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Activities  2013 International Activity Report


Key medical figures:

  • 415,700 outpatient consultations
  • 13,200 patients on first-line ARV treatment
  • 2,000 patients treated after incidents of sexual violence

Médecins Sans Frontières (MSF) continued to fight HIV and tuberculosis (TB), and in the camps growing insecurity affected healthcare access for refugees.

In the Dadaab refugee camps, home to over 340,000 Somalis, the general level of security has steadily deteriorated since the end of 2011. This has reduced access for aid workers, and MSF is unable to maintain a permanent presence of international staff in its hospital in Dagahaley. Many aid organisations have experienced a decrease in funding, leading to an overall reduction in assistance for refugees in Dadaab. The impact is visible: there is a lack of maintenance and investment in camp hygiene and shelter, which raises major health concerns and increases the risk of epidemics.

MSF manages a 100-bed hospital in Dagahaley, providing adult and paediatric care, maternity services, emergency surgery and treatment for HIV/AIDS and TB. Antenatal care, surgical dressings and mental health support are available through four health posts. Each month in 2013, on average, 18,000 outpatient consultations were carried out and over 700 people were admitted to hospital. More than 2,580 babies were delivered and some 4,100 children received treatment through outpatient and inpatient feeding programmes. Over 10,800 mental health consultations were also conducted.

In November, a Tripartite Agreement was signed by the UN refugee agency and the Kenyan and Somali governments, outlining practical and legal procedures for the voluntary return of hundreds of thousands of refugees to Somalia. An assessment conducted by MSF among patients in its medical facilities in Dagahaley camp in August found that four out of five people would choose not to return to Somalia given the current climate of insecurity.

Free healthcare in slum settlements
Three MSF clinics continued to provide free basic healthcare in the Kibera slum in Nairobi, as well as integrated treatment of HIV/AIDS, TB and chronic non-communicable diseases. More than 330 people sought assistance at MSF’s 24-hour clinic for victims of sexual violence. Services included post-exposure prophylaxis, psychological support and medical treatment. In 2013, teams working in Kibera completed more than 142,000 outpatient consultations, and provided antiretroviral (ARV) treatment to over 4,300 HIV patients.

In February, MSF opened a new clinic in Kibera South that has been set up with the aim of gradually handing over management to the Ministry of Health over a period of five years. It is equipped to provide residents with basic healthcare and maternity services. There is an inpatient maternity ward, and an ambulance service for obstetric and other emergencies.  Integrated management of chronic diseases such as HIV, and any other illnesses, makes it a one-stop service, thus easing patients’ access to medical care and facilitating early diagnosis, treatment and follow-up. Health education sessions, counselling and social support are also offered to empower patients to manage their own health.

More than 60 per cent of all consultations at MSF’s Kibera clinics were for respiratory infections and diarrhoeal or skin diseases, a result of the poor hygiene and sanitation.

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No. staff in 2013: 789. MSF first worked in the country in 1987.

Finances  2013 International Financial Report

Concept In thousands of €
Programmes 16877
Indirect supply costs 103
Field-related expenses 16980
Locally hired staff 8530
International staff 2725
Operational running expenses 702
Medical and nutrition 2764
Logistics and sanitation 625
Transport, freight and storage 1084
Training and local support 64
Consultants and field support 275
Private and public institutional grants -
Others 108
Concept In thousands of €
Public institutional income 1754
Funding of field-related costs 16980
Private and other income 15226
Humanitarian Aid Office of the European Commission (ECHO) 229
ECHO and EU institutions 229
AGCD - Belgium 1000
Danish Agency for Development Assistance (DANIDA) 10
Municipalities and regional councils - France 120
EU governments 1130
Norwegian Agency for Development & Cooperation (NORAD) 371
Municipalities and regional councils - Switzerland 24
Non-EU European governments 396
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 789
National staff 743
International staff 46