Why are we there?
- Endemic/Epidemic disease
- Health care exclusion
- Natural disaster
This is an excerpt from MSF's 2013 International Activity Report:
There is an ongoing medical humanitarian crisis in Rakhine state, and there are concerns about the increasing challenges faced by those assisting people in need of healthcare.
While violence and segregation continue in Rakhine state, more than 100,000 people remain displaced, living in appalling conditions in camps, and almost entirely cut off from healthcare and other basic services including clean water. Communities living in isolated villages and townships, most in Northern Rakhine state, also face great difficulty in accessing medical services. As the minority Rohingya remain extremely vulnerable, MSF is striving to overcome significant challenges and obstacles and provide free, high-quality medical assistance to those most in need.
Working closely with local communities, the team has offered basic healthcare, obstetric services, mental healthcare, treatment for HIV/AIDS and tuberculosis (TB), and supported emergency referrals. MSF also treated 10,816 malaria patients, 84 percent of the nationwide total. Staff worked in 10 townships across the state, in fixed and mobile clinics in 24 camps for displaced people and in a number of isolated villages.
Throughout 2013, MSF continued to urge the government and the communities of Rakhine to work together with international organizations to ensure that all patients in need of emergency medical services could access the necessary care, regardless of their background or ethnicity.
HIV and TB programs
MSF is the largest provider of HIV/AIDS care in Myanmar, treating over 33,000 patients in a country where fewer than one in three people who need antiretrovirals receive them. People with HIV are more likely to have active TB, and multidrug-resistant TB (MDR-TB), which is harder to diagnose and requires two years of arduous treatment, is also an emerging health problem.
MSF runs projects treating HIV and TB patients in Kachin, Shan, and Rakhine states, as well as in Yangon and in Dawei in Tanintharyi region. After three years of collaboration with the prison department in Yangon, MSF officially closed its HIV project in Insein prison in December. MSF had provided counseling and testing to 1,400 prisoners and conducted more than 15,000 outpatient consultations since the program began in 2010.
In 2012, MSF started a program in Yangon in conjunction with the Ministry of Health, which continued this year, treating 58 patients with MDR-TB.
A young man co-infected with HIV and TB and his wife meet with an MSF counselor. © Greg Constantine
At the end of 2013, MSF had 1,299 staff in Myanmar. MSF has worked in the country since 1992.
Ko Min Naing Oo, 37 years old, Yangon
TB first came into my life in June 2000 and kept coming back over the next 13 years, getting harder and harder for the doctors to treat it. I took many different kinds of pills and injections over the years but nothing seemed to get the disease out of my body for good.
Before I started, I was able to carry out normal physical activities, but after I felt tired and exhausted. The side effects from the treatment were strong and it was really difficult to manage. I felt dizziness, pain in my buttocks from all the injections and had problems with my hearing. I felt nauseous when I smelled cooking, found myself easily getting angry, constantly weak and tired, always having diarrhea, and experiencing hallucinations.
I tried to forget my emotional pain by realizing that there are other people who were more socially, economically disadvantaged and with worse health than I was. I often reminded myself that I needed to get back my good health in order to save my family from a miserable situation.
From the MSF blog, ‘TB & Me’