ABSTRACT

This chapter presents two cases concerning Médécins sans Frontières (MSF) humanitarian aid provision in Africa in order to illustrate how all three decision-making logics. They are the logic of consequence, the logic of appropriateness, and the logic of the garbage can become part of MSF's daily decision-making dynamics. MSF Holland decided to launch an intervention in a transit camp for refugees, due to the refugee influx into the country. The nutrition levels were still acceptable, MSF Holland decided not to launch a nutritional intervention. The reasons why MSF Holland could not work consequentially consistently also became clear in this case: they saw how limited the operational space was, due to the massive presence of other aid agencies. The chapter discusses the Health Advisor from the Amsterdam office Public Health Department visited the refugee camp and reported an effective operation. It explains the United Nations was preparing to establish a special UN zone in the former war zones of this country.