Tag Archives: voluntourism

Is trauma while volunteering abroad inevitable?

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graphic representing volunteers performing various service activities.

On one of the many online communities I’m on, one for people interested in serving as Peace Corps members, someone wrote about wanting to serve but also wanting to know what resources there would be “given the unfortunate, yet seemingly inevitable, traumatic experiences” a volunteer is probably going to face.

One of the responses was particularly excellent:

I want to challenge one point: trauma is not inevitable. It’s a dangerous framing to prospective service and sets up a self-fulfilling prophecy. Service is stressful, but it is not always traumatic.

I really liked this response, and the rest of it. I see a lot of people who want to work or volunteer abroad, in developing or post-conflict countries, in humanitarian initiatives, and they say things implying that the worst trauma-inducing events – assault, theft, sexual exploitation, life-altering injury, intense hostility from locals, witnessing violence or extreme, dire poverty – is inevitable.

None of that is inevitable in working or volunteering abroad in humanitarian efforts. It’s not inevitable working or volunteering in your own country. Could any of those circumstances happen to you? Yes – abroad or at home. Does any of that happen? Yes – abroad or at home. But none of it is inevitable.

I do believe in being prepared for The Worst – at home or abroad. It’s why, on the section of my web site about travel, I talk about always having a plan: what would you do if faced with the absolute worst circumstances, and the aftermath, while abroad? Do you know exactly who should call and where you should go if you are in danger or have experienced trauma? As someone who has frequently traveled abroad to not-so-stable countries, I have plans, even for being kidnapped, and have discussed them with loved ones. The likelihood of ever needing to employ those plans is small, but it gives me comfort to know I have a plan.

What’s much more likely when serving abroad: feelings of loneliness and isolation. Feeling that you don’t have an outlet or escape to take a mental health break. I had an Afghan colleague say, “It must be so hard for you here. I have my family to go home to each night. You have nothing.” It was a gut punch because it was true! It was one of the reasons I started going to a coffee shop frequented by expats every Friday: I was spending WAY too much time alone outside of work hours.

What is also much more common is a feeling of helplessness or disillusionment with your service. Realizing that one person really can’t change the world, and that your work may not actually transform the lives of anyone significantly, is not just humbling, it can make you question everything you think about yourself, the work of humanitarians, and, well, all of humanity. It’s a reality check many people that want to work or volunteer abroad aren’t prepared for.

As noted by that aforementioned Reddit poster:

Peace Corps volunteers have to be resilient and develop those self-management tools during service. That is a fundamental requirement when living remotely with limited resources.

This is true of anyone that wants to serve away from home, and especially in another country, even one that is quite peaceful and stable.

The responder goes on to say:

The best thing to do is discover and train your resilience today: Learn coping mechanisms. Develop healthy habits. Be disciplined with your time. Learn to accept what you cannot change and be content with what you can. Set boundaries. Exercise. Learn to maintain a positive attitude. Be selfless. Arguably, this is the most important thing. Service is going to be a path you’ll have to walk alone. It is demanding and mentally challenging, but you have to be strong.

And I second all of this! If you really want to be effective working or volunteering abroad in humanitarian contexts, you can’t assume you have these skills; you have to take a hard look at yourself and how you cope now with stress, strife, frustrations and, indeed, trauma.

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Ending Orphanage Volunteering (Webinar presentation – about 7 minutes)

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Sinet Chan of Cambodia shared her lived experience in a Cambodian orphanage, where she was placed when she was 10 years old after her parents died of AIDS in a presentation, about 7 minutes, that was given as a part of the “Beyond Institutional Care: Rethinking How We Care for Vulnerable Children” conference addressing the issue of care reform.

While at the orphanage, she was “badly neglected.” The orphanage was set up to attract foreign volunteers and donations, but the children rarely benefitted from this – children were denied food, medical care and education. She and other children were forced to do manual labor, and she and other children were regularly raped.

Sinet Chan’s own words are so powerful:

During this time, we had many volunteers and donors coming and going. We would always entertain them, singing them a song, and playing games with them, to encourage them to donate money… the volunteers were nice people trying to help us, but now I realize it was a form of exploitation: using children to generate funding.”

