This includes enhancing grievance channels at all levels of the organisation, and supporting victims and whistle-blowers.

The integrity of our organisation is upheld by the good conduct of each individual staff member, in any location, with full respect for the communities we serve.

We expect all staff to abide by our guiding principles as stipulated in our charter – where our role is to provide assistance to populations in distress, and to respect our professional code of ethics.

For us, this means not tolerating any behaviour from our staff that exploits the vulnerability of others, or of employees taking advantage of their position for personal gain.

We do not tolerate any physical or psychological abuse against individuals, sexual harassment, sexual relations with minors, or any behaviour that does not respect human dignity.

Grievance mechanisms

Procedures, including grievance and whistle-blowing mechanisms, have long been in place to encourage prevention, detection, reporting, and management of all types of misbehaviour, harassment and abuse.

Through these mechanisms, all staff members are encouraged to report inappropriate behaviour or abuse either through their management line or through specific reporting channels, using dedicated email addresses – and outside any hierarchical lines.

Victims or witnesses in the communities where MSF works are likewise encouraged to report misconduct to us so that allegations can be properly addressed.

First step: awareness

A broad awareness campaign has been carried out at MSF for several years to inform all staff of the mechanisms available to them to report abuse. This information is shared through specific communications, including in printed staff manuals, and is conveyed in briefings, field visits and trainings. Specific awareness sessions are also regularly organised at field level. Moreover, e-briefings and learning modules related to behaviour and management of abuse are regularly updated and improved.

MSF places specific importance in protecting victims and whistle-blowers. Our aim is to create an environment where they feel they can safely file complaints, without fearing for their safety, their job, or their confidentiality. This requires consistent attention and dedicated resources, and always remains a work in progress. 

An inappropriate behaviour is one that has an immediate or potential impact on the health or well-being of those involved, on the security of our beneficiaries (patients and their caretakers), or our staff.

Managing cases confidentially

MSF’s first priority when misbehaviour is reported is the safety and health of the potential victims and of the whistle blower. Immediate attention is given to support the victim, which can include providing psychological and medical care, and securing legal support.

MSF aims to ensure that these situations are addressed with the utmost confidentiality, which is crucial for the victims and/or witnesses who consent to the actions MSF will take to investigate allegations. In some cases, inquiries are triggered to establish the facts, take appropriate action, apply sanctions, and identify preventive measures. Consequences for implicated MSF staff can range from official warnings and mandatory trainings, to temporary or definitive termination.

MSF always respects the victim’s decision to bring – or not – a matter to justice. In the event of sexual abuse against minors, MSF’s policy is to report the case to judiciary authorities depending on the child’s best interests and availability of such procedures.

Key challenge: reducing barriers to reporting

Though reports of abuse through our grievance mechanisms are steadily increasing, MSF believes misbehaviour remains underreported today. 

Click to read yearly updates and figures

Report 2019
Report 2020
Report 2021