
Health Care In Danger is a campaign organized by theInternational Committee of the Red Cross that highlights violent attacks on patients, healthcare workers, and healthcare facilities in conflict zones.[1][2]
The campaign was launched in 2011 with the publication of a report detailing attacks on healthcare facilities and workers and analyzing the health impacts for communities as healthcare workers flee.
Global appreciation about the neutral and impartial role thathumanitarian aid organizations take in situations of armed conflict diminished in the aftermath of theSeptember 11 attacks.[2]
TheInternational Committee of the Red Cross launched theHealth Care In Danger campaign in 2011 with the publication of a report detailing 655[3] attacks on healthcare facilities in sixteen countries, noting them as breaches of theGeneva Conventions.[4]
The report explained how attacks on healthcare facilities and healthcare workers in conflict zones reduced the ability ofhumanitarian aid organizations to deliver humanitarian health services to people with healthcare needs.[3][4] The report included the slogan "Violence against health care must end".[4]
The campaign aimed to improve the delivery of healthcare in conflict zones and other contexts,[5] and to improve protections afforded to health care staff, facilities, and patients, during conflict and other emergencies.[2] It cites examples including how one attack inSomalia prevented 150,000 medical consultations per year, and calculated that the consequences of violence against healthcare workers in theDemocratic Republic of the Congo results in excess mortality of 40,000 people per month.[3] Other examples include the killing of 628 healthcare workers inIraq and the fleeing of 18,000 doctors in the aftermath of theUS-led invasion in 2003.[3]
The report documented that 33% of the attacks were undertaken by armed forces ofsovereign states and 36.9% of attacks were done bynon-state armed groups.[3]NGOs were the target of 34.5% of attacks, 25.6% of targets were locally run healthcare facilities, and 16.8% of targets were part of theRed Cross movement.[3]
The campaign includes workshops between the International Committee of the Red Cross, the Canadian Red Cross, the Iranian Red Crescent, the Norwegian Red Cross, organized to collect ideas to improve the safety and protection of healthcare workers, facilities and patients.[2]
TheHealth Care In Danger campaign leadership reported toThe Lancet in 2020 that there were 611 attacks on healthcare workers and facilities in between 1 February 2020 and 31 July 2020 in the context of theCOVID-19 pandemic.[6] 67% of the 611 incidents were physical attacks on healthcare staff.[6]
Since the 2011 launch of the campaign, which was the first of its kind, other organizations have launched similar campaigns.[7]Médecins Sans Frontières run a comparable campaign calledMedical Care Under Fire andPhysicians for Human Rights document attacks on medical doctors and health facilities during theSyrian civil war.[6] Humanitarian Outcomes compile theAid Worker Security Database, which documentsattacks on humanitarian workers.[6]