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Ali, a student, was shot in the stomach during the events of April 10th. The bullet is still lodged in his body, he is waiting for surgery.

Ali, étudiant, a reçu une balle dans le ventre durant les événements du 10 avril. La balle est encore logée dans son corps, il attend d'être opéré.
Central African Republic

Days of violence and mass casualties in Bangui

For over 18 months, Central African Republic (CAR) has yet again been subjected to extreme violence inflicted on a population left traumatised by the civil war in 2013 and 2014. Until recently, the capital city Bangui appeared to have been spared the attacks and fighting that have erupted in the provinces. Project Update - 17 May 2018
 
People waiting in front of the Bambari general hospital, Central African Republic. In Bambari, second city of CAR, MSF supports the paediatric and maternity wards and the national surgery team. MSF teams in Bambari treated 22 people for violence-related injuries in May 2017, in contrast to just eight in April. Four children were among the wounded from Alindao treated by MSF, including a three-year-old who had been shot in the face. Most of those injured in Alindao had gunshot wounds, but some had knife injuries and burns.
Central African Republic

Fire and bloodshed in Bambari, a town symbolising peace

Since 14 May 2018, a new cycle of inter-community violence has taken hold in Bambari, a city in the Central African Republic (CAR) that, in 2017, remained relatively stable while the rest of the country spiralled into increasingly fractured conflict. MSF’s surgery team, which supports the local hospital, cared for 17 wounded, two of whom unfortunately succumbed to their injuries. Project Update - 17 May 2018
 
Newly displaced people carrying their belongings set foot inside the hospital compound where most of the people arriving in Pulka first settle.
More than 42,000 people are estimated to be living in Pulka now, according to local authorities. They are made up of internally displaced persons (IDPs), returnees and members of the host community who did not flee when Boko Haram attacked the town.
Since January, Pulka has registered more than 11,300 new arrivals.
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Nigeria

Parched Pulka searches for water

Amidst the conflict in Pulka, north-east Nigeria, displaced people struggle to access basic amenities like safe water. Project Update - 27 Apr 2018
 
Churches and religious service are an important opportunity for the community to come together and share in their experiences. People can better come together with their issues when they do so in a collective manner.
South Sudan

The mounting mental health toll in Upper Nile State

The Malakal Protection of Civilian site (PoC) was created at the beginning of 2014 to offer temporary protection to the population of the area who were caught up in fighting in South Sudan's Upper Nile region. But four years on, the difficult living conditions, the loss of hope, feelings of enclosure, as well as limited livelihood opportunities have had an effect on the mental health of those who are trapped inside. Voices from the Field - 17 Apr 2018
 
Name changed for their safety: Akech (wife) and Kuany (husband)

Akech (33) tries to cultivate a small garden with some veggies like eggplants and greens on the polluted soil of the PoC Camp in Bentiu. 

Akech and her husband  Kuany, parents of 9 children, came with the first waves of refugees on 27-12-2013 to the PoC Camp in Bentiu. They had a bright and wonderful life in the city of Bentiu. 

But with the beginning of the clashes between the official SPLA soldiers and the troops in opposition (SPLA/IO) the killing started. 

„Bodies over bodies were to be seen on the streets and we started to run with all our kids to the Camp Site“, says Kuany thoughtfully. „I lost during all this fightings and burnings all my documents, incl my University tittle prooving that I am received, teacher. We lost our identities, nothing is left. We had a great life, 35 cows, a garden with veggies and flowers. I can still remember their smell. Now we are here, under most awful and miserable conditions, and limited food access.“

Besides the terrifying wood collecting for some extra money of his wife due to the many sexual outbreaks of violence outside the camps, the food was not enough. One day in 2014, Kuany decided to go with friends to Nyabol, a place rich in fishes.  

"We didn't even have the chances to install us when official troops (SPLA) started to shoot. We jumped into the water and hid in the swampy bushes. I remember the voice calling us. Are you shot? I recognized the voice, the voice of one of my former students. I went out of the water and he questioned me what I was doing here. My explanation of the hunger and the need to feed my wife and kids were good enough. He and his others SPLA mates were visibly surprised and all of my friends were allowed to come out and to leave alive the area. Over hours I was shaking, the shock was deep inside my body and soul."

Kuany went for Christmas 2015 to the city of Bentiu to check on his property. Nothing was left, no roof, no
South Sudan

Enduring Bentiu

A Daily Struggle in South Sudan's Protection of Civilians Site Photo Story - 12 Apr 2018
 
On the evening of April 10th, patients flocked to the MSF Sica hospital in Bangui following the resumption in the afternoon of the operation of MINUSCA and Central African security forces in PK5 district in Bangui on the 10th. April against local armed groups, which gave rise to fighting.

Le 10 avril en soirée, les patients ont afflué  à l'hôpital MSF Sica de Bangui suite à la reprise dans l'après-midi de l'opération de la MINUSCA et des forces de sécurité centrafricaine dans le quartier de PK5 à Bangui le 10 avril contre des groupes armés locaux, qui a donné lieu à des combats.
Central African Republic

Four things to know about the conflict in the Central African Republic

Ongoing war has resulted in a protracted humanitarian crisis in the Central African Republic (CAR), creating severe health needs among the population. Voices from the Field - 10 Apr 2018
 
Refugees in northern DRC
Democratic Republic of Congo

Lives split over the Congolese border

Sébastien Jagla, MSF project coordinator in the north of Democratic Republic of Congo, describes the challenges to provide humanitarian assistance to Central African refugees, constantly on the move between two places and with no real home. Voices from the Field - 6 Apr 2018
 
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Rwanda

Remembering the genocide more than 20 years on

More than two decades since the 1994 genocide, Rwandan fieldworkers tell us about the experiences that motivated them to join MSF. Project Update - 6 Apr 2018
 
Areti, 37-years-old from a village called Joo (Mahagoi) in Ituri province  
Areiti and six of her children have been in Mara Tatu camp in Uganda since February 2018. They are among the 57,000 people who have fled massacres in Ituri since mid-December 2017 for Uganda, crossing Lake Albert by boat. 

For her, the pain of exile is exacerbated by the fact that the violence separated her from her husband and one of her children. They hope to be reunited, though as the killings rage on in DRC, it is hard for her loved ones to find an escape route.

For now, she and her six children live in hope that their family will be whole again, as they try to forget the horrific scenes they witnessed.
Democratic Republic of Congo

The daily struggles of Ituri’s refugees

The attackers wore masks and used axes, machetes and guns to slaughter civilians in the Democratic Republic of Congo’s strife-torn Ituri province. Voices from the Field - 5 Apr 2018
 
Mace-Grace (11) recovers in a hospital room on 2 March 2018 in Bunia. She lost her mother, three siblings and her left hand after an attack on her village. Fighting in Ituri province has left thousands of Congolese displaced and some 100 have lost their lives.  PHOTO/JOHN WESSELS
Democratic Republic of Congo

Stories of flight across Lake Albert

“It’s different this time. In the 2000s our homes were torched too, but we were able to go back to our villages. Now people are being hunted down and killed." Project Update - 23 Mar 2018
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.

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