[This is a follow-on to my post from yesterday: “Giving Away Money.” I recommend reading that post first, but if you haven’t then fear not: this post will still make sense.]
Local perceptions of international aid organisations are very mixed. While many people are grateful for the services these organisations provide and the positive impact on the economy and jobs market, there’s also a sense of resentment, related to the way the aid industry – and let’s be honest, it is an industry – is set up.
Popular rumours accuse organisations of inventing needs in order to profit from responding to them. This has been a persistent perception of the Ebola outbreak and response in eastern DR Congo, encapsulated by the term “Ebola business.”
In protracted crises, people sometimes come to see aid organisations as ineffectual due to the persistence of problems. “How come we’re still suffering from disease outbreaks and lack of food, despite these big international organisations being around for 25 years?”
These perceptions are understandable.
The structure of financing within the aid industry can lead to incentives being set up the wrong way. The focus on value for money can lead to projects that serve a lot of easily accessible people with a very limited intervention, rather than providing holistic, quality services to remote populations who are much harder to reach. Humanitarian organisations can cause huge inflation in the jobs market when several respond in the same area and need to hire staff quickly. Some of the money circulates in the local economy, but quite a bit of it is pocketed by outsiders – whether national staff from another part of the country, or international staff – who will spend it elsewhere. The outward signs of wealth are clear: when a humanitarian response hits town, hotels fill up and the number of land cruisers seen driving around increases exponentially. These factors feed perceptions that humanitarians are motivated by financial gain rather than by altruism.
[See my review of James Orbinski’s “An Imperfect Offering” for thoughts on why compassion must remain at the centre of what drives humanitarians.]
Criticism of aid organisations based on the persistence of the problems that attract them tends to misconstrue the mandate of the organisations and often overplays their power to actually change structural problems. Medair supported the provision of 553,000 free primary health consultations last year, in areas of eastern DR Congo affected by conflict or disease outbreaks. This was a hugely worthwhile endeavour, enabling vulnerable people to access care. This intervention was needed because the existing health system does not serve people’s needs: fees for service are a major barrier to care-seeking, and health facilities often lack the staff, supplies, and infrastructure to deliver services in a hygienic environment. While Medair’s work in health facilities last year was timely and effective in meeting immediate needs, it has not precipitated fundamental improvements to the way health services are delivered in eastern Congo. This shouldn’t be a surprise: 1) 553,000 consultations seems like a lot, but the scale of need vastly outweighs it, and 2) Medair’s projects are set up to quickly respond to needs where they are felt most acutely, rather than to precipitate lasting change.
While aid organisations in Nord Kivu, DR Congo, can seem like powerful players, I believe that lasting peace will come through favourable foreign policy conditions from other countries, through positive evolution in governance, and through local initiatives – whether businesses, sports clubs, churches, or groups of activists.
Thus, I’m motivated to identify and invest in people and organisations, locally. Ensuring that a higher proportion of my income benefits local initiatives feels like good citizenship, in a sense. It also serves to subvert the perception of aid workers being in it for themselves and squirrelling away money in overseas bank accounts.
(I’m aware that the impact to assuage my conscious will likely outweigh any impacts on public perception.)
Having been in DR Congo for nearly three years, I feel a strong affinity for the place and people. I desperately want to see a brighter future here, and often try to imagine what Nord Kivu might look like in 20 or 30 years’ time. There have been few bright spots in nearly 60 years since independence. But the future starts now.