We have a number of long-standing projects in India, which we run in conjunction with the state authorities to address specific healthcare needs and emerging public health concerns.
We also run mobile clinics in remote areas of the country, where even preventable, treatable conditions such as malaria can assume life-threatening proportions.
Health educators work tirelessly in the Jahangirpuri community: walking around looking for groups of men, women and children to educate them about sexual and domestic violence, devising new and innovative methods to spread awareness, and raising awareness of the services Umeed Ki Kiran Clinic provides. The priorities are encouraging victims of domestic and sexual violence to seek medical care, and trying to dismantle the community's perception of shame and taboo associated with sexual violenc, instead teaching them to care for their physical and mental health. © Nanda / MSF
In India, Médecins Sans Frontières (MSF) continued to provide treatment for patients living with drug-resistant tuberculosis (DR-TB) and HIV, and medical and psychological care for people affected by conflict and violence.
India IAR map 2022
Through our independent clinic and outpatient department (OPD) managed in collaboration with Municipal Corporation of Greater Mumbai (MCGM) and National Tuberculosis Elimination Programme (NTEP) we provide medical and psychosocial care to people living with drug-resistant tuberculosis (DRTB). Most of our patients come from Mumbai - a city of 22 million people, 43,464 of whom have TB, and 10 per cent whom are infected with drug-resistant strains of the disease. We also offer screening, diagnosis and specialised care for TB, HIV and hepatitis C in four clinics in the north-eastern state of Manipur. In addition, we provide care for people with advanced HIV in Bihar, one of the most populous states in India.
In the capital, Delhi, we provide medical and psychological care to survivors of domestic and sexual violence, and raise awareness about the importance of seeking timely medical and psychological care. We work with community-based organisations, police, government protection agencies and the health ministry to highlight the clinic’s services and create an efficient referral system. We also engage the community in discussions on domestic violence, sexual assault and child abuse.
Since 2001 we have been offering counselling in Jammu and Kashmir, where years of conflict have taken a toll on people’s mental health. Our work includes raising awareness of the support available, reducing the stigma associated with mental health, and emphasising the importance of seeking assistance.
In remote villages in Chhattisgargh, our teams conduct mobile clinics to take primary healthcare to areas where it is extremely difficult for people to access medical care. Our teams provide free treatment for malaria, respiratory infections, pneumonia and skin diseases among others.
In the capital, New Delhi, we run a clinic for victims of sexual and gender-based violence, offering round-the-clock care. In December, we organised a national-level symposium calling for better access to medical and psychological care for victims.
Throughout the year, we provided mental health and psychosocial support to people affected by the conflict in Kashmir, and ran mobile clinics offering basic healthcare to communities in remote areas of Chhattisgarh.
In Mumbai, MSF’s clinic focuses on treating complex cases of DR-TB, including extensively drug-resistant forms of the disease, with innovative drug combinations. For children under five, we implement all-oral regimens, thereby avoiding the need for painful injections.
In addition, we are working with the National Tuberculosis Elimination Programme and Municipal Corporation of Greater Mumbai to reduce the high TB incidence and death rates in the area. Our team co-manages a DR-TB centre in a public hospital, and we support diagnosis, treatment, counselling, health promotion and follow-up in general healthcare facilities.
In 2022, we also continued treating patients enrolled in the endTB clinical trial, with the aim of generating more evidence for shorter, more tolerable, injection-free treatments for multidrug-resistant TB.
Our project in Manipur implements a person-centred care approach for people living with HIV, TB, DR-TB and hepatitis C. We transferred many of our stable HIV patients to Ministry of Health facilities, enabling us to focus on those with co-infections and complications. We also run a one-stop care centre offering comprehensive services for intravenous drug users.
In one of India’s poorest states, Bihar, we provide both lifesaving and palliative care to patients living with advanced HIV.
Our toll-free telemedicine helpline supports diabetes patients to manage their condition. India has the second-highest burden of diabetes globally, and the prevention and management of the disease, as well as its associated complications, remain a huge challenge.
Médecins Sans Frontières has been working in Afghanistan since 1980, providing emergency surgical care, responding to conflict and natural disasters, and treating people cut off from healthcare.
MSF worked in Angola from 1983 until 2007. Why were we there? Armed conflict Endemic/Epidemic disease Social violence/Healthcare exclusion
MSF worked in Argentina from 2001 until 2003. Why were we there? Providing essential medicines and supplies
Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion Natural disaster
Cameroon is facing multiple and overlapping crises, including recurrent epidemics, malnutrition due to food insecurity, displacement, and conflict.
Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion
Why are we there? Armed conflict Healthcare exclusion Natural disaster
The political, economic and military crises of 2002-2010 have taken a severe toll on the Ivorian health system.
MSF worked in Ecuador until 2007. Why were we there? Endemic/Epidemic disease Natural disaster
In France, we work with migrants and refugees, who encounter policies and practices aimed at preventing them from settling or claiming their rights.
Why are we there? Armed conflict Endemic/epidemic disease Social violence/heathcare exclusion
Haiti’s healthcare system remains precarious in the wake of natural disasters and ongoing political and economic crises. Ongoing disasters have led to Haiti becoming the poorest country in the Western Hemisphere.
Honduras has experienced years of political, economic and social instability, and has one of the highest rates of violence in the world. This has great medical, psychological and social consequences for people.
An MSF team in Hong Kong opened a project at the end of January focusing on health education for vulnerable people. Community engagement is a crucial activity of any outbreak response and in Hong Kong, this focuses on groups who are less likely to have access to important medical information, such as the socio-economically disadvantaged. The team is also targeting those who are more vulnerable to developing severe disease if they are infected, such as the elderly.
MSF worked in Indonesia between 1995 and 2009 Why were we there? Natural disaster
Jordan hosts over 700,000 refugees, according to the UNHCR, many of whom reside in camps or have settled in the country.
Although health services are being progressively restored in Liberia, important gaps persist, notably in specialised paediatric care and mental health.
Libya remains fragmented by a decade of conflict and political instability. The breakdown of law and order, the collapse of the economy, and fighting have decimated the healthcare system.
Access to medical care remains very limited in the north and centre of Mali due to a lack of medical staff and supplies and spiralling violence between armed groups.
In Mozambique we are responding to emergencies including disease outbreaks, providing care to people with advanced HIV, while also working in the conflict-ridden Cabo-Delgado province.
Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion
Why are we there? Providing comprehensive emergency healthcare to people in remote regions of Pakistan is a priority, yet accessibility and security are a constraint for both Médecins Sans Frontières (MSF) and patients.
MSF worked in Rwanda from 1991 until 2007.
Why were we there? Conflict Healthcare exclusion Endemic/Epidemic disease
Why are we there? Endemic/epidemic disease Healthcare exclusion
Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion
Why are we there? Armed conflict Endemic/Epidemic disease Healthcare exclusion
Why are we there? Endemic/epidemic disease Social violence Healthcare exclusion