All the other children in the orphanage – they all had parents who were alive and they missed their families… all the coming and going of the volunteers and visitors then compounded our feelings of loss and abandonment. The love and affection we feel from the visitor initially feels nice. Some visitors and volunteers would come for one day, some for a few weeks, and some for six months or more. It was always very traumatic when it was coming time for them to leave. We would be very (unintelligible) and cry a lot. I think it is a trigger memory of the loss and separation we have all suffered already. Having adults coming in and out of our lives feels like we were constantly being abandoned. They would always say they were coming back but, they never come back.

I think the uncomfortable truth behind the reason why white people feel like they need to participate in voluntourism is they have a white savior complex. The white savior complex is caused by the unconscious belief in the incompetence of the people they are trying to help. That belief justifies why they feel they must come and do it for us, like building our house, digging our wells, saving our children…

So, in order to combat voluntourism white people must examine their unconscious bias and learn how to be a white ally instead of a white savior.

You can hear her entire presentation on YouTube:

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The ethics of volunteering abroad during a global pandemic

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I am regularly reading posts and getting emails from unvaccinated young people who want to “get away” from the lockdowns in their own country by volunteering abroad. And these people are stunned that I respond with my very strongly-worded assertion that this is a horrific, selfish idea.

If you are being told by health authorities in your own country that you shouldn’t be gathering with others because it’s not safe, why do you think you should be allowed / approved of to go abroad?

The main office of the Centers for Disease Control and Prevention (CDC) in the USA sent out this tweet at the end of March 2021:

When you’re fully vaccinated for #COVID19, you can start doing some things again, like gathering indoors w/ other fully vaccinated people. Still protect yourself & others in public places – wear a mask, stay at least 6ft apart, & avoid crowds. More: https://bit.ly/3btJaFU.

The CDC’s guidance here goes for volunteering abroad too.

For people who want to volunteer abroad now: please, please note that there is a global pandemic happening right now. As of the end of March 2021, around three million people were counted as having died from diseases associated with the novel coronavirus (2019-nCoV), primarily COVID19, and not only is that death toll probably a gross underestimation, it also doesn’t count the many more who have died because they could not get the medical care they needed because of how many resources have had to be diverted to treating COVID-19. In addition, there is no number regarding how many people have been permanently disabled from the disease.

Travel by non-vaccinated people spreads the disease, and spreads the variants of the disease to new areas. In short, travel by non-vaccinated people kills people. And that includes people traveling abroad to “volunteer” because, you know, lockdowns are such a bummer.

The Peace Corps is NOT sending volunteers abroad right now, both because it wants to keep volunteers safe and because it wants to keep communities abroad safe. There is no ethical, credible volunteer hosting or volunteer sending organization that is mobilizing foreign volunteers and sending them abroad for any roles except for critically-needed services, like medical care or public health education, such as through UN Volunteers.

If you are eying a company that says it is sending volunteers abroad right now to rescue turtles or build water wells or lead English classes, that company is unscrupulous and reckless and just wants your money.

And if I’m looking at candidates for a job and I see on a CV that someone went abroad with one of these companies during a global pandemic, I’m going to put that candidate aside, because no way would I consider someone so reckless for a workplace I’m in charge of.

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know before you go: volunteering by foreigners is illegal in some countries

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I’m one of the moderators of the forum on Reddit – called a subreddit – on volunteering. Most of the questions on that forum are by people looking to volunteer and, often, they are looking to volunteer for a few weeks in another country. This is voluntourism, and anyone who reads this blog regularly knows I’m not fond of the practice: it is vanity volunteering, focused on giving a foreigner a feel-good experience rather than actually helping someone and, in fact, such “volunteering” can actually harm children, wildlife – even the volunteers themselves.

In some countries, volunteering by foreigners is, in fact, illegal. Despite its illegality, some NGOs – which are really for-profit companies – try to recruit foreigners to pay thousands of dollars to come “help” in their communities.

For instance, in most cases, volunteering by foreigners in Indonesia is illegal. The Indonesian immigration police in the country make regular visits to certain communities to check the legal status of people who say they are volunteers and foreigners who say they are being paid to work. You can read a news report from July 2016 about one of the raids on foreign volunteers here.

