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Southern Sudan was already an underdeveloped region in dire need of investment in essential services, including health care, when large numbers of people returned to vote in a referendum for secession in January 2011.

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In the country's western Gambella Province, MSF teams are working in cooperation with health authorities to provide access to medical care to an extremely remote and mobile population.

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Photographs by Krisanne Johnson. Happiness Dlamini is an MSF patient on treatment for multi drug-resistant tuberculosis (MDR-TB) in Swaziland. The treatment for MDR-TB requires taking less effective drugs with terrible side effects for up to two years. Happiness has 21 months of treatment remaining.

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At Boost Hospital in Afghanistan's Helmand province, MSF is tending to civilians caught in an ongoing conflict, in a region where medical resources have been scarce for many years.

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Usually the result of complications during delivery, a fistula is an opening between the bladder and the vagina, or between the rectum and the vagina. Women become incontinent, and are often shunned from their societies and families as a result. They can also suffer additional medical consequences. Access to pre-natal care and interventions to assist with complicated labor, including C-sections are essential to preventing fistulas.

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Usually the result of complications during delivery, a fistula is an opening between the bladder and the vagina, or between the rectum and the vagina. Women become incontinent, and are often shunned from their societies and families as a result. They can also suffer additional medical consequences. In 2010, MSF teams operated on and treated about 1,000 women suffering from fistulas, in permanent structures and in "fistula camps." In November, MSF ran a fistula camp in Boguila, western Central African Republic.

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Violent conflict between government forces and armed groups in and around the town of Pinga, North Kivu Province, keeps local people trapped and unable to access medical care. MSF works in Pinga and send health workers on motorbikes to find people in urgent need of assistance.

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Continued exposure to violence makes the population of southern Sudan even more vulnerable. MSF helps those who have survived attacks by armed groups in Yambio, Western Equatoria State.

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People in southern Sudan, including the border area of Abyei, are grappling with chronic malnutrition, epidemics, and deadly diseases—on top of the continuing violence. MSF's presence in the region is extremely important, but escalating tensions have blocked people's access to what little health care is available.

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In Cite Soleil, Port-au-Prince, MSF is providing hundreds of tons of water every day, but it's not even close to meeting all the needs in that area.

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