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For more than a year, civil servants salaries haven’t been paid in Yemen. Despite this, many health workers continue to bear their duties despite growing difficulties. Emergency room of the Al Koweit university hospital in Sana’a - Yemen.
Yemen

“Just living has become more difficult”

Monia Khaled is water and sanitation supervisor for MSF in Yemen. This is her account of the dramatic changes in everyday life she has witnessed over the past two and a half years. Voices from the Field - 11 Dec 2017
 
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Yemen

Crisis update - January 2018

MSF is in Yemen to support the Yemeni populations affected by the conflict on all sides of the frontlines. We work in 13 hospitals and health centres and provide support to more than 20 hospitals or health centres across 11 Yemeni governorates: Taiz, Aden, Ad Dhale, Sa’ada, Amran, Hajjah, Ibb, Sana’a, Abyan, Shabwa and Lahj. Crisis Update - 11 Dec 2017
 
MSF staff distributing water to people who’ve been internally displaced by fighting in Zemio, CAR. They were among 7,000 people who have sought shelter at the local hospital.  
Just weeks after this photo was taken, On Tuesday 11 July, two armed men arrived at Zemio hospital in the southeastern region of CAR.
The men threatened a family, one member of which had been a patient two weeks earlier but had been unable to leave the premises due to ongoing violence. As three members of the family – including a woman holding her baby – attempted to seek cover, the armed men shot at them, striking the child in the head and killing her instantly. A month later, another armed group opened fire in the hospital. Thousand fled into the surrounding bush and across the border to DRC. The site now sits vacant and MSF has ceased its operations in the area, with no patients to treat and the safety situation for our staff remaining precarious.
Central African Republic

“The only people left in Zemio are those who couldn’t run away”

Recent attacks on Zemio, in southeast Central African Republic, have closed down the hospital and forced the city’s population, including MSF staff members, to flee. MSF medical coordinator Wil van Roekel describes the ramifications of the violence, including on some 1,600 HIV patients who need daily medication to survive. Voices from the Field - 9 Dec 2017
 
Fatima sits on the bed next to her 18-month-old son Ishaq, who is being treated at one of MSF's cholera treatment centres in Kilo, southern Ibb governorate. 

Fuel costs have risen dramatically since the imposition of a blockade by the Saudi-led Coalition in November, and Fatima cannot afford the cost of transport to and from the hospital.
Yemen

“There is food in the shops but no money to buy it”

Fatima sits on the bed next to her 18-month-old son Ishaq, her legs bent under her chin in front of her. They arrived the day before to the cholera treatment centre (CTC) operated by MSF in Al Qaeda city, Ibb governorate, after a four-hour journey from Shokan, a village located in Mawia district, in Taiz governorate, south-western Yemen.
Voices from the Field - 6 Dec 2017
 
In the early hours of 4 December, an airstrike damaged the MSF-supported Al Gamhouri hospital in Hajjah city. The emergency room, operating theatre and intensive care unit were damaged and 12 ER patients were evacuated. Despite the damage, Al Gamhouri hospital received 22 casualties from the airstrikes in Hajjah shortly after. Al Gamhouri also received a total of 38 war-wounded patients between 2 and 3 December. 
“Health services have been repeatedly attacked over the course of this conflict. Yet again warring parties are not taking measures to spare medical facilities, endangering the lives of patients and medical staff,” says Steve Purbrick, MSF Field Coordinator in Hajjah. “Civilians must be able to flee or seek medical care, ambulances must be allowed to reach the injured and hospitals must be protected”.
Yemen

Intense fighting and blockade further reduce access to healthcare

A week of heavy violence, coupled with a crippling blockade preventing vital supplies entering into Yemen, shows new levels of disregard by warring parties for the civilian population, medical facilities and patients, says Médecins Sans Frontières (MSF).
Press Release - 6 Dec 2017
 
While settling in the hospital in Batangafo might seem the safest in terms of security, it also contains hidden risks such as contracting contagious diseases. A hospital is still a place to treat sick people.
Central African Republic

“In Batangafo, people are afraid for their lives. It’s the only thing they have left.”

Since late July 2017 fighting between ex-Seleka and Anti-balaka factions has once again set Batangafo and its surroundings on fire. The fighting in the area, in the north of the Central African Republic, has forced tens of thousands of people to abandon the temporary shelters where they had been seeking refuge since the crisis began in 2013-2014. Many have found refuge in the compound of the hospital supported by MSF.
Project Update - 6 Dec 2017
 
MSF supports a network of health centres (Mpati, Bibwe, Kalembe, Kashuga and Bukama) and has significantly expanded its programme to provide assistance to people affected by the conflict, especially victims of sexual violence at MSF Tumaini clinics in Mweso and Kitchanga.
Democratic Republic of Congo

MSF strongly condemns violent robbery of compound in North Kivu

During the early morning of 4 December, several armed men broke into the Médecins Sans Frontières (MSF) compound in Mweso, in Masisi territory, North Kivu Province, Democratic Republic of Congo.
Project Update - 4 Dec 2017
 
MSF teams assessing the medical and humanitarian needs in Al Mishlab. east of Raqqa. 2 November. “When we first visited Mishlab, east of Raqqa, it was a ghost town, but on our latest visit, some people had returned to check on their houses, Some found their homes in ruins; others found dead bodies and explosive devices in their houses, gardens and in the streets.” says Craig Kenzie, leader of MSF’s Raqqa response team
Syria

Booby-traps and landmines in Raqqa

Six weeks after fighting subsided in Raqqa city in Syria and surrounding villages, former residents are returning home to find their houses in ruins and their streets and fields littered with unexploded remnants of war, including booby-traps, landmines, ammunition and rockets.
Voices from the Field - 30 Nov 2017
 
A general view of the hospital compound.
Due to the ongoing insecurity, most of the eastern countryside of Borno state where these large displacements are happening remains difficult to reach for humanitarian organisations, with the exception of a few towns. Most of the aid agencies working in the state are present in the capital, Maiduguri, but only a few are able to operate continually in the hard-to-reach areas where assistance is most needed.
Nigeria

Borno State crisis update – November 2017

The conflict between the Nigerian military and armed opposition groups has been ongoing for more than eight years, with serious humanitarian consequences. Crisis Update - 30 Nov 2017
 
Men detained in Abu Salim detention centre. Detainees spend days and months in Libyan detention centres, without knowing when they will be released.
Libya

When France becomes accomplice to the very crimes it condemns

All these people who find themselves trapped in the Libyan snare, which was partly set by France and the European Union, must be afforded all possible means of escape. Opinion - 30 Nov 2017
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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