Bukit Lawang in North Sumatra, Indonesia is a popular tourist destination located on the edge of the Gunung Leuser National Park, a UNESCO World Heritage Site home to numerous bird, plant and mammal species, most famously the Sumatran orangutan (Pongo abelii). Nearby tourist businesses operate jungle treks, transport, tours, and other activities in the area – and field a LOT of questions about wildlife volunteering.

bukitlawang.com has a page about the laws regarding volunteering by foreigners in Indonesia, one that I wish more countries and popular tourism sites had. The Bukit Lawang page says that the main type of foreign visas for the country are the following (the bullets are cut and pasted from the site):

    • visa-free entry permit (received on arrival, free, at the airport) – voluntary work is always illegal

    • visa-on-arrival (paid on arrival at the airport at the cost of $35) – voluntary work is always illegal

    • tourist visa (paid abroad at the cost of around $50) – voluntary work is always illegal

    • social visa (paid abroad at the cost of around $50) – voluntary work is usually illegal. For the voluntary work to be legal, the social visa must have been sponsored (with an accompanying letter) by a registered Indonesian yayasan (charity/foundation) and during the application, the sponsorship letter must state that the foreigner is performing volunteer work for the foundation. A sponsorship letter that merely says something along the lines of ‘I am an Indonesian citizen and I am sponsoring Mr. X to visit Indonesia’ would NOT be valid for volunteer work in Indonesia, it ONLY entitles you to stay in Indonesia for a holiday/family visit, and no kind of work is permitted. A sponsorship letter from an individual, one that is not stamped by a charity/foundation is almost certainly NOT valid for work in Indonesia.

  • KITAS – sponsored by a charity or employer. This costs around $1200 per year (including work permit and visa) and is valid for paid and/or unpaid work of the specified nature at the specified employer.

The page also offers the following throughs about voluntourism. Remember – these are coming from an Indonesia-based organization:

Voluntourism is big business around the globe. In Indonesia specific considerations are:

    • low cost of labour – the minimum wage is around $5/day, and many earn even less. If you emphasise the ‘tourism’ aspect of voluntourism, then it may make sense to spend thousands on your trip, but the ‘volunteer’ element may be lacking.

    • your skills – if you are a young person with no work or life experience unfortunately you may have little to offer except your time. Effective volunteers will have specific skills that are relevant and scarce in a rural developing area.

    • culture differences – Indonesian culture is very different from your own. Communities are interconnected and foreigners are ‘other’. You will also face a language barrier – while those working in tourism will speak English, these are certainly not the people in need of help – those in need are generally far from the tourist areas.

    • transparency – Indonesia does not have a big charity culture; rather, charity is said to begin at home, and the concept of working for free is largely alien. You should therefore check exactly how the goals of the charity or project organiser himself are aligned with those of the charity. Do not be afraid to ask questions. Indonesian staff need money, but they must explain to volunteers exactly how they benefit financially from their charity.

    • safeguarding – Indonesia and other developing countries are open and have few safeguarding policies in place. This means that children can be at risk. If your project is working with children be sure to check about their safeguarding policies

    • effectiveness – be sure that your project is effective in achieving its and your goals. Ask specific questions and look at how results are measured.

  • immigration concerns – your volunteer work is likely to be illegal – see above.

It’s refreshing to see a local institution speak out so strongly against voluntourism and be so explicit about what the law is.

All that said, I should note that it is certainly possible for foreigners to visit Gunung Leuser National Park and see the Sumatran orangutan, something I hope to do myself someday. I learned about it by reading Lone Rider by Elspeth Beard. She’s one of the first women to ride a motorcycle all around the world, doing so back in 1982 – 1984. She wrote about an NGO working in this area, helping to address the huge problem of Indonesians abducting baby orangutans and then wanting to get rid of them when they grow older and are so much harder to care for. Her account of this visit is a good example of transire benefaciendo: “to travel along while doing good” – she didn’t attempt to work at the NGO as a volunteer (which would have been illegal), but she did elevate its work through her book.

I did something similar in Hungary: while camping in Hortobágyi Neuzeti Park, a sea of grasslands, the camp host told us that there was a bird rescue clinic right next door. The next morning, I went there. It turned out the clinic allowed visitors, so we toured, taking photos of their rehabilitation rooms and spaces and getting information, which I translated once we were home so that I could write about the Hortobágy Bird Clinic on my blog. Here is the web site of the clinic as well.

