Kenya

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Activities  2012 International Activity Report

Key medical figures:

  • 335,900 outpatient consultations
  • 12, 930 patients on first-line antiretroviral treatment
  • 1,500 patients began TB treatment
  • 350 patients treated after incidents of sexual violence

Healthcare needs are great in Kenya’s urban slums and refugee settlements, where poor living conditions put people at increased risk of contracting communicable diseases.

Refugee camps and urban slums are overcrowded and characterised by a lack of basic services such as water and sanitation. Accessing healthcare is a challenge, particularly for people with chronic or neglected diseases such as HIV and tuberculosis (TB).

Healthcare in Dadaab

Located on a desert plain in northeastern Kenya, Dadaab is the largest refugee complex in the world. The population, mainly Somalis fleeing conflict and drought in their country, is approaching half a million. In addition to the original camps of Dagahaley, Hagadera and Ifo, there are two new camps – Ifo extension and Kambios – which were set up to accommodate the growing numbers of refugees who started to arrive in 2011. In December 2012, the Kenyan government announced the cessation of refugee reception, registration and documentation in urban centres in an effort to relocate refugees and asylum seekers to the camps. Yet the camps are ill-equipped to meet people’s basic needs.

Médecins Sans Frontières (MSF) has been the sole provider of healthcare in Dagahaley camp since 2009, working out of a 200-bed hospital and at four health centres, where medical services include vaccinations, antenatal consultations and mental healthcare. Staff carried out an average of 14,000 consultations and admitted 1,000 patients from the refugee and host communities to the hospital each month.

High rates of acute malnutrition were recorded in children over five years old in the camps in 2012. MSF included children up to 10 years of age in its feeding programme and lobbied for other healthcare providers to include this age group in their annual nutritional surveys. More than 2,200 severely malnourished children were admitted for inpatient treatment over the year. There is also concern about the quality of shelter and sanitation. Poor sanitation has led to outbreaks of disease that otherwise could have been controlled: in September, MSF responded to hepatitis E and cholera outbreaks in the camps. Both diseases are transmitted mainly through contaminated water.

Since July 2012, following several security incidents in which aid workers were targeted, it has not been possible for MSF international staff to work on a permanent basis in Dadaab.

Response to violence in the Tana River area

Clashes between the two major communities in the Tana River district, the Orma and the Pokomo, caused dozens of casualties and significant displacement in August and September. MSF provided psychosocial support to more than 900 people affected by the violence, as well as medical and logistical assistance to health facilities and in the camps for displaced people.

HIV and TB

In Homa Bay, Nyanza province, MSF is providing care to over 10,500 people living with HIV/AIDS. Roughly one in four of the 4,500 people tested in 2012 were found to be HIV positive and more than 1,000 joined the HIV programme. An additional 345 patients were registered in the TB programme.

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At the end of 2012, MSF had 851 staff in Kenya. MSF has been working in the country since 1987.

Finances  2012 International Financial Report

Expenses
Concept In thousands of €
Programmes 22648
Indirect supply costs 133
Field-related expenses 22781
Locally hired staff 10341
International staff 3333
Operational running expenses 992
Medical and nutrition 3593
Logistics and sanitation 1163
Transport, freight and storage 99
Training and local support 1541
Consultants and field support 1562
Private and public institutional grants -
Others 24
Funding
Concept In thousands of €
Public institutional income 4392
Funding of field-related costs 22781
Private and other income 18389
Humanitarian Aid Office of the European Commission (ECHO) 854
ECHO and EU institutions 854
AGCD - Belgium 1000
Danish Agency for Development Assistance (DANIDA) 292
Ministry of Foreign Affairs (MFA) - Germany 500
Municipalities and regional councils - France 120
EU governments 1912
Norwegian Agency for Development & Cooperation (NORAD) 827
Swiss Agency for Development and Cooperation (SDC) 136
Municipalities and regional councils - Switzerland 15
Ministry of Foreign Affairs (MFA) - Norway 648
Non-EU European governments 1626
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 851
Locally hired staff 797
International staff 54