MSF OPD in THQ Sadda Hospital in Kurram Agency of Federally Administered Tribal Areas (FATA). Mother holds her child during medical check-up by Doctor. *** Local Caption *** The situation in the federally-administered tribal zones (FATA) was particularly unstable in 2010 and early 2011. Spikes of violence, isolation, closure of supply routes, and the near-collapse of the health system created obstacles to obtaining medical care. MSF has been working in Kurram Agency since 2004, supporting the hospitals in Alizai (a Shiite community) and Sadda (a Sunni enclave) since May 2006 and is trying to meet the populations' medical needs.<br/>
Since 2007, for security reasons and because of a lack of authorization, MSF has been unable to send international staff into the FATA areas. Our activities in Sadda and Alizai are managed from Peshawar and are implemented in the field by our 50 Pakistani colleagues and six Ministry of Health employees.