Why are we there?
- Armed conflict
- Health care exclusion
Russia: Latest MSF Updates
- Just Two Percent of People with DR-TB have Access to New, more Effective Treatments
- Russia: New TB Drugs Having Impact Against Resistance
- Training for Better Patient Care in Chechnya
- Children With TB Must Not Be Neglected
This is an excerpt from MSF's 2015 International Activity Report:
MSF continues to run tuberculosis (TB), mental health and cardiac care programs in Chechnya, and provides basic healthcare to marginalized migrants in Moscow.
Drug-resistant TB is a life-threatening issue in Chechnya, the result of years of poor TB diagnosis and interrupted treatment. A comprehensive program, including diagnosis, treatment and counselling for TB, multidrug-resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB), is integrated in health ministry facilities. MSF handed the management of MDR-TB patients over to the Ministry of Health in July and is now focusing on the extensively drug-resistant form of the disease. MSF provided medicines for XDR-TB patients, including new treatments that have recently become available. MSF’s program also includes laboratory support, health promotion and psychosocial assistance for patients and their families.
MSF observed that between 10 and 20 per cent of XDR-TB patients also suffer from diabetes, and this further complicates the management of the disease. As a result, teams began addressing co-morbidity with regular education sessions and the monitoring of blood sugar levels.
MSF also runs a mental healthcare program in Grozny and the mountainous districts of Chechnya still affected by violence.
Cardiac Care in Chechnya
MSF continued to support the cardio-resuscitation unit of the Republican Emergency Hospital in Grozny by donating medicines and medical equipment, providing technical advice for case management and organizing training in coronarography (an imaging technique to examine the inside of coronary arteries) and angioplasty (a procedure to widen narrowed or obstructed coronary arteries). A total of 83 patients were treated during the two workshops organised by MSF in 2015.
Healthcare in Moscow
A team offered basic healthcare to migrants from the former Soviet republics and other countries with limited or no access to medical services, and referred them for specialist care in state medical facilities when necessary.
MSF has been working in the Russian Federation since 1988, and in the north Caucasus since 1995. At the end of 2015, MSF had 137 staff in the region.
Aslambek, 54 year old heart patient
“When I was admitted to the hospital for myocardial infarction [heart attack], I had an injection of a thrombolytic to restart my heart. But after being discharged, I still had pain. Then I was offered a new operation with [MSF] doctors who were coming soon. I accepted. The operation consisted of placing two stents. Since [the operation] I feel different, I can walk without any problem.”