In addition to researching the laws regarding foreign volunteers in a country where you want to go, you should also look at your own country’s laws regarding going elsewhere to volunteer. For instance, Tauqir Sharif, 31, from Walthamstow, England, founded the organization Live Updates from Syria in 2012, providing support and assistance for families in Syria and raising awareness about the devastating situation on the ground. He has been living and working in Idlib, Syria alongside his British wife, Racquell Hayden-Best. He had his UK citizenship revoked in May 2017.
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Paying thousands to volunteer abroad & ignoring same opportunities at home

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Late last year, I did an all-day training for a state fish and wildlife department – a government agency – about how to better engage volunteers: how to better design tasks for a variety of volunteers, to better support volunteers, to better track what they are doing and to recruit – not just recruiting volunteers to get tasks done, but also to recruit in order to reach a variety of communities and people. The people I taught were a mix of biologists and long-time volunteer leaders who had never had training in volunteer management.

(read more about my consulting services and training work)

Before doing this type of intensive, specialized training, I do a lot of research to look at what similar organizations might be doing, trends that the client might want to consider, etc. One of the things that struck me as I was researching state fish and wildlife departments all over the USA was how many activities these agencies have for volunteers that people will pay thousands to go do in another country: building and repairing fish and wildlife habitats, counting wildlife, reporting on habitat conditions and more.

I thought about how this is true of so many other agencies as well: there are nonprofits and government programs all over the USA that will help people learn English, that help refugees navigate their new homes, that help people better understand the risks associated with HIV/AIDS, that help people who have lost their home, that help impoverished women with maternal health and infant care, and on and on – yet, people are willing to pay thousands of dollars for voluntourism experiences that make them feel like they are helping refugees, helping children, helping people at risk, etc., rather than participating in these programs just around the corner – or, at least, in their own country.

I don’t like voluntourism, where people pay money to go to another country and feel like they are helping people or the environment in just a few weeks, and I blog about my distaste frequently. So many – not all, but so many – are scams: a supposed wildlife sanctuary captures wild animals and puts them into enclosures and then sells voluntourism experiences, bringing in foreigners to “help.” A supposed orphanage is full of children who have parents, but the parents are paid to keep their children in the “orphanage” so that foreigners will pay large sums of money to come from overseas and “help.” The organizations take anyone who can pay – they don’t need anyone with actual skills or expertise because, supposedly, no one locally can do this “work”, so they must bring in anyone from abroad with “a good heart.” Sure, there are some worthwhile organizations for short-term volunteering abroad – and I list them on this free resource on my web site. But most are, to me, loathsome.

But I also am puzzled as to why so many nonprofits and government agencies in the USA – and other countries – do such a lousy job of talking about their volunteering opportunities. When I told the state agency I was training that people pay thousands of dollars to go do in, say, Kenya, many of the same volunteering tasks that this state agency struggles to find volunteering activities for, they were stunned. But it’s true!

Have a look at some of those shiny, heart-warming voluntourism sites. I’m not going to link to them here, but trust me, they are easy to find on Google or Bing. Look at photos on their sites, the language they use – look how much fun they make volunteering sound, or how they make volunteering sound like a challenge worthy of traveling thousands of miles for – and paying top dollar to experience. Now look at your organization’s web site: how does your agency talk about volunteers and the activities they do? Don’t oversell your program, but do recognize that any activity that allows volunteers to be outside, to be very physical, or to interact with clients are highly desired by many people. What you may see as just more work to do they may see as an opportunity to make a real difference in a cause they care about deeply.

Here’s more of my advice on volunteer recruitment:

And here’s more of my blogs regarding voluntourism and Westerners going to help abroad:

My voluntourism-related & ethics-related blogs (and how I define scam)

Read more about my consulting services and training work.

Voluntourism is fighting back

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I have voluntourism in my Google Alerts, so that I can get links to press releases, news articles that mention the term. I’m not fond of 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. I look at this growing industry 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, and I see no evidence that this money benefits local people – maybe the people that run the program are “helped”, but not those meant to be helped by the volunteers. I don’t think all pay-to-volunteer schemes are horrid, and I don’t think creating a vacation that has a social or environmental “good” goal (transire benefaciendo) is a bad thing, but I think there are a tremendous number of voluntourism programs out there that aren’t really benefitting communities in the developing world – and some are actually causing harm. I push back to questions about and posts prompting voluntourism on Quora and Reddit, and I’ve been pleased to see more and more people doing the same. That push-back must be working, because now I’m also seeing a lot of voluntourism companies aggressively fighting back on the blogosphere, asserting that their programs are worthwhile (but never offering hard data to prove it).

I’ve been happy to see the tide turning against many forms of voluntourism as people realize that work abroad should make local people the number one priority, not the feel-good experience for a foreign volunteer. For instance, Australian NGOs are refusing to place volunteers in orphanages abroad, because of the exploitation of children, potential harm to children, and lack of any data showing such voluntourism helps children at all.

