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Children playing in Harmanli camp. The biggest of Bulgaria’s emergency centres for refugees is in the town of Harmanli, about 30 kilometres away from the Turkish and Greek borders.

Over the past seven months, teams from Médecins Sans Frontières (MSF) have provided medical and psychological healthcare, distributed essential aid and made improvements to buildings and facilities in three reception centres for asylum seekers in Bulgaria. 

The centres were MSF worked, in Harmanli and in the Bulgarian capital Sofia, are currently home to more than 1,500 refugees, many of whom have fled war-torn Syria, making a long, often dangerous journey to Europe in search of safety and protection. 

MSF started working in Bulgaria last November, after finding appalling conditions that included lack of food, shelter, medical or psychological care. Despite the winter, people were sleeping in unheated tents, and up to fifty people were sharing one toilet. 

Now that the authorities have had the chance to expand their capacity and conditions have improved, MSF is handing over the provision of medical and psychological healthcare services to the Bulgarian government and to other humanitarian organisations.
Bulgaria

MSF projects for refugees in Bulgaria coming to a close

Over the past seven months, teams from Médecins Sans Frontières (MSF) have provided medical and mental healthcare, distributed essential aid and made improvements to buildings and facilities in three reception centres for asylum seekers in Bulgaria. Project Update - 5 Jun 2014
 
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Ebola and haemorrhagic fevers

Resurgence of Epidemic Ebola in West Africa

While the number of patients appeared to be in decline, new cases of Ebola have been reported in Guinea and Sierra Leone. The virus has already affected more than 300 people in West Africa. Médecins Sans Frontières (MSF) is continuing its work supporting health authorities in the two countries, treating patients and putting measures in place to contain the epidemic. Project Update - 3 Jun 2014
 
Area reserved for the most serious patients at the Cholera Treatment Centre in Minova. Cholera is highly infectious so isolating patients is vital in order to prevent the disease from spreading.
Cholera

An interactive guide to an MSF cholera treatment centre

An interactive guide to an MSF cholera treatment centre Project Update - 3 Jun 2014
 
A nurse dispensing TB medication inside Colony 3 TB prison.
Ukraine

MSF provides urgently needed medical supplies to hospitals receiving wounded in eastern Ukraine

MSF provides urgently needed medical supplies to hospitals receiving wounded in eastern Ukraine Project Update - 30 May 2014
 
PK5 is an area where traditionally Muslims and Christians live together. At the beginning of January, 30% of our patients were Muslim, but this has now decreased to only a few as they have fled or fear to go outside. Beginning of February, MSF start a mobile clinic to the large central mosque in Bangui (PK5 neighborhood), where about 2,000 displaced Muslims are living in fear and not daring to get to our clinic. MSF provides daily water supply on this site (20m3 per day) + PK 12 camps : MSF is carrying out mobile clinics in the PK12 camp, where there are approximately 1,500 displaced people.
Central African Republic

New Violence in Bangui - A Day in the General Hospital

A Day in the General Hospital Project Update - 29 May 2014
 
Health Promotion team receive training to create awareness about the disease at the CTC in Gudele, one of the most affected suburbs in Juba city.
South Sudan

MSF cholera response continues to expand in Juba, South Sudan

The cholera outbreak in Juba continues to spread: MSF expands response Project Update - 28 May 2014
 
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Tuberculosis

Phumeza takes TB Petition to World Health Assembly Delegates

Phumeza Tisile, a former XDR-TB patient, takes the ‘Test Me, Treat Me’ Drug-Resistant TB Manifesto to the 67th World Health Assembly in Geneva, Switzerland. Project Update - 26 May 2014
 
During the April 14th launch event, the out-reach team, with a street theater group, went around the city of Ndhiwa to call on public participation to the ceremony and raise public awareness on HIV. *** Local Caption *** On April 11th, 2014 –Médecins Sans Frontières (MSF) and local health authorities officially launched a new HIV program that they will jointly run in Ndhiwa sub-county, Homa Bay County, in Western Kenya. In this region, more than one fourth of the population is leaving with HIV.
During the 4 years of activities, the program will aim at reducing the number of new infections among the population as well as the mortality related to HIV. This will be made possible by implementing universal and regular testing for the whole population of Ndhiwa sub county and setting up early quality treatment for people living with HIV as well as providing quality care for people hospitalized. Furthermore, the increase access to viral load testing will help ascertain that patients are at the lowest risk of transmitting the virus
The MSF / Ministry of Health program will focus on simplifying the way healthcare is provided to patients, through an adaptation of medical protocols and the inclusion of non-medical workers in the provision of care. Such medical protocols will include encouraging the community to get tested and receive ART as early as possible if found infected to reduce transmitting the virus to others, as well as to support adherence to the treatment. Systematic screening and provision of ART for all HIV positive pregnant women will be implemented, in order to reduce mother-to-child transmission (PMTCT) of the virus. HIV testing program will also be integrated in routine immunization programs for young children. Medical male circumcision will also be key in impacting the rate at which men get infected.
HIV/AIDS

Ndhiwa HIV programme, partners quotes

Ndhiwa HIV programme, partners quotes Project Update - 26 May 2014
 
MSF team member preparing the oral cholera vaccine.
Cholera

MSF rapidly scales up response to contain cholera outbreak in South Sudan

MSF rapidly scales up response to contain cholera outbreak Project Update - 23 May 2014
 
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Central African Republic

Doctors on the frontline

The critical work MSF medical teams are doing on the ground in Bossangoa Project Update - 16 May 2014
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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