Liben Region – December 2011
After they have been to the reception centre, refugees coming from Somalia are moved to a transit camp where they are supposed to stay for a week. Approximately 8000 people are now living in transit camps and the majority has been there for over 2 months, the poor living condition attributes to the deteriorating health status of these refugees. In the only health centre in the camp MSF provides primary health care, psycho social care, runs a nutrition program, and an out Patient Department.

Kinshasa – January 2011
Patrick and Selly examining Nadine (28), a patient at the Centre Hospitalier de Kabinda (CHK) in Kinshasa. The conditions surrounding access to care for people living with HIV/AIDS in DRC are horrific. At the Centre Hospitalier de Kabinda, MSF has observed an excessively high number of patients arriving with serious complications resulting from lack of treatment. Their advanced illness creates unacceptable suffering.

Jonglei State, South Sudan – January 2012
Lekwongole, a village north of Pibor town where MSF runs a clinic, scarcely exists now. In the State of Jonglei in South Sudan, civilians continue to bear the brunt of inter-communal fighting. Wounded patients are still arriving at the Médecins Sans Frontières (MSF) hospital in Pibor, three weeks after the violent attack on the town and outlying villages in Pibor County. Many were injured in the bush, where thousands have remained, afraid to come out of hiding. MSF medical teams are now treating serious wound infections, some several weeks old.

Port-au-Prince, Haiti – June 2011
Chantale (name changed) was assaulted and raped while walking in her neighborhood, not far from her house. She was attacked in a vacant lot on her way home. Her attackers were never arrested. She is portrayed here with her MSF psychologist.
Sexual Violence in Haiti Sexual violence in Haiti is a true problem. Women are consistently made victims of sexual violence and they have little or no recourse either through their family or the law. Rapes, domestic violence are an accepted fact of life in the country and especially in the slums. Médecins Sans Frontières (MSF) offers psychological treatment and medical diagnoses to help treat the victims wounds.

Dollo Ado, Ethiopia – October, 2011
In the “Kobe” medical center for severely malnourished children, Hawa Nur Ibrahim sits with her 3 year old son Ali Adan. Her daughter Legla (2 years ) died recently of severe illness and she fears the same could happen to her son. Admitted for more than ten days already, his body is still very fragile and he is still not able to drink or eat himself.

January 2012
After a recent typhoon caused severe, and in some cases fatal, flooding on the southern Philippine island of Mindanao, a Médecins Sans Frontières (MSF) team began providing emergency medical assistance to people whose houses were destroyed and who are now living in evacuation centres.

Khanda Faraj Mohammed, 27 years old, mother of three and pregnant with her fourth child was severely burned in a car bomb explosion while shopping in the market of Kirkuk. She is being treated in a program run by Medécins Sans Frontières (MSF) that cares for Iraqi victims of violence whose injuries can not be treated inside Iraq. The program is now beginning to receive patients from Yemen, Syria, Egypt and Libya in addition to Iraqis. Amman, Jordan.

The main hospital in Zemio, Central African Republic, where MSF nurses and doctors work. MSF started intervening in Zemio, CAR, in May 2010 after violent attacks in the area by the LRA in April, which led to the arrival of thousands of internally displaced people in the town of Zemio. The team offers IPD and OPD services at the main hospital in Zemio, and is running four health posts in the area.

Somali refugees arrive in Ifo 2 camp after being moved by officials from the outskirts of Dagahaley camp. Dadaab, with roughly 400,000 refugees, is the largest refugee camp in the world. The camp is grossly over capacity, and the refugees experience an ever-shrinking access to essential services such as water, sanitation, food and shelter, also because they have been sharing their rations with the new arrivals. At the current pace of arrival MSF estimates that the camp’s population will total 500’000 before the end of 2011, and living conditions are only expected to deteriorate further.

This week, world leaders will gather in Geneva to commemorate 60 years of the UN Convention relating to the Status of Refugees. Yet it is an anniversary that the world’s 15.1 million refugees have little reason to celebrate. Today, states are increasingly shutting their borders and restricting the assistance they give to refugees and people seeking asylum.

A man rests at the side of his father’s hospital bed at the MSF trauma center in Kunduz, Afghanistan, November 28, 2011.
The 55-bed MSF hospital opened in August, 2011 and provides urgent surgical care and follow-up treatment for people who have suffered life-threatening injuries.

Kunduz, Afghanistan – November 2011
While his father looks on, a young boy receives postoperative care after a complicated abdominal surgery at the MSF hospital in Kunduz, Afghanistan. November 30, 2011. MSF opened a 55-bed trauma center in Kunduz Province in August, 2011. The hospital provides urgent surgical care and follow-up treatment for people who have suffered severe injuries.