The UK’s International Citizen Service (ICS), which has placed thousands of young people in volunteer roles around the world, is now under scrutiny: Voluntary Service Overseas (VSO) has taken action against ICS and other members of the UK consortium of organizations providing volunteering opportunities over safety concerns. The UK’s Department for International Development (DFID), according to a report by VSO, regarded ICS as a “high-risk programme due to the security and safety issues” involved.  “ICS safeguarding incidents have included death by drowning of two volunteers, sexual assaults, and the detention of volunteers by local police.” Volunteers live and work in countries where they may be exposed to petty and violent crime, political instability, endemic diseases and natural disasters.

There’s even a growing backlash against medical voluntourism, per reporting by Noelle Sullivan, a member of the faculty in global health studies at Northwestern University, who 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.

It must be taking its toll, because I got a link to a press release about how a certain African “foundation” has hired a PR agency “to change the public perception of medical volunteering or voluntourism.” I’m not going to link to the press release – no free publicity here for a for-profit marketing company. But I had a look at the “foundation”‘s web site. The site is mostly about the gorgeous “luxury” accommodations for volunteers on a game reserve, whcih has an onsite gym, an infinity pool, a private patio “for stargazing,” and nearby opportunities for hiking, mountain biking, golfing, weight training, yoga, abseiling, white river rafting, tubing, kloofing, microlighting, helicopter rides, “and hot air ballooning!” The company can hook volunteers up with wildlife photography tours and photography courses, half day trips to an animal rehabilitation center “featured on National Geographic,” and visits for “pampering yourself at the local spas.” I’m surprised there aren’t workshops provided on how to take the perfect “Look how I’m helping these poor people” selfies… Oh, there is a page or two about the medical services volunteers will squeeze into their busy schedule enjoying all that hiking and hot air ballooning.

Update: a blog from 2015, where animal “help” becomes animal “torture”

“The ‘turtle conservation program’ was shut down after the police came (there is a law in Fiji to protect turtles as they are threatened by extinction). A girl made a… ehh… Let’s say critical Facebook post. I think ‘inhuman’ and ‘animal torture’ were some of the words she used… I’m just glad that I got my money back without any problem because I know about 7 people who had to go to court to get some of their money back because the agencies made a lot of great promises without keeping them. What they offer is not really volunteer work, here they call it voluntourism. A lot of money which doesn’t actually help anybody but just finances the international agencies. I got quite disillusioned about volunteering here. I left the volunteer house as soon as possible and went to a resort. The turtles were set free, but they are probably dead because they have been in the tank for too long and weren’t able to survive anymore. I’m so sorry for them.”

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World Tourism Day 2017

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September 27 is World Tourism Day, as designated by the United Nations. In fact, 2017 is the International Year of Sustainable Tourism for Development. World Tourism Day is meant to foster awareness of the importance of tourism and its social, cultural, political and economic value. The celebration also seeks to highlight tourism’s potential to contribute to reaching the Sustainable Development Goals (SDGs).

The theme of World Tourism Day this year, 2017, is Sustainable Tourism – a Tool for Development. And for my friends in the USA who may not understand: by “development”, they mean community development, economic development, preservation of historical sites while opening them up to tourism, etc.

I’m joining the celebration online by writing this blog that you are reading now, by taking the pledge to #TravelEnjoyRespect and by using the various images and other tools available for free from the United Nations World Tourism Organization in my social media messages today. The images are provided in multiple languages.

I love to travel. I have been privileged enough to travel internationally a great deal, both through my work and for entirely personal reasons. Travel gives me hope in humanity, because of the incredible kindness I experience. Travel gives me a sense of wonder, because of the incredible natural beauty and human-made marvels I see. Travel gives me a sense of brotherhood with all humans, because of the various representations of history I encounter. I want all people to get to experience this, particularly women. And the economic benefits to local communities regarding tourism are real and something I very much want to support.

