Search Results (70)

Background: Surgical care in conflict regions like Tigray, Ethiopia, faces severe challenges due to limited resources, infrastructural deficiencies, and high trauma burden. From 2019 to 2023, a multidisciplinary team conducted five humanitarian missions focusing on orthoplastic reconstruction of extremity and mandibular injuries from high-energy gunshot trauma. Methods: A retrospective analysis was performed on 98 patients who underwent free or pedicled flap reconstruction. Data included demographics, flap type, technique, complications, follow-up, and early clinical outcomes score as well as mobility scores. Flaps were harvested using loupes anastomosis performed using microscopes, depending on availability. Results: Among 98 patients (25.5% female, 74.5% male), 69 free flaps and 38 pedicled flaps were performed. Free fibula flaps (n = 54) included 33 mandibular and 21 extremity reconstructions. Additional flaps included ALT, gracilis, and LD flaps. Pedicled flaps included 18 fibula and 20 ALT/LD flaps. Mean age was 35.5 years; mean operative time was 429.5 min, with mandibular fibula transfers being longest. Microsurgical techniques were used in 34% of cases. Median follow-up was 10 months. Microsurgical complications occurred in 18.4%, mainly in fibula transfers (25.9%). Non-microsurgical issues included wound infections (n = 15), graft loss (n = 3), and bleeding (n = 5). Flap loss occurred in 16.3% overall. Early clinical outcome results were good (30.6%), acceptable (28.6%), and moderate (24.5%). Conclusions: Orthoplastic reconstruction using both free and pedicled flaps is feasible in low-resource, conflict settings. Despite infrastructural challenges, functional outcomes were achievable, supporting the value of adaptable microsurgical strategies in humanitarian surgery. Full article

Introduction: Humanitarian Corridors are part of Protected Entry Procedures (PEPs), which allow for the safe and legal arrival in Europe of refugees in need of protection (art. 25 of Regulation (CE) n.810/2009) and were implemented for the first time in Italy in 2015. They represent an alternative to dangerous journeys, and they also bring benefits to local communities. The National Institute for Health, Migration and Poverty (NIHMP) represents the first filter at entry with regard to health needs, as it guarantees an overall individual health assessment to verify the possible presence of ongoing infectious pathologies and of issues that may require management and medical investigation. The aim of this study is to expose the organizational activity and analyze the sociodemographic and health data relating to the Humanitarian Corridors implemented in Italy and in which the NIHMP has participated from 2018 to 2024. Materials and Methods: The organizational lists and health data of each corridor were collected. The analysis was carried out in relation to trend, sociodemographic characteristics of the sample, identification, reception and health. The p-value was considered statistically significant if less than 0.01. In all cases in which the p-value was found to be statistically significant, Cramer’s V was calculated to evaluate the strength of the individual correlation. Results: The NIHMP has participated in 14 Humanitarian Corridors, allowing 1250 refugees to enter Italy; a total of 174 unaccompanied foreign minors (UFMs) arrived, and there were 451 refugees reported as vulnerable (36.1%). Contagious infectious conditions were identified in 223 refugees (17.8%), and other health findings were identified in 414 refugees (33.1%). In the analysis by sex, there are statistically significant differences in the reports of vulnerability and in nationality and education. The inferential analysis carried out by age groups presents statistically significant differences in the reports of vulnerability and in sex and nationality. The analysis relating to the differences by nationality shows statistically significant results in the individual corridors in the reports of vulnerability and in schooling, skin manifestations and infectious diseases and the presence of other health findings. Conclusions: The data reported and analyzed in this work can be considered the first attempt at a complete and detailed analysis regarding the actual implementation and effectiveness of Humanitarian Corridors as programs for legal and safe entry into Italy. The significant gap in research is the reason why there are characteristics of our sample that have no counterpart in the literature. Despite this, for other characteristics, it is possible to find statistical significance and scientific value in line with the data reported both on the websites dedicated to the topic and on the limited scientific literature on the subject. Full article

