Guinea 1998

International staff: 6 National staff: 36 Meeting needs of refugees Guinea remains stable despite civil wars in neighbouring Liberia and Sierra Leone causing huge influxes of refugees. MSF supports the health system in four prefectures in the eastern region where refugees live as neighbours with the local population. A team assists in immunisation campaigns and community-based condom distributions. Training is given to personnel managing epidemics, to anaesthetists and to those themselves involved in training nurses. Another programme focuses entirely on around 100,000 Liberian refugees in three of these four prefectures, monitoring general health, epidemic outbreaks and nutritional status, and immunising in response to a rise in the incidence of measles and whooping cough. MSF has an influential voice in decisions related to refugees, e.g. care for the most vulnerable and repatriations. In Mamou prefecture, treatment in four health centres is being improved through supplies of drugs to treat TB and kits for dealing with epidemics. A further three health centres and two TB detection centres are being constructed or rehabilitated, and training is provided in nursing care and in fighting epidemics. MSF supports the national TB programme in extending its coverage and integration into primary health care. At the beginning of June, MSF was working in seven camps (total pop. 92,000) for recent arrivals of Sierra Leonean refugees fleeing deliberate attacks on the civilian population. Teams were providing water and latrines, vaccinations, health posts and, in three camps, therapeutic and supplementary feeding.