We have a number of long-standing projects in India, which we run in conjunction with the state authorities to address specific healthcare needs and emerging public health concerns.
We also run mobile clinics in remote areas of the country, where even preventable, treatable conditions such as malaria can assume life-threatening proportions.
Our teams are currently responding to the coronavirus COVID-19 pandemic in the country.
Through our independent clinic and outpatient department (OPD) managed in collaboration with Municipal Corporation of Greater Mumbai (MCGM) and National Tuberculosis Elimination Programme (NTEP) we provide medical and psychosocial care to people living with drug-resistant tuberculosis (DRTB). Most of our patients come from Mumbai - a city of 22 million people, 43,464 of whom have TB, and 10 per cent whom are infected with drug-resistant strains of the disease. We also offer screening, diagnosis and specialised care for TB, HIV and hepatitis C in four clinics in the north-eastern state of Manipur. In addition, we provide care for people with advanced HIV in Bihar, one of the most populous states in India.
In the capital, Delhi, we provide medical and psychological care to survivors of domestic and sexual violence, and raise awareness about the importance of seeking timely medical and psychological care. We work with community-based organisations, police, government protection agencies and the health ministry to highlight the clinic’s services and create an efficient referral system. We also engage the community in discussions on domestic violence, sexual assault and child abuse.
Since 2001 we have been offering counselling in Jammu and Kashmir, where years of conflict have taken a toll on people’s mental health. Our work includes raising awareness of the support available, reducing the stigma associated with mental health, and emphasising the importance of seeking assistance.
In remote villages in Chhattisgargh, our teams conduct mobile clinics to take primary healthcare to areas where it is extremely difficult for people to access medical care. Our teams provide free treatment for malaria, respiratory infections, pneumonia and skin diseases among others.
Our activities in 2020 in India
Data and information from the International Activity Report 2020.
MSF works to fill some of the gaps in services for the most marginalised communities, including mental health support in hospitals in four districts of Kashmir. We also treat victims of sexual and gender-based violence in our clinic in New Delhi, where we provide round-the-clock, confidential services for people of all ages. When COVID-19 restrictions were imposed, we switched to phone-based counselling services and digital health promotion activities to guarantee continuity of care.
Treatment for infectious diseases
In our HIV centres in Manipur, we implement a model of care that is tailored to patients’ needs. We also support the antiretroviral treatment centre and inpatient management of HIV in a district hospital, and distribute food coupons and dry rations to homeless intravenous drug users.
MSF has been working with the government to increase access to holistic care for HIV patients with life-threatening opportunistic infections. In 2020, in Bihar, one of India’s poorest states, we focused on antimicrobial resistance stewardship to guide the prescribing and use of antibiotics. Palliative care, nutrition, mental health support and advocacy are also important components of our model of care.
In Mumbai, we continued to offer care for patients with drug-resistant tuberculosis (TB), with paediatric care a priority in 2020. The first patients were enrolled in the EndTB clinical trial using the new generation of drugs, aimed at finding shorter, more tolerable, injection-free treatments for multidrug-resistant TB.
Handing over projects
India has the world’s highest rate of childhood malnutrition, and in Jharkhand, one of the worst-affected states, MSF has contributed to shaping the treatment protocol. Although we discontinued our project providing community management of acute malnutrition in early 2020, we continued to follow up children with severe acute malnutrition discharged from the programme.
In 2020, we handed over to the health authorities the general healthcare services that we had been running via mobile clinics in the conflict-affected border areas of Andhra Pradesh, Chhattisgarh and Telangana states for 14 years.
Have you heard of kala azar?
Kala azar is a neglected but potentially fatal tropical disease. India accounts for 30 per cent of cases worldwide.
This short animation explains what kala azar is, how it relates to HIV, and what we are doing in response.
Since 80 per cent of India's kala azar cases are reported in Bihar, we set up a programme there in 2007.
People living with HIV are particularly vulnerable to kala azar, so since 2016 we have been focusing on treating patients co-infected with the two diseases, in partnership with the Rajendra Memorial Research Institute of Medical Sciences (RMRIMS) in Patna, Bihar.
Access to kala azar treatment in public healthcare system needs to be scaled up
Directly-Observed and Self-Administered Tuberculosis Treatment in a Chronic, Low-Intensity Conflict Setting in India
A step closer to effective treatment of severe acute malnutrition in Bihar
Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India
Five-Year Field Results and Long-Term Effectiveness of 20 mg/kg Liposomal Amphotericin B (Ambisome) for Visceral Leishmaniasis in Bihar, India
Must address worrying stock out of tuberculosis drugs
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