In a recent blog hosted by the Scientific American, Noelle Sullivan, a member of the faculty in global health studies at Northwestern University, says her research shows that some people volunteering abroad for a few weeks, or several weeks, to engage in medical “help” for people in developing countries “does indeed cause harm. In fact, the international volunteer placement industry opens the door to potentially disastrous outcomes.”
Empirical data about the medical voluntourism industry is sparse, but Sullivan does have solid data: “I’ve studied medical volunteering in Tanzania since 2011, including over 1,600 hours observing volunteer-patient interactions across six health facilities. I have spoken with more than 200 foreign volunteers in Tanzania, plus conducted formal interviews with 48 foreign volunteers and 90 hosting health professionals.
She notes a variety of voluntourism web sites that invite volunteers with little or no medical training to do invasive procedures abroad, including providing vaccines, pulling teeth, providing male circumcisions, suturing and delivering babies. “Most volunteers I’ve observed deliver at least one baby, despite being unlicensed to do so.”
Her examples in the article are stunning: in Tanzania in 2015, her team encountered a young woman that’s called Mary in her article:
Mary routinely delivered babies unassisted by local midwives because she appeared familiar with the procedure—a skill she said she learned in 2013 on a previous volunteer stint.
Mary violated obstetrics best practices, doing unnecessary episiotomies (cutting the skin between the vaginal opening and anus to make room for the baby’s head) and pulling breech babies (babies positioned bottom instead of head-first in the birth canal). Once routine in obstetrics, current guidelines restrict episiotomy to exceptional cases because they may cause permanent problems for the mother, including incontinence. Meanwhile, pulling breech babies can cause suffocation.
After Mary’s departure, we learned she was not a medical student at all; she was an undergraduate student, unaware of the risks in what she was doing.
Voluntourism – where volunteers pay large amounts of money to go abroad for a few weeks, or even several weeks, to engage in a short-term activity that will give them a sense of helping people, animals or the environment – is a growing industry. I look at most of it with great skepticism in terms of actually helping anyone, because it’s focused on the wants of the volunteer – that feel-good, often highly photogenic experience – not the critical local needs of local people or the environment, and there’s little screening of volunteers – most everyone is taken, so long as they can pay. What these foreigners bring through these voluntourism programs is often not skills, experience or capabilities that cannot be found locally – it’s money.
The End Humanitarian Douchery campaign takes a much stronger stand against voluntourism in any form than I do, drawing attention to the negative consequences such can have for local communities in particular. The campaign organizers offer tips on “how to find a program that will have a truly POSITIVE impact on the host community.” Likewise, ‘Looks good on your CV’: The sociology of voluntourism recruitment in higher education, an academic paper by Colleen McGloin of the University of Wollongong, Australia and Nichole Georgeou, of Australian Catholic University, says that “voluntourism reinforces the dominant paradigm that the poor of developing countries require the help of affluent westerners to induce development. And this article is advice from someone who paid to volunteer abroad – and realized she shouldn’t be. All are worth reading, no matter where you stand on the issue of voluntourism or volunteering abroad.
I do think there are some effective short-term pay-to-volunteer abroad programs, among them Bpeace and Humanist Service Corps. But both of these programs are driven by what local people want, and they do NOT take just any volunteer that can pay.
This is my reality check regarding volunteering abroad, which reviews all the different types of programs. It links to many articles that discuss the dangers of voluntourism programs to local people, and to volunteers themselves, and to quality advice on how to make a real difference abroad.
July 17, 2017 update: Charities and voluntourism fuelling ‘orphanage crisis’ in Haiti, says NGO. At least 30,000 children live in privately-run orphanages in Haiti, but an estimated 80% of the children living in these facilities are not actually orphaned: they have one or more living parent, and almost all have other relatives, according to the Haitian government.
- Promises & Pitfalls of Global Health Volunteering
- The harm of orphanage voluntourism (& wildlife voluntourism as well)
- What effective short-term international volunteering looks like
- voluntourism: use with caution
- In defense of skills over passion
- Vanity Volunteering: all about the volunteer