanitarian healthcare practice. The hhe website is a place to find practical and educational material for humanitarian healthcare workers as well as students and scholars of humanitarian healthcare ethics. The website developed out of empirical…

  • https://humanitarianhealthethics.net/contact-us/ Contact Us – Humanitarian Health Ethics - Sonya de Laat Research Coordinator CRL 202, 1280 Main St. W. Hamilton, Ontario Canada L8S 4K1 Email: [email protected] Tel: 905-525-9140 ext. 28604 Fax: 905-546-5211
  • https://humanitarianhealthethics.net/home/about/ About hhe – Humanitarian Health Ethics - The humanitarian health ethics (hhe) research group is a multidisciplinary team of researchers and practitioners collaborating together since 2009 with the aim of helping to clarify the ethical issues that are present in humanitarian healthcare practice. Our research benefits humanitarian and military healthcare practitioners, organizational policy makers, aid agencies and recipients of aid.  The humanitarian healthcare…
  • https://humanitarianhealthethics.net/home/research/ Research & Publications – Humanitarian Health Ethics - Our research contributes to ethical guidance for global humanitarian healthcare interventions by providing evidence and resources for ethical practice in contexts of acute emergency and prolonged development. Learn more about our research projects, publications and presentations here. By elucidating ethical challenges experienced in humanitarian healthcare settings, we aim to provide support for ethical policy and…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/ Studies – Humanitarian Health Ethics - Recently awarded studies Isolation, quarantine and research in Ebola management: A comparative study of perceptions between communities, outbreak control teams and researchers (EVD-IQR) Aid when there's 'nothing left to offer': A study of palliative and supportive care during international public health crises (EPC-IHA) Ongoing studies Ethics and Humanitarian Healthcare Practice and Policy During Acute Crisis Response…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/bprep/ BPREP – Humanitarian Health Ethics - Beneficiary Perspectives Regarding the Ethical Performance of Humanitarian Healthcare Missions (BPREP) Do the choices made by medical volunteers, often in clinically and culturally unfamiliar contexts, coincide with the expectations and priorities of the locals who receive this care? Funded by a CIHR post-doctoral fellowship, this study seeks to improve the effective and ethical delivery of…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/dre/ DRE – Humanitarian Health Ethics - Disaster Research Ethics (DRE) Full citation: Hunt, Matthew,  Lisa Schwartz, Lisa Eckenwiler, James Anderson, Anant Bhan, Renaud Boulanger, John Pringle, Catherine Tansey, Anushree Dave. "Investigation of the ethics of disaster research in low & middle income countries (LMICs)." CIHR Link to the video on the HumEthNet YouTube Channel here. Overview: Research in disasters can lead to improvements in disaster relief and better understanding of how…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/ehhpp/ EHHPP – Humanitarian Health Ethics - Ethics and humanitarian healthcare practice and policy (EHHPP) during acute crisis response in low or middle income countries Full citation: Schwartz, Lisa, Matthew Hunt, Laurie Elit, Lynda Redwood-Campbell. "Ethics and humanitarian healthcare practice and policy (EHHPP) during acute crisis response in low or middle income countries." CIHR#258653 With this CIHR-funded study, our goal is to…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/enha/ ENHA – Humanitarian Health Ethics - Ethics Narratives in Humanitarian Aid  (ENHA) Full citation: Schwartz, Lisa, Naomi Adelson, Laurie Elit, Lynda Redwood-Campbell, Chris Sinding. "Ethics in conditions of disaster & deprivation: learning from health workers’ narratives." CIHR Operating Grant. (2009-2012). CIHR#173548. When healthcare professionals (HCPs) are working outside their familiar surroundings, where they have limited access to familiar resources and customs,…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/emmrg/ EMMRG – Humanitarian Health Ethics - Ethics in Military Medicine Research Group (EMMRG) Healthcare professionals (HCP) are regularly involved in military and humanitarian operations internationally. As in public health interventions, these missions highlight the tensions that arise when individual rights and the public good conflict. Principles of patient autonomy, rights and privacy, social issues such as triage and public health policy,…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/evd-iqr/ EVD-IQR – Humanitarian Health Ethics - Ebola Virus Disease: