Médecins Sans Frontières (MSF) has been working in Kenya since 1987. The organisation is currently running medical activities in Mathare and Kibera slum settlements in Nairobi, with a focus on sexual and gender based violence care, as well as HIV and drug resistant TB. In Kibera, MSF also manages an inpatient maternity ward and an ambulance service for obstetric and other emergencies. In Homa Bay, MSF runs an HIV program. MSF also works in Dahagaley refugee camp in Dadaab, providing hospital and primary healthcare.

Activities  2014 International Activity Report

MSF continues to respond to the medical needs of some of Kenya’s most vulnerable people: inhabitants of slum settlements and refugee camps, patients with HIV/AIDS and tuberculosis (TB), and victims of sexual violence.

Over 350,000 people, mostly Somalis, live in precarious conditions in Dadaab, the world’s largest long-term refugee settlement. Following a tripartite agreement on voluntary return (signed by the UN Refugee Agency and the governments of Kenya and Somalia in 2014), the refugees can either go back to a war-torn country or stay in closed camps where they receive minimal assistance. The threat of kidnappings, robberies and sexual assault puts significant pressure on the people living in the camps and insecurity severely limits the capacity of humanitarian organisations to provide services.

MSF has not had a permanent international staff presence in Dagahaley camp, 80 kilometres from the border with Somalia, since 2011 due to increased insecurity, but continues to manage a 100-bed hospital and an inpatient feeding centre through the work of national staff and remote management. Outpatient and inpatient services for children and adults are provided, including maternity care, emergency surgery and treatment for HIV/AIDS and TB. Four health posts in Dagahaley offer basic healthcare consultations and outreach activities including mental health support. Each month, teams carried out around 15,000 outpatient consultations and 1,000 antenatal consultations, and admitted an average of 1,000 patients to hospital. MSF issued a briefing paper in March 2014, drawing attention to the inadequate and insecure conditions in Dagahaley and calling for more government and donor support for the Dadaab camps.

Read more about MSF's activities in Kenya in 2014.

Year MSF first worked in the country: 1987.

2014 Key figures
Outpatient consultations 333,400
Patients on first-line ARV treatment 10,500
Patients treated after incidents of sexual violence 2,800
No. staff in 2014 603
2014 Expenditure €17.4 million

Figures from 2014 International Activity Report
and 2014 International Financial Report