Ethiopia 1998

International staff : 21 National staff : 255 KALA AZAR OUTBREAK Although Ethiopia entered a new phase in its development, the population still has huge needs. Regionalisation complicates relations with the health authorities. In Afar state (pop. 500,000), MSF provides technical assistance to Dubti referral hospital. In Amhara state (pop. 2 million), a surgical training and technical assistance programme terminated in March 1998. A district health programme in Jijiga region (pop. 400,000) aims at improving peripheral health services and the hospital. Construction activities include a 40-bed TB ward for the successfully functioning TB programme. Emergency assistance was given during a cholera outbreak in Jijiga beginning in March 1998. MSF is improving peripheral and health centre services in Degeha Bur (pop. 900,000), where locally displaced people are resettling. A water project aims to ensure water and food stability for 25,000 people in remote Wag-Hamra region, Amhara state. In Salamago district, South Omo state, MSF works to make local hospitalisation a possibility for the isolated population of 15,000. Assistance for 20,000 refugees in Shekole Camp, near Asosa, includes wells, latrines and training for community health workers. In October 1997, MSF responded to an outbreak of kala azar in Tigray state. The team based in Humera hospital supplies the treatment drug, assists in diagnosis and treatment, helped set up a special clinic for ambulatory patients and is now setting up a laboratory and training technicians and medical staff. In Addis Ababa, MSF is involved in AIDS prevention and treatment programmes for STDs.