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Poeun Pech (29) was tested seropositive three years ago. She lives in Sunsa Village, Pourk District, about 20km away from the hospital. She often comes to the hospital for her medicine but is now staying in the HIV ward because her health has worsened. She is malnourished and receives special therapeutic food. When she was 18 she left to work in a massage parlor in Sihanoukville. She married there and has now 2 boys (1 and 3 years old). Her husband left her when he heard he was seropositive. She returned to her parents home. Her mother is looking after her. The transport to the hopital is a very big problem, the trip costs 5USD per person. 
MSF in Cambodia has focused on an innovative approach, treating HIV/AIDS as a chronic disease alongside diabetes and hypertension, which also have high prevalence rates.  In Takeo MSF increasingly focused during 2007 on developing treatment for patients affected by tuberculosis (including multi drug-resistant TB). These activities included training national health staff on TB management and renovating TB wards in Takeo.
HIV/AIDS

Plasma Concentrations, Efficacy and Safety of Efavirenz in HIV-Infected Adults Treated for Tuberculosis in Cambodia

A study to assess the efficacy and safety of efavirenz 600 mg daily in HIV-tuberculosis co-infected patients. Journal article - 7 Mar 2014
 
Today, Sonia continues to care for her child. But tensions in the neighborhood of PK5 remain. Shootings and exactions happen daily.

Sonia is 21 years old. She came to the Médecins Sans Frontières (MSF) hospital in M’Poko camp to deliver in the proximity of the Bangui international airport. Last December, while Sonia was more than 7 months pregnant, a wave of extreme violence struck Bangui, the capital of Central African Republic, obliging her to flee her neighborhood and seek refuge at the M’Poko camp. Today, the M’Poko Camp hosts around 40,000 people. The assistance is insufficient. People living there lack water, food and shelters while the rainy season approaches.

Since December, Médecins Sans Frontières (MSF) intervenes in the camp. Today, through a field hospital and three health posts in the camp, every day the MSF teams provide over 1000 consultations and help at least 10 women to give birth daily.
Women's health

Forced to Flee: Humanitarian Disasters Leave Women at Higher Risk

Tane Luna Ramirez from Médecins Sans Frontières reflects on the challenges of providing care for pregnant women as well as the heightened risk of sexual violence in disaster settings. Journal article - 7 Mar 2014
 
Deplaces a l'eglise a Carnot.<br/>Forced displaced in the church 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

Escalating violence endangering civilians and delivery of humanitarian aid

Escalating violence is endangering civilians Press Release - 7 Mar 2014
 
Jackson Ashiono (33) sits in the Kibera South Health Centre in Nairobi's Kibera slum, Kenya. Jackson has been diagnosed with multidrug-resistant tuberculosis (MDR-TB). Jackson was born in Kibera, and continues to live there. He had to give up his job as a casual labourer when he found out he had tuberculosis.  'Unfortunately they did not know it was MDR. The TB treatment was not working and I was getting worse. That is when I was brought at the MSF clinic in a very critical condition, I could not walk, I was unable to talk and I was immediately put on MDR treatment' he says. 'This clinic saved my life. The treatment is free and if this clinic was not here, I am not sure I would be alive today and I appreciate the follow up and encouragement for treatment adherence. I am also grateful as this clinic opened its doors for my daughter to be tested for TB.'
Tuberculosis

Outcomes in Adolescents Undergoing Treatment for Drug-Resistant Tuberculosis in Cape Town, South Africa, 2008-2013

A report into prevalence of TB in adolescents in South Africa. Journal article - 6 Mar 2014
 
To put more people on treatment (and as such combat the HIV epidemic) MSF started bringing free HIV testing to the communities. Community Health Agents (CHAPS) like Nelisiwe walk long distances to cover the households in their assigned areas. They often work in teams because of security concerns (rape, dogs, violent reactions when patients are diagnosed as HIV+).
HIV/AIDS

Two new studies point to impact of HIV treatment on transmission in high-HIV-burden African contexts

Two new studies point to impact of HIV treatment on transmission in high-HIV-burden African countries Press Release - 6 Mar 2014
 
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MSF Speaking Out

The violence of the new Rwandan regime 1994 - 1995

The ‘Violence of the new Rwandan regime’ case study is describing the difficulties and dilemmas that Médecins Sans Frontières faced in 1994 and 1995 when confronted with the abuses and crimes of the new regime that had taken over in Rwanda in July 1994: Was it acceptable for MSF, having denounced the 'génocidaires’ control over the Rwandan refugees in Zaire and Tanzania, to encourage the return of these refugees to Rwanda, given the insecurity that potentially awaited them? Did MSF have a responsibility to alert them to what was occurring in Rwanda? Could MSF – after having issued a call for an international armed intervention to put an end to the genocide – now criticise the regime that had effectively done so, thereby risking accusations of favouring the génocidaires and supporting the revisionists? Should MSF keep silent in order to continue caring for detainees who might otherwise die in the appalling prison conditions ? Speaking out - 4 Mar 2014
 
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Malawi

Gearing up for handover

MSF prepares to handover its HIV programme in Chiradzulu to the ministry of health. Project Update - 4 Mar 2014
 
Nyirambabazi, 30, lives in Kahe camp and is pregnant for the first time. Neighbours transported her from Kazuba to the hospital St Benoit of Kitchanga, it took them 6 hours of walking.
Democratic Republic of Congo

MSF releases report on shocking humanitarian situation in eastern Democratic Republic of Congo

Persistent conflict and instability have led to recurrent humanitarian crises, says MSF in a report. Press Release - 3 Mar 2014
 
Muslim community leaving Bangui
Central African Republic

Trapped in PK 12 camp with nowhere to run

Desperate and dangerous conditions around PK 12 camp in Bangui Voices from the Field - 3 Mar 2014
 
BIHAR, INDIA,  February - 2014
 
 
Photographs of MSF projects - Kala Azar and Malnutrition in Bihar. 

Photo by : Sami Siva
India

A step closer to effective treatment of severe acute malnutrition in Bihar

MSF operates a Malnutrition Intensive Care Unit for treating severe acute malnutrition in children. Press Release - 3 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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