How MSF is fighting COVID-19 in Iraq
As a second wave of COVID-19 sweeps through Baghdad, we have expanded the capacity of our COVID-19 centre from 36 to 51 beds. We are treating only serious and critical cases and are constantly full, with people waiting in the emergency room for a bed to become free. Iraq saw its highest-ever number of COVID-19 cases reported on 25 March – 6,513 – but even that number is likely to be largely underestimated. Only 386,000 doses of a vaccine have arrived in Iraq so far, a number barely sufficient to cover the country’s 216,000 doctors, nurses and paramedical staff.
While Baghdad and the southern parts of the country are experiencing a peak, numbers in Ninewa province in the north have stayed low. Due to a lack of patients and the increased capacity of the local health authorities to deal with any eventual outbreak, we have taken the decision to close our 11-bed ICU in the city of Mosul.
Learn more about how we are responding to the coronavirus pandemic in Iraq.
In 2019, Doctors Without Borders/Médecins Sans Frontières continued to provide essential health care services in Iraq, where people are suffering from the effects of years of conflict and ongoing instability.
Although displaced people continued to return to their homes in 2019, more than a million still face significant barriers that prevent them from doing so. Some have been living in camps for years, with little access to basic services. At the end of the year, the violent crackdown on protests in various cities across the country put additional pressure on the health system.
Many health care facilities have been destroyed and there is an overall shortage of health care specialists and services, vitally needed to address primary and secondary health care needs and trauma resulting from ongoing violence. Our teams have observed an increase in mental health needs generated by prolonged suffering among both internally displaced people and the rest of the Iraqi population, including trauma related to domestic violence, psychosomatic disorders, post-traumatic stress disorder, depression, and anxiety.
In 2019, we maintained our range of basic and secondary health services, such as maternity and neonatal care, emergency rehabilitation, treatment for non-communicable diseases, surgery and post-operative care, and mental health support for displaced people, returnees, and vulnerable communities. From October, when the demonstrations started, our teams also provided medical supplies and technical support to various hospitals across the country. Throughout the year, our teams operated hospitals and clinics in some of the most war-affected regions to help restore some of the most indispensable health care services for the Iraqi people.
The war against the Islamic State group had a devastating impact on Ninewa, resulting in severe physical and mental trauma among its inhabitants, the destruction of health facilities and the displacement of large numbers of people. Mental health care was a main component of all MSF services in Ninewa, and our teams of psychologists conducted a total of 14,000 individual mental health consultations there in 2019.
To address the shortage of skilled surgery and post-surgical care, MSF opened a comprehensive center for patients with violent or accidental trauma injuries in east Mosul in 2018. The hospital has a mobile operating theater, a 33-bed inpatient ward, recovery rooms, and rehabilitation units. During 2019, MSF teams conducted nearly 580 surgical interventions. We also donated to the Department of Health a newly built facility dedicated to the treatment of infectious diseases in east Mosul.
In west Mosul, we run a comprehensive maternity unit in Nablus hospital with surgical capacity for Caesarean sections. Our team there provides emergency obstetric and neonatal care, inpatient pediatric services, as well as emergency treatment and stabilization of patients before referral to other hospitals. During 2019, they conducted 43,100 emergency room consultations and assisted 9,300 births.
As displaced families returned to west Mosul, we set up maternity services in Al-Rafedein basic health care center to respond to the increased demand for sexual and reproductive health care.
We also extended our outreach activities for Yazidis and other communities in Sinjar district, offering sexual and reproductive health services, including births, and pediatric care through our hospital and in the displacement camps. We treated a total of 14,600 patients in the emergency room in 2019.
In Qayyarah subdistrict, we continued to run an emergency room and offer pediatric and maternity services, nutritional support, surgery, and rehabilitative care, as well as treatment for burns. These services benefit host communities as well as internally displaced people. During 2019, our teams conducted 2,670 surgeries, and were also able to boost the capacities of local health care providers through training and donations and hand over our neonatal and pediatric activities.
In this conflict-affected area, MSF teams helped to restore health care facilities in Hawija, and provided health services in Al-Abbasi town and Laylan camp. Our teams provided basic health care, maternity, and sexual and reproductive health services, treatment for non-communicable diseases, mental health support, and health promotion activities. In addition, we supported the emergency room, laboratory, and infection prevention department in Hawija general hospital.
In Diyala, MSF teams addressed the needs of displaced people, returnees and host communities by offering basic health care, mental health support, sexual and reproductive health care services, treatment for non-communicable diseases, and health promotion in Khanaqin and Alwand camp, and through facilities in Sinsil, Sadiya, Al-Muqdadiyah, and Jalawla. Learn how you can best help in Iraq and other countries.
The focus of activities at Baghdad Medical Rehabilitation Center is rehabilitative care, including pain management, physiotherapy, and mental health support, for people injured in violent incidents or accidents. After the mass protests broke out in October, we increased capacity from 20 to 30 beds. In addition, we gave mass casualty triage training to 80 doctors and nurses working in the emergency department at Imam Ali hospital in Sadr city, to enable them to cope with approximately 20,000 patients every month. We also opened a project aimed at providing shorter and injection-free treatment for drug-resistant tuberculosis patients and supported local diagnostic capacities for the disease.
From the beginning of the clashes in northeast Syria in October until the end of 2019, more than 17,000 people crossed the border into Iraq. In October, we conducted mobile clinic activities in Bardarash camp and at the Sahela border reception site to provide refugees and internally displaced people with general health care services and mental health consultations.
Dhi Qar governorate
When protests started in southern governorates at the end of 2019, MSF launched an emergency response in Nasiriyah, which included training staff to deal with mass casualties, and supporting the emergency preparation of first-aid posts.