Tag: MSF

Summary of Aid Agency Roundtable Meeting about the Duty of Care of National Staff

May 9, 2026       Increasingly aid agencies have argued for more decision- making, resources and active roles for “local”, or national, actors in aid programs, including food, nutrition and other development and humanitarian efforts.  At the same time, aid agencies have taken efforts to provide balanced “duty of care” (DoC) for local employees, partners, volunteers and their families during disasters.  But best practice standards remain unclear and there are many challenges, if not barriers, to achieving the goals of DoC across security, training, psychosocial care, rest and relaxation, legal support, relocation and other dimensions.

On March 13, World Hunger Education serivce (publisher of this online educational platform, “Hunger Notes”) partnered with Compassion International and George Washington University in hosting a roundtable of experts from two dozen aid agencies, for a two-hour open discussion to share lessons about DoC.

A central concern was the persistent gap between policy and practice. Local staff often work in dangerous environments, carry the “double burden” of being both responders and affected community members, and have limited access to evacuation, psychosocial support, family assistance, and equitable medical care. Participants also noted that security, HR, and wellness systems remain siloed within organizational systems and responsibilities, weakening crisis response.

One participant said, “In disasters national staff deployed away from home are exposed to crisis contexts and deserve the same evacuation protections as international staff.”

The roundtable highlighted additional problems in federated NGO structures and sub-granting systems, where responsibility for partner staff is often unclear. Family support, remote work options during conflict, and coverage for indirect workers remain underdeveloped. At the same time, participants cited emerging improvements: more donor attention, growing mental health awareness, contextualized well-being frameworks, and some stronger onboarding and training models.

“Framing duty of care as mission-driven (not compliance- or HR-driven) is the key to getting executive support.”

Overall, the meeting concluded that NGOs need clearer definitions of who is covered, more equitable protections for local staff, harmonized policies, better training, and a stronger cross-sector community of practice

See this downloadable below: 

Roundtable Summary Duty of Care (public)

Hunger Increases Even Further in The Sudan

August 28, 2025:  Aid agencies estimate that malnutrition in Sudan increases in scale, depth and scope.  Much of the reporting comes from the far western region of Darfur, where, between January and May 2025, North Darfur saw a 46% increase in children admitted for SAM treatment at health centers compared to the same period in 2024 — with over 40,000 children treated in just that region.

As a result of 2 1/2 years of civil war, over 14 million Sudanese have been displaced by violence, both internally and across borders.  In the largest camp for displaced persons, Zamzam in North Darfur,  Médecins Sans Frontières (MSF) reported devastating malnutrition rates — as high as 29–30% acute malnutrition, and high mortality (e.g., one child dying every two hours.  Similarly,  Save the Children reported a nearly fourfold increase in severe acute malnutrition cases seen in one South Kordofan clinic from June 2023 to June 2024, with 1,457 children admitted in June 2024 alone.

Though access by international organizations to children in this large, rural country is limited, UNICEF estimates that some 3.2 million children under 5 may have  acute malnutrition in 2025, including about 770,000 experiencing Severe Acute Malnutrition, meaning they are extremely wasted.

The U.N.’s advisory body about famine, the Integrated Food Security Phase Classification (IPC) reported 25.6 million people in the Sudan are food insecure, and of those, 8.5 million are in Emergency (Famine degree Phase 4) and another 755,000 are in Catastrophe/Famine (Famine degree Phase 5).

Humanitarian access is greatly constrained, with persistent fighting preventing deliveries of food or supplies into many areas, notably in Darfur, Khartoum, and regions with large numbers of internally displaced person.

Concern Worldwide is supporting 81 health facilities across Sudan, particularly in West and Central Darfur, treating children under five for acute malnutrition, with a focus on delivering ready-to-use therapeutic food (RUTF).  Despite the destruction of Sudan’s only RUTF factory in 2023, Concern has secured and delivered 10 metric tons of RUTF to vulnerable communities. In 2024, they reached nearly 484,000 people with lifesaving health and nutrition support.