Questions of Access
A four-person MSF medical team composed of two doctors and two nurses left Mopti early on January 24 and managed to reach Konna later that morning. For the last several days MSF unsuccessfully sought authorization to enter the town.
Now that access has been permitted, the team is assessing the medical and humanitarian needs in the area. They also visited the Konna health center, finding upon their arrival that there were no medical staff members or patients in the town’s health care facilities. MSF team members therefore began providing primary health care consultations and organized mobile clinics to address the health needs of people in the area. In the coming days, as the assessments continue, MSF will be able to provide additional support to the Konna health center.
Further north, in Douentza, MSF continues to work in the city’s hospital. The medical staff remained at the hospital around the clock despite intense bombing in the area, conducting approximately 450 medical consultations over the past week. Today, their priority is to augment the medical services provided to wounded patients and others who need surgical procedures such as Caesarean sections. MSF hopes to be able to resupply the team in Douentza soon, but access to the route into town is still restricted.
In Timbuktu, medical activities are ongoing, particularly in pediatric, obstetrical, emergency, and surgical care. Over the past 10 days MSF treated approximately 20 wounded patients at the Timbuktu hospital. The priority in this region is to expand hospitalization and prepare to treat victims of all kinds of violence. Medical supplies and medicines have also been delivered to the health centers that MSF supports in the Timbuktu region.
MSF has been working in the area for more than 10 months and continues to handle large numbers of patients. In 2012, MSF conducted 50,000 medical consultations (approximately one-third of them for malaria), hospitalized 1,600 people, and performed more than 400 operations. However, the number of people coming to medical facilities has declined somewhat in the last few days.
Activities in Gao
MSF is working in three health centers in and around Gao, in the communities of Wabaria, Chabaria, and Sossokoria. Each day, medical teams conduct approximately 60 to 65 medical consultations at each center. This volume has remained steady even as the conflict has intensified, though bombing in the area did force MSF to temporarily suspend its mobile clinic, which had been providing access to medical care to people who could not reach any of the fixed sites.
Further south, in Ansongo, MSF is providing primary and secondary care in the local hospital while also trying to ensure regular delivery of supplies and medicine and increase the availability of surgery to the degree that teams could respond effectively in the event of an inflow of wounded patients.
Concern for the Displaced
In Mali’s interior insecurity, travel constraints, and communications issues are complicating efforts to assess the number of displaced persons and their health status.
The United Nations has recorded 340,000 Malians who are either internally displaced or living as refugees in neighboring countries. Another 6,000 people have fled the country since January 11, taking refuge in Mauritania and Niger, where MSF is also working.