I created a web page called transire benefaciendo: “to travel along while doing good.” I believe that every traveler has the power to do good on their journey. Here are 14 easy ideas for transire benefaciendo: eating in local restaurants, buying locally-produced products as much as possible (local beer and wine can be AWESOME), being as polite as possible, being quiet in sacred spaces, learning to say “thank you” in the local language as soon as possible, talking with local people about their lives and their work, taking the tour of something truly local (like a local history or local art museum), never paying for something that is endangered or leads to endangered animals (like ivory), never paying to touch a wild animal, refusing to ride elephants, never taking photos of children no matter how cute they are without their parents’ permission, paying appropriate prices for things and not trying to bargain in inappropriate situations/areas with extreme poverty, insisting on throwing away my trash possibly no matter how much a guide says it’s okay to throw it down on the ground, and never defacing anything with graffiti.

Showing respect and interest is appreciated worldwide. It creates a positive image of others from your country and ALL travelers from abroad. Talking with local people can lead to beautiful moments. One of my favorite travel memories is returning to my hotel room in Afghanistan after being away for a week and having the cleaning lady take my hand in the hallway and lead me to my room, so she could show me it had been painted, and have her rub my hands over and over saying, “Welcome! Welcome!”, the only English phrase she knew besides “Good morning.” Refusing to pay to touch wild animals, including riding elephants, encourages people making their living from forcing these animals into such horrible lives to seek other ways of employment. Buying locally-produced items, including food, helps the local economy. It doesn’t seem like much, but it DOES make a difference!

I have some resources for people in developing countries that want to expand their tourism offerings:

Adventure tourism as a tool for economic & community development by me! This is a resource for those that like to explore developing countries / low infrastructure environments, as well as offering more about why I make travel a priority in my life.

Hosting International Volunteers. I’m not crazy about voluntourism, but if you want to host volunteers from other countries, here are things you need to do.

Advice for Budget Hotels, Hostels & Campgrounds in Transitional & Developing Countries: The Qualities of Great, Cheap Accommodations. I love small hotels when I travel. I wish more locals knew how to create a great site.

You can also help promote the day by using these tags in your tweets, Facebook posts, Instagram posts, and other social media posts using these tags:

#WTD2017

#IY2017

#TravelEnjoyRespect

#SDGs

Related blogs:

J.K. Rowling speaks out against orphan tourism

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This, in short, is why I will never retweet appeals that treat poor children as opportunities to enhance Westerners’ CVs. #Voluntourism

J.K. Rowling, author of the Harry Potter books, is no fan of voluntourism, particularly orphan tourism.

Below are screen captures of a series of Tweets she sent about this back in 2016, per someone asking her to retweet an appeal for such volunteers to “help” orphans in another country. It’s followed by the transcript of the tweets in the screen capture, and after that, there are a list of links to more information on the dangers of orphan tourism and where to find legitimate volunteering abroad programs (and how to recognize such).

And be sure to follow her via @jk_rowling:

Transcripts of tweets:

#Voluntourism is one of drivers of family break up in very poor countries. It incentivises ‘orphanages’ that are run as businesses.

The charity I have just been asked to support offers (doubtless well-intentioned) Westerners ‘volunteer experiences’ in child institutions.

One of the advantages listed for your orphanage volunteer experience is that it will give you a CV ‘distinguisher’. #voluntourism

The #voluntourism charity tells volunteers that they will be able to ‘play and interact’ with children ‘in desperate need of affection.

‘

Willingness to cling to strangers is a sign of the profound damage institutions do to children #voluntourism

Globally, poverty is the no. 1 reason that children are institutionalised. Well-intentioned Westerners supporting orphanages…

… perpetuates this highly damaging system and encourages the creation of more institutions as money magnets. #voluntourism

Never forget, 80% of institutionalised children worldwide have close family who want them back. They are not orphans. #Voluntourism

These children and these countries need social care and health systems that keep families together. #Voluntourism

This, in short, is why I will never retweet appeals that treat poor children as opportunities to enhance Westerners’ CVs. #Voluntourism

April 20, 2018 update: Here is a blog by Jasmin Blessing, a UN Volunteer with UN Women in Ecuador. It is a really nice example of what effective volunteering abroad looks like.

More resources:

Medical Voluntourism Can Cause Serious Harm

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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.

