April 14, 2006
The civilian population in the north of the Central African Republic is bearing the brunt of an ongoing conflict between rebel and government forces. Doctors Without Borders/Médecins Sans Frontières (MSF) is running a hospital and operating mobile clinics in and around 10 locations in Markounda, northeastern Central African Republic. In addition, thousands of people have fled from the north of the Central African Republic into southern Chad around the town of Goré. An MSF team of 6 international and more than 20 national staff focus on basic health care doing on average 800 consultations a week as well as nutritional and water-and-sanitation activities.
"Violence has become part of their lives," says Dr. Collins, "When we are on the road with our mobile clinics we regularly passed burned houses; one village after the other completely destroyed and abandoned. It gave us an eerie feeling when we stopped to see what had happened–this total silence around you. Only after a half hour or so did people slowly emerge out of the bush. From talking to local people, it be came clear that they now associated the arrival of motor vehicles with men coming to burn and kill–hence their ongoing fear, even when we arrive for a clinic."
"I have never seen such an intense fear among the people we were trying to help," says Dr. Collins. "For example, at a clinic in one village, 400 people attended. Suddenly a villager thought they heard a vehicle approaching from the distance. All 400 rose and fled into the bush within seconds, leaving the MSF workers standing alone and stunned."
Within a few months time the MSF team expanded to 5 international and 30 national staff. Ten mobile clinics were set up along the border area with Chad, most of them visited every other week. More than 4,000 consultations are being conducted on a monthly basis. Many of the patients required more intensive treatment than could be provided through mobile clinics. As a result, MSF set up a 16-bed, 24-hour-care hospital in Markounda. Each week, MSF admits 10 to 15 people to the hospital and treats several hundreds of patients at the hospital's outpatient section.
"The numbers are maybe not as massive as in other conflict areas in Africa," says Dr. Collins. "Overall we working to assist some 10,000 people. This will increase within the coming weeks to 30,000, as we will also being working in the regional referral hospital. Many of these people are hiding in fear in the bush. These people desperately need care, not only medical care but, as important, also the notion that they are not forgotten."
© 2013 Doctors Without Borders/Médecins Sans Frontières (MSF)