In the Asia–Pacific, where rice is an essential crop for food security and economic activity, tropical cyclones and consecutive floods can cause substantial damage to rice fields. Humanitarian organizations have developed impact-based forecasting models to be able to trigger early actions before floods arrive. In this study we show how Sentinel-1 SAR data and Otsu thresholding can be used to estimate flooding and damage caused to rice fields, using the case study of tropical storm Talas (2017). The current most accurate global Digital Elevation Model FABDEM was used to derive flood depths. Subsequently, rice yield loss curves and rice field maps were used to estimate economic damage. Our analysis results in a total of 475 km² of inundated rice fields in seven Northern Vietnam provinces. Flood depths were mostly shallow, with 2 km² having a flood depth of more than 0.5 m. Using these flood extent and depth values with rice damage curves results in lower damage values than the ones based on ground reporting, indicating a likely underestimation of flood depth. However, this study demonstrates that Sentinel-1-derived flood maps with the high-resolution DEM can deliver rapid damage estimates, also for those areas where there is no ground-based reporting of rice damage, showing its potential to be used in impact-based forecasting model training. Full article

Background: Charitable crowdfunding platforms have become widely used tools for raising funds to support social and humanitarian causes. As participation in these platforms is voluntary, understanding the influence of individual motivations and cultural values is essential, particularly when engaging donors across culturally diverse regions. Within the framework of Self-Determination Theory (SDT), this study explores whether consumers’ cultural orientations influence their motivations and levels of engagement in charitable crowdfunding. Methods: Data were collected through an online survey using the Computer-Assisted Web Interviewing (CAWI) method from 680 participants recruited via Amazon Mechanical Turk. Structural equation modeling was employed to analyze the effects of three cultural dimensions—collectivism, power distance, and uncertainty avoidance—on charitable giving behavior, including their interactions with intrinsic and extrinsic motivations. Results: Collectivism was found to positively predict charitable giving, while uncertainty avoidance had a negative effect. Power distance showed a mixed influence, depending on the underlying motivational factors. Comparative analysis revealed significant regional differences, particularly between respondents from the Americas and Europe, in the strength and nature of these relationships. Conclusions: The findings underscore the importance of integrating cultural factors into digital fundraising strategies and offer new insights into how individual cultural values shape prosocial behavior in online crowdfunding environments. Full article

This article presents a comprehensive evaluation of image segmentation methods for monitoring morphological changes in refugee camps, comparing five distinct approaches: ESRI Landviewer clustering, K-means clustering, U-Net segmentation, Meta’s Segment Anything Model (SAM) and ArcGIS segmentation. Using high-resolution satellite imagery from Al-Azraq refugee camp in Jordan (2014–2023) as a case study, this research systematically assesses each method’s performance in detecting and quantifying settlement pattern changes. The evaluation framework incorporates multiple validation metrics, including overall accuracy, the Kappa coefficient, F1-score and computational efficiency. The results demonstrate that ArcGIS’s ISO clustering and classification approach achieves superior performance, with 99% overall accuracy and a Kappa coefficient of 0.95, significantly outperforming the other tested methods. While Meta SAM shows promise in object detection, its performance degrades with aerial imagery, achieving only 75% accuracy in settlement pattern recognition. The study establishes specific parameter optimization guidelines for humanitarian contexts, with spectral detail values of 3.0–7.0 and spatial detail values of 14.0–18.0, yielding optimal results for refugee settlement analysis. These findings provide crucial methodological guidance for monitoring refugee settlement evolution and transition, contributing to more effective humanitarian response planning and settlement management through integrating remote sensing and machine learning technologies. Full article

Background/Objectives: Children that are forcibly displaced are more likely to experience mental health and behavioural challenges than non-displaced populations, including increased risk of anxiety, depression and post-traumatic stress disorder. Building appropriate parenting skills to strengthen the relationships between caregivers and their children in times of war is key to building resilience in children. There is a lack of research on the role of family skill interventions in internally displaced people (IDP). The aim of this study was to assess the potential change in parenting skills, child mental health, and resilience capacity in families living in IDP camps in Kachin State, Myanmar, after taking part in a brief family skill intervention, Strong Families. Methods: An open, multi-site pilot feasibility and acceptability trial was conducted with 100 families. Outcome data were collected prospectively, assessing changes in parenting skills and family adjustment in caregivers, children’s behaviour, and children’s resilience capacities. Families were assessed using three scales, Parenting and Family Adjustment Scales (PAFAS), the Strengths and Difficulties Questionnaire (SDQ), and the Child and Youth Resilience Measure (CYRM-R). Results: Despite being a light intervention, Strong Families produced improvements in the child mental health, parenting practices, and parent and family adjustment skills scales. Improvements were observed in scores particularly for caregivers and children with greater challenges at baseline. Conclusions: The results positively value the importance and feasibility of family skill interventions being integrated into the routine care of IDP families. This advocates for the prioritisation of using such tools for supporting better family functioning and mental health in humanitarian contexts. Full article

