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In Afghanistan there is a lot of pressure on women to become pregnant, and to become pregnant quickly after marriage. This has led to an abuse of fertility medication which you can buy, unregulated, at the market. As a result we see many twins, triplets, quadruplets and even quintuplets born in our hospital. These babies are often born prematurely and so are very small – sometimes weighing no more than a bag of sugar. These four babies, and their brother who sadly passed away after birth due to an infection, were born to a surprised mum who thought she was having triplets. When she went into labour she got the shock of her life when it turned out she was carrying five babies (3 boys and 2 girls). Their dedicated mother lived at the hospital for weeks to express milk to feed all four of them every two hours with a syringe. Unfortunately after some months she eventually decided to take the babies home before they were ready to be discharged as she had other children to care for.
Afghanistan

Illustrating MSF’s busiest maternity ward

Illustrator Aurélie Neyret and her comic ‘Hila: Born in Afghanistan’ help tell the stories of patients and staff at MSF’s maternity ward in Khost, eastern Afghanistan. Project Update - 3 Oct 2018
 
Twenty-two year-old Eyad was shot in the leg during the ‘Great March of Return’ demonstrations in Gaza on the 14th May – one of the deadliest days witnessed by MSF teams in the six months of protests. He needs a bone graft and limb reconstructive surgery which is not currently possible inside the Gaza strip.  Eyad’s case has been accepted for treatment at the MSF’s specialist surgical hospital in Amman, Jordan – but for people living in Gaza, requesting the authorisation to leave from the Israeli authorities is a lengthy, difficult process which often ends with a refusal.

“I still remember vividly the day I was shot: the bullet entered my leg like an injection and then I felt a hot sensation on my other leg. I looked down and saw lots of blood, and I realised I had been wounded. I was in so much pain.

After the bullet entered my leg I started to shake, and it felt like I had electricity coursing through my body.  At first, I was stunned by what I saw. I thought I was going to lose my leg and become an amputee. 

I was shot on the 14 May 2018. Like a lot of Palestinians I was shot in the leg. It just goes to show how barbaric the Israeli army was towards us that day. 

I went to the demonstrations because I love my country and I am trying to defend it. I wanted to show everyone that we have the right to our lands and the right to have our homes back. The demonstration was peaceful. Then the Israeli army started shooting. I knew it was going to be dangerous, so I went alone. I didn’t want to see any of my friends injured or killed. I wanted to free our land, our home, our sacred places. Israel can take all they want; I just want them to give us back our land. 
My mother tried to convince me not to go and begged me to stay at home. She called my grandparents to try and persuade me. But they could not stop me. I had made up my mind. 
Ever since I was shot I’ve had trouble sleeping. When I sleep, it feels like knives are moving inside my leg and electricity is coursing through my body. I don’t move around a lot, I don’t go out; only if I have to. I prefer not to move around a lot because it is just so painful.

My parents and siblings are caring for me – they take good care of me. They bring me whatever I need.

“All I hope is to be able to walk normally again”
 
I go to MSF’s clinic in Gaza three times a week for dressing changes and to have physiotherapy. My condition started to improve after the first debridement operation, which cleaned the gunshot wound and took out the infected blood. I have had about six operations, including the debridement of the wound, attaching the external fixator to stabilise the bone, and a skin graft where they took skin from my thigh to cover the gunshot wound.

The next stages of my treatment must be done in Jordan, at the MSF reconstructive surgical hospital in Amman. They plan to use a bone graft to fix the shattered bone, and a plastic surgeon will then reconstruct my damaged leg. When I heard they wanted to send me to Jordan I was full of fear because I thought the Israeli army wouldn’t let me leave Gaza. I thought I’d have to have an amputation. But once I heard that the Amman hospital had accepted me, I started to feel hopeful again. I started to see that things might be ok. Now I am just waiting to see if I am permitted to leave Gaza.

“I have lost everything”
 
I left school at high school and I don’t have a job. Actually, this is one of the main reasons I went to the border to demonstrate, because I don’t have job and I don’t have anything to do. I wish I could work. 

But there is no work in Gaza. I am a musician, it’s not a profitable job, but I love to play instruments like the flute and drums.

Have I returned to the protests? That is an embarrassing question... no, I haven’t. After experiencing this amount of pain and losing so much of my life from what happened, I don’t want to go back.

I have lost friends, I have lost the ability to go out or move around as I wish. I find it difficult to play my instruments. I have lost everything.
My only hope is to return to how I used to be.
But I know that won’t happen... I can’t swim or play football anymore. I was a really good footballer. I’m not able to run the way I used to. I just hope that, with further surgery, I will be able to walk normally again, without any pain. That’s all I hope.

“It is overwhelming to see your friends die.” 
 
