Welcome to the world of MEDECINS SANS FRONTIERES...1991 - MSF runs medical and mental health...

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DOCTORS WITHOUT BORDERS MEDECINS SANS FRONTIERES Welcome to the world of South Africa MEDECINS SANS FRONTIERES © Roger Job, Liberia Médecins Sans Frontières / Doctors Without Borders (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural and man-made disasters or exclusion from healthcare, in more than 60 countries worldwide. MSF was awarded the Nobel Peace Prize in 1999.

Transcript of Welcome to the world of MEDECINS SANS FRONTIERES...1991 - MSF runs medical and mental health...

Page 1: Welcome to the world of MEDECINS SANS FRONTIERES...1991 - MSF runs medical and mental health programmes in the region. 1995 - MSF speaks out against the massacre of some 8,000 Bosnians

DOCTORS WITHOUT BORDERSMEDECINS SANS FRONTIERES Welcome to the world of

South Africa

MEDECINS SANS FRONTIERES

© Roger Job, Liberia

Médecins Sans Frontières / Doctors Without Borders (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural and man-made disasters or exclusion from healthcare, in more than 60 countries worldwide. MSF was awarded the Nobel Peace Prize in 1999.

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© Aurélie Lachant, Honduras2

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Your support is at the core of everything we do

With your support, we are able to provide emergency medical assistance to help victims of conflict, set up and run emergency feeding programs during times of chronic food shortages and respond to natural disasters. We are able to tackle epidemics and neglected diseases such as HIV/AIDS, malaria and tuberculosis. We can also organise mass vaccination programs to prevent diseases like measles or meningitis from spreading.

In operation since 1971In the early 1970s, two groups of doctors came together in France. The first group had witnessed the genocide of the Igbo minority during the civil war in Biafra (Nigeria, 1968) and felt frustrated that the organisation they worked for prevented them from speaking out about what they had seen. The second group of doctors had recently witnessed the severe lack of coordination and logistical efficiency of the aid effort as they helped to treat the victims of the 1970 floods in East Pakistan (now Bangladesh). The result of their combined efforts was Médecins Sans Frontières. Their vision was of an independent medical, humanitarian organisation that would provide neutral and impartial care to people affected by war and disaster and would publicly speak out about what they witnessed while treating people in need.

“A mother and her husband brought us a two-year-old boy called Yusuf. He was nothing more than bones and skin. He was in such a bad way you had to listen to his heartbeat through a stethoscope to tell he was still alive. His parents had given up on him. We put the child in our intensive care unit where we resuscitated him for two hours, until finally he opened his eyes. Then we fed him specialised milk and food through a tube. After one week Yusuf could drink milk on its own, and could say “mum”. After three weeks, his father came to collect him and he was beyond happiness – he didn’t stop thanking MSF until he’d left the hospital.” Dr Hussein Sheikh Qassim, Somalia 2011

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MSF missions around the world and through the timesHaiti 2010 - After a massive earthquake hits Haiti, MSF launches one of its largest ever interventions, treating more than 173,757 patients, and performing more than 11,748 surgeries. During the cholera epidemic, MSF treats 60 percent of all cases in the country. In 2012, MSF opens an emergency obstetric care hospital.

Central America1998 - During hurricane Mitch MSF assists victims in Honduras, Nicaragua, Guatemala, and El Salvador.

Liberia1990 - MSF provides emergency care during the civil war. 2003 - MSF assists thousands of displaced people and creates makeshift emergency hospitals.

Nigeria 1996 - MSF vaccinates more than 4 million people against meningitis.

Sudan2004 - MSF starts one of its largest emergency responses with nutritional and water-and-sanitation programs, clinics, and vaccination campaigns.

Europe2001 - MSF expands its programmes assisting asylum seekers and undocumented immigrants in Belgium, France, Italy, and Spain.

Bosnia1991 - MSF runs medical and mental health programmes in the region. 1995 - MSF speaks out against the massacre of some 8,000 Bosnians and the mass deportation and abuse of many thousands more by Serbian troops.

