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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 HIV+).
HIV/AIDS

Reflections on a decade of delivering PMTCT in Khayelitsha, South Africa

Great progress has been made in the prevention of mother-to-child transmission (PMTCT) of HIV in South Africa. Journal article - 26 Feb 2014
 
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South Sudan

"The operating table had been burned, the fridges were melted"

Project Coordinator Sarah Maynard describes the devastation she encountered upon returning to MSF’s hospital in Leer Voices from the Field - 26 Feb 2014
 
N'Djamena.  Chagoua: transit center hosting more than 1470 people who have fled CAR. *** Local Caption *** Plusieurs dizaines de milliers de personnes ont fui les violences ciblant les populations Peules et musulmanes en République Centrafricaine pour se réfugier au Tchad. MSF intervient en urgence à Sido et Bitoye pour  dispenser des soins medicaux aux réfugiés, dont la grande majorité sont des femmes.<br/>

Dozens of thousands of people have fled violence targeting Fulani and Muslims communities in Central African Republic and sought refuge into southern Chad. MSF has set up two programs in Sido and Bitoye to provide medical care.
Chad

Thousands of CAR refugees flee to N'Djamena

Refugees from CAR face an uncertain future in Chad Project Update - 26 Feb 2014
 
A camp for the internally displaced is located on the western outskirts of Kabul. Thousands of people live in the camp, most are from Helmand or Kandahar where they have fled their homes due to heavy fighting.  This baby was born inside a mud and tent home inside the camp. The mother has continued to bleed for a week since the birth and says she can't stand.
Afghanistan

Between rhetoric and reality: The ongoing struggle to access healthcare in Afghanistan

MSF report details how medical care remains out of reach for many patients. Report - 25 Feb 2014
 
A nurse is trying to explain to a DR- TB patient that it is necessary that he takes his daily dose of medication. He is about to be released from prison on medical grounds, as he has a heart problem and is very ill from DR-TB. A serious challenge is to ensure that patients continue taking their treatment until they are cured.
Ukraine

MSF continues to reinforce its emergency teams

An MSF surgeon treated 20 wounded in Kiev following violent clashes between anti-government protestors and police. Project Update - 25 Feb 2014
 
Abdul Ghani from Garsmir holds his 8 year old daughter Fatima waiting in line for an OPD appointment at Boost Hospital in Lashkar Gah, Helmand province, Southern Afghanistan.
Afghanistan

The ongoing struggle to access healthcare in Afghanistan

Medical care in Afghanistan remains ill-adapted to meet growing needs created by ongoing conflict. Press Release - 25 Feb 2014
 
“Armed groups in the town looted our belongings and threatened to kill us,” says Mamadou, 33, owner of a grocery store in Bouar’s Haoussa district. “We had to leave to save our lives. We’d rather suffer in Cameroon than stay here.”
Central African Republic

"The people who leave take enormous risks"

Florent Uzzeni, deputy emergency programme manager, describes what he is seeing unfold on the ground. Voices from the Field - 24 Feb 2014
 
Preparing medication for MDRTB patients. Kitgum, northern Uganda
Tuberculosis

"Home is where the patient is": a qualitative analysis of a patient-centred model of care for Multidrug-Resistant tuberculosis

Ambulatory, community-based care for MDR-TB has been found to be effective in multiple settings with high cure rates. Journal article - 21 Feb 2014
 
District Matam, Zone Carriere, Site Secteur 2

Children returning from school to get vaccinated. First they register to obtain their vaccination card.

MSF launched a vaccination campaign against measles in an attempt to control the epidemic that was declared by the government of Guinea on 14 January 2014. Together with the Ministry of Health, the teams of MSF should vaccinate around 400 000 children, ages 6 months to ten years, in 3 districts (Matoto, Ratoma, Matam) of the capital Conakry. 400 personnel will be working for two weeks to orchestrate this emergency response.
Guinea

The challenges of a vaccination campaign

MSF logistician, Grégoire Putz, describes the challenges of vaccinating 500,000 children. Voices from the Field - 20 Feb 2014
 
Children with complications admitted at the paediatric department ward of Donka hospital. Conakry. 

During vaccination, MSF also screens children that show signs of measles related complication and severe cases are referred to a nearby hospital where MSF supports the MOH staff (Ministry of Health).
Guinea

"People forget that you can still die from measles"

MSF launched a measles vaccination campaign in Conakry following the January 14 official declaration of an epidemic. Project Update - 20 Feb 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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