Key medical figures:
• 5,800 outpatient consultations
• 1,200 antenatal consultations
• 60 individual and group mental health consultations

Rates of drug addiction in Iran remain high, yet many addicts have difficulty accessing the medical and psychological care they need.

The Iranian authorities have recognised that drug addiction and HIV infection are a growing public health concern, and have taken significant steps to initiate harm reduction and  HIV/AIDS prevention among injected-drug users. However, the broad medical needs of high-risk groups remain acute, especially in Tehran, where drug users, sex workers and street  children are stigmatised and are therefore unable to access the general health system. In Darvazeh Ghar, one of the poorest neighbourhoods in Tehran, Médecins Sans Frontières (MSF)  continued to run a health centre dedicated to women and children under five who are excluded from healthcare, including undocumented refugees. Together with Iranian authorities and local organisations, MSF offered free, basic healthcare, including medical consultations for women and children, gynaecological care, family planning and postnatal care. A mental  health programme started in September, with treatment and support provided by a psychiatrist and a psychologist. Iran’s Bureau for Aliens and Foreign Immigrants’ Affairs estimates  that the country hosts 850,000 refugees, most of them Afghans. While registered refugees are granted private health insurance, those who are undocumented have limited access to  healthcare.

No. staff end 2013: 30 | Year MSF first worked in the country: 1990

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