Rwanda1994 - MSF makes the unprecedented decision to call for international military intervention, and stays throughout the genocide of more than 800,000 Tutsis and “moderate” Hutus by Hutu extremists.

Democratic Republic of Congo From 1994, MSF develops various medical programmes such as mobile clinics, treatment and counselling for victims of sexual violence and rape, surgical and nutritional programmes.

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MSF missions around the world and through the times

Zimbabwe 2008 - MSF treats more than 65,000 people suffering from cholera.

Pakistan 2011 - MSF responds to floods in Pakistan. Teams attend to more than 80,000 patients and distribute nearly 2 million litres of clean water, along with almost 65,000 relief kits.

Lebanon1976 - First major response, including surgery, in a war zone.

Somalia 1991 - MSF alerts the international community to widespread famine. 2011 - MSF opens programmes to treat malnourished children and adults.

South Africa2000 - MSF starts providing antiretroviral therapy to people living with HIV/AIDS by opening a project in South Africa. 2008 - MSF provides medical assistance to thousands of African migrants during the xenophobic violence.

Cambodia1975 - First large-scale medical programme during the refugee crisis under Pol Pot’s rule.

South East Asia 2005 - An earthquake and a tsunami hits the region: MSF receives $133 million from the public and asks people to stop making donations for the crisis, having received more funding than needed for its medical programs in the region.

Afghanistan 1979 - MSF medical teams clandestinely cross the Pakistan–Afghan border and travel by mule for several weeks to reach injured civilians living in remote areas.

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Helping people in crisis

our aim, with your support, is to alleviate suffering and to contribute to the survival of the most vulnerable populations during times of emergency.

Who are the victims of these emergencies, and how does MSF intervene?

Victims of armed conflicts Around the world, each year, millions of people are forced to flee their homes because of wars and are now living in makeshift camps as displaced people or refugees. The consequences of war are many and varied, and include violence, rape, forced displacement, famine, epidemics and a general breakdown of the health services.

When conflicts erupt, MSF immediately sends teams of doctors, surgeons, anaesthetists, specialised nurses and logisticians into the field with the necessary equipment to establish operating rooms and clinics. They provide essential health care and train local medical and support staff. MSF also provides primary healthcare, surgical

“When the attack happened on my village, we fled into the bush with no food, just water for the small children. They didn’t find my family when I was shot because they ran ahead and entered the river, keeping just their mouths open out of the water to breathe, hiding the rest of themselves under the water. If you’re under the water they won’t find you. We are very happy MSF is here—we thought MSF would not operate again because everything was looted”. A patient from Doro refugee camp in South Sudan.

© Brenda Bannon, kenya

In the name of medical ethics we call for the universal right of all people to humanitarian assistance.

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care, epidemic control, immunisations campaigns, nutrition services, clean water and effective sanitation systems in refugee camps and other locations where displaced people seek shelter, enduring precarious conditions. Those who have suffered physical trauma, sexual assault and have witnessed terrible violence are provided with psychological support services and counselling.

Victims of natural disasters Natural disaster resulting from earthquakes, flooding, volcanic eruption and landslides can cause loss of human life and displace vast numbers of people. In situations like the 2010 Haiti earthquake, people who have suddenly lost family members, livelihoods and homes are severely traumatised. With the local infrastructure usually destroyed, they are often in desperate need of specialist medical and psychological care, as well as food, water and shelter.

over the years, MSF has developed medical and technical kits that allow emergency teams to set up hospitals and clinics and safe water supplies within a matter of hours or days. once in the field, MSF’s role consists of distributing basic essential items (hygiene kits, blankets, tents) to the affected population, to restore their access to clean drinking water and support the local health structures with human, material and logistical resources.

