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Rapid response: Email, immediacy, and medical humanitarianism in Aceh, Indonesia

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  • Grayman, Jesse Hession

Abstract

After more than 20 years of sporadic separatist insurgency, the Free Aceh Movement and the Indonesian government signed an internationally brokered peace agreement in August 2005, just eight months after the Indian Ocean tsunami devastated Aceh's coastal communities. This article presents a medical humanitarian case study based on ethnographic data I collected while working for a large aid agency in post-conflict Aceh from 2005 to 2007. In December 2005, the agency faced the first test of its medical and negotiation capacities to provide psychiatric care to a recently amnestied political prisoner whose erratic behavior upon returning home led to his re-arrest and detention at a district police station. I juxtapose two methodological approaches—an ethnographic content analysis of the agency's email archive and field-based participant-observation—to recount contrasting narrative versions of the event. I use this contrast to illustrate and critique the immediacy of the humanitarian imperative that characterizes the industry. Immediacy is explored as both an urgent moral impulse to assist in a crisis and a form of mediation that seemingly projects neutral and transparent transmission of content. I argue that the sense of immediacy afforded by email enacts and amplifies the humanitarian imperative at the cost of abstracting elite humanitarian actors out of local and moral context. As a result, the management and mediation of this psychiatric case by email produced a bureaucratic model of care that failed to account for complex conditions of chronic political and medical instability on the ground.

Suggested Citation

  • Grayman, Jesse Hession, 2014. "Rapid response: Email, immediacy, and medical humanitarianism in Aceh, Indonesia," Social Science & Medicine, Elsevier, vol. 120(C), pages 334-343.
  • Handle: RePEc:eee:socmed:v:120:y:2014:i:c:p:334-343
    DOI: 10.1016/j.socscimed.2014.04.024
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    References listed on IDEAS

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    1. Panter-Brick, Catherine, 2010. "Conflict, violence, and health: Setting a new interdisciplinary agenda," Social Science & Medicine, Elsevier, vol. 70(1), pages 1-6, January.
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    3. Meliala, Andreasta & Hort, Krishna & Trisnantoro, Laksono, 2013. "Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations," Social Science & Medicine, Elsevier, vol. 82(C), pages 30-34.
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    Cited by:

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    2. Aurélia Lépine & Maria Restuccio & Eric Strobl, 2021. "Can we mitigate the effect of natural disasters on child health? Evidence from the Indian Ocean tsunami in Indonesia," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 432-452, February.

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