Bosnia-Herzegovina 1998

International staff: 13 National staff: 60 PSYCHO-SOCIAL PROBLEMS PERSIST The military presence of NATO troops supposed to implement the Dayton Accords continues to ensure a precarious peace in Bosnia as the emergency situation comes to an end and physical and social rehabilitation begins. Although the main drug distribution programme was gradually decreased, MSF continued to provide insulin and related materials to diabetic patients until the end of 1997. A mobile team also monitored access to health care by conducting a regular dialogue with health facilities, pharmacies and patients, passing on information about problems experienced locally and highlighting issues with the local authorities, and national and international organisations. MSF continued to provide psycho-social care until the end of 1997 to 10 counselling centres set up in Sarajevo and Central Bosnia. They were then handed over to another organisation with the aim of eventually integrating them into the state-run health system. Under MSF, the centres had treated approximately 8,750 clients. The centres are all staffed by local counsellors for whom MSF has provided continuing training, including visits by international experts in Post-Traumatic Stress Disorder. A mental health programme is still continuing in Gorazde, where MSF is attempting to meet the growing demands of institutions such as schools and homes for the elderly. Support also continues for Sokolac psychiatric hospital in Republika Srpska where MSF has now set up various activities, including group therapy sessions and social work with the families of patients.