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An MSF staff member walks through the grounds of the Kunduz Trauma Centre, hours after it was badly damaged by sustained bombing
On 3 October 2015, MSF’s Trauma Centre in Kunduz, the only facility of its kind in the north-eastern region, was destroyed in an aerial attack. 42 people were killed.
MSF has not made a decision regarding restarting medical activities in Kunduz, and is seeking explicit agreement from all parties to the conflict that there will be no military interference or use of force against MSF’s medical facilities, personnel, patients or ambulances. Equally, that MSF staff can safely provide medical care based solely on medical needs, regardless of patients’ religious, political or military affiliations. Between January and August, MSF conducted around 4,700 surgical interventions and over 18,000 outpatient consultations.
MSF continued to work in two hospitals in Kabul and the maternity hospital in Khost. In Lashkargah, MSF rehabilitated the Boost hospital, and built a maternity ward as well as neonatal and paediatric intensive care units. The team also began supporting the diagnosis and follow-up of TB patients.
MSF continues to assist undocumented Rohingya refugees from Myanmar, who live in makeshift camps near Bangladeshi border. In 2015, teams conducted 93,000 outpatient, 2,700 inpatient, 16,000 antenatal and 3,300 mental health consultations.
In a slum of capital Dhaka, MSF expanded its programme, providing medical and psychological support to around 1,100 victims of rape and intimate partner violence. MSF also supported the burns unit of Dhaka’s medical college hospital, offering psychological support to victims of arson attacks amid political unrest. MSF concluded its research into improved treatment for post-kala-azar dermal leishmaniasis, contributing to the endorsement of a new treatment regimen.
© Brian Sokol / MSF
In response to the flooding caused by Cyclone Komen, MSF distributed water, relief items and donated dengue rapid tests in two of the most affected areas, while running mobile clinics with the Ministry of Health (MoH).
In Rakhine, MSF continued consolidating the activities temporarily stopped by the authorities in 2014, including support to the MoH’s mobile clinics in internally-displaced people camps and ethnic Rakhine villages. They conducted nearly 84,700 outpatient consultations. In Wa Special Region 2, MSF opened a new clinic and ran mobile clinics. MSF also continued to provide care for over 35,000 people living with HIV through its projects in different regions.
For Rohingya refugees, MSF started a mental health project in three camps in Banda Aceh, Indonesia.
After the first earthquake struck in April, MSF teams quickly arrived and focused on reaching the people in remote mountainous areas. Helicopter clinics were operated for emergency cases while regular clinics were run in villages across six districts. In two severely affected districts, a 20-bed inflatable hospital and a tented clinic were temporarily set up. When the second earthquake struck in May, teams already operational were able to respond immediately.
MSF conducted 2,500 health consultations, provided psychological support to over 7,000 people, and supported the provision of emergency care and physiotherapy in the Kathmandu orthopaedic hospital. Food, shelter, cooking and hygiene items were distributed to 15,000 households.
In June, three colleagues and their pilot died in a helicopter crash after delivering assistance. It is with great sadness that we bid them farewell.
Healthcare for women and children is a particular concern in Pakistan: women regularly die from preventable complications during pregnancy, neonatal care is inaccessible for many, and one in ten children die before their fifth birthday. MSF continues to support health authorities in various regions, offering reproductive, neonatal and paediatric healthcare including emergency obstetric services and therapeutic feeding for malnourished children.
MSF established a new unit in a local hospital in Timergara to treat patients with acute coronary syndrome, and began a hepatitis C treatment programme in a slum in Karachi. The support in the hospital in Hangu was handovered to health authorities in September. Following the earthquake struck in the northwest in October, MSF responded by treating patients and distributing relief items.