A specific case: Malnutrition and famineEach year, malnutrition is the main cause of death for 5 million infants in the developing world, especially in Southeast Asia, Sahel and Eastern Africa. Shortage of food due to drought, or conflict, can put populations at risk of malnutrition and epidemics. children are particularly vulnerable and are the first victims of acute malnutrition. MSF teams provide emergency food aid and treat the most serious cases (often children under 5) as part of the nutritional therapeutic programmes. MSF uses a new generation of therapeutic foodstuffs, based on powdered milk and peanuts and providing essential nutrients: this food comes in an airtight sachet and is resistant to bacterial infections as it does not need to be mixed with water. In addition, it can be stored for a considerable time and allows the treatment to be administered at home, by the mother.

In 2011, MSF treated more than 300,000 patients suffering from severe acute or moderate malnutrition.

© Michael Tsegaye, Ethiopia

© Audrey Giraudo, Somalia

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© P.k. Lee, Pakistan

When is long-term medical assistance called for?

Endemic and epidemic diseases Every year, more than 14 million people die of infectious diseases

and 97% of them lived in developing countries. In addition to victims

of the HIV/AIDS pandemic, millions of people around the world are

dying each year of entirely preventable and curable diseases such as

pneumonia, tuberculosis, measles, meningitis and malaria.

Disease outbreaks like cholera, measles or meningitis require a rapid response. MSF aims to get teams as quickly as possible on the ground to set up containment and prevention programmes in order to stop the spread of disease, and treat patients who have already been affected.

For epidemic diseases such as HIV /AIDS, malaria, tuberculosis, chagas, and sleeping sickness, MSF is implementing long-term activities aimed at reducing infection and mortality by providing education prevention programmes and treatment.

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Social violence and exclusion from healthcare. MSF believes that everyone has the right to basic medical care. In countries with collapsed or chronically disrupted health care system, or where the healthcare systems is unable to cope with major medical problems like tuberculosis and HIV/AIDS, MSF works with the local authorities to rehabilitate hospitals, construct health units, run mobile clinics, establish health education programmes, improve general nutrition and sanitation standards and develop improved models of care which MSF hand-over.

MSF also works in developed countries if there is a particularly marginalized group, for example street children, prisoners, or migrants, who are excluded from medical services and support. MSF has also developed medical and psychological support programmes designed to care for the victims of violence and ensure that they receive the recognition they deserve.

A specific case: Quality maternal careRates of mortality from pregnancy or birth-related complications are extremely high in the developing world. Tragically almost all these deaths are from conditions such as haemorrhaging, septicaemia, eclampsia, and obstructed labour – conditions for which effective treatments exist and are widely available in the developed world.

The key issue is access. Too often women do not have access to antenatal care during pregnancy. A lack of professional health infrastructure and hospitals – even basic drugs and equipment – can mean that when complications arise, the lives of both mother and baby are at risk. Each year, MSF attends more than 100,000 births, including caesarean sections, and give in excess of 500 000 antenatal consultations.

© Francois Dumont, Burundi

“When I arrived in the IDP camp in Darfur, there was limited care available to women during pregnancy or childbirth. Women were dying from preventable post natal haemorrhage and infection and diseases like malaria. Through the generosity of donors we were able to provide basic medications, improve antenatal care and provide a safe and clean environment for labour and delivery. The basic care any woman, anywhere should be afforded.”Margaret Bell, MSF nurse and midwife, Sudan 2010

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Warehouse in Brussels

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Meningitis andmeasles vaccines

manufacturedin India

Syringesmade inBelgium

Syringesmade

in India

Ensuring that our teams in the field are properly equipped with medicines and equipment is a major logistical challenge. A breakdown in the delivery or supply chain can mean desperately ill patients are left without the drugs they need. As a result, we work hard to ensure materials get to our teams where – and when – they need them.

In 2010, we trans-ported over 4,000 tonnes to our projects around the world by land, sea and air. Vaccines are a particular challenge. From the moment of manufacture to the point of injection in the field, they must be kept between 2 and 8 degrees Celsius to avoid spoilage. To ensure temperature stability, we have instituted the Cold Chain procedure.

