Key medical fig ures:
• 4,000 antenatal consultations
• 770 births assisted
• 380 postnatal consultations
Opened its programme in 2010. Residents had to travel long distances for appropriate health services and there were reports of high maternal mortality because of the poor availability of care. Although the HIV rate among pregnant women was low in the district, it was difficult for those with the disease to obtain antiretroviral treatment because of a lack of resources at the district hospital.
In close collaboration with Zambian health authorities, MSF established comprehensive sexual and reproductive health services in the Luwingu district hospital and several rural health centres. These included family planning, ante- and postnatal care, prevention of mother-to-child transmission of HIV and assisted births. Emergency obstetric referrals were also made from rural centres to the district hospital, and 56 women with obstetric fistulas were identified and referred to Chilonga district hospital for surgery. Over the course of the project, MSF improved facilities, trained local staff and donated medicines, medical equipment and an ambulance. More than 400 pregnant women referred from villages to health centres travelled by Zambulance, a covered trailer pulled by a bicycle – a viable means of transportation in this setting.
The decision to close the programme was based on the improvement of medical processes and came after a gradual handover to the Zambian Ministry of Health. Medical activities ended in June 2013, the project closed in mid-September
and MSF withdrew from Zambia in October.
No. staff end 2013: 42 | Year MSF first worked in the country: 1999