Vimbai playing “hop, skip and jump” with her siblings at home. Vimbai (15) is a patient enrolled in the MSF HIV/AIDS project in Epworth, an
urban settlement adjacent to the capital Harare of Zimbabwe. “In 2007 I was very ill. I had rashes all over my body and my whole body ached. A week after I started medication I was already feeling much better. Now, I am anxious that my mother may send me to my grandmother in the countryside as we cannot afford my school anymore.”
With 14.3 per cent prevalence rate (UNAIDS 2009), Zimbabwe is one of the countries worst affected by the worldwide HIV/AIDS epidemic. Since 2006, MSF has been running an HIV/AIDS project in Epworth. In August 2011, MSF had 12,864 patients under care in both of its clinics there.

A child’s hand outside the Overspill clinic in Epworth, Zimbabwe. With 14.3 per cent prevalence rate (UNAIDS 2009), Zimbabwe is one of the countries worst affected by the worldwide HIV/AIDS epidemic. Since 2006, MSF has been running an HIV/AIDS project in Epworth. In August 2011, MSF had 12,864 patients under care in both of its clinics there.

Haut Uéle – July 2011
A female patient is waiting for her consultation in Dungu Hospital. She has a severe cut on her back.
The eastern DRC context is still volatile, marked by shifting alliances between armed groups, ongoing military operations, instability, insecurity, banditry, and violence. Attacks against civilians and aid organisations are rising, making both the population and humanitarian aid workers increasingly vulnerable.
Rape, murder, kidnapping, and random acts of violence are daily occurrences for millions of people. The ability of Médecins Sans Frontières (MSF) to provide free and lifesaving healthcare is at times limited by this instability, which continues to push people from their homes.

Jazeera, Mogadishu – August 2011
Inside an MSF inpatient therapeutic feeding center. Since July 2011, nearly 200,000 newly displaced people have arrived in Mogadishu from drought-affected central regions of Somalia. MSF has opened 4 ITFCs in the capital city to treat malnourished children and distribute ready-to-use therapeutic food to the IDPs. Measles vaccination is also undertaken to respond current epidemic outbreak.

Early morning in Mweso, North Kivu, where MSF is supporting the ‘Hopital General de Reference’. It is a 200-bed referral hospital. Services include Internal Medicine, Surgery, Neonatal, Intensive Care, Pediatrics, and Inpatient Nutrition (CNT: Centre Nutritionel Therapeutique).

North Kivu, DRCongo – July 2011
The roads around Masisi are difficult – steep and muddy – and MSF’s 4×4 vehicules often struggle to reach remote areas. This photo was taken as part of the www.msfdelivers.org fundraising campaign. Masisi is in North Kivu province, DRC. This is high mountainous terrain and is the focus of a complex politically and economically driven conflict that has torn the region apart for more than 15 years.
In Masisi health zone, MSF supports the MoH hospital and a reference health centre at the village of Nyabiondo. The team also runs an ambulance service and conducts mobile clinics in remote areas that are hard to reach, either because of conflict or because of difficult road access.

Mogadishu – August 11, 2011
Mogadishu cathedral, in the old part of Mogadishu, which was the Italian and Indian district during the colonial period (until 1960). Between the pillars of this unroofed building, refugees who flee starvation find a shelter after several days of walking.

An MSF team trekked for 1 hour to visit Philip. Philip has been sick for a long time and he cannot reach the closest health clinic.
Swaziland is a rural country of many small, isolated villages. The cost of long and frequent journeys to health facilities is often prohibitive for patients, so MSF has developed a decentralised, community-based approach to care.
People living in the community have been trained as HIV counsellors and to test for the disease. The aim is to increase the overall number of people being tested, so that more people with HIV can begin treatment earlier.
By decentralising care, MSF hopes that fewer patients default from their treatment and, in general, patients’ state of health will improve.

Warrap State, South Sudan – June 18, 2011
Ajak Nhial used to live in Abyei town, an area contested by both North and South Sudan. She lost contact with her seven children during the first bombings by northern forces in Abyei town. When she heard her house had been bombed, she tried desperately to reach her neighbourhood but it was too dangerous and she was forced to flee the town. She doesn’t know if her children died or if they managed to escape the area as well.
100,000 people fled the Abyei area as a result of fighting between northern and southern forces. Ajak Nhial joined some relatives and 6,300 other exhausted people who sought refuge in Mayen Pajok and Juong Pajok – two villages in Akon, Warrap State. There was not enough food, shelter, or water to support both the host communities and the thousands of displaced people who arrived. Ajak Nhial found some work with local farmers in exchange for a little money.