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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
Ebola and haemorrhagic fevers

Defective interfering genomes and Ebola virus persistence

MSF's Research Unit on Humanitarian Stakes and Practices (UREPH) is pleased to announce the publication of the article "Defective interfering genomes and Ebola virus persistence" by Philippe Calain, Laurent Roux & Daniel Kolakofsky, published in The Lancet (Vol. 388, No. 10045, pp. 659–660). Journal article - 18 Aug 2016
 
Medecins Sans Frontieres (MSF) staff stock 17.000 icepacks in cooler containers. 

The icepacks are cooled at a temperature of minus 22. Before being stored in blue boxes with the vaccines. They are spread out in the sun till they reach a temperature of 0°C. As the vaccines have to be kept at the temperature between +2 and +8°C.
Democratic Republic of Congo

MSF mobilises hundreds of workers for massive yellow fever vaccination campaign in Kinshasa

MSF is mobilising considerable resources to support the Congolese authorities in their wide-scale campaign against yellow fever, where 10.5 million people will be vaccinated in the next ten days. Project Update - 16 Aug 2016
 
Abs hospital, in Hajjah governorate, northwestern Yemen, was hit by an airstrike in the afternoon of August 15 at 3.45pm local time, killing at least 14 people and injuring at least 19. The blast immediately killed nine people, including an MSF staff member. Two patients died while being transferred to Al Jamhouri hospital. Five patients remain hospitalised. Abs hospital, supported by MSF since July 2015, was partially destroyed. All remaining patients and staff have been evacuated. The location of the hospital was well known, and the hospital’s GPS coordinates were repeatedly shared with all parties to the conflict, including the Saudi-led coalition.
Yemen

Death toll rises to 19 in airstrike on MSF-supported Abs hospital in Hajjah

On 15 August, Abs hospital, in Hajjah governorate, northwestern Yemen, was hit by an airstrike at at 3.45pm local time. The death toll from the airstrike on the MSF-supported hospital now stands at 19. Project Update - 16 Aug 2016
 
Muenge Kifeta sits with her 1 month old daughter who is checked up by MSF doctor Alexander Akili in the maternity ward at the government hospital in the village of Shamwana, Katanga, Democratic Republic of Congo on September 21, 2013. The baby has a serious neo-natal infection but will recover after ongoing observation at the hospital. She traveled 35km from a nearby village in an MSF mobile unit.
Democratic Republic of Congo

After ten years, Shamwana project is closed

Press Release - 16 Aug 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.

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