Skip to main content
Ebola disease in DRC: find out how we're responding
Learn more
431 Results
 
 *** Local Caption *** MSF has been working in the hospital in Paoua (173 beds) since 2006. Working alongside the Ministry of Health, our activities include emergency care, outpatient and inpatient treatment, internal medicine, paediatrics, obstetrics/maternity, HIV-AIDS and tuberculosis treatment, surgery and routine vaccination. MSF also supports a health centre in the town. Between March (when MSF took over the emergency room at the hospital) and October 2014, 9,640 consultations were provided at the hospital and 50,617 in the surrounding areas, 103 of which were for violence-related injuries. In total, an average of 59% of consultations concerned children under five and 76% were for malaria. There were 6,489 patients hospitalised in Paoua, including 1,208 suffering from malaria in the paediatric unit and 123 with violence-related injuries. Also, 1,976 surgical procedures were performed, 329 for violence-related injuries, and 1,213 children were admitted to our nutrition programme. MSF provided 7,890 antenatal consultations, assisted 1,354 natural deliveries and performed 128 caesareans. There were 6,148 children vaccinated against measles. MSF is treating 13,288 patients with HIV/AIDS and 8,730 are on antiretroviral treatment.
Central African Republic

Providing guidance to ensure high quality care

Voices from the Field - 13 Sep 2016
 
There are an estimated 15,000 people in Bama camp – most of these people are women and children under the age of five. People are living inside a camp surrounded by the Nigerian army. Boko Haram fighters are stationed a few killometres away from Bama camp, the town is empty, and it is like a ghost town. The only people who remain in Bama are inside the camp. 

We returned to Bama on August 17th to carry out our emergency response. We reached a total number of 3,293 children under the age of five. We treated 513 malnourished children (4.2% have severe malnutrition and 10.9% have moderate malnutrition).  
Our operational aim was to reduce morbidity and mortality among children under the age of five by providing treatment and food for one month.
We took Non Food Items (mosquito nets, soap), therapeutic food for malnourished children (plumpy nut) and a food blanket ration targeting malnourished children’s household (oil, emergency food, rations and beans). 
We started our distribution at 7am and there were people as far we could see. There were lines and lines of women and children. We screened the children for malnutrition as we distributed the items. 
Our operation strategy is to return to Bama every month for the next two months. 

There is an Outpatient clinic run by the Ministry of Health and UNICEF but very few patients go to the clinic because there are not enough medicines there. In addition the Nigerian Air Force opened few days ago an hospital in front of the camp’s entrance. 

Most people in the camp live in make shift corrugated iron shelters – with sheets of metal not offering much protection against the rain or elements. 
Now some people have plastic sheeting on their shelters and tents but there are no windows so it’s very hot inside these shelters and they’re not sustainable. There is also an issue around water. There isn’t enough water for the number of people in the camp. here is nine bore holes in the camp and only seven are functioning, this is not covering the needs of the 15,000 people in the camp.
Nigeria

Malnutrition is the biggest problem in Bama

Interview with MSF project coordinator Hakim Khaldi Voices from the Field - 7 Sep 2016
 
msf-placeholder
South Sudan

Patient story - Nyajuba

Nya is one of the 201 patients who received surgery from MSF following the recent clashes in South Sudan, 54 of which were major operations. Voices from the Field - 5 Sep 2016
 
Fanne holds her 8-month old son Mallum Abba. He weighs 5,4 kg and is receiving treatment for malnutrition at MSF's inpatient therapeutic feeding centre in Ngala.
Nigeria

Video: Testimonies from displaced women in Maiduguri, Nigeria

Voices from the Field - 23 Aug 2016
 
Amina Story 7/7

Amina is 15 years old, she looks like she has the weight of the world on her shoulders. Her small frame shrinks further in size as she talks about what she has experienced.

Sleeping on the hospital bed besides her is her son Yaqub, who she gave birth to a few days ago in MSF‘s health facility in Maimusari, 15 kilometres from the centre of Maiduguri, the capital of Borno State, north east Nigeria.

The MSF health centre in Maimusari is heaving with women and children, everwhere you look women are huddled holding their babies or seated on benches waiting to be seen by health workers.

I say women, but many of the faces in the crowd are teenager girls similar in age to Amina. Some of these girls have given birth to their second or third child. 

More than five hundred women and babies are being treated in this MSF health facility daily and more than seventy babies are delivered every week. 

MSF runs an In Patient and Out Patient Department,  maternity and ante natal services and an Ambulatory Theraputic Feeding Centre – ATFC. This is where malnourished  children and babies are provided with threaputic treatment. 

Amina says she is her husbands second wife, he has five children from his first wife, Amina says she has no idea where he is and he has yet to meet their newborn son. 

Amina is from Bama, a town in north east Nigeria. 
Bama is one of the frontlines in the ongoing conflict between the Nigerian army and Boko Haram that has left more than one million displaced and facing a growing nutrition crisis. 

Amina was evacuated from Bama and refered to MSF‘s health facility in Maimusari. The journey by road takes two and a half hours, the road is in poor condition and dangerous because it is part dotted with military checkpoints and is close to the Sambisa Forest in Gwozah, where Boko Haram are said to have a base. 