Refugee camps are typically designed as temporary sustainable settlements, prioritizing logistics over cultural considerations, which can lead to environments being misaligned with the lived experiences of displaced populations. This study addresses the challenge of traditional humanitarian camp designs that prioritize logistical efficiency over cultural and socio-cultural needs, leading to environments that do not align with the lived experiences of displaced populations. Focusing on the Zaatari Syrian Refugee Camp in Jordan, the research employs a structured questionnaire distributed among 102 households to investigate how refugees have reconfigured the camp’s original grid layout into more cohesive clustered patterns, informed by the principles of defensible space theory. Key findings reveal that refugees actively transform public courtyards into semi-private spaces, driven by cultural imperatives and safety needs. Statistical analyses confirm significant correlations between clustering behaviors and the attributes of defensible space, particularly the zones of influence and boundary demarcation, enhancing community resilience and accessibility. However, the study finds a limited predictive power overall, indicating that while these adaptations are significant, factors such as natural surveillance and territorial behavior do not exhibit strong influences on clustering dynamics. These findings have important implications for humanitarian planning and design. They highlight the necessity for more culturally sensitive and flexible approaches that prioritize refugee agencies and communal identity in camp layouts. This research advocates for a hybrid planning approach that integrates socio-cultural values, promoting resilience and quality of life among refugees. By aligning spatial designs with the social and cultural realities of refugee communities, humanitarian actors can enhance the effectiveness of their interventions, ultimately contributing to more sustainable and inclusive urban environments as part of broader goals related to urban planning and development. Future research is encouraged to explore these practices in diverse refugee contexts, providing further validation of these findings and enhancing the applicability of these design principles in global humanitarian efforts. Full article

The growing need for effective and sustainable solutions in humanitarian construction has prompted scholars and practitioners to explore technical approaches that address the challenges of natural disasters, health emergencies, armed conflicts and migratory flows. These solutions often encompass temporary shelters, durable shelters and multifunctional buildings designed to balance rapid deployment, cultural sensitivity and environmental sustainability. However, the assessment of sustainability in humanitarian construction remains insufficiently defined due to the complexities of crises, the variability of local materials and the impact of local climatic conditions. This study aims to bridge this gap by integrating Building Information Modeling (BIM) and simulation tools such as COMSOL Multiphysics 6.0 to study sustainable strategies for humanitarian housing. Using case studies aligned with IFRC, UNHCR and CRL (Red Cross of Luxembourg) family shelter standards, the research assessed a Climate and Local Skill-Centered Design (CLCD) by examining the performance of key design elements, including wall material emissivity and reflectance, natural lighting, and energy efficiency within the context of indoor thermal comfort. Simulation results revealed that wall finishing material reflectance significantly influences average daylight factors (D), with variations of 2% to 5% linked to lower reflectance values and changes in the window-to-floor ratio (WFR). Conversely, thermal comfort metrics indicated minimal variations in heat discomfort hours, maintaining indoor temperatures between 19 °C and 25 °C, consistent with ASHRAE Standard 55 thermal comfort criteria. This paper underscores the importance of integrating advanced IT tools and green local techniques and materials to optimize humanitarian housing for health, comfort and environmental performance, offering actionable insights for future humanitarian sustainable designs. Full article

