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Sfax, Tunisia.

Bébé Issouf, born two months ago in Tunisia. MSF doctor Ikram Gargouri followed the mother during pregnancy and after birth. They live in "La Poudrière".

A four-floor building in Sfax, called "La Poudrière", is where migrants rent rooms in Sfax, they are mostly Ivorians and Nigerians, but also Cameroonians, Ghanaians, etc. They are 4 or 5 in a room as the rent is priced much higher than normal and the landlord communicates the amount of water and electricity bills, very high also, without showing the invoices. Migrants can not protest. They work in irregular jobs to survive, for 12 to 20 dinars (4 to 7 euros) per day and the room costs 120 dinars (45 euros) per month. They are given the hardest jobs in construction, carpentry, plumbing, gardening, cleaning, employers take advantage of this very cheap labor that is not able to protest.
International Activity Report 2017

Tunisia

A mother and her two-month-old baby in migrant accommodation in Sfax, Tunisia.
© Kristof Vadino
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MSF in Tunisia In 2017, MSF continued to work with vulnerable people in Tunisia, including victims of human trafficking, migrants and refugees.
MSF in Tunisia in 2017

In 2017, MSF signed an agreement with the Ministry of Health enabling it to continue its activities for migrants, refugees and victims of human trafficking, as well as vulnerable local people with limited access to the national health system, around the coastal towns of Zarzis and Sfax.

In Zarzis, MSF mobile teams provided medical and mental health support in the Red Crescent centre in Medenine, where they conducted 1,833 consultations. One in three consultations were for women. Mobile teams also offered medical and mental health support to the last remaining residents of Choucha camp until their forced eviction in June 2017, carrying out a total of 109 consultations. The camp had opened on the Libyan border in 2011, for people fleeing war in the country.

In Sfax, MSF provided medical and psychological assistance to victims of human trafficking, migrants from sub-Saharan Africa and other vulnerable people. Teams also conducted emergency interventions for people arriving at the ports of Sfax and Zarzis. MSF donated drugs and medical kits for emergencies – including intravenous fluids, medical equipment for dressings and cannulas – to authorities in Medenine Governorate. MSF supported national authorities in response to hepatitis A epidemics, funding 7,200 vaccines for the national Ministry of Health.

In October, MSF handed its activities over to other organisations and closed its projects.