Zambia

MSF closed its projects in Zambia in 2013.

Activities  2013 International Activity Report

country_map_2013

Key medical figures: 

  • 4,000 antenatal consultations
  • 770 births assisted
  • 380 postnatal consultations

In September, a three-year project aimed at improving access to reproductive health services in Luwingu district came to an end.

Luwingu, a remote and rural area, was underserviced in terms of health facilities when Médecins Sans Frontières (MSF) first opened its programme in 2010. Residents had to travel long distances for appropriate health services and there were reports of high maternal mortality because of the poor availability of care. Although the HIV rate among pregnant women was low in the district, it was difficult for those with the disease to obtain antiretroviral treatment because of a lack of resources at the district hospital.

In close collaboration with Zambian health authorities, MSF established comprehensive sexual and reproductive health services in the Luwingu district hospital and several rural health centres. These included family planning, ante- and postnatal care, prevention of mother-to-child transmission of HIV and assisted births. Emergency obstetric referrals were also made from rural centres to the district hospital, and 56 women with obstetric fistulas were identified and referred to Chilonga district hospital for surgery.

Over the course of the project, MSF improved facilities, trained local staff and donated medicines, medical equipment and an ambulance. More than 400 pregnant women referred from villages to health centres travelled by Zambulance, a covered trailer pulled by a bicycle – a viable means of transportation in this setting.

The decision to close the programme was based on the improvement of medical processes and came after a gradual handover to the Zambian Ministry of Health. Medical activities ended in June 2013, the project closed in mid-September and MSF withdrew from Zambia in October.

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No. staff in 2013: 42. MSF first worked in the country in 1999.

Finances  2013 International Financial Report

Expenses
Concept In thousands of €
Programmes 972
Indirect supply costs 2
Field-related expenses 974
Locally hired staff 534
International staff 261
Operational running expenses 50
Medical and nutrition 17
Logistics and sanitation 8
Transport, freight and storage 83
Training and local support 13
Consultants and field support 7
Private and public institutional grants -
Others -
Funding
Concept In thousands of €
Public institutional income -1
Funding of field-related costs 974
Private and other income 974
ECHO and EU institutions -
Government - Spain -1
EU governments -1
Non-EU European governments -
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 42
National staff 38
International staff 4

 

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