Afghanistan

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Activities  2013 International Activity Report

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Key medical figures: 

  • 370,000 outpatient consultations
  • 48,000 patients admitted to hospital
  • 32,800 births assisted

The number of people receiving critical medical care at Médecins Sans Frontières (MSF) hospitals has nearly doubled over the last two years, a clear indication of the medical needs in the country.

In 2013, the ongoing war and its consequences continued to restrict people’s access to quality medical services – in particular to specialist healthcare.

Private clinics are unaffordable for most Afghans and many public hospitals are understaffed and overburdened. Many rural health clinics are dysfunctional, as qualified health staff have left the insecure areas, and the supply of reliable drugs and medical materials is irregular or non-existent. Insecurity can also prevent entire communities from travelling to hospitals. Afghanistan has some of the worst health indicators in the world according to the World Health Organization, and is still one of the riskiest places to be a pregnant woman or a young child. MSF focuses on ensuring people have better access to free, quality healthcare in some of the most conflict affected areas.

Ahmad Shah Baba hospital, Kabul
The number of people in Kabul has increased significantly as a result of migration, displacement and repatriation. In eastern Kabul, MSF has been upgrading Ahmad Shah Baba hospital to become a reliable district hospital, and has trained Afghan staff from the Ministry of Health and MSF so that they can provide emergency and maternity services around the clock.

Major work completed in 2013 included a new waiting area, the relocation of the female outpatient department and the opening of a new maternity ward with 21 beds offering labour, delivery and post-delivery care. This year, staff assisted approximately 1,000 births every month. The hospital also provided  treatment for malnourished children, admitting 500 children to the therapeutic feeding programme.

In January, MSF launched a mobile clinic to assist displaced people suffering as a result of Kabul’s harsh winter. The team worked in six camps and conducted 2,000 consultations over a three-month period. From April, MSF operated mobile clinics in the Ahmad Shah Baba area to carry out antenatal and postnatal consultations, and vaccinations for children.

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No staff in 2013: 1,526. MSF first worked in the country in 1981.

Finances  2013 International Financial Report

Expenses
Concept In thousands of €
Programmes 18748
Indirect supply costs 1141
Field-related expenses 19889
Locally hired staff 6044
International staff 4285
Operational running expenses 721
Medical and nutrition 3853
Logistics and sanitation 1367
Transport, freight and storage 1661
Training and local support 58
Consultants and field support 519
Private and public institutional grants -
Others 240
Funding
Concept In thousands of €
Public institutional income -
Funding of field-related costs 19889
Private and other income 19889
ECHO and EU institutions -
EU governments -
Non-EU European governments -
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 1526
National staff 1442
International staff 84