The elephant in the room: collaboration and competition among relief organizations during high-profile disasters.

Italo Subbarao, Matthew K. Wynia, Frederick M. Burkle

Research output: Contribution to journalArticle


The non-governmental organizations (NGOs) that assume the bulk of emergency care during large-scale disasters in the developing world must expend considerable time and resources to ensure donations to sustain their field operations. This long-standing dilemma for the humanitarian community can create a competitive environment that: Compromises the delivery and quality of services, Allows the effectiveness of operations to be compromised by a lack of cooperation and collaboration, Disrupts the timely and accurate coordination and analysis of outcome measures that are crucial to successful response in the future, and Undermines the long-term capacity of indigenous aid organizations. This article addresses problems and potential solutions for improved coordination and long-term capacity-building of humanitarian aid.

Original languageEnglish (US)
Pages (from-to)328-334
Number of pages7
JournalThe Journal of clinical ethics
Issue number4
Publication statusPublished - Dec 2010
Externally publishedYes


ASJC Scopus subject areas

  • Health Policy
  • Issues, ethics and legal aspects
  • Health(social science)

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