What's Happening?
Doctors Without Borders (MSF) has provided an update on its 2024-2025 strategy to tackle institutional discrimination and racism within the organization. This initiative focuses on integrating diversity, equity, and inclusion (DEI) principles into daily
communications and fundraising practices to eliminate perceptions of 'white saviorism,' neo-colonialism, and racism. Significant progress has been made, with new tools, resources, and collaborative structures now in place. The Task Force on DEI in Communications and Fundraising concluded its work at the end of 2023, having achieved its main goals. These goals included integrating DEI action points into medical guidelines and policies, implementing a patient/person/community-centered approach in program choices and project designs, and developing shared accountability through relevant indicators for monitoring and evaluation. Ongoing activities include awareness-raising about expected behavior, reporting abuse, briefing and training staff, integrating safeguarding throughout the employment cycle, and strengthening efforts on DEI.
Why It's Important?
This updated DEI strategy is important as it reflects a growing commitment within large international organizations to address systemic issues of discrimination and racism. By actively working to eliminate perceptions of 'white saviorism' and neo-colonialism, MSF is striving to foster more equitable and respectful interactions with the communities and staff it serves. This shift can enhance the effectiveness and legitimacy of humanitarian aid by ensuring that programs are genuinely patient-centered and culturally sensitive. The integration of DEI principles into medical guidelines, policies, and fundraising practices sets a precedent for other non-governmental organizations, potentially influencing broader industry standards. Furthermore, the emphasis on shared accountability and measurable indicators demonstrates a move towards concrete, verifiable progress in DEI efforts, which can lead to more inclusive and effective global health initiatives.
What's Next?
The work on addressing inequities within MSF will continue under a new framework, transitioning from the Core ExCom’s action plan. This new framework covers the entire movement and integrates outstanding objectives into the Strategic Planning, Accountability, and Resource Cycle (SPARC), a multi-year strategic and resource allocation framework guiding MSF’s shared objectives from 2026 to 2031. The collective commitments from the 'MSF We Want to Be' discussion series have been translated into joint priorities and reflected in SPARC and individual entity strategic plans. Dedicated working groups within SPARC are currently developing specific indicator sets for annual reporting, with the first annual report on progress expected in 2027. The scope of public reports is yet to be defined, but the organization's commitment to challenging racism and discrimination and working towards a more equitable MSF remains clear.
Beyond the Headlines
The evolution of MSF's DEI strategy highlights a deeper cultural and ethical shift within the humanitarian sector. The explicit acknowledgment and active combatting of 'white saviorism' and neo-colonialism address long-standing critiques of power imbalances and historical legacies within international aid. This move suggests a re-evaluation of how aid is delivered, emphasizing dignity, agency, and local ownership. By embedding safeguarding measures and patient-centered approaches, MSF is not only improving internal practices but also aiming to build greater trust and effectiveness in its external engagements. This comprehensive approach to DEI, moving beyond mere representation to systemic change, could inspire other global organizations to critically examine their own structures and practices, fostering a more equitable and just global landscape for humanitarian efforts.