“I don‘t remember the journey from Bama to Maiduguri because I was in so much pain I had passed out. My youngest sister, Noor, aged five acompanied me on the journey. Was I scared ? I have spent my whole life being scared and so this was no different“ says Amina.

“It is very hard to be a girl here. Many bad things happen to girls, unspeakable things happen and they start happening to little girls as young as ten“ Amina twists the fabric of her dress as she talks and looks away frequentky trying to avoid eye contact with the nurse in the room. 

“What can I tell you ? It is impossible for me to talk about these things. “

I ask her how she feels about being a mother?

She shrugs her shoulders and then leans back and looks in to the distance.

In the same room as Amina there are two women on each bed with their newborns. 

The older looking mothers handle their children with more experience and attachment, holding their babies close as they breastfeed them. 

In one bed there are twins nestling into the blankets they’re laid out on. Many of the new mothers have expresionless faces. They look utterly exhusted.

Fatima,  35, has given birth to her sixth child, she says her baby was deliverd safely by MSF and she is thankful that she had somewhere to turn to in her time of need. 

“I felt safe here and knew that I would get good care and my baby would be healthy. I do not know what tomorrow will bring and all I can do is hope for the best for my child and all the children.“

MSF midwife Etsuko Nakamura is doing the rounds in the health centre. 

In the delivery room a woman has just given birth and has a retained placenta which can be life threatening as it can cause infection. Nurses masage her uterus to try and encourage the placenta to discharge. 

Another woman is in labour and the staff are preparing for her delivery.

“Our women patients are mostly in poor general health and for most it is very difficult for them to get to see a doctor because they don’t have the money or their family members do not see it as a priority,“ says  MSF midwife Etsuko.

“We deliever up to fifteen babies daily, many of the women have had repeat pregnancies and deliveries in a short space of time – their bodies are weak and exhausted. 

As always with our work  we see the dailly impact of conflict and poverty. We see how women and children’s lives are made harder by violence and instability. 

It is the women and children who are the most vulnerable and suffer the most,“ says Etsuko.
Nigeria

Amina, a 15-year-old mother in Maiduguri

“Our women patients are mostly in poor general health, and for most it is very difficult for them to get to see a doctor because they don’t have the money or their family members do not see it as a priority,” explains Etsuko Nakamura. Voices from the Field - 18 Aug 2016
 
Dayo, 31, was referred to Mora Hospital in Cameroon in late July by MSF teams in Banki, Nigeria.

 She accompanied her sick four year-old son, Barine. The child urgently needed to be admitted to hospital as he was suffering from severe acute malnutrition.
Nigeria

We are scared to return

Patient testimonies from Banki Voices from the Field - 11 Aug 2016
 
In Guinea-Bissau, MSF is woring at the national hospital in Bissau, the capital of the country. MSF teams are now in the paediatric intensive care unit (PICU) 24 hours a day, 7 days a week.
Guinea-Bissau

Many children would be saved if they arrived at the hospital earlier

In the region of Bafata, in the northeast of the country, we are working in the regional hospital and at several health centres in rural areas. Voices from the Field - 29 Jul 2016
 
MV Aquarius disembarks 209 people and the dead bodies of 21 women and one man in Trapani, Sicily on the 22nd July 2016.

The search and recue vessel, a partnership between MSF and SOS Méditerranée, responded to a boat in distress on 20th July 2016.

"We see from the people that survived that they are unusually silent. They are just staring with these empty eyes into nothingness for hours and hours. It's been horrific. These things shouldn't happen. It's 2016. It shouldn't happen anymore." 

Dr Erna Rijnierse, Doctor onboard MV Aquarius a search and rescue vessel run in partnership between MSF and SOS Méditerranée.
Mediterranean migration

MSF doctor recounts finding deaths at sea

By Dr Erna Rijnierse, an MSF doctor onboard the search and rescue vessel the MV Aquarius Voices from the Field - 25 Jul 2016
 
Dr. Christine BIMANSHA MBOMBO, MSF Medical Activity Manager of the HIV/AIDS program in the Hôpital communautaire of Bangui. 09 July 2016 - Hôpital communautaire, Bangui, Central African Republic.
Central African Republic

If you provide care, they will come

Voices from the Field - 18 Jul 2016
 
Teams are  providing mobile clinics in Gudele 1 and Gudele 2 today, where approximately 3000 people are sheltering after having been displaced by intense fighting.
South Sudan

Our patients are telling us terrible stories

"In escaping from the violence, many people lost family members. Today I met an eight-year-old boy whose mother and father were both shot and who now has no one to take care of him. I saw a girl of 12, her three-year-old sister in her arms, come for a consultation, saying she had lost both parents. " Voices from the Field - 15 Jul 2016
Four mothers posing in a corridor of the Hospital in Bili. All four of them are staying in the hospital with their child, that's suffering from a severe case of malaria. Since the beginning of the project in 2016, the pediatric ward already treated more than 4.000 cases of complicated/severe form of malaria.
Médecins Sans Frontières (MSF)

Independent medical humanitarian assistance

We provide medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. Our teams are made up of tens of thousands of health professionals, logistic and administrative staff - most of them hired locally. Our actions are guided by medical ethics and the principles of independence and impartiality. We are a non-profit, self-governed, member-based organisation.

Learn more