Liberia 1998

International staff:26 National staff: 680 Post-war health system in shambles On 19 July 1997 Charles Taylor won through the ballot box what he had been unable to achieve through seven years of war: the presidency of Liberia. In the post-war situation, MSF adjusted its strategy to focus on reconstruction of the health system. In Monrovia, MSF has complete responsibility for the 165-bed Swedrelief hospital, while support to Redemption Hospital was phased out over a three-month period ending in September 1997. An MSF team continues in charge of a therapeutic feeding centre, but the supplementary feeding programme had closed by the end of January 1998. In Bong and Margibi counties, MSF teams are in charge of two health centres, each providing 2,500 consultations monthly, as well as nutritional and supplementary feeding. Medical and logistical support is provided to the country referral hospitals in Maryland (Harper), Bomi (Tubmanburg) and Lofa (Voinjama). Prior to MSF's intervention, the hospitals covered only a minimum level of medical activities. This support includes staff training, supplies of drugs, medical and non-medical equipment, management and supervision support, building renovation work, and improvements in water and electricity supplies. In April 1998, MSF began preparing a site in Kolahun for 50,000 Sierra Leonean refugees. Medical and nutritional screening are given to refugees on their arrival and the team also provides supplementary and therapeutic feeding, sanitation and emergency water supplies.