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Guinea-Bissau. MSF emergency paediatric project in the national hospital in Bissau
International Activity Report 2018


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MSF in Guinea-Bissau in 2018 Guinea-Bissau is one of the poorest and least developed countries in the world. Access to healthcare is severely limited due to a lack of facilities, resources and qualified staff.

Médecins Sans Frontières runs a project in the country’s only tertiary facility, Simão Mendes national hospital, in the capital, Bissau, focusing on child health. Our teams manage paediatric emergencies and inpatient therapeutic feeding, as well as paediatric and neonatal intensive care. 

Respiratory infections, malaria, diarrhoea and meningitis are the main diseases affecting children in Guinea-Bissau; for newborns, asphyxia and neonatal sepsis are the principal causes of death. We have established a functioning triage system in the paediatric emergency unit to guarantee faster and more efficient treatment and have worked closely with the Ministry of Health to ensure that the correct protocols and treatment procedures are implemented to reduce child mortality. We are now working towards introducing more technical or sophisticated treatments, which require better trained medical staff and more specialised equipment, to treat more complex and critical patients.

In April, we closed our project in the central region of Bafatá, having successfully reinforced the local health services in the area. Since 2014, we had been managing the paediatric services and nutrition programme for children under the age of five at the regional hospital, supporting health centres in rural areas and training community health workers to diagnose and treat malaria, diarrhoea and acute respiratory infections. We had also set up a referral system for patients requiring hospital treatment.

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