Also see “More harm than good? The questionable ethics of medical volunteering and international student placements” by Irmgard Bauer in Tropical Diseases, Travel Medicine and Vaccines, volume 3, Article number: 5 (2017)

April 11, 2018 update: Goats and Soda, a program on National Public Radio about news in the developing world, has an editorial about medical tourism. “Doctors and medical students are flocking to programs where they spend a couple of weeks to months volunteering in what’s called a ‘low-resource’ country. In these places, medical expertise and technology may lag behind richer nations. And sometimes their eagerness to help can have unintended negative consequences.” The official name of such programs is the “short-term clinical experience in global health” — which goes by the clunky acronym of STEGH. These overseas volunteers can end up doing harm: Perhaps a doctor performs a surgery, then goes home. The patient develops complications, and there’s no local health-care worker who can help them. Or maybe the visiting medical professionals offer free care that takes business away from local docs. Medical students might want to try a surgery they wouldn’t be able to do in the U.S. because they haven’t had enough training. Medications that are provided for these docs may be past their expiration date. And students sometimes are oblivious to local customs — say, that women dress modestly or a physician should not touch a patient of the opposite sex. Dr. Lawrence Loh, adjunct professor at the University of Toronto’s Dalla Lana School of Public Health, has researched and published widely over the past decade on the ethics of short-term volunteering abroad. he notes in the article:  “Medical missions, if not conducted with the local community, represent another form of cultural colonialism.” Regarding the problem of trainees overstepping their skill set, he notes, “The golden rule is if you can’t do it in North America, you probably can’t do it over there.” He stresses the importance of having faculty overseeing medical student volunteers. “We need to get away from the idea of parachuting into communities without consulting with local hospitals and clinicians.” The American College of Physicians has issued a position paper on “ethical obligations” for these medical volunteers, both doctors and students. Published in the Annals of Internal Medicine, the paper has been widely praised — but critics have also raised one major concern — no one from the developing world was part of the committee preparing the guidelines. Read the entire editorial about medical tourism here.

November 2019 update: Just found this resource – a 2014 paper, Medical voluntourism in Honduras: ‘Helping’ the poor? by Sharon McLennan of Massey University in New Zealand. It’s based on qualitative research with medical voluntourists in Honduras. The research found that while ostensibly helpful, volunteer tourism in Honduras is often harmful, entrenching paternalism and inequitable relationships; and that many voluntourists are ignorant of the underlying power and privilege issues inherent in voluntourism.” While there are examples of volunteer tourism as both educational and as a form of social action, the paper argues that these are not natural consequences of voluntourism but must be nurtured. As such this paper highlights some implications for practice, noting that addressing the paternalism inherent in much medical voluntourism requires an honest appraisal of the benefits and harm of voluntourism by sending and host organisations, education and consciousness-raising amongst volunteers, and long-term relationship building.

Also see:

The harm of orphanage voluntourism (& wildlife voluntourism as well)

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You see the posts on the subreddit regarding volunteerism, on Craigslist, on Quora, on LinkedIn groups, etc.:

Come provide care, love and attention to orphans! Help provide daily care to these orphans, help prepare meals, help watch over them, help with homework, participate in playtime activities, and be a child’s best friend in Africa… You’ll also be the shining light for the children and bring about a fresh and positive energy in the orphanage. You’ll also play the role of a friend and mentor to the children, turning them into confident individuals capable of believing in themselves. The love and attention that these children get from volunteers will uplift their spirits and put a smile on their faces.

Those are all actual statements combined from two different sites that sell volunteer trips to help orphans.

Think about it: these organizations are claiming that foreigners, who may or may not be appropriate to be around children, who may or may not have any experience working with children, who may not even speak the local language, should come interact with orphans, and that an ever-changing group of foreign volunteers, coming in for a few days or weeks at a time, can somehow transform the lives of vulnerable children. Or wildlife. The only thing those foreign volunteers need is the ability to pay all of their transportation, accommodation costs, and program fees to the trip organizer. No criminal background check, no verifiable, needed skills – just money and will.

There are so many Westerners ready to pay big bucks for these feel-good experiences and all the selfies they can take with third world children that many NGOs have popped up with fake orphanages: the children have parents, but the parents are given small fees by the NGOs for their kids to pretend to be orphans for foreigners.

Friends-International, with the backing of UNICEF, has launched this campaign to end what is known as orphanage tourism. This is from their web site:

Voluntourism can be a program that invites tourists (for a specific fee, or through an NGO directly recruiting), to volunteer at an organization. In most cases, these organizations do not require candidates to have relevant qualifications or previous work experience in social work or childcare. At worst, some organizations do not require or conduct proper background checks of volunteers before placing them in direct contact with children.

