Tag Archives: voluntourist

Paying thousands to volunteer abroad & ignoring same opportunities at home

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.”

Also see:

J.K. Rowling speaks out against orphan tourism

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.