Posts tagged health care

Chad: “The Malnutrition Situation is Dire as the Peak Season Looms” MSF is expanding its health and nutrition programs in Chad to respond to the growing malnutrition crisis in the country. MSF is currently treating malnourished children at five projects in Chad, and has dispatched emergency teams to assess whether more interventions are required. At one of MSF’s long-term projects in Am Timan, located Chad’s southeastern Salamat region, MSF is expanding its number of outreach centers from eight to twelve to respond to escalating malnutrition rates. From January though April, MSF admitted 2,478 children to ambulatory therapeutic feeding centers—almost twice as many as at the same time last year. Even in a normal year, Chad has one of the highest rates of chronic malnutrition in the world. In early 2012, in some areas of the country, rates of global acute malnutrition as high as 24 percent were reported among children under the age of five. A combination of factors is behind these alarming numbers, including failed harvests, erratic rains, soaring food prices, and an early depletion of food stocks.An MSF doctor examines a child for malnutrition at an outreach clinic near Am Timan. Chad 2012 © Catherine Robinson/MSF

Chad: “The Malnutrition Situation is Dire as the Peak Season Looms”

MSF is expanding its health and nutrition programs in Chad to respond to the growing malnutrition crisis in the country. MSF is currently treating malnourished children at five projects in Chad, and has dispatched emergency teams to assess whether more interventions are required.

At one of MSF’s long-term projects in Am Timan, located Chad’s southeastern Salamat region, MSF is expanding its number of outreach centers from eight to twelve to respond to escalating malnutrition rates. From January though April, MSF admitted 2,478 children to ambulatory therapeutic feeding centers—almost twice as many as at the same time last year.

Even in a normal year, Chad has one of the highest rates of chronic malnutrition in the world. In early 2012, in some areas of the country, rates of global acute malnutrition as high as 24 percent were reported among children under the age of five. A combination of factors is behind these alarming numbers, including failed harvests, erratic rains, soaring food prices, and an early depletion of food stocks.

An MSF doctor examines a child for malnutrition at an outreach clinic near Am Timan.
Chad 2012 © Catherine Robinson/MSF

At the end of a long day, Dr. Martin John Jarmin III (left) and anesthesiologist Katrine Finsnes go to check on a patient in the intensive care unit. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

At the end of a long day, Dr. Martin John Jarmin III (left) and anesthesiologist Katrine Finsnes go to check on a patient in the intensive care unit.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Munir*, 8, who broke his leg in a fall, plays in his hospital bed.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Munir*, 8, who broke his leg in a fall, plays in his hospital bed.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

US and EU Derailing Ten-year Process to Create Health Research & Development Convention The US and European Union delegations to the World Health Assembly are currently blocking efforts to move towards a binding convention on health R&D aimed at filling critical medical gaps for people in developing countries. MSF urged the US and European governments, who are leading the developed country effort, to stop obstructing a process that has been 10 years in the making and has broad support from developing countries. MSF called on developing countries to continue efforts to progress towards a convention. Such a convention would require all governments to contribute financially to support R&D in key priority areas and would crucially separate—or de-link—the cost of R&D from the price of medical products, so that these are made affordable.Photo:The new MenAfriVac vaccine. 2012 © MSF

US and EU Derailing Ten-year Process to Create Health Research & Development Convention

The US and European Union delegations to the World Health Assembly are currently blocking efforts to move towards a binding convention on health R&D aimed at filling critical medical gaps for people in developing countries. MSF urged the US and European governments, who are leading the developed country effort, to stop obstructing a process that has been 10 years in the making and has broad support from developing countries.

MSF called on developing countries to continue efforts to progress towards a convention. Such a convention would require all governments to contribute financially to support R&D in key priority areas and would crucially separate—or de-link—the cost of R&D from the price of medical products, so that these are made affordable.

