Why are we there?

  • Endemic/epidemic disease
  • Social violence/healthcare exclusion
  • Natural disaster

Our work

This is an excerpt from MSF-USA's 2013 Annual Report:

Women with obstetric complications in Kabezi had little access to appropriate healthcare until MSF launched an emergency program, the Centre for Obstetric Emergencies (CURGO), in 2006. Located in Kabezi hospital, the project offered free, high-quality emergency and surgical obstetric services. Referrals and ambulances were also provided so that women from 24 health centers were able to reach the CURGO, which admitted an average of 250 women per month in 2013.

After an MSF study in 2012 entitled Safe Delivery: Reducing Maternal Mortality in Sierra Leone and Burundi showed these efforts had reduced maternal deaths by 74 percent, the team trained and coached Burundian medical staff, and handed the program over to local authorities in 2013.

Providing fistula care

An MSF team continued to provide obstetric fistula treatment this year at the Urumuri health center in Gitega. Fistulas, a consequence of birth complications, cause not only pain but incontinence, which in turn often leads to social exclusion and sometimes rejection by friends and family. The package of care at Urumuri includes surgery, physiotherapy, and social support, and is offered around the clock.


In 2013, MSF staff at the Kirundo malaria project continued to support 44 health centers and two hospitals with diagnosis and treatment of severe malaria.

Patient story

Séverine, an obstetric fistula patient

The MSF team welcomed me to the women’s village. I feel good here; we dance together often. All the women here suffer from the same thing, and that helps us cope. I’m having the surgery in a week. I hope it will go well; I’m confident it will.

At the end of 2013, MSF had 282 staff in Burundi. MSF has been working in the country since 1992.

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