Isolation, Quarantine and Research Full citation Nouvet, Elysée, Lisa Schwartz, Carrie Bernard, Sonya de Laat, Laurie Elit, Matthew Hunt, John Pringle, Lynda Redwood-Campbell. “Isolation, quarantine and research in Ebola management: A comparative study of perceptions between communities, outbreak control teams and researchers (EVD-IQR)". ELRHA: Research for Health in Humanitarian Crises (R2HC#21174). The WHO panel…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/ie-dre/ IE-DRE – Humanitarian Health Ethics - Investigating Researchers' Experience of Ethics in Post-Disaster Research (IE-DRE) Research in disasters is thought to lead to improvements in disaster relief and better understanding of how disasters impact populations. Recent emphasis on disaster research has spurred expanded discussion regarding the ethical implications of this field of inquiry. We are conducting a study to investigate the…
  • https://humanitarianhealthethics.net/home/research/hhe-research-studies/pall-iphc/ EPC-IHA – Humanitarian Health Ethics - Aid when there is "nothing left to offer": A study of ethics & palliative care during international humanitarian action Full citation Schwartz, Lisa, Matthew Hunt, Carrie Bernard, Kevin Bezanson, Sonya de Laat, Laurie Elit, Leigh-Anne Gillespie, Elysée Nouvet, John Pringle, Lynda Redwood-Campbell, and Ross Upshur. "Aid when there’s ‘nothing left to offer’: A study of palliative and supportive…
  • https://humanitarianhealthethics.net/home/research/publications/ Publications – Humanitarian Health Ethics - 2016 Doris Schopper; Raffaella Ravinetto; Lisa Schwartz; Eunice Kamaara; Sunita Sheel; Michael J. Segelid; Aasim Ahmad; Angus Dawson; Jerome Singh; Amar Jesani; Ross Upshur. 2016. "Research Ethics Governance in Times of Ebola." Public Health Ethics: doi:10.1093/phe/phw039  Durocher, Evelyne, Ryoa Chung, Christiane Rochon, Matthew Hunt. Understanding and addressing vulnerability following the 2010 Haiti earthquake: Applying a feminist…
  • https://humanitarianhealthethics.net/home/research/presentations/ Presentations – Humanitarian Health Ethics - Invited Presentations 2015 Hunt MR. 2015. Humanitarian action and ethics. Humanitarian Studies Initiative, Montreal, QC, 18 February. Hunt MR. 2015. Ethics of surveillance in public health emergencies. World Health Organization Workshop on ethics in epidemics, public health emergencies and disasters, Cape Town, South Africa, 26 April. Hunt MR. 2015. Problèmes éthiques en recherche lors d’une…
  • https://humanitarianhealthethics.net/category/invitations-to-participate/ Invitations to Participate – Humanitarian Health Ethics - Posts about Invitations to Participate written by Humanitarian Health Ethics Research Network
  • https://humanitarianhealthethics.net/home/hheat/ Toolbox – Humanitarian Health Ethics - Here you can find the Humanitarian Health Ethics Analysis Tool (HHEAT), a collection of case studies that can be used with the HHEAT and additional resources to mitigate, prepare for and manage ethical challenges encountered in contexts of humanitarian health care provision.
  • https://humanitarianhealthethics.net/home/hheat/hheat/ HHEAT – Humanitarian Health Ethics - HHEAT is an ethical analysis tool designed to help humanitarian healthcare workers make ethical decisions. This tool can be used in pre-departure training to work through common cases and scenarios, in the field when ethical issues arise, or in debriefing sessions after particularly difficult decisions. Supporting Ethical Practice in Humanitarian Healthcare Humanitarian healthcare workers are…
  • https://humanitarianhealthethics.net/home/hheat/hheat/hheat-bibliography-2/ HHEAT Bibliography – Humanitarian Health Ethics - ALNAP. 2012. The State of the Humanitarian System 2012. http://www.alnap.org/resource/6565. Asgary R, Junck E. 2013. New trends of short-term humanitarian medical volunteerism: Professional and ethical considerations. Journal of Medical Ethics 39(10): 625-631. Barnett M. 2011. Empire of Humanity: A History of Humanitarianism. New York, NY: Cornell University Press. Barnett M, Weiss TG. 2008. Humanitarianism: A…
  • https://humanitarianhealthethics.net/home/hheat/hheat/how-to/ How To Use the Tool – Humanitarian Health Ethics - Who should use the HHEAT? The HHEAT was designed to help guide ethical deliberation by a range of people, including: Field workers Participants in pre-departure training Students Policy makers Organizational leaders When should the HHEAT be used? The HHEAT is useful for group decision making, especially when there is the potential for conflict between team…