My friends still go to the demonstrations; some of them have also been wounded. One of my friends also got shot and now has almost exactly the same injury as me. Another friend who helped me when I was injured has been killed. He was at a demonstration helping another wounded person when he died.
I am trying to convince other people not to go to the demonstrations. I don’t want them to experience the pain I have. The negatives of protesting outweigh the positives. Going there is so dangerous: people may lose their hopes and futures. They need to stay away: the Israeli army is really violent.

As Palestinians, we want these protests to be peaceful. But Israel sees this as a violation of their freedom. All we want is to return to our lands. We protest to show everyone that we are Arab, that we are all together in this, and that we support each other. That’s why we go to the demonstrations.
Palestine

“When I sleep, it feels like knives moving through my leg”

Eyad, 22, describes how he was shot in the leg during the ‘Great March of Return’ demonstrations in Gaza on 14 May, his treatment since and his hopes for the future. Voices from the Field - 2 Oct 2018
 
Two Yemeni men carry a stretcher out of Al Salam Hospital to go pick up a patient on July 22, 2015 in Qataba, Yemen.
Yemen

MSF suspends activities after attack in Ad Dhale

MSF strongly condemns attacks against its staff and asks for protection for humanitarian workers and patients. Statement - 2 Oct 2018
 
Dr Mohammed Abu Mughaiseeb, MSF medical referent in Gaza
Palestine

“Nothing can prepare you for this”

Dr Mohammed Abu Mughaiseeb, MSF medical referent in Gaza, describes the shocking volume of wounded arriving from the fence over the last six months and their bleak long-term prospects. Voices from the Field - 2 Oct 2018
 
msf-placeholder

Speaking Out videos: MSF and the war in the former Yugoslavia 1991-2003

Speaking Out videos: MSF and the war in the former Yugoslavia 1991-2003
 
A child walks on an elevated foot path reinforced by sandbags in the Unchiprang camp in Cox’s Bazar, Bangladesh.
Rohingya refugee crisis

Crisis update – September 2018

September 2018 update on activities in Cox's Bazar district, Bangladesh, providing care for Rohingya refugees who have fled Myanmar. Crisis Update - 1 Oct 2018
 
Makeshift shelters and structures built on a sandy slope in Unchiprang refugee camp in Cox’s Bazar, Bangladesh. Thousands of hand-built shelters are threatened by high winds, storms and landslides during the monsoon season.
Bangladesh

Shanti Khana: Bringing peace to Rohingya refugees

Prodjut Roy, a mental health supervisor with MSF, describes the mental health needs among Rohingya refugees and what has been done to break down the stigma associated with mental health services. Project Update - 28 Sep 2018
 
Mamotsieleli Molofotsane is around 20 years old she says. She has three children and is pregnant with her fourth.  Mamotsieleli has been tested HIV positive and is on ARV treatment. Her three children have been tested HIV negative.  To go to the MSF supported clinic of Ha Seng, she has to walk many hours. She already missed an appointment for a refill of her ARV drugs due to the distance and a problem with her feet.  In Lesotho, the health centers are very scattered. Women have to walk many hours and sometimes even have to sleep overnight before they can reach the health center.  As a result, many women have a poor adherence to their treatment.  Some are not coming to the health centers on a regular basis.  When a pregnant woman like Mamotsieleli doesn’t adhere well to her ARV treatment,  it increases the risk for her to transmit the virus to her child.   It also means that her treatment will not work properly for herself: she will get sick, resistant to treatment and ultimately risk death.  Maternal mortality -linked to HIV- in Lesotho is one of the highest in the world.
Women's health

"I’ve seen with my own eyes, safe abortion saves women's lives"

Dr Manisha Kumar talks about her experience in the field with women needing access to safe abortion care and efforts to increase access to contraceptive and safe abortion care services offered by MSF projects. Interview - 27 Sep 2018
 
Fatouma Adamou and Iscander Raingou-Mounchili are doing the evening visit in a phase 2 tent.
Niger

One of the world’s biggest paediatric intensive care units is full

The 200-bed paediatric intensive care unit in Magaria, Niger, is overwhelmed as MSF teams tackle an unprecedented malaria peak in a hospital that covers a region of one million people.

Press Release - 25 Sep 2018
 
XDR-TB patient Nischaya, at home in the Ambedkar Nagar area of Mumbai, studying for her exams. Beside her bed, her father is putting in order her box of TB medication.

Nischaya (not real name) is 18 years old, lives in Mumbai, and is one of only a handful of extensively drug-resistant TB (XDR-TB) patients in India lucky enough to be able to have acesss to the new drugs. After having been on treatment unsuccessfully for several years, Nischaya was referred to the clinic of Medecins Sans Frontieres (MSF) / Doctors Without Borders, an international medical humanitarian organisation who since 2006 provides free diagnosis, treatment and support to patients with drug-resistant TB in Mumbai.
Tuberculosis

Global leaders must make bold commitments at first-ever UN tuberculosis summit

As world leaders meet at first-ever UN TB summit, MSF highlights urgent need to scale up newer tools available today to save lives, and develop a fast, safe and simple cure for TB Press Release - 25 Sep 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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