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One year after a devastating earthquake, Haitians continue to endure appalling living conditions amid a nationwide cholera outbreak, despite the largest humanitarian aid deployment in the world.

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MSF had already been present and active in Haiti for the past 19 years. It was therefore ready to respond when the disaster struck. And it is now prepared to do the work that will remain in the days, months, and years to come.

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By the end of 2010, MSF has estimated it will have spent all of the $138 million donated by private supporters for Haiti. 

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Through its Campaign for Access to Essential Medicines, MSF has been closely following the developments in the world of access to medicines, vaccines and diagnostics.

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But just as important gains are beginning to show their promise for patients, a stagnation in donor funding, coupled with trade policies that will create serious additional barriers to accessing affordable generic medicines, are dealing HIV/AIDS treatment a double blow.

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In late 2009, the World Health Organization (WHO) issued new international recommendations concerning the fight against HIV/AIDS. WHO advocates treating more patients by starting antiretroviral therapy at an earlier stage and using higher quality drugs. These measures will result in an increase in the number of infected people eligible for treatment. While beneficial, the new recommendations pose many challenges and come amid an unfavorable global environment.  

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The number of patients on treatment has risen dramatically over the last few years. At the end of August 2010, more than 200,000 patients were on ARV treatment in Mozambique, of whom more than 33,000 were being treated with the assistance of MSF.

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In Swaziland a dual epidemic of tuberculosis (TB) and HIV is threatening to wipe out entire generations. The country has the highest HIV prevalence in the world among adults, coupled with one of the highest incidence rates of TB. The great majority of TB patients are co-infected with HIV, and TB is the leading cause of mortality among HIV-positive patients.

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The first confirmed case of HIV infection in China was reported in 1989. Twenty years later, UNAIDS estimates that there are some 740,000 people living with HIV/AIDS across the country, with an estimated 48,000 new infections in 2009. By the early 2000s, Chinese authorities had recognised the widespread nature of the HIV epidemic and reacted by implementing new policies, as well as treatment, prevention and control programmes.

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A special MSF report documents armed conflict and mental health in the department of Caquetá, Colombia.

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