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Access to hospitals and health centres has been a challenge for MSF teams in Bangui while fighting has been taking place in the city. In the pictures, a support team heading to Castors Health Centre has to take cover from gunfire.
Central African Republic

MSF calls upon government and all parties to the conflict to publicly condemn attacks against civilians and humanitarian workers

CAR: Following the massacre in Boguila and abuses against civilians, MSF reduces medical activities Press Release - 5 May 2014
 
Since the Amman Reconstructive Surgery Project was set up in 2006, over 3,000 patients from the region have arrived at project. The project has received patients from Iraq, Gaza, Yemen and Syria.
Jordan

MSF Reconstructive Surgery Project in Amman Continues to Support Victims of Violence from Iraq

Despite the complexity of the overall situation in Iraq, and particularly in Anbar province, MSF continues to offer reconstructive surgical care to victims of violence in Anbar and from all over Iraq. But the security situation is posing huge challenges. Project Update - 29 Apr 2014
 
KIGALI, RWANDA, AFRICA, 30.04.95. Tutsi survivors of the genocide at the one year anniversary of the genocide. Beneath umbrellas.
Rwanda

Rwanda, 20 years later: “I am left with a great sadness”

Dr. Jean-Hervé Bradol pays tribute to hundreds of murdered Rwandan MSF colleagues. Voices from the Field - 28 Apr 2014
 
The South Sudanese key strategic town of Malakal came under attack on February 18. The clashes between government and opposition forces forced thousands of people to flee to other locations or to the UN compound in the town. Roughly 21,000 people were crammed into this camp.
South Sudan

MSF condemns unspeakable violence in Bentiu

Accounts of gruesome targeted killings; consequences of the violence leaves thousands in peril Press Release - 28 Apr 2014
 
Madeleine Boyer (infirmière anesthésiste). au chevet d'un jeune patient.<br>
Rwanda

Twenty years after the Rwandan genocide: “We don’t talk about things that are hard to recount”

Nurse anesthetist Madeleine Boyer describes recollections of her two missions to Kigali in 1994 Voices from the Field - 25 Apr 2014
 
Kawargosk camp.
Kurdistan/Iraq - MSF is running a primary health centre in Kawargosk camp hosting Syrian refugees and mobile clinics in another refugees camp in Erbil area.
 *** Local Caption *** With the insecurity and the violence affecting the entire population in Syria, many Syrians have chosen to flee to Iraq. The internal Iraqi political dynamics have created the space for the Kurdish Region Government (KRG) to host the Kurdish population fleeing Syria. In Erbil governorate (Kurdish region of Iraq), MSF is running a primary health centre in Kawargosk refugees camp and mobile clinics in another other camp.
Natural hazards

Optimal Evidence in Difficult Settings: Improving Health Interventions and Decision Making in Disasters

As for any type of health care, decisions about interventions in the context of natural disasters, conflict, and other major healthcare emergencies must be guided by the best possible evidence. Journal article - 22 Apr 2014
 
Ansongo hospital, Gao region, in northern Mali. MSF started working in Ansongo in September 2012, nine months after the conflict broke out in the north of the country between the security forces and Tuareg and Islamist groups. Currently, MSF is working at the Ansongo referral hospital, a 31-bed facility, where the organisation carries out OPD, IPD, ANC consultations and assist deliveries.
Mali

“MSF was in Ansongo throughout the crisis, the population appreciates our work”

Interview: MSF in Ansongo throughout the crisis Voices from the Field - 17 Apr 2014
 
MSF fistula camp in Boguila, CAR: Exterior of main hospital in Boguila. 
Approximately two million women in Africa suffer from a fistula, which is a hole between the vagina and the bladder or rectum, through which urine or feces leak continuously. Fistulas can be caused by prolonged obstructed labor and childbirth or sexual violence in addition to lack of medical facilities. Women with fistulas are often outcasts from their communities because of the smell associated with their incontinence, and in some cases they are abandoned by their husbands. Chances for women to have their fistula repaired are slim, as many hospitals or health clinics do not have the proper instruments or knowledge and skills to carry out such a procedure.
Central African Republic

Thousands of people flee fighting in Boguila town

7,000 people flee the town, 40 women and children seek refuge in hospital Project Update - 12 Apr 2014
 
The needs of displaced people in Don Bosco (30,000 people) are enormous. MSF has started a nutritional program in the camp.
Central African Republic

"The international response to the conflict is extremely disheartening"

An MSF humanitarian affairs officer describes the terrible conditions in Central African Republic. Voices from the Field - 4 Apr 2014
 
Street scene in Carnot. *** Local Caption *** Since February 1st, date of the anti-Balakas takeover of the city, a thousand people (mostly Peuls/Fulani in transit on their way to Cameroon) are trapped in the city ,victims of attacks and violences.
Central African Republic

"Carnot has not been calm since then"

Dramane Kone, MSF project manager, describes the situation in Carnot, CAR. Voices from the Field - 31 Mar 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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