Key medical figures:
• 179,400 outpatient consultations
• 94,400 patients treated for malaria
• 13,600 patients on first-line ARV treatment

The healthcare system in Guinea is currently unable to meet all the needs of its people. Malaria remains a particular concern.

Malaria is a preventable and treatable illness transmitted by infected mosquitoes, and is a leading cause of illness and death in the country. Médecins Sans Frontières (MSF) has  continued to work with the Ministry of Health on malaria prevention and treatment in Guéckédou, and the programme now supports the district hospital, seven health centres and 12  health posts. The MSF team has also trained 53 community health workers so that they can screen and treat people with uncomplicated malaria.

Although the prevalence of HIV  is relatively low in Guinea, people who have the illness often cannot afford to pay the fees that are charged for antiretroviral drugs. Many HIV-positive people also fear disclosing their  status due to the social stigma, and this creates another barrier to treatment. The HIV programme based in the capital Conakry, comprising one MSF ambulatory treatment centre and  five health centres supported by MSF, offers a free, comprehensive health package that includes psychosocial care, tuberculosis treatment for co-infected patients and prevention of  mother-to-child transmission of the virus. The HIV programme in Guéckédou was handed over to the Ministry of Health in 2013, as was the Matam maternal health programme.

Responding to cholera and meningitis outbreaks
During an outbreak of meningitis in May, an MSF team treated 132 patients, provided drugs to medical facilities and trained local staff.  In June, an emergency cholera treatment centre was set up on Memgbe Island, Conakry. Eighty people who had contracted the water-borne disease were treated. There were no new  cases or deaths after assistance had been provided.

No. staff end 2013: 327 | Year MSF first worked in the country: 1984

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