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MSF medical staff are examining Mekuanent, a kala azar patient during the morning rounds at MSF’s Abdurafi health center specializing in treatment of Kala-azar and snakebite.
Among the young male population the prevalence of HIV infection is relatively high. That creates a unique situation with between 20 and 40% of kala azar patients HIV co-infected. This combination of two diseases, both severely immune suppressive, is almost impossible to cure.
MSF medical staff examine Mekuanent, a kala azar patient, during the morning rounds at MSF’s Abdurafi health centre specialising in the treatment of kala azar and snakebite. Ethiopia, June 2023.
© Amanuel Sileshi/MSF
Kala azar, or visceral leishmaniasis, is the second deadliest parasitic disease in the world – only malaria kills more people.

A neglected tropical disease, kala azar is caused by a parasite, spread to humans through the bite of infected female sand flies. It attacks the immune system and is almost always fatal if not treated.

Also known as visceral leishmaniasis, kala azar is the most serious form of leishmaniasis and is endemic in 76 countries, with hundreds of millions at risk of infection. There are between 50,000 and 90,000 new cases a year, about 90 per cent of which occur in Brazil, Ethiopia, India, Kenya, Somalia, South Sudan and Sudan. Between 1989 and 2020, MSF teams treated nearly 150,000 people for kala azar; over a third in South Sudan.

Diagnosis and treatment of the disease, especially of the variety found in eastern Africa, can be complex and painful.

MSF F2F World Challenge 2026

Welcome to the dedicated F2F World Challenge Page

From 29 June to 5 July 2026, F2F fundraising teams across the MSF movement will go head-to-head in a friendly, high-energy global challenge. 

What’s the mission? 🎯 Our goal is to recruit 7'500 new monthly donors in just one week. Equivalent to 1.3 million euros of annual income. Imagine the impact that could have for our patients around the world! With your passion, teamwork, and creativity, we believe this can be an unforgettable moment for fundraising at MSF.
Rabiu, a 20-year-old noma survivor, from Raba, Sokoto state, plays darts in the courtyard of the Sokoto Noma Hospital. ‘This is the first time I am coming to this hospital. At the beginning I refused, but my elder sister pushed me and brought me here’. He came with his brother Bello, who remembers: ‘He started getting herbal medication at home. His face had a boil, and a hot metal was used to break the boil. The sore was removed and it healed. Two others came out and the same thing was done.’ May 4, 2023.
Rabiu (right), a Noma survivor, plays darts in the courtyard of the Sokoto Noma hospital. Rabiu received reconstructive surgery from an MSF medical team. Sokoto, Nigeria, May 2023. 
© Fabrice Caterini/Inediz

We want this excitement to spread beyond our F2F community — to light up the whole office with energy and pride!

Leaderboard

Goal: €1,315,278 of annual income

How can your section get involved?

  • 💥 Shadow a canvasser in the field – get a glimpse of the action (and maybe even sign up a donor!)
  • 💥 Cheer on your fundraising team – your encouragement makes a difference.
  • 💥 Rally your office – every new donor brings us closer to our goal!
  • 🏆 The winning office will earn not only eternal glory — but also a celebration moment for the entire team!
  • 💥Record a testimonial while working alongside the F2F team and win your team an extra point towards the competition!
  • MSF Argentina
  • MSF Australia
  • MSF Austria~
  • MSF Belgium
  • MSF Chile
  • MSF Colombia
  • MSF Finland
  • MSF France
  • MSF Germany
  • MSF Hong Kong
  • MSF Japan
  • MSF Netherlands
  • MSF New Zealand
  • MSF Norway
  • MSF Poland
  • MSF Portugal
  • MSF South Korea
  • MSF Spain
  • MSF Switzerland
  • MSF Taiwan
  • MSF UK
  • MSF Uruguay
  • MSF USA
Group photo ICCM team: (front) Christophe, Awa, Rigini, (Back) Chol, Kat, Charles, Martine

The MSF integrated community case management team in Abyei. From left to right: Front – Christopher, Awa, Regina. Back – Chol, Hamada, Kat, Charles, Marteen. South Sudan, August 2023.

© Sean Sutton/Panos Pictures
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Mazim (on the right), 12, plays football against his two little brothers, with the ball they made with a sock filled with plastic bags. Mazim is the eldest of 6 siblings. He’s from El-Geneina, the capital of West Darfur. As hundreds of thousands of other children, he has fled Sudan to Chad with his family, following the outbreak of the war in April 2023. For over a year now, he’s living in Adré transit camp. 
18-07-2024 | Adré transit camp | Eastern Chad
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From 29 June to 5 July 2026, F2F fundraising teams across the MSF movement will go head-to-head in a friendly, high-energy global challenge.
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GEORGE ONDIJO IS A LAB TECHNICIAN AT NDIWAH HOSPITAL IN HOMA BAY COUNTY. HE IS IN CHARGE OF SPUTUM COLLECTION FOR TUBERCULOSIS DIAGNOSIS. THE USE OF MASK IS MANDATORY TO AVOID CONTAGION.
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MSF Field Research

We produce important research based on our field experience. So far, we have published articles in over 100 peer-reviewed journals. These articles have often changed clinical practice and have been used for humanitarian advocacy. All of these articles can be found on our dedicated Field Research website.

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