Photo:The new MenAfriVac vaccine. 2012 © MSF

Dr. Juan Robinson, an orthopedic surgeon, reviews a patient’s X-ray with other medical staff during rounds in the inpatient ward. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Dr. Juan Robinson, an orthopedic surgeon, reviews a patient’s X-ray with other medical staff during rounds in the inpatient ward.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Ahmed*, 31, lies in his hospital bed as a relative looks on. A farmer in Kunduz, Ahmed suffered serious abdominal and leg injuries after setting off a hidden explosive in his field. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Ahmed*, 31, lies in his hospital bed as a relative looks on. A farmer in Kunduz, Ahmed suffered serious abdominal and leg injuries after setting off a hidden explosive in his field.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

A young Afghan man is transferred to another bed before undergoing an emergency operation in the surgical ward. The man had suffered a gunshot wound to the lower chest. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

A young Afghan man is transferred to another bed before undergoing an emergency operation in the surgical ward. The man had suffered a gunshot wound to the lower chest.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

MSF surgeon Martin John Jarmin III interacts with a patient during rounds. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

MSF surgeon Martin John Jarmin III interacts with a patient during rounds.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Abdallah* displays his artwork. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

Abdallah* displays his artwork.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

A man and an injured young boy wait outside the triage ward. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern AfghanistanPhotos: Afghanistan 2012 © Michael Goldfarb/MSF

A man and an injured young boy wait outside the triage ward.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

After being served numerous rounds of tea, one of the nutritional surveyors brought forth a father carrying his tiny child – a baby of 4 weeks, who had been sick with diarrhea for one week, and now looked like an emaciated bird. The father sat on the edge of the pink frilly mattress, and cried while I asked questions about the baby’s illness. The father, speaking fluent French, described how days earlier he had walked 4 hours each way with the baby in search of help from the nearest health centre. The health centre had been closed, and he had returned home with the baby.
Trish Newport is working for MSF as a community outreach nurse in Chad. This is her fifth mission for MSF. When not on mission, she lives and works as a nurse in the Yukon, Canada.

Read from her blog.
The front gate at the MSF trauma hospital in Kunduz. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern AfghanistanPhotos: Afghanistan 2012 © Michael Goldfarb/MSF

The front gate at the MSF trauma hospital in Kunduz.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

An MSF physiotherapist assists Suleiman*, a 15-year-old boy in the intensive care unit. He underwent an emergency laparotomy the night before after suffering a complete bowel obstruction due to a traumatic injury. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern Afghanistan *All patients’ names have been changed.Photos: Afghanistan 2012 © Michael Goldfarb/MSF

An MSF physiotherapist assists Suleiman*, a 15-year-old boy in the intensive care unit. He underwent an emergency laparotomy the night before after suffering a complete bowel obstruction due to a traumatic injury.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

*All patients’ names have been changed.

Photos: Afghanistan 2012 © Michael Goldfarb/MSF

When I get to the hospital, the patient is prepared for the operating theatre, and just waiting for me to evaluate her. She is 3cm dilated – which is very early in labor – and yet her contractions have stopped. The fetal head is so high up in the pelvis that the midwife’s fingers can barely touch it – a bad sign.

Veronica Ades is an obstetrician-gynecologist on her first MSF mission in Aweil, South Sudan. She has not yet mastered the art of the pit latrine.

Read more from her blog.

A young girl walks through the early-morning fog outside the perimeter of the hospital. Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed. In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.More photos: Trauma Care Where There Was None in Northern AfghanistanPhotos: Afghanistan 2012 © Michael Goldfarb/MSF

A young girl walks through the early-morning fog outside the perimeter of the hospital.

Before the opening of the MSF surgical hospital in Kunduz Province, northern Afghanistan, people in the region suffering from severe injuries had two options. They made the long and dangerous journey to Kabul or Pakistan, or they visited an expensive private clinic. As a result, few patients received the trauma care they needed.

In less than a year, the MSF trauma center, equipped with an emergency room, two operating theaters, and an intensive care unit, has seen more than 3,700 patients. The majority are victims of so-called “general trauma”—road traffic accidents, domestic violence, or civilian gunshot wounds.

More photos: Trauma Care Where There Was None in Northern Afghanistan

Photos: Afghanistan 2012 © Michael Goldfarb/MSF