MSF works in southern Mali, where malaria is prevalent. Madinata Maiga and fifteen other health promoters work for MSF in the region, visiting villages, schools, and health centers to talk to people about malaria.
See a full slideshow about MSF’s work treating malaria in Mali »
Mali © Barbara Sigge
People have been crossing the border into South Africa by the thousands for years. Many of them are fleeing the economic and humanitarian crisis in neighboring Zimbabwe.
© Finbarr O'Reilly/REUTERS
They move as a matter of survival, endangering their lives as violent gangs attack, rob, and rape on both sides of the border.
© Darryl Evans
Often stripped of all their belongings, they arrive in places like the border town of Musina with nothing, in an environment unfamiliar to them.
© Darryl Evans
Due to a lack of clear legal status they may be placed in detention centers.
© Darryl Evans
Often, they are forced to stay in overcrowded shelters while applying for asylum.
© Darryl Evans
Many face uncertainty about their legal status even after they manage to enter South Africa. These people rush to be the first in the queue to apply for asylum.
© Darryl Evans
Some try to find jobs near where they crossed. Using mobile clinics, MSF offers health care to people working on farms near the border with Zimbabwe.
© Sylviane Bachy
The MSF clinic in Musina provides primary health care, mental health support, and referrals to hospitals and specialized facilities, including for chronic conditions such as HIV and TB.
© Shayne Robinson
I crossed the river with a group of four people. We were met by a gang of seven guma guma on the South African side who were armed with knives and guns. They forced me to have sex with the women in my group and I refused. Then one of the guma guma forced his penis into my anus and ejaculated inside. I don’t actually know how many of them forced themselves on me because I was confused by the whole incident. I fainted and when I woke up they were nowhere to be found.
A 27-year-old Zimbabwean man who was a patient at the MSF clinic in Musina
Criminal gangs known as guma guma rob women and men of their belongings before raping them. Often, more than one perpetrator will rape every woman in a group of people who have traveled together hoping for safety in numbers. Men are often forced to rape wives, sisters or aunts and if they dare refuse, they are raped by the guma guma.
Between March 1 and May 11 of this year, staff provided medical treatment to 71 survivors of sexual violence.
© Darryl Evans
…we learned of a group of 500 women and children who attempted to swim across the crocodile-infested Limpopo River to reach South Africa, only to fall prey to local bandits known as ‘guma guma.’ Five of the women who crossed were raped, and two babies were literally taken off their mothers’ backs and thrown into the river to drown.
An MSF health worker in Musina
From the 2009 report No Refuge, Access Denied: Medical and Humanitarian Needs of Zimbabweans in South Africa.
A similar report was released this week because little has changed for migrants and refugees in South Africa:
The Lives of Survival Migrants and Refugees in South Africa
In Johannesburg, MSF also runs a health clinic that primarily cares for these vulnerable migrants, some of whom are turned away from already burdened South African health facilities.
© Finbarr O'Reilly/REUTERS
Despite clear national directives on access to primary health care, migrants are often turned away from those facilities because they don’t speak the language or don’t have money to pay for the consultation.
© Finbarr O'Reilly/REUTERS
In September of 2009, I went to a public clinic because of an incomplete miscarriage but the nurse told me they only do abortions for South African people. After they asked for 400 Rand (US $48), which I didn’t have, I went to a N’anga (traditional healer) who helped me with the abortion. In November I went to the same clinic because I had severe abdominal pain. They asked me again for my passport and 140 Rand (US $15). I walked out and bought antibiotics and painkillers.
28-year-old woman living in abandoned building
Our team referred an unconscious Zimbabwean patient to a hospital in Johannesburg. His condition was a result of assault, and the patient presented with a severe head injury. At the hospital, the matron in charge refused to attend to the patient who was in need of critical emergency care, claiming that the patient was not able to say his name, so she was not willing to attend to him. This is shocking. Every medical professional has an obligation to provide care to a patient who is presenting with a life-threatening condition.
Dr Eric Goemaere, Medical Coordinator, MSF in South Africa
From the 2009 report No Refuge, Access Denied: Medical and Humanitarian Needs of Zimbabweans in South Africa.
A similar report was released this week because little has changed for migrants and refugees in South Africa:
The Lives of Survival Migrants and Refugees in South Africa
I had a patient who was pregnant, and we sent her to the hospital. When she got there, the water had already broken. They took her to the nurses. When they looked at the patient and where she had come from – she produced her papers – they said ‘A foreigner?’, and they just walked away. They left her on the gurney.
An MSF doctor in Johannesburg
From the 2009 report No Refuge, Access Denied: Medical and Humanitarian Needs of Zimbabweans in South Africa.
A similar report was released this week because little has changed for migrants and refugees in South Africa:
The Lives of Survival Migrants and Refugees in South Africa
In Johannesburg, vulnerable migrants continue to live in uncertainty. They seek shelter wherever they can, such as here in the Central Methodist Church located in the city’s downtown business district.
© Finbarr O'Reilly/REUTERS
In Johannesburg, these vulnerable migrants continue to live in uncertainty. They seek shelter wherever they can, such as here in the Central Methodist Church located in the city’s downtown business district.
© Robin Utrecht
People face crowded conditions in the church.
© Finbarr O'Reilly/REUTERS
The quantity of rubbish is growing every day. Look at this big pile. You can see and hear rats moving around all the time. Can you imagine that here children are walking and playing and that in this room – just next to the rubbish – there lives a small baby just few days old?
Mozambican man living in abandoned building in Johannesburg, South Africa
Thousands live in squalid conditions in abandoned downtown buildings.
© Finbarr O'Reilly/REUTERS
People living in these derelict buildings often lack basic supplies such as water, sanitation, or electricity, as well as safety. Thousands have been evicted four times in the last nine months.
© Finbarr O'Reilly/REUTERS
In February, more than 1,000 people were evicted from one building in Johannesburg, kicked out onto the street with nowhere to go.
© Ntando Ncube
A security force known as the Red Ants violently removed the inhabitants and threw people’s belongings out doors and windows.
© Sara Hjalmarson
A group of people burst into the house, breaking the door. They asked me to show them my South African ID, and when I said I didn’t have any, they started to beat me with sticks, stones, punches, kicks. I managed to escape from the house and started to run along the road, but they didn’t stop. They started to follow me with the car and let me run for a while. They caught me again and beat me up until I was lying on the ground covered in blood. They left me there because they thought I was dead. After a while I tried to move and with difficulty reached a phone box and called an ambulance. The ambulance didn’t arrive. Three people stopped their car when they saw me lying on the ground, carried me into their car and brought me to the hospital. This is not the first time. Last year, six people beat me up, but it wasn’t like now – this time they wanted to kill me.
20-year-old Zimbabwean man in Westernburg, Polokwane
I’m afraid of the xenophobia everybody says is coming after the World Cup.
31-year-old Zimbabwean man living in Johannesburg