Racial discrimination within United Nations offices in Geneva: Results from an online survey.

Racial discrimination adversely impacts health and well-being, and interferes with organizational functioning, including United Nations offices where limited systematic research exists. This article presents and discusses a secondary analysis of data from the 'Survey on Racial Discrimination' issued by the United Nations Staff Union Geneva in 2020. The survey produced quantitative and qualitative data and was completed by 1251 staff, consultants, and interns (response rate: 14.7%). Descriptive statistics were computed for key findings. More than one third (34.4%) of participants reported having personally experienced racial discrimination. Most reported national origin as basis (61.8%), stated that this experience had affected their opportunities for career advancement (66.2%), and took no action as response (57.4%), mainly due to a lack of trust in the organization's recourse mechanism. In addition, more than one third (34.3%) of survey participants had witnessed colleagues being racially discriminated against. Chi-square tests to assess differences between groups showed that those belonging to a racial, ethnic, and/or national minority or group reported higher rates of personally experienced and witnessed incidents of racial discrimination compared to those who did not identify as such. Furthermore, participants who reported having experienced racial discrimination had a higher proportion of witnessing racial discrimination. The qualitative survey data on suggested measures to address racial discrimination in the workplace were examined through thematic analysis and rendered three overarching themes: Understanding racial discrimination; revising practices of recruitment, promotion, and appointment; and restructuring case management processes. Our results suggest that racial discrimination poses a significant issue within United Nations offices in Geneva and call for educational initiatives and significant structural changes. We recommend tailored research to inform these measures and highlight that committed leadership and the participation and vigilance of all involved in shaping the culture of the organization is needed to address racial discrimination in the workplace.

Living with transience in high-risk humanitarian spaces: the gendered experiences of international staff and policy implications for building resilience.

Deployment in a crisis zone is a perilous undertaking. Little is known right now about how humanitarian workers relate social and professional goals to lived experiences of high-risk environments. In South Sudan, ranked as the most dangerous country globally for aid workers, 20 international humanitarian staff were interviewed to examine their sense of place, well-being, and vocation, using thematic and interpretative phenomenological analysis. Subjectivities of humanitarian space hinged upon negotiating physical hardships and social relationships: Juba, the capital, was described as a 'prison' and a 'party hotspot'. For expatriate staff, making sense of spatial, social, and professional transience was sharply gendered and rooted in the subjectivities of risk-taking, crisis management, and career-building. Two policy measures are highlighted here to address the implications of transience for human well-being and organisational effectiveness. Efforts to support teams and structure work environments, altering the humanitarian and vocational bubble, will help to develop resilience at the heart of humanitarian systems.

Factors associated with common mental health problems of humanitarian workers in South Sudan.

BACKGROUND: The latest data on major attacks against civilian aid operations have identified South Sudan as the most dangerous country for aid workers globally. Exposure to other traumatic events and chronic stress is also common in this population. No research exists on the mental health of humanitarian workers in South Sudan. OBJECTIVES: This study examined symptom burden and predictors of posttraumatic stress disorder (PTSD), depression, anxiety, hazardous alcohol consumption, and burnout among humanitarian workers in South Sudan. METHOD: We conducted a cross-sectional online survey with humanitarian workers (national and international staff, consultants, United Nations volunteers). We applied validated measures useful for this setting. We applied Least Absolute Shrinkage and Selection Operator (LASSO) regression to fit models with high prediction accuracy for each outcome and used ordinary least squares (OLS) regression to obtain final coefficients and perform inference. RESULTS: A total of 277 humanitarian workers employed by 45 organizations completed the survey (a response rate in the order of 10%). We estimated prevalence of PTSD (24%), depression (39%), anxiety disorder (38%), hazardous alcohol consumption in men (35%) and women (36%), and the burnout components emotional exhaustion (24%) and depersonalization (19%). Chronic stress exposure was positively associated with PTSD (p < .001), depression (p < .001), anxiety (p < .001), emotional exhaustion (p < .01), and depersonalization (p < .001). We found no significant association between emotion focused and problem focused coping and mental health outcomes. Associations between dysfunctional coping and depression (p < .001) and anxiety (p < .01) were positive. Higher levels of spirituality were associated with lower risk of hazardous alcohol consumption (p < .001). Contrary to expectations, working directly with humanitarian aid beneficiaries was significantly associated with lower risk for emotional exhaustion (p < .01). CONCLUSION: Our results suggest that humanitarian workers in South Sudan experience substantial levels of mental ill-health. This study points to the need for staff support strategies that effectively mitigate humanitarian workers' chronic stress exposure. The dynamics between coping and mental health among humanitarian workers require further study.

Trauma-related mental health problems among national humanitarian staff: a systematic review of the literature.

BACKGROUND: Working in humanitarian crisis situations is dangerous. National humanitarian staff in particular face the risk of primary and secondary trauma exposure which can lead to mental health problems. Despite this, research on the mental health of national staff is scarce, and a systematic analysis of up-to-date findings has not been undertaken yet. OBJECTIVE: This article reviews the available literature on trauma-related mental health problems among national humanitarian staff. It focuses on the prevalence of selected mental health problems in relation to reference groups; sex and/or gender as predictive factors of mental health problems; and the influence of organization types on mental health problems. METHOD: Three databases were systematically searched for relevant studies published in the English language in peer-reviewed journals. RESULTS: Fourteen articles matched the inclusion criteria. Findings suggest that national staff experience mental health problems and the prevalence of posttraumatic stress disorder, depression, and anxiety among this occupation group is mostly similar to or higher than among reference groups. Research on both substance use disorder and suicidal behavior among national staff is particularly scarce. The relation between sex and/or gender and mental health problems among national staff appears to be complex, and organizational staff support seems to be an important determinant for mental health. CONCLUSION: All findings call for increased attention from the humanitarian community and further research on the topic.