Key medical figures:
• 130,000 outpatient consultations
• 470 patients treated for kala azar
• 319,200 measles vaccinations (outbreak)
In Sudan, Médecins Sans Frontières (MSF) focuses on providing medical assistance in remote regions with poor access to healthcare, and to people affected by conflict, outbreaks of disease and natural disasters.
In July, an MSF team started supporting the health centre in El Serif displaced person camp near Nyala in South Darfur. In North Darfur, MSF continued working in Tawila but due to insecurity the project was limited to basic healthcare activities within the town and the implementation of a referral system to hospitals in El Fashir for specialist treatment. The focus in Dar Zaghawa was also on basic healthcare. Teams supported two health centres and two health posts, and carried out postnatal home visits. Projects in Kaguro, including vaccination campaigns, were under remote management, as no access was available to international staff. An emergency intervention in El Sireaf started in 2013 after tribal clashes displaced an estimated 65,000 people. Two mobile clinics provided outpatient consultations, therapeutic feeding programmes and reproductive healthcare. Referrals were made to the MSF-supported El Sireaf hospital. In July, two mobile clinicsstarted providing care to people in two displacement camps in El Serif.Aiming to improve access to emergency healthcare, MSF launched the North Darfur Emergency Response (NDER) programme in 2013 in collaboration with the Ministry of Health.
Treating tuberculosis in Jebel Awlia
In February, MSF started diagnosing and treating tuberculosis (TB) in five health centres in Jebel Awlia, a large slum on the outskirts of the capital, Khartoum, where crowded living conditions increase people’s risk of contracting the disease. The team is training Ministry of Health staff and working with patient groups in the community to develop counselling and support systems that will help patients adhere to treatment.
Reproductive healthcare in Tabarak Allah, Al-Gedaref state
MSF began supporting the Ministry of Health’s reproductive health activities in July. The main objectives are to reduce maternal and neonatal mortality, and to ensure patients who need fistula repair and reconstructive surgery are appropriately referred. Comprehensive emergency obstetric services are offered, and women also receive follow-up services including postnatal consultations and family planning support. MSF renovated and equipped the maternity wing and refurbished the operating theatre in Quresha hospital. Children were also referred for vaccinations.
In January, MSF assisted the Sudanese health authorities in preventing a yellow fever epidemic. Over 750,000 adults and children were vaccinated over nine months in four localities in Central Darfur state. In West and Central Darfur, 256 patients suspected of having yellow fever were treated. From early March to May, MSF emergency teams carried out a measles vaccination campaign in five locations in Al-Gedaref state. A total of 306,400 people were vaccinated.
Emergency flood response
Heavy rains in August caused flooding which affected 150,000 people. Khartoum state was particularly hard hit, and MSF launched an emergency intervention, providing 228,600 litres of clean water and carrying out 654 mobile clinic consultations in the Sharag Alniel locality. Most patients had respiratory tract infections, gastritis or diarrhoea.
MSF continued its kala azar work in Tabarak Allah, Al Gedaref state, and treated 470 people in 2013. The Shangyl Tobaya basic healthcare programme was handed over to the Ministry of Health.
No. staff end 2013: 1,120 | Year MSF first worked in the country: 1979