MSF teams are running 13 medical-nutritional programs throughout south and central Somalia, but the intricacies of clan rivalries, the absence of an effective government, and general insecurity make it very difficult to reach the level of assistance that is needed.
A cholera epidemic is sweeping down the Congo River in the Democratic Republic of Congo. Originating in the distant centre of the vast central African country it has now reached the capital, Kinshasa, more than 1,000 miles southwest. People are sick and dying and desperate for help. Robin Meldrum went to the town of Mbandaka, where an MSF emergency team is responding to the crisis.
The effects of ongoing drought in the Horn of Africa region have intensified the situation in Somalia, already precarious due to 20 years of violent conflict: food prices have gone up, livestock are dying, and humanitarian aid in the country is scarce. MSF's Marere Hospital in southern Somalia is the only health facility in the area. A Somali medical worker from Marere described the current crisis.
Somali refugees escaping the conflict in their country continue to arrive en masse in Dadaab, Kenya. Three camps now hold close to four times the number of people they were built for; collectively they form one of the largest refugee camps in the word. And yet newly arrived families can no longer get inside.
In Central African Republic, one million people are estimated to be affected by the ongoing violence. Particularly since 2008, families have been repeatedly displaced from their villages, forced to flee into the bush, where they remain trapped and unable to return to their homes, with little access to any medical care.
People in Abyei live on the frontlines of an ongoing battle for control. New clashes that began on May 20 have pushed thousands from their homes and made them even more vulnerable to medical complications.