What does a safe (working) environment entail?

In a safe (working) environment, everyone feels safe, welcome, respected and valued. This means that we do not tolerate unacceptable behaviour that negatively impacts the physical and/or mental health of our staff and patients. Unacceptable behaviour means:

  • Abuse of power
  • Exploitation (including the use of sex workers)
  • Abuse of alcohol and other drugs
  • Aggression and violence
  • Harassment / bullying
  • Sexual misconduct
  • Sexual relationships with minors (under 18) and patients
  • Racism and discrimination
Dr. Mohsin tells an elderly patient that he is receiving treatment in our mobile clinic. Pakistan, 2022. © Asim Hafeez, MSF
Hoda El Hefnawi and her colleagues care for displaced people in an abandoned hotel converted into a clinic. Lebanon, 2024. © Maryam Srour, MSF

Maintaining a safe working environment

We work hard to create an organisational culture where everyone behaves responsibly and speaks out against unacceptable behaviour. This allows us not only to prevent unwanted behaviour but also to address it.

Code of conduct

Every staff member of Artsen zonder Grenzen, whether working at headquarters or in countries where Artsen zonder Grenzen operates, signs our Code of Conduct upon employment. This document outlines:

  • the standards for responsible behaviour
  • what constitutes unacceptable behaviour
  • the responsibilities of employees and managers
  • the procedure for reporting complaints about unacceptable behaviour

Our Code of Conduct is public and can be downloaded via the link below.

> Download our Code of Conduct

Training en guidance

We organise regular trainings and workshops to ensure that all staff at Artsen zonder Grenzen understand what is expected of them in terms of good behaviour, how they can contribute to a safe working environment, and how to report unacceptable behaviour. For staff going on their first overseas assignment, responsible behaviour is a standard part of the training.

We ensure that employees in leadership positions are aware of their role and responsibility in creating a safe working environment. They are trained in preventing unacceptable behaviour and handling complaints or reports.

Responsible Behaviour Unit

Our Responsible Behaviour Unit focuses on preventing unacceptable behaviour and follows up on complaints and reports. They are responsible for drawing up the Code of Conduct and the content of training courses and workshops on the Code of Conduct.

Team meetings

Regular team meetings are held for employees at both our offices and at locations where we provide assistance to inform colleagues about how they can deal with unacceptable behaviour that they witness or experience. The aim of these meetings is to raise awareness of responsible behaviour and to inform colleagues about how they can deal with observations or experiences of unacceptable behaviour.

Position of power of aid workers

It is extremely important that our staff are aware that they have a certain position of power over patients and sometimes over each other. We ask them to deal with this in a responsible manner and to behave with integrity and respect. In this way, we also create a safe environment for our patients.

Team treats a cholera outbreak in a camp for internally displaced people.
Our team treats a cholera outbreak in a camp for internally displaced people. South Sudan, 2024. © Isaac Buay, MSF

Culture of open dialogue

At Artsen zonder Grenzen, we encourage a culture of open dialogue where staff feel comfortable to seek advice, set their boundaries, give feedback, and address unacceptable behaviour. This way, we hold ourselves and each other accountable for how we interact with one another.

We also encourage patients and people in the communities where we work to report unacceptable behaviour by Artsen zonder Grenzen staff, so allegations can be properly followed up and/or investigated.

Reporting unacceptable behaviour

Anyone can report unacceptable behaviour by an Artsen zonder Grenzen staff member in projects or offices. Complaints are handled by our Responsible Behavior Unit.

Reporting channels and procedure

Employees have different channels to report unacceptable behaviour, namely:

  • To their direct supervisor
  • To their supervisor’s supervisor
  • To one of the (external) confidantes at the office or in the country where the staff member works (if available)
  • To the Responsible Behavior Unit, via email: rbu@amsterdam.msf.org or Phone/WhatsApp/Telegram: +31 (0)6 2094 1917

After reporting a complaint about unacceptable behaviour, the report is handled by our Responsible Behaviour Unit. The Unit determines if a complaint is admissible and discusses various follow-up options with the complainant. If necessary, the Responsible Behaviour Unit can initiate an investigation or recommend an external investigation. Investigators speak with relevant parties involved and any witnesses and review any other evidence. If there is clear and convincing evidence that the reported unwanted behaviour occurred, the Responsible Behaviour Unit recommends an appropriate sanction for the accused staff member. Sanctions can range from verbal to written warnings, to suspension or dismissal. Dismissal means that the person can no longer work for Artsen zonder Grenzen worldwide.

Protection of Complainants

We aim to remove any possible barriers to reporting unacceptable behaviour. All reports are taken seriously, always treated confidentially and there is no statue of limitations on making a report. Complainants do not have to fear dismissal as a result of a report, and as an organisation, we do everything possible to minimize risks to the personal safety of both the Complainant and the Subject.

Support for Complainants

The safety and well-being of Complainants of unacceptable behaviour are always our top priority. We provide psychological and medical support to Complainants and, if necessary, legal assistance.

Complicating circumstances

We acknowledge that there may be circumstances that prevent individuals from reporting unacceptable behaviour. Someone may fear stigmatization, retaliation, or not being believed. Certain contexts in which we work may exacerbate the fear of reporting, such as conflict areas where the population is heavily dependent on external aid or employment. This is a complex issue, and we strive to create an environment where both patients and staff can, and dare to, safely report unwanted behaviour

Reports in 2024

In 21 cases, investigations were initiated following a complaint:

  • 1 individual received a verbal warning, 6 individuals received a written warning and 8 individuals were dismissed for violating the Code of Conduct. In 1 case, the follow-up of proven violation of the Code of Conduct was referred to management.
  • In 5 cases, investigations did not find clear and convincing evidence that the behavioural rules were violated.

In addition, managers spoke to 31 employees about their performance in response to complaints. In 28 cases, the organisation held conversations with employees to remind them of the behavioural expectations in the workplace and in interactions with colleagues.