In the week that followed, nearly 200 metric tons of additional medical, water/sanitation and relief materials, as well as dozens of MSF doctors, nurses, psychologists, logisticians, and water and sanitation experts arrived.
Additional logistical support was provided by Greenpeace's flagship, the Rainbow Warrior, and while the roads were still impassable, MSF teams travelled by helicopter to areas along the western and northeastern coasts.
By the end of January, the emergency phase had ended. Teams began focusing on rehabilitating health structures and addressing the basic health needs of affected communities. Particular attention was given to people's mental health needs.
One year on, MSF's distribution of emergency aid items and programmes to provide water and sanitation have, for the most part, been completed or handed over to partners. However, MSF continues to run mobile clinics to treat people in villages and camps for displaced people.
Teams are also setting up basic health services in remote areas including inland areas in the Aceh Barat district and the town of Takengon, in Bener Meriah where access to medical care has been severely limited, due in part to the protracted conflict between rebels and the government in Aceh.
Psychological assistance remains one of the greatest ongoing needs in Aceh, and almost all MSF programs contain a mental health element. Indonesian and international psychologists continue to offer individual treatment to hundreds of patients each month.
OPERATIONAL DATA Medical Consultations: 41,021 Main Pathologies: Main Pathologies: respiratory infections, skin diseases, acute diarrhoea Surgical interventions/admissions: 517 Vaccinations: 111, 789 measles - 10, 130 tetanus Psychological Consultations: 1,770 individual consultations Main Complaints: sleep disorders, psychosomatic complaints, severe emotional distress, intense sadness, flashbacks Rehabilitation of Health Structures: 27 health centres, 1 hospital, 289 wells cleaned Temporary shelter: over 10,000 family tents distributed Non-food items: tens of thousands of items distributed (hygiene, kitchen and tool kits, blankets, mats, jerry cans ...) Livelihood: over 220 boats constructed Operational budget: Mââ?š¬19.44 Staff in Aceh at the end of Jan. 2005: 127 international and 150 national Staff in Aceh today: 55 international and 350 national
(MSF has been working in Indonesia since 1995)
Currently, MSF is running programmes in six districts:
Areas of Aceh where MSF is currently present
BANDA ACEH/ACEH BESAR Mental health care
ACEH JAYA (Lamno) Mental health care 1 health clinic (rehabilitated) Surgery 2 pre-fabricated health units Mobile clinics Vaccination (measles and other) TB Water & sanitation Distribution of non-food items Training Ministry of Health (MoH) staff
BENER MERIAH (Takengon) Support to basic health care structures Rehabilitation of health structures (wat/san) Training MoH staff
ACEH BARAT (Meulaboh) Health clinics (including in conflict area) Mental health care Water & sanitation Training MoH staff
PIDIE DISTRICT (Sigli and Beureunoun) Support to 2 hospitals: surgery & post-op care 3 mobile teams 3 health clinics Support to network of clinics Mental health care activities Water & sanitation
ACEH UTARA (Lhokseumawe) Mental health care