  • https://humanitarianhealthethics.net/home/hheat/hheat/moral-context/ Moral Context of Humanitarian Aid – Humanitarian Health Ethics - The Moral Context of Humanitarian Aid Over the past few decades there has been increasing discussion of the ethics of humanitarian healthcare aid. Some of the more common topics examined have included whether aid results in unintended harms, the roles the fundamental humanitarian principles should play in guiding relief work, the nature of relationships between…
  • https://humanitarianhealthethics.net/home/hheat/hheat/identification-clarification/ Step 1: Identify/Clarify the Ethical Issue – Humanitarian Health Ethics - Is it really an ethical issue? Ethical issues arise when the ethically defensible response is unclear or contested, when the ethical response is clear but cannot be enacted, or when what seems to be the 'right thing to do' also appears wrong in some important way. Serious ethical issues are sometimes called ethical dilemmas; referring…
  • https://humanitarianhealthethics.net/home/hheat/hheat/information-gathering/ Step 2: Gather Information – Humanitarian Health Ethics - What do we need to know to assess the issue? The second step of the HHEAT highlights three specific data gathering categories: Resource Allocation and Clinical Features Participation, Perspectives and Power Community, Projects and Policies These categories reflect various domains of information that are especially relevant when deliberating on ethical issues in humanitarian healthcare contexts.…
  • https://humanitarianhealthethics.net/home/hheat/hheat/review/ Step 3: Review the Ethical Issue – Humanitarian Health Ethics - Does the information gathered lead us to reformulate the issue? This step allows you to review and assess all information that has been gathered so far, identify important knowledge gaps (if any), and reformulate or reframe the ethical issue in light of new facts and discussion. It is also helpful to identify any obstacles or…
  • https://humanitarianhealthethics.net/home/hheat/hheat/explore/ Step 4: Explore Ethics Resources – Humanitarian Health Ethics - What can help us make a decision? This step draws attention to the ethical approaches which are available in humanitarian healthcare aid including: professional moral norms and guidelines for healthcare practice human rights and international law ethical theory local norms, values and customs. Each of these approaches provides insight on how to approach ethical issues,…
  • https://humanitarianhealthethics.net/home/hheat/hheat/evaluate/ Step 5: Evaluate and Select the Best Option – Humanitarian Health Ethics - What options are possible and which is the 'best' under the circumstances? Generate as many options as possible by trying to think 'outside the box' and avoiding binary 'either/or' thinking. As a rule, try to generate at least 3 or more courses of action. Potential positive and negative consequences of each course of action should…
  • https://humanitarianhealthethics.net/home/hheat/hheat/follow-up/ Step 6: Follow Up – Humanitarian Health Ethics - What can we learn from this situation and what supports are needed? As a final step, it is important to follow up on the decision taken so that ethical choices can be evaluated in light of outcomes. Reflecting on the decision-making process may prompt proactive approaches to avoid similar ethical issues in the future, or…
  • https://humanitarianhealthethics.net/home/hheat/cases/ Cases – Humanitarian Health Ethics - Developed to be used with the HHEAT, cases present brief stories, based on the reflections of healthcare practitioners and students, about ethical challenges experienced in humanitarian healthcare contexts. They spark deliberation about decision-making in ethically challenging situations. ENHA Case Study Series Balancing Priorities in a Medical Emergency View Download PDF Conflicting Priorities during a Public…
  • https://humanitarianhealthethics.net/home/hheat/resources/ Resources – Humanitarian Health Ethics - A list of a major humanitarian organizations and their codes of ethics, academic journals and traditional resources of interest. Organizations and Codes of Ethics   Active Learning Network for Accountability and Performance in Humanitarian Action The Fundamental Principles of the Red Cross ICRC Project: Health Care in Danger Medbox Online Resource Library Principles and Values…
  • https://humanitarianhealthethics.net/home/humethnet/commentaries/ Blogs – Humanitarian Health Ethics - Read Commentaries and Dispatches from the Field authored by HumEthNet members. Read Picturing Humanitarian Ethics blogs here. Read In Focus: Member Profiles to learn more about HumEthNet members. Check out In the News to find out how HumEthNet members are reaching out. Contribute to these blogs, contact us today!

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