In an era of escalating environmental challenges, converting organic residues into high-value bioactive compounds provides a sustainable way to reduce waste and enhance resource efficiency. This study explores the potential of the circular bioeconomy through the valorization of agricultural byproducts, with a focus on the antioxidant properties of specific chestnut burr cultivars. Currently, over one-third of food production is wasted, contributing to both humanitarian and environmental crises. Through circular bioeconomy, we can transform biological waste into valuable products for use in fields like food innovation and sustainability. The antioxidant effects of three chestnut cultivars, Bastarda Rossa, Cecio, and Marroni, were assessed through in vitro assays, highlighting their potential to combat oxidative stress—an important factor for health-related applications. The characterization of the three cultivars showed the major presence of ellagic acid and gallic acid in the extract, renowned for their antioxidant activity. In vitro assays evaluated the phenolic and flavonoid content, as well as the antioxidant activity of the three extracts, confirming the cultivar Cecio as the richest in these bioactive compounds and the most performative in antioxidant assays. In vitro antioxidant and oxidative stress recovery assays on SaOS-2, fibroblast, and chondrocyte cell lines displayed a strong antioxidant activity. Furthermore, the cytotoxicity assay demonstrated the safety of all three extracts in the tested human cell lines. In silico docking simulations further validated the biological relevance of these compounds by predicting strong hydrophobic and polar interactions with oxidative stress-related protein targets. Overall, this study demonstrates the antioxidant properties of chestnut byproducts. The findings contribute to the development of functional foods, nutraceuticals, and other applications, underscoring the role of chestnut cultivars in advancing circular bioeconomy practices. Full article

Background/Objectives: Child acute malnutrition is a global public health problem, affecting 45 million children under 5 years of age. The World Health Organization recommends monitoring weight gain weekly as an indicator of the correct treatment. However, simplified protocols that do not record the weight and base diagnosis and follow-up in arm circumference at discharge are being tested in emergency settings. The present study aims to use machine learning techniques to predict weight gain based on the socio-economic characteristics at admission for the children treated under a simplified protocol in the Diffa region of Niger. Methods: The sample consists of 535 children aged 6–59 months receiving outpatient treatment for acute malnutrition, for whom information on 51 socio-economic variables was collected. First, the Variable Selection Using Random Forest (VSURF) algorithm was used to select the variables associated with weight gain. Subsequently, the dataset was partitioned into training/testing, and an ensemble model was adjusted using five algorithms for prediction, which were combined using a Random Forest meta-algorithm. Afterward, Receiver Operating Characteristic (ROC) curves were used to identify the optimal cut-off point for predicting the group of individuals most vulnerable to developing low weight gain. Results: The critical variables that influence weight gain are water, hygiene and sanitation, the caregiver’s employment–socio-economic level and access to treatment. The final ensemble prediction model achieved a better fit (R² = 0.55) with respect to the individual algorithms (R² = 0.14–0.27). An optimal cut-off point was identified to establish low weight gain, with an Area Under the Curve (AUC) of 0.777 at a value of <6.5 g/kg/day. The ensemble model achieved a success rate of 84% (78/93) at the identification of individuals below <6.5 g/kg/day in the test set. Conclusions: The results highlight the importance of adapting the cut-off points for weight gain to each context, as well as the practical usefulness that these techniques can have in optimizing and adapting to the treatment in humanitarian settings. Full article

Israel’s war on Gaza following 7 October 2023 has given birth to several political and social changes in European nations. According to the United Nations Report of the Special Rapporteur, Israel has used this moment to “distort” international humanitarian law principles “in an attempt to legitimize genocidal violence against the Palestinian people.” In the European context, this has led to European Muslims and non-Muslims, including organizations, institutions, as well as individual academics, politicians, and activists mobilizing and voicing their condemnation and demand their governments to do more towards peaceful and equitable solutions. However, this has been met with a strong reaction from European governing bodies. This paper situates this reaction within wider discourses on the European Muslim crisis. It begins with a systematic literature review on the so-called European Muslim crisis, followed by case studies on the United Kingdom and Germany on their respective changes to policies impacting Muslims in the post-October 7 contexa Regarding the literature review, this paper illustrates how this concept has three distinct, yet intersecting meanings: the crisis of European identity; the crisis of foundational ideologies of Europe; and an internal Muslim crisis that often leads to radicalization. Through the British and German case studies, this paper illustrates that October 7 has reinforced and strengthened the shift towards values-based citizenship and integration. This paper argues that through branding pro-Palestine protesters and organizations as extremists in the British context, and adding questions related to antisemitism and Israel in the citizenship tests in the German context, the Israel/Palestine issue has now become yet another yardstick to demarcate the European, civilized “us” vs. the Muslim “other.” In doing so, October 7 has escalated elements already present within the wider discourses of the European Muslim crisis. Full article

