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Ethics | Collections | MSF Science Portal
Ethics

Ethics

MSF has published dozens of peer-reviewed articles that touch on humanitarianism and ethics. The articles range from rigorous peer-reviewed research on the health of humanitarian workers, to commentaries about the ethics of conducting research in conflict settings, to various approaches on how patients should be treated.

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International Women's Day 2023
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TB Union Conference 2022

TB Union Conference 2022
Innovation in preventing, diagnosing and treating drug-resistant tuberculosis (DR-TB) cannot come fast enough—especially given the ground lost due to the Covid-19 pandemic, and with only 1 in 3 people who have DR-TB now receiving care. The content collection linked below offers a snapshot of recent TB work by MSF and collaborators to help change this picture. The TB-PRACTECAL and endTB studies have delivered clear evidence for shorter, safer, more effective treatments against drug-resistant (DR)-TB. Faced with the many hurdles that lie ahead before these and other critical interventions can be widely accessible, other studies investigate patient/family-based models of care adapted to complex settings and neglected groups, including children. Last, several authors explore limited but potentially important options for expanding diagnosis and preventive treatment.
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TB-PRACTECAL (full collection)

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Journal Article
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Commentary

Mixing methods: How listening to researchers, healthcare workers, and community members can improve the design of studies testing medical innovations for Neglected Tropical Diseases

Erber AC, Ablordey A, Addissie A, Ahortor EK, Burtscher D,  et al.
2025-09-30 • PLOS Neglected Tropical Diseases
2025-09-30 • PLOS Neglected Tropical Diseases
Journal Article
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Review

Dignity-based practice in global health research: a framework of expectations

Bayingana A, Bhakuni H, van de Kamp J, Lariat J, Rathod L,  et al.
2025-09-13 • Lancet Global Health
2025-09-13 • Lancet Global Health
Conference Material
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Video

Application of the Médecins Sans Frontières clinical trial transparency policy: cost analysis of TB-PRACTECAL, a multicentre phase 2–3 trial in drug-resistant tuberculosis

Gotham D
2024-05-16 • MSF Scientific Day International 2024
2024-05-16 • MSF Scientific Day International 2024
Journal Article
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Review

Imperfect relief: Challenges to the impartiality and identity of humanitarian action

DuBois M, Healy S
2024-03-25 • International Review of the Red Cross
2024-03-25 • International Review of the Red Cross
One of the four core humanitarian principles, impartiality's substantive ethical and deeply operational nature directs aid agencies to seek and deliver aid on the basis of non-discrimina...
Journal Article
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Protocol

Responsible exit of humanitarian aid agencies at the end of programmes: a scoping review protocol

Bahati D, Sy H, Kalhor A, Marchal B
2023-08-23 • BMJ Open
2023-08-23 • BMJ Open
INTRODUCTION
In humanitarian settings, aid agencies are constantly challenged by difficult decisions such as when and how to terminate aid without harming the aid recipients, local i...
Journal Article
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Research

Health trajectories of international humanitarian aid workers: growth mixture modelling findings from a prospective cohort study

de Jong K, Martinmäki SE, te Brake H, Komproe IH, Kleber RJ,  et al.
2023-05-17 • BJPsych Open
2023-05-17 • BJPsych Open
BACKGROUND
Most staff stay healthy during humanitarian work, although some worsen. Mean scores on health indicators may be masking individual participants struggling with health...
Journal Article
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Commentary

Striving towards true equity in global health: A checklist for bilateral research partnerships

Hodson DZ, Etoundi YM, Parikh S, Boum Y
2023-01-18 • PLOS Global Public Health
2023-01-18 • PLOS Global Public Health
Interest in “global health” among schools of medicine, public health, and other health disciplines in high-income countries (HIC) continues to rise. Persistent power imbalances, racism, ...
Journal Article
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Research

Ethical guidance or epistemological injustice? The quality and usefulness of ethical guidance for humanitarian workers and agencies

Sheather J, Apunyo R, DuBois M, Khondaker R, Noman A,  et al.
2022-03-16 • BMJ Global Health
2022-03-16 • BMJ Global Health
This paper explores the quality and usefulness of ethical guidance for humanitarian aid workers and their agencies. We focus specifically on public health emergencies, such as COVID-19. ...
Journal Article
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Research

Preparing humanitarians to address ethical problems

McGowan CR, Baxter LM, DuBois M, Sheather J, Khondaker R,  et al.
2020-11-04 • Conflict and Health
2020-11-04 • Conflict and Health
Infectious disease outbreaks represent potentially catastrophic threats to those affected by humanitarian crises. High transmissibility, crowded living conditions, widespread co-morbidit...
Journal Article
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Review

The ethical imperative to relieve suffering for people with tuberculosis by ensuring access to palliative care

Harding R, Snyman L, Ostgathe C, Odell S, Gwyther L
2020-05-01 • International Journal of Tuberculosis and Lung Disease
2020-05-01 • International Journal of Tuberculosis and Lung Disease
Patients diagnosed with tuberculosis (TB) continue to
experience clinical uncertainty and high mortality and to
bear a high burden of symptoms and other concerns.
Addition...
Journal Article
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Commentary

A Médecins Sans Frontières ethics framework for humanitarian innovation

Sheather J, Jobanputra K, Schopper D, Pringle J, Venis S,  et al.
2016-09-06 • PLOS Medicine
2016-09-06 • PLOS Medicine
SUMMARY POINTS

• Humanitarian organisations often have to innovate to deliver health care and aid to populations in complex and volatile contexts.

• Innovation projec...
Journal Article
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Commentary

The Ebola clinical trials: a precedent for research ethics in disasters

Calain P
2016-08-29 • Journal of Medical Ethics
2016-08-29 • Journal of Medical Ethics
The West African Ebola epidemic has set in motion a collective endeavour to conduct accelerated clinical trials, testing unproven but potentially lifesaving interventions in the course o...
Journal Article
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Commentary

Ethics and images of suffering bodies in humanitarian medicine

Calain P
2012-07-27 • Social Science and Medicine
2012-07-27 • Social Science and Medicine
Media representations of suffering bodies from medical humanitarian organisations raise ethical questions, which deserve critical attention for at least three reasons. Firstly, there is ...
Journal Article
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Commentary

Ethics of conducting research in conflict settings

Ford NP, Mills EJ, Zachariah R, Upshur R
2009-07-10 • Conflict and Health
2009-07-10 • Conflict and Health
Humanitarian agencies are increasingly engaged in research in conflict and post-conflict settings. This is justified by the need to improve the quality of assistance provided in these se...