Civil wars, genocides, natural disasters and other emergencies multiplied in the 1990s, and not just in the South, but in the Balkans and the former Soviet bloc. This book examines how to respond to the fundamental difficulties thrown up by these humanitarian crises. What kind of aid, in particular, should be brought in when the situation on the ground mixes up emergency relief with the longer-term process of development? The book includes many different voices and embodies an open-ended debate about the whole diverse process of international aid. The experiences and lessons it contains are relevant to all those playing a part in, or wishing to understand, the practice and dilemmas of humanitarian aid in the 1990s.

With all its hopes of a more just and materially prosperous world, development has fascinated societies in both North and South. Looking at this collective fancy in retrospect, Gilbert Rist shows the underlying similarities of its various theories and strategies, and their shared inability to transform the world. He argues persuasively that development has always been a kind of collective delusion which in reality has simply promoted a widening of market relations despite the good intentions of its advocates.

While the difficulties of integrating gender equity goals into interventions are acknowledged, the authors argue that gender-blind responses can further endanger the survival of women and their families and their long term position in society and also deny them the opportunity of exercising their potential as peace-builders.

"During public health emergencies, people need to know what health risks they face, and what actions they can take to protect their health and lives. Accurate information provided early, often, and in languages and channels that people understand, trust and use, enables individuals to make choices and take actions to protect themselves, their families and communities from threatening health hazards." -- Publisher's description.

At Risk reasserts the significance of the human factor in disasters. Establishing that the social, political and economic environment is as much a cause of disasters as the natural environment, the book argues that disaster mitigation is rooted in the potential humans have to understand their vulnerability and to take common action. Famines and drought, biological hazards, floods, coastal storms, earthquakes, volcanoes and landslides: At Risk draws practical and policy conclusions with a view to disaster reduction and the promotion of a safer environment.

Eroding Local Capacity is a critical examination of the interplay between international and local actors operating in the humanitarian arena in Africa. All sides emphasise the need to build local capacity for humanitarian action, yet the results have not been substantial. Even long-term, semi-permanent emergencies have generated little local capacity to assist and protect the victims of violence, displacement and related deprivations. In some cases, whatever local capacity did exist has been overwhelmed by the international aid presence. Why is this so? What is the case for a more even division of labour between North and South in this area, and why is it so difficult to bring about? The book focuses on cases from East Africa and the Horn. It considers institutional capacity in the public and private sector, as well as legal and social norms of humanitarian action. The authors are African and Nordic scholars who worked together on the NORAD-supported project over a 3-year period. Preliminary conclusions were discussed at seminars organized by the Centre for Foreign Relations (Dar es Salaam), the School of Government at the University of the Western Cape (Cape Town), and the Chr. Michelsen Institute (Bergen).

When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.