Afghanistan

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Activities  2012 International Activity Report

Key medical figures: 

  • 332,300 outpatient consultations
  • 16,580 births assisted
  • 7,240 surgical procedures

Conflict in Afghanistan continues to limit access to quality healthcare services. People in need of healthcare must often travel long distances, across insecure areas, to reach public medical facilities. A lack of trained medical staff, particularly female doctors and nurses, further restricts access for many. Médecins Sans Frontières (MSF) is expanding its work at several hospitals, aiming to meet some of the most urgent needs.

Trauma care in Kunduz

The trauma centre run by MSF in Kunduz is unique in northern Afghanistan, providing free, high-quality surgical care to victims of general trauma such as those resulting from traffic accidents, as well as people with conflict-related injuries. Before the hospital opened, most people with life-threatening injuries had to travel to the capital, Kabul, or to Pakistan for treatment.

MSF developed the trauma centre in 2012 with a new emergency room, including more beds for resuscitation and observation. The centre now has a new, larger outpatient clinic, better physiotherapy services and improved infection control and sterilisation procedures, in preparation for the introduction of internal fixation in orthopaedic procedures. Staff in the intensive care unit also implemented new protocols.

When multiple patients arrive at a health facility at the same time, emergency medical staff use triage so that those with the most critical needs get immediate attention. This type of ‘mass casualty response’ is a significant part of MSF’s work in Afghanistan, and took place on average once per month in 2012 in Kunduz, sometimes involving large numbers of people with life-threatening injuries. During civil unrest in February, 50 patients were brought to the hospital: more than 15 of these were severe, urgent cases. In August, 20 people were seriously injured in an explosion in the north of the province, and in September staff tended to 33 casualties from a bus collision. Over the year, 10,000 patients were treated in the emergency department and surgeons carried out 1,500 operations.

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At the end of 2012, MSF had 1111 staff in Afghanistan. MSF first worked in the country in 1981

Finances  2012 International Financial Report

Expenses
Concept In thousands of €
Programmes 16529
Indirect supply costs 560
Field-related expenses 17089
Locally hired staff 5435
International staff 3800
Operational running expenses 659
Medical and nutrition 3016
Logistics and sanitation 2146
Transport, freight and storage 1
Training and local support 1379
Consultants and field support 92
Private and public institutional grants -
Others 1
Funding
Concept In thousands of €
Public institutional income -
Funding of field-related costs 17089
Private and other income 17089
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 1111
Locally hired staff 1040
International staff 71