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A boat taking MSF staff to the rural area of Portel travels through a river in the Brazilian Northern state of Pará. MSF is supporting local authorities in order to improve healthcare access to the town’s population. Portel has dealt historically with a lack of health professionals and facilities, particularly in hard-to-reach remote areas which are home to vulnerable river dweller communities.

Where we work

A boat taking MSF staff to the rural area of Portel travels through a river in the northern state of Pará. Brazil, November 2023.
© Diego Klein/MSF
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In more than 75 countries, Médecins Sans Frontières provides medical humanitarian assistance to save lives and ease the suffering of people in crisis situations. Find out more about our actions in every country below.

Youssef Al-Khishawi, an MSF water and sanitation agent, helps children carry water to their tent in the Tal Al-Sultan area of the southern Gaza town of Rafah, on January 27, 2024.
He says: “In a normal situation, one person needs two to three liters of drinking water per day. Now, with the current shortage, the average for one family of six is one gallon of water (3.8 litres).” 

“The main challenge we face in distributing water is the lack of fuel to pump and transport it,” says Al-Khishawi. “The second is the lack of proper roads for our trucks to drive on, because there are tents even on the asphalt. The third is that there are no water distribution points – even they have been bombed. Water pipes, streets and infrastructures are destroyed.”

Palestine

We provide medical and psychological assistance to people affected by the ongoing conflict in Palestine, continuing our long-running mental health programmes on the West Bank and support to victims of burns and trauma in the Gaza Strip. We also provide surgical and post-operative care for people wounded during the Great March of Return protests.
From January to November 2023, almost half a million migrants have crossed the Darién Gap, between Colombia and Panama.

Panama

Read about MSF's activities in Panama
Border between Jimi and North Waghi districts, Jiwaka province, PNG

Papua New Guinea

We are working to improve access to care for survivors of violence in Papua New Guinea’s Highlands region.
The MSF intervention strategy, in collaboration with Paraguay’s Ministry of Health, consists in bringing Chagas diagnosis and treatment closer to the most isolated communities and building health staff capacities so that they are able to see to the needs of the affected people

Paraguay

MSF first worked in Paraguay in 2010 and closed its projects in 2013.
A Venezuelan migrant looks out from the malecón of the Tumbes River in central Tumbes.

Peru

MSF teams in Peru have responded to earthquakes and pandemics, such as COVID-19, and have treated marginalised people for HIV.
The MSF patient support team navigates overcrowded and narrow alleys of Barangay 105 Aroma neighbourhood, Barangay 105, of Tondo, Manila, the Philippines, March 2, 2023.

Philippines

An assessment we conducted in the Philippines in 2015 confirmed the need for sexual and reproductive health services in the densely populated and impoverished Tondo area of the capital, Manila.

Map of MSF activities around the world

The place names and boundaries used in this report do not reflect any position by MSF on their legal status.

Our Programmes

The place names and boundaries used in this report do not reflect any position by MSF on their legal status.