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To the Editor: The impact and effectiveness of international humanitarian assistance generally has been determined by the donors and evaluated in tons of supplies donated or by the dollar value of assistance provided. Many recently published studies evaluating the effectiveness of humanitarian assistance to Bosnia have focused on the amount of donated supplies and medications.^1-3 Several nongovernmental organizations also provided medical personnel to assist health care workers in Bosnia-Herzegovina during the war (November 1991-December 1995).

Methods

In May of 1996, we studied the perceived effectiveness of expatriate (international) medical personnel in the former Yugoslavia as rated by their medical colleagues. A confidential survey was administered to a convenience sample of Bosnian health care workers who worked directly with international health care workers in combat areas during the war. Of the 76 distributed surveys, 51 were returned, yielding a response rate of 67%. Of the respondents, 30 (59%) were physicians, 20 (39%) . . . [Full Text of this Article]