MSF's publications are an expression of our belief in the principle of témoignage, or bearing witness, and the belief that we are accountable to those we work for and with. Sharing news about our activities and reflecting on them, offering critiques when necessary, are therefore crucial aspects of our work.

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More than three years after the signing of the Comprehensive Peace Agreement (CPA) in January 2005, medical needs remain critical, and simmering tensions create a precarious security situation. This report focuses on the areas of Greater Upper Nile, including Unity, northern Jonglei and Upper Nile States. Although extrapolations to other areas must be done with caution, the health situation in Greater Upper Nile can be considered representative of many of the war-devastated communities in southern Sudan.

While the global prices for basic commodities like flour, milk, and corn have fallen back to the levels of end 2006, deaths and crippling lifelong handicaps caused by malnutrition have not decreased in the most affected countries where malnutrition is a recurrent, seasonal phenomenon with only very limited links to global food price developments. The reason lies in the specific needs of very young children for a diverse and nutrient-rich diet.

Zimbabwe's political and economic breakdown has led to abysmal access to public healthcare; a collapsed infrastructure; a crushing HIV epidemic; political violence; food shortages and malnutrition; internal displacement and displacement to neighboring countries. Above, more than three million Zimbabweans have fled to South Africa, including these children taking refuge in a church in Johannesburg.

Through this report, MSF shares its experience in providing medical care, counseling and other forms of support to thousands of victims of sexual violence in many countries around the world. The report is partly born out of outrage about the inexcusable acts that these people have been subjected to and the damage inflicted upon their lives. It demonstrates why it is imperative to make immediate care available, and truly accessible, for those who have been sexually assaulted. MSF hopes that this report will inform and inspire health officials, aid workers, and others who should be involved in providing such support.

In September 2008, MSF began an emergency intervention in the civilian prison of Guéckédou in southeastern Republic of Guinea.

Coming Out of the Dark with Seruka



Burundi 2008 © Benedicte Kurzen/VII Mentor

Since early 2003, the people of Darfur have endured a vicious campaign of violence, which has forced almost 2 million people to flee from their destroyed villages in search of safety. Rape against women, children, and men has sadly been a constant factor in this violence throughout this campaign of terror. More tragically, it continues to this day even long after people have fled from their villages. The stories of rape survivors give a horrific illustration of the daily reality of people in Darfur and especially of women and young girls, the primary victims of this form of violence. It has to stop.

On World TB Day this year, MSF focusses on the urgent need for TB tests to deliver faster and accurate results, for all patients, even in the remotest settings. Patients from Kenya, India and Georgia tell their stories of how TB tests today are failing them.

Cytomegalovirus (CMV) is a member of the herpes virus family that was a familiar cause of blindness and death in patients with advanced AIDS in Western countries in the 1980s and 1990s, when it occurred in roughly one-third of patients with AIDS.

An estimated 270,000 Somali refugees are enduring difficult living conditions at Dagahaley, Ifo, and Hagadera refugee camps located on the outskirts of Dadaab in northern Kenya.

Pages

More than three years after the signing of the Comprehensive Peace Agreement (CPA) in January 2005, medical needs remain critical, and simmering tensions create a precarious security situation. This report focuses on the areas of Greater Upper Nile, including Unity, northern Jonglei and Upper Nile States. Although extrapolations to other areas must be done with caution, the health situation in Greater Upper Nile can be considered representative of many of the war-devastated communities in southern Sudan.

While the global prices for basic commodities like flour, milk, and corn have fallen back to the levels of end 2006, deaths and crippling lifelong handicaps caused by malnutrition have not decreased in the most affected countries where malnutrition is a recurrent, seasonal phenomenon with only very limited links to global food price developments. The reason lies in the specific needs of very young children for a diverse and nutrient-rich diet.

Zimbabwe's political and economic breakdown has led to abysmal access to public healthcare; a collapsed infrastructure; a crushing HIV epidemic; political violence; food shortages and malnutrition; internal displacement and displacement to neighboring countries. Above, more than three million Zimbabweans have fled to South Africa, including these children taking refuge in a church in Johannesburg.

Through this report, MSF shares its experience in providing medical care, counseling and other forms of support to thousands of victims of sexual violence in many countries around the world. The report is partly born out of outrage about the inexcusable acts that these people have been subjected to and the damage inflicted upon their lives. It demonstrates why it is imperative to make immediate care available, and truly accessible, for those who have been sexually assaulted. MSF hopes that this report will inform and inspire health officials, aid workers, and others who should be involved in providing such support.

In September 2008, MSF began an emergency intervention in the civilian prison of Guéckédou in southeastern Republic of Guinea.

Coming Out of the Dark with Seruka



Burundi 2008 © Benedicte Kurzen/VII Mentor

Since early 2003, the people of Darfur have endured a vicious campaign of violence, which has forced almost 2 million people to flee from their destroyed villages in search of safety. Rape against women, children, and men has sadly been a constant factor in this violence throughout this campaign of terror. More tragically, it continues to this day even long after people have fled from their villages. The stories of rape survivors give a horrific illustration of the daily reality of people in Darfur and especially of women and young girls, the primary victims of this form of violence. It has to stop.

On World TB Day this year, MSF focusses on the urgent need for TB tests to deliver faster and accurate results, for all patients, even in the remotest settings. Patients from Kenya, India and Georgia tell their stories of how TB tests today are failing them.

Cytomegalovirus (CMV) is a member of the herpes virus family that was a familiar cause of blindness and death in patients with advanced AIDS in Western countries in the 1980s and 1990s, when it occurred in roughly one-third of patients with AIDS.

An estimated 270,000 Somali refugees are enduring difficult living conditions at Dagahaley, Ifo, and Hagadera refugee camps located on the outskirts of Dadaab in northern Kenya.

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