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آسيا والمحيط الهادئ

الحرب في غزة: اطّلع على استجابتنا
اقرأ المزيد
An MSF national staff is giving psychoeducation. An MSF mental health team is conducting community outreach activities: going from camp to camp in Longmenshan, Pengzhou, Sichuan province to provide psychoeducation to the villagers on topics such as (i) safety precautions before, during, and after an earthquake; (ii) psychological reactions following an earthquake and self-help techniques for managing these reactions/symptoms. Poster boards with relevant information are custom-made for distribution in camps and villages. Additionally, a psychologist is posted in a fixed clinic in front of a government and hospital and a basic medical treatment base. Another two psychologists form a mobile unit to visit IDP camps in the area to screen people for psychological difficulties and to offer on-site psychological support.

الصين

اقرأوا عن أنشطة أطباء بلا حدود في الصين.
The MSF patient support team navigates overcrowded and narrow alleys of Barangay 105 Aroma neighbourhood, Barangay 105, of Tondo, Manila, the Philippines, March 2, 2023.

الفلبين

تتطرق فرقنا في الفلبين إلى معدل انتشار مرض السل المثير للقلق في البلاد، والذي يعدّ الأعلى في آسيا.
An MSF staff member converses with Anam (name changed), a 17-year-old DRTB (Drug Resistant Tuberculosis) patient and her mother outside the MSF DRTB Clinic, Chembur, Mumbai.


Anam (name changed on request), a bright 17-year-old, excels not only at English and Science in school but is an equally good Mehndi/henna artist. She tells us happily that she has completed a professional Mehndi course and learnt needlework. She aspires to become a fashion designer. 
She scrolls through her phone gallery, bringing up photos of the bridal henna designs that she has created. As her hand moves over the screen, there is a contrast between those delicate designs and the pattern on her own hand from the PICC Line (Peripherally Inserted Central Catheter).
Anam was first diagnosed with pulmonary TB at the age of nine. Before her diagnosis, she frequently had a cough and a fever. When her mother initially took her to a doctor, she was suspected of having double typhoid. 
Being diagnosed with TB at such a young age came as a blow to Anam’s family, who had no history of the disease.  Her mother later got to know that Anam studied with around eight to ten TB positive patients in school. The stigma around the disease is so strong that other children or their families never informed the school authorities. The parents feared that their children would be expelled, bullied, harassed or discriminated against. Anam’s mother decided that it was important to break this lethal chain. She informed the Principal and did not send Anam to school for the next five months. 
For 14 months, Anam received treatment at a private hospital with support from her immediate family and friends. However, the treatment did not work and her symptoms such as weight loss and vomiting worsened. The treatment at the private hospital cost her family around Rs 5,500 monthly (Rs 2,500 for medicines and Rs 3,000 for tests). In February 2021 she was finally diagnosed with drug-resistant tuberculosis (DR-TB) at a government DR-TB centre.  She was put on a DR-TB regimen, however subsequent investigations revealed additional resistance to other drugs as well. She suffered from cough, fever and weight loss. Since her condition was not improving with the treatment received so far, she ultimately came to MSF.  
At the MSF Clinic, Anam was put on a regimen of the oral drugs bedaquiline, delamanid, linezolid and amoxicillin, and an intravenous treatment with the injection imipenem. This regimen was built for her based on her resistance to certain drugs and she has been taking it for the last one and a half years.  
Anam’s mother says, “We have been through a very rough patch, but we found help every step of the way. The psychosocial support in terms of counselling, and the medical support that we received at the MSF clinic reduced our financial and medical treatment worries.”
Despite constant encouragement and support, every day Anam is also witness to another TB story unfolding outside her bedroom window. The impact of stigma and lack of awareness about TB is having serious consequences for a girl not much older than Anam in the neighbouring house. Anam recalls distraught conversations with her ‘window friend’: how she has been locked inside her room because of the disease; how her parents have abandoned her; and the irregularity of her meals. Anam’s mother says that their neighbours don’t allow other community members to help them. Bereft of medical and psychosocial support, her ‘window friend’ developed suicidal tendencies that resulted in one failed attempt to jump off the roof.  
Anam realises that her friend’s parents may have prevented the suicide attempt, yet they contributed nothing to alleviating the everyday suffering. No proper treatment is sought, she says. Anam’s mother tried to counsel the girl’s parents but they are reluctant to listen to anyone.
The story of Anam and her ‘window friend’ highlights the importance of medical treatment and psychosocial support in TB treatment, and the importance of raising awareness around the disease and fighting stigma.  And for Anam, even a small dream like hanging out with friends on a vacation post-recovery, keeps her going.

الهند

نعمل على تغطية الاحتياجات في النظام الصحي في الهند ونقدم الرعاية الطبية للأشخاص الذين يعانون كي يحصلوا عليها.
The MSF team is conducting an exploratory research in Tateno, Minami-aso village, Kumamoto prefecture.

اليابان

بدأت منظمة أطباء بلا حدود عملها في اليابان في عام 2011 وأغلقت مشاريعها في عام 2011.
The MSF Indonesia adolescent health project focused on improving the quality of, and access for adolescents to, targeted health services, including health promotion and education sessions. Capacity building was one of the activities in this project, and health workers were trained on the topic of adolescent sexual reproductive health.

أندونيسيا

نُقدّم الرعاية الصحية النفسية ونُنفّذ إجراءات طارئة في إندونيسيا.
Border between Jimi and North Waghi districts, Jiwaka province, PNG

بابوا غينيا الجديدة

تعمل منظمة أطباء بلا حدود على تحسين توفر خدمات الكشف عن السل وعلاجه في بابوا غينيا الجديدة.
MSF’s health promotion (HP) team conducts a health education session for women in a rural village of Dadu. The focus of the HP session is on the importance of hygiene, the prevention of malaria and other diseases and nutrition. February 2023

باكستان

ما زال توفير خدمات الرعاية الصحية يشكل تحديًا في باكستان وبالأخص بالنسبة للقاطنين في المناطق الريفية المعزولة والأحياء الفقيرة في المدن والمناطق المتضررة بالنزاع.
MSF staff walking through the Bangladesh refugee camps.

بنغلاديش

يعيش مئات آلاف الروهينغا في بنغلاديش بعد أن فرّوا من العنف الموجّه ضدهم في ميانمار.
Mental Health Care focused on women and children.

Our teams focus on mental health care and provide other medical care as needed. Psychological support includes individual and group therapy, psychosocial education, and stress management.

تايلاند

تعمل أطباء بلا حدود في تايلاند على تقديم الدعم في مجال الصحة النفسية للفئات الأكثر حاجة.
East Timor. Displaced family returns to their village West of Dili, with articles found in Dili's ruins.

تيمور الشرقية

بدأت منظمة أطباء بلا حدود عملها في تيمور الشرقية في عام 1999 وأغلقت مشاريعها في عام 2002.
In early April 2014, floods in Honiara swept away riverside communities, brought down bridges and destroyed roads. Twenty-three people died, according to official sources.

جزر سليمان

قدمت منظمة أطباء بلا حدود الرعاية الطبية في جزر سليمان عقب الفيضانات المدمرة في عام 2014.