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Do No Harm in Global Health Engagement
Sayed Alam Shinwari1,2, Carolyn Currie1, Joshua Kumpf1,2
1Center for Global Health Engagement, Uniformed Services University, Bethesda, MD 20814, USA.
Military Medicine
|May 21, 2024
Summary
This study explores the "Do No Harm" principle in U.S. military global health engagement (GHE). It identifies challenges and mitigation strategies for preventing unintended harm in health initiatives.
Area of Science:
- Global Health
- Military Medicine
- International Relations
Background:
- The U.S. military engages in Global Health Engagement (GHE) worldwide.
- Ethical considerations, including the "Do No Harm" principle, are crucial in GHE.
- Military practitioners face unique challenges, such as dual loyalty, in GHE.
Purpose of the Study:
- To examine the "Do No Harm" principle within Department of Defense (DoD) GHE.
- To identify potential positive and negative consequences of health investments in GHE.
- To explore methods for mitigating unintended harm in DoD GHE activities.
Main Methods:
- Literature review of ethical principles in global health.
- Analysis of case studies related to DoD GHE.
- Discussion of challenges faced by military GHE practitioners.
Main Results:
- GHE activities can have both beneficial and detrimental effects.
- Unintentional harm is a significant concern in global health interventions.
- Dual loyalty presents ethical dilemmas for military health professionals.
Conclusions:
- Adherence to the "Do No Harm" principle is essential for effective and ethical GHE.
- Proactive strategies are needed to anticipate and mitigate potential harms.
- Further research is required to refine best practices in military global health.
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