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Al-Salam Hospital, Khamer, Yemen

Medical aid under threat

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Médecins Sans Frontières (MSF) was forced to withdraw its team on Wednesday 31 July from Al-Salam Hospital in Khamer, Amran governorate, in the North of Yemen, after an escalation of violent attacks against its personnel and facilities.

The withdrawal took place after MSF staff received death threats related to a tribal dispute, but this was not an isolated incident. In the last five months MSF has registered 18 different incidences of violence against its team in Amran, including threats and physical assaults on doctors and staff, the ambushing and hijacking of vehicles and ambulances, and shootings at or around the hospital.

MSF is calling upon all actors in Yemen to respect the safety of medical facilities and personnel, and not to involve medical actors as bargaining tools in personal disputes, so that the provision of medical care is not affected. International and tribal laws should be respected, allowing hospitals to be safe havens, rather than using their presence in an area as an opportunity to claim resources or gain power.

MSF and hospital facilities are being used as a means of pressure and leverage in these individual and family disputes, without concern for the impact on patients and their right to care. Thierry Durand, MSF head of mission in Yemen

“It is very difficult to provide essential medical care in this environment of continuous violence,” said Thierry Durand, MSF head of mission in Yemen. “People are resorting to force, threats and blackmail to make their demands. MSF and hospital facilities are being used as a means of pressure and leverage in these individual and family disputes, without concern for the impact on patients and their right to care.”

Following negotiations with local leaders, MSF will be resuming its medical and surgical services to the population of Khamer and Amran governorate. “We call upon Yemeni authorities and tribal leaders to do their utmost to resolve disputes and to protect doctors, hospitals and the population in need, from further assaults,” Thierry Durand added.

MSF is running a global campaign to promote the protection of medical aid around the world. In Yemen alone, MSF has registered 46 violence-related incidents against its staff and facilities since April 2010. In March 2013, MSF brought stakeholders together in a campaign on the protection of medical action in Yemen, in collaboration with the Ministry of Public Health and Population, aimed at addressing the worrying levels of violence in and around healthcare facilities.

MSF has been working in Al-Salam Hospital since 2010, conducting an average of 500 emergency consultations a week and has performed more than 900 life saving surgeries since the beginning of 2013. The organisation also has outreach activities in remote areas of Amran governorate.

MSF has been present in Yemen since 1986. In addition to its activities in Amran governorate, MSF works in Aden, Al Dhale’, Abyan and Sanaa providing free of charge quality healthcare in areas of need.