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A new paradigm for military humanitarian medical operations: mission-generic metrics
Stephen G Waller1, Jane B Ward, Miguel Montalvo
1Division of Global Health, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Objective:
We report the history of military humanitarian medical operations, define the current science of process and outcome evaluation, and propose a set of generic metrics for monitoring and evaluation in military humanitarian operations.
Methods:
We comprehensively reviewed the unclassified literature and used our own experiences in military humanitarian activities.
Results:
Our literature review shows that efforts to evaluate the relative quality or cost-effectiveness of military humanitarian missions have been largely unsuccessful. In response to this finding, the authors propose a monitoring and evaluation checklist system with generic metrics, which are broadly applicable but also can be customized specifically for the user.
Conclusions:
Military humanitarian operations can provide substantial security value to their many different stakeholders. Refinement of our proposed mission-generic metrics list is one method to measure performance and relative quality. Better assessment of outcomes can clarify decisions about the utilization of limited military medical humanitarian funds and personnel.
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