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A boat taking MSF staff to the rural area of Portel travels through a river in the Brazilian Northern state of Pará. MSF is supporting local authorities in order to improve healthcare access to the town’s population. Portel has dealt historically with a lack of health professionals and facilities, particularly in hard-to-reach remote areas which are home to vulnerable river dweller communities.

أين نعمل

ينقل قارب طاقم أطباء بلا حدود عبر نهر في ولاية بارا الشمالية للوصول إلى المنطقة الريفية في بورتيل. البرازيل، في نوفمبر/تشرين الثاني 2023.  
© Diego Klein/MSF
الحرب في غزة: اطّلع على استجابتنا
اقرأ المزيد
Patients and relatives of patients entering one of the MSF wards in the District Hospital of Magaria, that is supported by MSF in paediatrics and malnutrition.

النيجر

اقرأوا عن أنشطة أطباء بلا حدود في النيجر.
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.
Médecins Sans Frontières’ (MSF) support to Abs Hospital in Hajjah Governorate in Yemen, is one of our biggest humanitarian responses across the globe. 
To facilitate access to healthcare for people affected by war and displacement, we have been supporting the hospital since 2015, gradually raising its capacity from 30 to 288 beds over the years. 
MSF runs over 80 per cent of the hospital departments, including mental health, in addition to providing financial incentives to the Ministry of Health (MoH) staff and supporting the laboratory, pharmacy and logistic activities.

اليمن

انهار النظام الصحي اليمني إثر خمس سنوات متواصلة من الحرب والنقص المستمر للإمدادات والطواقم الطبية، ما يجعل أنشطتنا في اليمن من أكبر أنشطة أطباء بلا حدود حول العالم.
MSF team providing medical and psychological first aid to a man who has just arrived on a remote beach in Samos. The man is sitting on the ground, catching his breath, while the doctor is examining him. Since 2021, MSF teams on Samos provide emergency medical aid to people who arrive on the island by boat. Our support consists of medical and psychological first aid, including referrals to hospital by ambulance. Horizontal shot.

اليونان

لا يزال اللاجئون والمهاجرون من بلدان عدة كسوريا وأفغانستان والعراق يتوافدون إلى اليونان بحثاً عن ‏الأمان أو بهدف استكمال الرحلة إلى أوروبا، لكنهم يجدون أنفسهم عالقين في اليونان إلى أجل غير ‏مسمّى.‏

أين نعمل

تقدّم أطباء بلا حدود الإغاثة الطارئة إلى الأشخاص المتضررين جراء النزاعات المسلّحة والأوبئة والكوارث الطبيعية فضلاً عن أولئك المحرومين من الرعاية الصحية في أكثر من 70 بلد. وتوفّر المنظمة المساعدات للأفراد وفقاً لاحتياجاتهم وذلك بغضّ النظر عن العرق أو الدين أو الجنس أو الانتماء السياسي.

كما تمتثل المنظمة في أعمالها لأخلاقيات مهنة الطب ومبدأي الحياد وعدم التحيز.

البرامج والمشاريع