And then there is this incendiary report by South African and British academics that focuses on “orphan tourism” in southern Africa and reveals just how destructive these programs can be to local people, especially children. From the report:

The term ‘AIDS orphan tourism’, describes tourist activities consisting of short-term travel to facilities, primarily in sub-Saharan Africa, that involve volunteering as caregivers for ‘AIDS orphans’. Well-to-do tourists enrol for several weeks at a time to build schools, clean and restore river banks, ring birds and other useful activities in mostly poor but exotic settings… Well-to-do tourists enrol for several weeks at a time to build schools, clean and restore river banks, ring birds and other useful activities in mostly poor but exotic settings. AIDS orphan tourism has become a niche market, contributing to the growth of the tourism industry…

As in other countries undergoing social or other changes, non-family residential group care (orphanages) in southern Africa has expanded, perversely driven by the availability of funds for such facilities, and the glamour that media personalities have brought to setting them up. However, many orphanages are not registered with welfare authorities as required by law, and most face funding uncertainties and high staff turnover, making them unstable rather than secure environments for children. Moreover, children taken in by orphanages are usually from desperately poor families rather than orphans – the case of David Banda in Malawi is a case in point.

There is also this May 16, 2016 report from The Guardian that volunteers from the west are fueling the growth of orphanages in Uganda. Voluntourism has been linked to damaging local economies and commodifying vulnerable children. It also can perpetuate harmful stereotypes about the so-called “third world”, while also promoting neo-colonialistic attitudes. There’s also this blog from a person who paid to volunteer in an orphanage, and realized just how unethical it was.

A legitimate NGO serving orphans would never solicit come-one-come-all-as-long-as-you-can-pay volunteers via a general web site like Quora. Rather, they would have a proper, detailed Terms of Reference posted to credible humanitarian recruitment sites, like ReliefWeb or DevelopEx. That post for volunteers would detail the education and experience the volunteer would need to have and details on how the volunteers’ credibility would be investigated. And for legitimate programs, not every applicant would be accepted just because they’ve got the money to pay to the program organizer; in fact, many applicants would be turned away because they lack the necessary skills.

In short: unless a program overseas is recruiting volunteers who have many years of experience working with children, certifications, references and criminal background checks, has a web site that details how its programs are evaluated to show impact of their programs, and has endorsements by well-known international organizations,  stay away from the program. And don’t be Savior Barbie.

As for supposed conservation volunteering in another country: why would legitimate wildlife sanctuaries allow untrained foreigners to work directly with wild(ish) animals for a few weeks? No credible zoo in the USA would ever do that. The Elephant Sanctuary in Tennessee doesn’t let volunteers interact with the elephants! Before you rush off to an animal sanctuary in a foreign country, do a tremendous amount of research to make sure this is truly a sanctuary, not a place that goes out and captures baby animals so that tourists will pay to care for them and have photos with them.

Update: a blog from 2015, where animal “help” becomes animal “torture”

“The ‘turtle conservation program’ was shut down after the police came (there is a law in Fiji to protect turtles as they are threatened by extinction). A girl made a… ehh… Let’s say critical Facebook post. I think ‘inhuman’ and ‘animal torture’ were some of the words she used… I’m just glad that I got my money back without any problem because I know about 7 people who had to go to court to get some of their money back because the agencies made a lot of great promises without keeping them. What they offer is not really volunteer work, here they call it voluntourism. A lot of money which doesn’t actually help anybody but just finances the international agencies. I got quite disillusioned about volunteering here. I left the volunteer house as soon as possible and went to a resort. The turtles were set free, but they are probably dead because they have been in the tank for too long and weren’t able to survive anymore. I’m so sorry for them.”

Update: a voluntourism / orphan tourism company is trying to fight back via Reddit.

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.

October 4, 2017 update: There is a long list of academic and institutional literature regarding international volunteering and orphan tourism, the risks to children, and how to prevent child sexual abuse. Here is an excerpt from one of the publications offered on this list:

Why are so many children placed in orphanages in countries like Nepal?
The initial rise in orphanages in developing countries cannot be attributed to the same
factors. Context specific history, poverty, natural disasters, epidemics (such as AIDS)
and conflicts are all things connected to the global rise in orphanages. However, in most
cases, one of the reasons that their numbers continue to grow is the availability and
willingness of paying orphanage voluntourists and well-intentioned charities that wish to
support orphanages and children’s homes. The funds which these individuals and
charities provide fuel the orphanage business. (Orphanage Trafficking and
Orphanage Voluntourism, Next Generation Nepal, 1 Apr 2014)

Also see: