The legal basis for the protection of humanitarian workers in armed conflicts is contained in the Geneva Conventions of 1949 and the related Protocols I and II of 1977. These treaties outline the rights and obligations of non-combatants who fulfill the criteria of protected persons during armed conflicts. These rights include the right to be treated humanely; to have access to food, water, shelter, medical treatment, and communications; to be free from violence to life and person, hostage taking, and humiliating or degrading treatment; and the prohibition against collective punishment or imprisonment. Protected persons include citizens and nationals of countries that are not a party to the conflict, except if such persons happens to be in the territory of a belligerent power, which maintains diplomatic relations with their home states.

While the Geneva Conventions guarantee protection for humanitarian workers, they do not guarantee access of humanitarian workers to affected areas: governments or occupying forces may, if they wish, ban a relief agency from working in their area. Médecins Sans Frontières was created in 1971 with the express purpose of ignoring this restriction, by providing assistance to populations affected by the Biafran civil war despite the prohibitions of the government of Nigeria.

In addition, the Geneva Conventions do not require that parties to the conflict guarantee the safety of humanitarian workers. The Conventions prohibit combatants from attacking protected persons, and they require occupying forces to maintain general order. However, the Conventions do not require that combating parties provide security escorts, for example, when other factions threaten the safety of protected persons operating in their area.

In 2003, the United Nations Security Council passed Resolution 1502 giving greater protection to humanitarian workers and treating attacks on them as a war crime. ICRC promotes a framework for Neutral Independent Humanitarian Action (NIHA) to enable differentiated role understanding.

The method of targeting foreigners through suicide bombings, IEDs and kidnappings (often closely associated with criminal and political actors) is strong evidence of at least some political motivations against aid workers.^[6] It is very hard often to precisely ascertain a motive; for instance, in 55% of the incidents recorded by the AWSD in 2008, the motive was described as ‘undetermined’.^[6] However, of those that were determined, political motivations have increased (29% of the determined total in 2003 to 49% in 2008) relative to economic motivations, or when the victim's status as an aid worker was only incidental.^[6] Afghanistan, as one of the most dangerous countries for humanitarian workers to operate in is influential in this changing dynamic; in 2007 61% of incidents were carried out by criminals and 39% by political opposition groups, but in 2008, 65% of incidents were the work of armed opposition groups.^[6]

Aid workers can be targeted for political reasons both directly and by association.^[6] Sometimes the humanitarian organisation may be targeted for something that it has done or a statement it has made, or simply for the delivery of aid to a population, to whom others do not wish aid to reach.^[6] It can also be targeted as a result of being associated as an entity collaborating with the 'enemy' (a government, rebel group or foreign power).^[6] The dangers of being associated with specific governments or armed forces have further increased the determination of aid workers to be seen as separate, independent and neutral politically.^[6] However, evidence shows that this has little impact and instead that western aid agencies are perceived as an intrinsic part of the western 'agenda' and not merely associated with it.^[6] In the case of Afghanistan, with the notable exception of the International Committee of the Red Cross, it has been surmised that locals no longer make distinctions (as they once did) between organisations, e.g. those were working with the coalition force's Provincial Reconstruction Teams and those that did not.^[6] In remote areas, they sometimes represent the only accessible western target.^[6] Although empirical studies on aid worker insecurity have been scarce, two have been conducted in Afghanistan. Watts (2004)^[7] did not find evidence indicating heightened aid worker insecurity in provinces where the US military was present. Similarly, Mitchell (2015)^[8] was unable to discover a relationship between attacks against NGOs and their proximity to the US military or US-led PRTs respectively; however, his study did reveal that aid workers were more likely to encounter a greater number of security incidents in provinces with PRTs not led by the US.

• Wars between states became much less common in the period following the end of the Cold War. Unfortunately, these wars have been largely replaced by an increased incidence of internal conflict and resulting violence and miscommunication, increasing the risk to civilians and humanitarian workers alike.
• Most deaths of aid workers are due to deliberate violence.
• One-third of deaths occur in the first three months of deployment, with 17% occurring within the first 30 days.^[9]
• Since 2006, violence is once again on the increase and growth in the number of incidents is faster than the growth in the number of humanitarian aid workers.^[6]

Among all attacks, those on health care are numerous. Hospitals, clinics and ambulances are attacked and health workers are injured or killed. As to the Safeguarding Health in Conflict Coalition initiative there have been 973 attacks on health in 23 countries in 2018.^[10] Attacks usually either target wounded and sick individuals, health personnel, facilities or medical transport; facilities or medical emblems are misused.^[11] These attacks have a negative impact on the overall delivery of health care. Despite the immediate effects of deaths, injuries and the destruction of facilities, the long-term effects are often even more severe. Already weakened health systems, due to present conflicts, get targeted. That can lead to the collapse of entire health systems that are urgently needed in conflicts. The health systems are unable to cope with the situation, people have no access to health care and long-term public health goals are almost impossible to achieve.^[12] Many facilities have to close after attacks, hospitals run out of supplies and health projects, like vaccination campaigns, come to halt. Additionally, staff leave their posts, flee the region or country and international organizations withdraw their staff and/ or close projects.^[13] The general access to health facilities and care is restricted for people in need. The number of people affected indirectly is therefore even higher than the actual number of victims. Moreover, attacks have a negative impact on the psychological well-being of staff and affect their motivation as well as the quality of care provided by them.^[14]

A full downloadable list of major incidents, from 1997–present, of violence against aid workers, can be found at Humanitarian Outcomes' Aid Worker Security Database.^[15]

1964 edit

• Democratic Republic of the Congo – Jean Plicque (ILO) and Francois Preziosi (UNHCR) were killed by rebels.^[16]

1993 edit

• Somalia – January 2 - A gunman killed Sean Devreaux, a British worker for UNICEF in Kismayu.^[17]
• Somalia – February 22 - Gunmen killed Valerie Place, an Irish nurse with the charity Concern.^[18]
• Bosnia and Herzegovina – January 27 – ODA / UNHCR aid worker Paul Goodall was shot and killed after a hijacking in Zenica
• Bosnia and Herzegovina – July 5 – Scottish aid worker Christine Witcutt was shot and killed by a sniper in Sarajevo.^[19][20]
• Bosnia and Herzegovina – October 25 – Danish aid worker Bjarne Vium Nielsen was killed in an attack on a humanitarian aid convoy.^[21][22]

1996 edit

• Burundi – June 4 – Three ICRC delegates were killed in an attack on two vehicles on the road between the villages of Rugombo and Mugina in Cibitoke Province, resulting in a withdrawal of the ICRC from Burundi.^[23]
• Novye Atagi, Chechnya – December 17 – Six ICRC workers were killed in an attack on the local hospital. As a result, ICRC withdrew all expatriate staff from Chechnya.^[24]
• Guatemala, 1996 – One Costa Rican Salvation Army officer was attacked by demobilized guerrilla members while transporting a senior citizen with a broken leg to the hospital. The vehicle was taken.

1997 edit

• Somaliland region, Somalia – November 23 – The UN negotiated with clan elders for the release of five kidnapped aid workers.
• Mogadishu, Somalia – November 26 – All foreign aid workers withdrew from the city following the abduction of two Italian aid workers.
• Guatemala – 1997 – When returning from a mission, a Costa Rican Salvation Army officer was abducted by gunmen and held hostage for a short time. The vehicle was taken.

1998 edit

• Somalia – April 21 – 10 aid workers were held hostage.
• Bujumbura, Burundi – June 10 – A Danish aid worker was killed by car thieves.
• Sudan – June 10 – Three Sudanese UN staff were killed and three wounded when gunmen opened fire on a UN vehicle.
• Arua, Rwanda – July 10 – A Ugandan driver for the UN World Food Programme (WFP) was killed by rebels.
• Bujumbura, Burundi – July 24 – An Italian World Food Programme (WFP) staff member was killed.
• Republic of the Congo – November – Major Eugene Nsingani of The Salvation Army was gunned down and killed along with five others on a peace mission .

1999 edit

• South Sudan – January 4 – Four ICRC staff were killed by the SPLA
• Somalia – January 27 – A Kenyan aid worker was killed by gunmen.
• Lesotho – February 4 – Irish aid worker Ken Hickley was robbed and murdered.
• Bundibugyo, Uganda – April 23 – Many aid workers fled the area to avoid attacks by the Allied Democratic Forces.
• Belgrade, Serbia – May 26 – Three aid workers were put on trial for spying.
• Angola – June 15 – Two aid workers were killed when gunmen ambushed and robbed them.
• Tajikistan – October 2 – A French aid worker was killed.

2000 edit

• Balad, Somalia – January 3 – A local CARE staff was shot dead in an ambush.
• North of Mogadishu, Somalia – January 4 – A CARE worker was shot dead in an ambush.
• Sudan – January 9 – Two CARE staff were killed and 2 went missing after an ambush.
• Somalia – January 31 – Attacks on a convoy of aid vehicles left 20 people dead.
• Ethiopia – February 9 – A medical organisation suspended operations in parts of Ethiopia after the killing of a staff member.
• Ambon, Indonesia – May 22 – Foreign aid workers pulled out of the island to escape growing inter-communal violence.
• Sierra Leone – June 19 – British aid worker Alan Smith was freed after being held for one month by rebels.
• Baghdad, Iraq – June 28 – Two FAO workers were shot and killed.
• South Sudan – August 6 – Eight aid workers were killed when their vehicle was attacked near the border with Uganda.
• Atambua, Belu Regency, West Timor, Indonesia – September 6 – Five UNHCR staff members, Samson Aregahegn (Supply Officer); Carlos Caceres-Collazo (Protection Officer); and Pero Simundza (Telecommunications Operator) and two Indonesians were killed when their office was attacked by militia.
• Macenta, Guinea – September 17 – Killing of one UNHCR staff member and the abduction of another.
• Guinea – December 7 – Hundreds of people were killed after rebels destroyed a UNHCR centre.
• Afghanistan – December 9 – Seven people working for the UN mine clearance programme were killed in an ambush.
• Aceh, Indonesia – December 10 – Three aid workers were killed.
• Burundi – December 30 – A British voluntary worker was one of 20 people killed by gunmen.
• Kigali, Rwanda – March 2 - A Liberian Voluntary Humanitarian Samuel W. Sargbah was killed in his car

2001 edit

• Democratic Republic of Congo – February 27 – Six ICRC staff were killed.
• Mogadishu, Somalia – March 27 – The MSF compound was attacked by gunmen.
• Alkhan-Kala, Chechnya – April 18 – Aid worker Viktor Popkov was fatally wounded and two others injured in a shooting attack.
• Tajikistan – June 16 – Kidnappers asked for the release of detained militants after taking a group of aid workers hostage.
• Banda Aceh, Indonesia – October 4 – Three people, including a Red Cross worker who had been tortured, were killed.
• Afghanistan – November 15 – Eight western aid workers were released after three months of captivity by Taliban.

2002 edit

• Mogadishu, Somalia – February 23 – A Swiss woman who ran a small aid agency was shot dead.
• Mogadishu, Somalia – February 28 – A Somali UN worker was kidnapped hours after the region was declared too dangerous for permanent UN presence.
• Dagestan - August 12 - A Dutch MSF worker was abducted in Makhachkala. He was released 20 months later.^[25]

2003 edit

• Gaza Strip – March 16 – Rachel Corrie an American member of ISM was killed by an Israel Defense Forces (IDF) bulldozer when attempting to prevent the demolition of a Palestinian's home.
• Gaza Strip - April 11 - Tom Hurndall was a British photography student and member of ISM who was killed by an IDF sniper. Hurndall was left in a coma and died nine months later. His killer Taysir Hayb was sentenced to eight years imprisonment for manslaughter and obstruction of justice but was released after serving six and a half years of his sentence.
• Baghdad, Iraq – August 19 – The bombing of the UN Headquarters at the Canal Hotel killed at least 24 people including UN Special Representative for Iraq Sérgio Vieira de Mello and wounded over 100.
• Baghdad, Iraq – October 27 – An attack on the ICRC building killed at least 12 people.
• Ghazni, Afghanistan – November 16 – UNHCR staff person Bettina Goislard was shot dead by a motorcycle-borne gunman while travelling by car.
• Kandahar, Afghanistan – March 24 – ICRC staff member Ricardo Munguia was shot and killed in an ambush north of Kandahar. He was working as a water engineer in Afghanistan and travelling with local colleague when their car was stopped by unknown armed men. He was killed execution-style at point-blank range while his colleagues were allowed to escape. The killing prompted the ICRC to temporarily suspend operations across Afghanistan.^[26]

2004 edit

• Kabul, Afghanistan – February 26 – Five Afghans working for the Sanayee Development Foundation were killed when their vehicle was ambushed northeast of Kabul.
• Mosul, Iraq – March 15 – Larry Elliott, Jean Dover Elliott, Karen Denise Watson, and David McDonnall were killed in a drive-by shooting. They were US missionaries for Southern Baptist International Mission Board.
• Kandahar , Afghanistan – April 28 – Two Afghan aid workers and a soldier were killed in an attack in the Panjwayi district of Kandahar .
• Badghis Province, Afghanistan – June 2 – Five staff working for Médecins Sans Frontières were killed on the road between Khairkhana and Qala e Naw, resulting in the complete withdrawal of MSF from Afghanistan. The names of the murdered staff were: Hélène de Beir, Willem Kwint, Egil Tynaes, Fasil Ahmad and Besmillah.
• North Darfur, Sudan – October 10 – A Save the Children vehicle was hit by an anti-tank landmine in the Um Barro area. Two members of staff travelling in the vehicle were killed, namely Rafe Bullick (British, Programme Manager, North Darfur) and Nourredine Issa Tayeb (Sudanese, Water Engineer).

2005 edit

• Baghdad, Iraq – April 16 – Marla Ruzicka, founder of the Center for Civilians in Conflict (CIVIC), and her Iraqi translator, Faiz Ali Salim, was killed by a suicide car bombing on Airport Road.
• South Sudan – November 5 – Collin Lee, who worked for International Aid Services died when his jeep, containing his wife and driver, was ambushed by the LRA.

2006 edit

• Vavuniya, Sri Lanka – May 15 – An employee of the Norwegian Refugee Council was shot dead on his way back from work.
• Muttur, Sri Lanka – August 6 – 17 workers from the aid group Action Against Hunger were found murdered. They were working on post-2004 tsunami reconstruction. There had been fierce fighting in the area for more than a week. (See Muttur massacre.)

2007 edit

• 2007 Mogadishu TransAVIAexport Airlines Il-76 crash
• Darfur – between 1 January 2006 and 31 August 2007 – A total of 12 humanitarian workers were killed, including four working for the Sudanese government's water project.
• Colombo, Sri Lanka – June 3 – Two Red cross workers were abducted and murdered.
• El Bared refugee camp, Lebanon – June 11 – Two Lebanese Red Cross workers were killed and a third wounded.[2]
• South Sudan – A driver of the World Food Program was killed in an ambush.
• Central African Republic – June 11 – An MSF logistician was killed when her car was hit by gunfire during an assessment mission near Paoua [3].
• Algeria – 11 December – 10 United Nations staff died in a double car bombing in the capital, Algiers, which killed at least 26 people and injured 177.
• Somalia – December 26 – A nurse and a doctor working for MSF in Bossaso were abducted. After one week, they were released [4].
• Burundi – December 31 – An Action Against Hunger vehicle was targeted by shooters in Ruyigi. Five people, including three female expatriate staff of Action Against Hunger, were inside the vehicle. One of them, a French psychologist, died upon arrival at the hospital in Gitega as a result of her injuries. The second victim suffered a gunshot wound. The third expatriate escaped uninjured.

2008 edit

• Kabul, Afghanistan – January 14 – Six people, including at least one aid worker from the USA named Thor Hesla, were killed in an attack on the Serena Hotel.
• Kandahar, Afghanistan – January 26 – An aid worker and her Afghan driver were kidnapped and presumed dead.
• Kismayo, Somalia – January 28 – A surgeon, a logistician and a driver working for Médecins Sans Frontières (MSF) were killed when their convoy was attacked between the hospital and their base [5].
• Chad - May 1 - The country director of Save the Children UK was shot dead when his car was attacked near Hadjer Hadid [6].
• Colombo, Sri Lanka – May 16 – A Batticaloa-based employee of the Norwegian Refugee Council was abducted while visiting the capital and disappeared, presumed dead.
• Arusha, Tanzania – June 30 – An Australian working with the nonprofit organisation foodwatershelter was killed during a robbery.
• Logar Province, Afghanistan – August 13 – Three female International Rescue Committee (IRC) workers and their local driver were killed in an ambush as they drove back to Kabul. One was an American national.
• Somali Region, Ethiopia - September 22 - A nurse and a doctor working for Medecins du Monde were kidnapped in Fadhigaradle village and taken across the border to Somalia. They were released 4 months later [7].
• Merka, Somalia – October 17 – A senior programme assistant for the World Food Programme (WFP) was shot and killed as he left a mosque.
• Kabul, Afghanistan – October 20 – An aid worker with SERVE Afghanistan was killed as she walked to work.
• Gurilel, Somalia – October 25 – A local worker with the aid agency Iida was killed as she returned from work.

2009 edit

• Yemen - Several aid workers were kidnapped.^[27]
• Two Chechen aid workers were kidnapped and murdered.^[28]
• Bakool, Somalia - April 19 - Two MSF doctors were kidnapped and released 9 days later [8].
• An Irish charity worker was killed during a mugging in Zanzibar, Tanzania.^[29]
• Chad - August 4 - A logistician working for MSF and his Chadian assistant were kidnapped in Ade. The Chadian was freed soon afterwards while the logistician was released a month later [9].
• Pakistan – 5 October - 3 United Nations staff killed in a suicide bombing attack against the office of the World Food Programme in the capital city Islamabad.
• West Darfur, Sudan - October 22 - A French ICRC delegate was kidnapped and released after 5 months [10].
• Afghanistan - 28 October - 5 United Nations staff, two Afghan security personnel, and an Afghan civilian were killed by three Taliban attackers in an assault on the Bekhtar Guesthouse in Kabul. Nine other UN staff, also there working for the presidential election, were wounded.^[30]
• Birao, Central African Republic - November 22 - Two French aid workers employed by Triangle Generation Humanitaire are kidnapped and held for 4 months before being freed in Darfur [11].

2010 edit

• Gaza Strip - 31 May - The Israeli navy killed 9 members of the "Gaza Freedom Flotilla" attempting to bring aid to the Gaza Strip and breach the Israeli naval blockade. The Gaza flotilla raid caused worldwide controversy.^[31][32]
• Abéché, Chad - June 6 - A logistician working for Oxfam GB was kidnapped. He was rescued 10 days later by security forces near the border with Sudan [12].
• Afghanistan - 7 August - 10 men and women who were working for a Christian aid agency were murdered by the Taliban. Two Afghan interpreters, six Americans, a British woman and a German woman who had been running an eye clinic in the country died of gunshot wounds. Sabjullah Mujaheed, a Taliban spokesman, said later that they had been killed because they were missionaries and spies for the United States.^[33]

2011 edit

• Nigeria - 26 August - the United Nations Headquarters in Abuja was attacked by a suicide car bomber, killing at least 18 people, injuring dozens, and causing massive devastation to the building itself. Boko Haram claimed responsibility.^[34]
• Syria - 7 September - An attack on an ambulance by unknown assailants injured three rescuers and the wounded patient it was transporting in Homs, one of the rescuers, Hakam Drak Sibai, died due to his wounds.^[35][36]
• Somalia - 23 December - 2 United Nations aid workers and a 3rd colleague were shot to death in Mataban, Hiran. The UN workers, who worked specifically for the World Food Program, had been monitoring the distribution of food and camps for internally displaced peoples. United Nations operations in Mataban were temporarily suspended.^[37]
• Mogadishu, Somalia - December 29 - A doctor and a logistician working for MSF were shot to death in their compound [13].
• Dadaab, Kenya: Two Spanish women who worked for Médecins sans Frontières were kidnapped by gunmen^[38] and released in July 2013.

2013 edit

• Aleppo, Syria: A worker for Support to Life, Kayla Mueller, was kidnapped by ISIS and killed in 2015.

2014 edit

• Afghanistan: Two Finnish aid workers with the International Assistance Mission, a Christian medical charity, were shot and killed in Herat by two men on motorbikes. The women were in a taxi when shot.^[39]
• Syria: British aid worker David Cawthorne Haines was kidnapped near the Atmeh refugee camp in Idlib Province near the Turkish border.^[40] He was seized along with an Italian aid worker and two Syrians who were later freed.^[40] Haines was apparently executed by a member of the Islamic State of Iraq and the Levant called Mohammed Emwazi, in September 2014.^[41]
• Ukraine: An ICRC worker was killed by a shell in Donetsk.

