Key medical figures:
• 102,600 outpatient consultations
• 4,100 surgical interventions
• 3,400 births assisted
There was a significant deterioration in living conditions in parts of Yemen in 2013, and insecurity towards the end of the year affected availability and accessibility of healthcare.
Insecurity affected programmes supported by Médecins Sans Frontières (MSF), further cutting people off from healthcare, and activities had to be suspended twice in Amran and once in Aden. Over 150 Yemeni patients were sent from Yemen to MSF’s reconstructive surgery programme in Amman, Jordan, which provides orthopaedic, maxillofacial and reconstructive plastic surgery (for more details, see the Jordan country report, p.56).
MSF continued to work in Ad-Dali governorate, but problems with security caused significant disruptions to the provision of healthcare there at the end of the year. Food shortages and maternal and child health are of great concern in the area. Teams worked with local communities, both rural and urban, providing care for victims of violence and trauma. Emergency services, including surgery, were available at the Al Naser general hospital, Ad-Dali city, and patients received basic healthcare and lifesaving surgery in Al Azaraq and Qataba’a districts. More than 41,704 consultations were carried out.
Aden and the south
In Aden, more than 2,500 surgeries were performed and 860 patients received post-surgery follow-up and physiotherapy at MSF’s emergency surgical unit, which treated victims of violence from Aden as well as the nearby governorates of Lahj, Abyan, Shabwah and Ad-Dali. A weekly clinic was run for inmates at Aden central prison, and 80 patients were seen each month. Staff support and supplies were provided to hospitals in Lawdar and Jaar in Abyan governorate. Teams also trained emergency room staff and sterilisation technicians.
Access to healthcare decreases progressively in the rural areas of Amran governate and ceases to exist for communities in the valleys. At Al-Salam hospital, Khamir, MSF is involved in the emergency, surgery, maternity, paediatric, inpatient and intensive care departments, and collaborates closely with the Ministry of Health to improve medical services. Support is also provided for the blood bank and laboratory. There was a dramatic rise in surgery patients towards the end of the year after violence intensified in the governorate. More than 1,940 surgical procedures were performed, and 4,080 people were admitted to hospital. Teams carried out 21,980 emergency consultations. MSF resumed its support of the Huth health centre in March, after six months’ suspension for security reasons. A team provided emergency, maternity and inpatient care. In September, Huth became a stabilisation centre for managing large influxes of wounded people, providing emergency care and a referral system. To assist the communities in remote areas with very limited access to healthcare, teams ran mobile clinics in the Osman and Akhraf valleys, carrying out 5,350 consultations and treating 427 patients for malaria.
Caring for migrants in Sana’a
MSF began providing HIV care to people in Sana’a in 2013. A mental health programme for migrants in detention also started in April.
In February, MSF handed over activities at the Radfan hospital, Lahj governorate, to the Ministry of Health. A programme offering healthcare at Haradh, Hajjah governorate was closed in August.
My nephew was shot during gunfire in Shabwah. There was no hospital … nothing in the area. The only place we could bring him was here [MSF hospital in Aden]. We sincerely thank MSF for the unconditional medical care they offered to him and to everybody in this hospital.
No. staff end 2013: 459 | Year MSF first worked in the country: 1994