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Complex, Humanitarian Emergencies: III. Measures of Effectiveness

Published online by Cambridge University Press:  28 June 2012

Frederick M. Burkle Jr.*
Affiliation:
Professor of Pediatrics, Surgery, and Public Health, Chairman, Division of Emergency Medicine, Department of Surgery, John A. Burns School of Medicine, Honolulu, Hawaii
Katherine A.W. McGrady
Affiliation:
Research Staff, Center for Naval Analyses, Alexandria, Virginia
Sandra L. Newett
Affiliation:
Research Staff, Center for Naval Analyses, Alexandria, Virginia
John J. Nelson
Affiliation:
Center for Naval Analyses Representative, First Marine Expeditionary Force, Camp Pendleton, California
Jonathan T. Dworken
Affiliation:
Center for Naval Analyses Representative, Third Marine Expeditionary Force, Okinawa, Japan
William H. Lyerly Jr.
Affiliation:
Bureau for Africa, Agency for International Development, U.S. Department of State, Washington, D.C.
Andrew S. Natsios
Affiliation:
Vice President and Executive Director, World Vision Relief and Development, Inc., Washington, D.C.
Scott R. Lillibridge
Affiliation:
Disaster Assessment and Epidemiology Section, National Center for Environmental Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
*
University of Hawaii, John A. Burns School of Medicine, 1319 Punahou Street, Honolulu, Hawaii 96826USA

Abstract

Complex humanitarian emergencies lack a mechanism to coordinate, communicate, assess, and evaluate response and outcome for the major participants (United Nations, Intenational Committee of the Red Cross, non-governmental organizations and military forces). Success in these emergencies will depend on the ability to accomplish agreed upon measures of effectiveness (MOEs). A recent civil-military humanitarian exercise demonstrated the ability of participants to develop consensus-driven MOEs. These MOEs combined security measures utilized by the military with humanitarian indicators recognized by relief organizations. Measures of effectiveness have the potential to be a unifying disaster management tool and a partial solution to the communication and coordination problems inherent in these complex emergencies.

Type
Special Reports
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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References

1. Office of Foreign Disaster Assistance: OFDA Annual Report FY 1992. Agency for International Development, Washington, D.C., 1992, p 42.Google Scholar
2. Pan American Health Organization: International humanitarian assistance. Disasters: Preparedness and mitigation in the Americas. PAHO 1992;50:17.Google Scholar
3. The Economist: The UN crawls to the rescue. World Press Review 1994; September: 1214.Google Scholar
4. Raisbeck, G: How the choice of measures of effectiveness constrains operational analysis. Interfaces 1979;9:8593.CrossRefGoogle Scholar
5. Dworken, JT: Measures of effectiveness (MOEs) for humanitarian intervention: Restore Hope and beyond. Center for Naval Analyses. Working paper 27, 1993.Google Scholar
6. Nelson, JJ, Newett, SL, McGrady, KAW, Dworken, JT: Emerald Express '94: How the planning process supported humanitarian assistance operations. After Action Report. I MEF, Camp Pendleton, Calif., 1994.Google Scholar
7. Toole, MJ, Foster, S: Famines. In the public health consequences of disasters. Centers for Disease Control Monograph. CDC, Atlanta, Ga., 1989:7989.Google Scholar
8. Miller, R, Glazer, H, Hill, L, et al. : Measures. In: Sweet, R, Metersky, M, Sovereign, M (eds): Command and Control Evaluation Workshop. Naval Postgraduate School, Monterey Calif., January 1985, p 6.16.26.Google Scholar
9. Anderberg, MR: MOEs for drug interdiction: Simple tests expose critical flaws. Center for Naval Analyses. Research Memorandum 91-48, Sept. 1991:1.1–5.5.CrossRefGoogle Scholar
10. Multi-service procedures for foreign humanitarian assistance operations: worldwide coordination. Air Land Sea Application Center, Langley, Va. Final draft, October 1993.Google Scholar
11. Toole, MJ, Makiki, RM: Famine-affected, refugee, and displaced populations: Recommendations for public health issues. MMWR 1992:41:2740:Google Scholar
12. American Red Cross: News Release. ARC National Headquarters, Washington, D.C., June 1994: pp 12.Google Scholar
13. Destexhe, A: Genocide and justice: Letters. Economist. 23 July 1994, p 8.Google Scholar
14. Hunger 1993: Annual Report. Bread for the World, Silver Spring, Md., 1993.Google Scholar
15. Zwi, A, Ugalde, A: Political violence in the third world: A public health issue. Health Policy and Planning 1991;6:203217.CrossRefGoogle Scholar
16. Dennehy, EJ, Doll, WJ, Harper, GP, et al. : A blue helmet combat force. John F. Kennedy School of Government. National Security Program Policy Analysis Paper 93-01.Google Scholar