The Macartney Embassy, the first official British diplomatic mission to China, contributed to the visual record and understanding of China in Britain. The embassy artists were ambitious in their mission to deliver authentic visual knowledge of China to the British at the same time that they were subconsciously influenced by both the old chinoiserie tradition, and the nascent British Enlightenment thought process. In contrast to contemporary Britain’s scientific and humanitarian advancements, the embassy’s portrayal of China was pastoral, barbaric, and autocratic, allowing the British to revel in the humanism and progressivism of their own values and social system. Full article

Ample scholarship thoroughly documents how modern humanitarian aid enacts legacies of colonialism and processes of Westernization through the imposition of foreign values and promotion of ‘universal’ norms. Extensive research has also explored processes of socio-cultural-moral transformation due to crisis and displacement. This paper extends this work by demonstrating an explicit connection between the two. Drawing on 10 months of ethnographic research that examined how Burundian refugees in Tanzania experience humanitarian social emotional learning (SEL), findings reveal various intersecting lines of crisis in the Nduta refugee camp. This research illuminates how SEL interacts with these lines of crisis to exacerbate intergenerational tensions. The self-centric values promoted through SEL and the pedagogies it employs conflict with the collectivist ethos of the Nduta community, thus breaking the Burundian generational contract of reciprocity, solidarity, and moral responsibility. In this context, SEL operates on conflicting narratives of crisis that clash with generational hopes for the prevention of future crisis in Burundi. These generational fractures are resulting in fears across the Nduta community that the decline of traditional Burundian values and communitarian ethos will not only perpetuate intergenerational experiences of crisis but has also initiated the perceived erasure of their culture and the essence of their humanity. Full article

Wills within the legislative+ system for donation contracts are considered highly beneficial and have a great impact on both testators and legatees. They hold financial and value dimensions aimed at linking today’s generation with future generations, perpetuating humanitarian work, and extending it beyond death. Consequently, wills, along with other charitable resources such as endowments, constitute significant channels that can contribute to achieving sustainable development in societies. This study aims to illustrate the impact of the relationship between wills and sustainable development. It highlights the importance of wills for societal advancement, noting that they are no less important than endowment systems. This study concludes that the legislation of wills is among systems that encompass intergenerational ties; strengthen social cohesion; elevate societies by maintaining ties of kinship; improve the conditions of financially and socially disadvantaged people; provide education and healthcare for the underprivileged; and foster intergenerational bonds in the forms of compassion, empathy, and integration. Moreover, wills grant individuals participation in shaping a better future for forthcoming generations, in addition to alleviating the suffering caused by poverty and striving for self-sufficiency, social care, and education, thereby embodying the economic and social dimensions of sustainable development. Full article

This study explores food insecurity in South Sudan through the lens of young entrepreneurs, revealing insights into understanding the causes, coping strategies, and innovative solutions. Analyzing survey responses reveals a complicated problem linked to poverty, conflict, climate change, and economic instability. We surveyed 19 standout candidates selected from 325 South Sudanese participants from the United Nations Institute for Training and Research (UNITAR’s) hybrid training on entrepreneurship and agribusiness, who successfully passed the assessment criteria to attend a workshop in Hiroshima, Japan, in February 2024. These participants clearly depicted the dire circumstances, with widespread food insecurity, heavy reliance on humanitarian aid, and prevalent malnutrition, especially in conflict-affected regions like Yambio. Conflict, climate shocks, economic instability, and inadequate infrastructure emerged as primary drivers of food insecurity. Despite these challenges, young entrepreneurs express a keen desire to contribute to solutions, advocating for sustainable agriculture, entrepreneurship, and education initiatives. During conflict, coping strategies vary from reducing meal frequency to diversifying diets and engaging in subsistence farming. The innovative solutions proposed include sustainable agricultural practices, value chain development, and technology adoption. The study underscores the urgent need for comprehensive strategies addressing the root causes of food insecurity while empowering communities and young entrepreneurs to foster resilience. Sustained support in youth agri-business capacity building and entrepreneurial skills development, increased agricultural investment, infrastructure enhancement, and targeted youth empowerment initiatives are emphasized. Through collaborative efforts, South Sudan can progress towards achieving resilience and improving food security. Full article