2015 edit

• Afghanistan - October 30 - The Kunduz hospital airstrike by the United States military killed 42 Médecins Sans Frontières staff and patients.^[42]

2016 edit

• Syria: Around twenty civilians and one SARC staff member were killed, as they were unloading trucks carrying vital humanitarian aid. Much of the aid was destroyed.^[43]
• Nigeria: A humanitarian convoy was attacked in Borno State and a UNICEF worker was injured.^[44]
• Afghanistan: Five Emiratis (Mohammed Ali Zainal Al Bastaki, Abdullah Mohammed Essa Obaid Al Kaabi, Ahmed Rashid Salim Ali Al Mazroui, Ahmed Abdul Rahman Ahmad Al Tunaiji, and Abdul Hamid Sultan Abdullah Ibrahim Al Hammadi) carrying out humanitarian work were killed in a terrorist bomb attack.^[45]

2017 edit

• Nigeria - January 17 - 6 aid workers were killed, 8 seriously wounded, and numerous civilians were killed following a government airstrike on a refugee camp in Rann, Borno State.^[46]
• Somalia - October 14 - 6 aid workers were killed and 13 seriously wounded by a vehicle-borne IED in Mogadishu.^[47]

2019 edit

• Kabul, Afghanistan: United Nations Development Programme aid workers were attacked and one, Anil Raj, was killed.^[48]
• An independent humanitarian research organization, Humanitarian Outcomes, conducted a survey revealing that in 2019, a record number of 277 major attacks took place against aid workers. Besides, 483 aid workers were killed, kidnapped or wounded in that year, which was the highest number since 1997.^[49]

2020 edit

• Kabul, Afghanistan: An attack by gunmen on the maternity ward of Dasht-e-Barchi hospital, run by MSF, resulted in the death of at least 24 people – including mothers, young children, and an MSF midwife.^[50]
• Niger: An attack resulted in the death of eight people, of which seven were staff working for the French NGO ACTED, and one their guide.^[51]
• Yemen: In an attack on Aden airport, at least three ICRC staff were killed and three more injured.^[52]
• Nigeria: Five aid workers of ACF were abducted and later executed in Borno state by Jihadists.^[53]

2021 edit

• Ethiopia: Three MSF staff were killed in the Tigray region.^[54]

2023 edit

• Gaza: Israeli forces kill five IFRC members, one Palestinian ambulance driver, and four Palestinian paramedics in Gaza in two separate instances.^[55]
• Gaza: Israeli forces killed 72 UNRWA personnel in Gaza between October 7 and November 2. According to UNRWA, this is "the highest number of UN civilian aid workers killed in a conflict in such a short time, in recent history."^[56]

2024 edit

• Gaza: An Israeli airstrike killed seven World Central Kitchen aid workers and their Palestinian driver after hitting their vehicle in the Gaza Strip on 2 April 2024.^[57]

• International Day of United Nations Peacekeepers
• Monument to Canadian Aid Workers
• World Humanitarian Day

• IRC Suspends Activity in Afghanistan after the Murder of Four Employees Central Asia Health Review. Aug. 14, 2008
• UNHCR Report on Atambua killings
• Extract from Human Rights Watch report Refugees, Asylum Seekers, and Internally Displaced Persons
• Paying the Ultimate Price: Analysis of the deaths of humanitarian aid workers (1997–2001)
• Security Advice for Aid Workers (Aid Workers Network)
• ECHO Generic Security Guide for Humanitarian Organisations
• ICRC – Neutral and independent humanitarian action – Consolidated report of the Commissions
• Centre for Humanitarian Dialogue and Small Arms Survey
• Protect Interpreters from Threats, Kidnapping, Injury, Death and Imprisonment
• Christine Witcutt Memorial Fund
• RedR UK – an international NGO that provides recruitment, training and support services for humanitarian professionals across the world
• Centre for Safety and Development
• HPG -Providing aid in insecure environments: trends in policy and operations
• HPG In the Line of Fire
• HPG No Relief
• ALNAP The State of the Humanitarian System