Chain of life Getting the vital supplies to where they are needed

Vaccines are stored in a refrigerated area of our large stock warehouses. In Brussels, the warehouse is 7,000 square metres and contains everything from medicines and vehicles, through to surgical tents and clothing.

The vaccines are transported by truck in an ice-lined fridge in case of a power failure.

Due to the difficulty of maintaining the cool temperature during transport, vaccines are sent to the field on cargo planes. Outside of emergencies, all other drugs and materials are shipped by cargo boat due to the cheaper shipping costs.

Plane lands in country and the vaccines pass through customs.

In the field projects, the team decides what they

need, and the logistician creates a stock request.

Stocks of vaccines are transported by MSF Land

Cruiser to smaller MSF projects in towns and

countryside in a coolbox.

Vaccines are taken to the central MSF stores, which can be anything from a warehouse to a small shed. The vaccines are placed in a refrigerated area or large fridge powered by a generator.

In countries such as DRC, roads are often muddy and impassable for larger vehicles. In these situations, the coolboxes are placed on the back of motorbikes and taken deep into the countryside.

Vaccines arrive at target location and patients

receive their injections.

Graphic: Jenny Ridley

Chain of lifeGetting the vital supplies to where they are needed

© Michael Tsegaye, Ethiopia

Ensuring that our teams in the field are properly equipped with medicines and equipment is a major logistical challenge. A breakdown in the delivery or supply chain can mean desperately ill patients are left without the drugs they need. As a result, we work hard to ensure materials get to our teams where – and when – they need them.

Each year, we transport over 4,000 tonnes to our projects around the world by land, sea and air. Vaccines are a particular challenge. From the moment of manufacture to the point of injection in the field, they must be kept between 2 and 8 degrees celsius to avoid spoilage. To ensure temperature stability, we have instituted the cold chain procedure.

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Warehouse in Brussels

9

Meningitis andmeasles vaccines

manufacturedin India

Syringesmade inBelgium

Syringesmade

in India

Ensuring that our teams in the field are properly equipped with medicines and equipment is a major logistical challenge. A breakdown in the delivery or supply chain can mean desperately ill patients are left without the drugs they need. As a result, we work hard to ensure materials get to our teams where – and when – they need them.

In 2010, we trans-ported over 4,000 tonnes to our projects around the world by land, sea and air. Vaccines are a particular challenge. From the moment of manufacture to the point of injection in the field, they must be kept between 2 and 8 degrees Celsius to avoid spoilage. To ensure temperature stability, we have instituted the Cold Chain procedure.

Chain of life Getting the vital supplies to where they are needed

Vaccines are stored in a refrigerated area of our large stock warehouses. In Brussels, the warehouse is 7,000 square metres and contains everything from medicines and vehicles, through to surgical tents and clothing.

The vaccines are transported by truck in an ice-lined fridge in case of a power failure.

Due to the difficulty of maintaining the cool temperature during transport, vaccines are sent to the field on cargo planes. Outside of emergencies, all other drugs and materials are shipped by cargo boat due to the cheaper shipping costs.

Plane lands in country and the vaccines pass through customs.

In the field projects, the team decides what they

need, and the logistician creates a stock request.

Stocks of vaccines are transported by MSF Land

Cruiser to smaller MSF projects in towns and

countryside in a coolbox.

Vaccines are taken to the central MSF stores, which can be anything from a warehouse to a small shed. The vaccines are placed in a refrigerated area or large fridge powered by a generator.

In countries such as DRC, roads are often muddy and impassable for larger vehicles. In these situations, the coolboxes are placed on the back of motorbikes and taken deep into the countryside.

Vaccines arrive at target location and patients

receive their injections.

Graphic: Jenny Ridley9

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Speaking out against suffering

our presence and proximity to people make us witnesses to eventual violations of their most basic rights. All MSF staff share a commitment to speak out about the causes of their patient’s sufferings. Where MSF field teams witness gross injustice, violations of basic rights to access care or serious breaches of humanitarian principles, we consider it as a responsibility to raise these concerns in the most appropriate ways : by addressing governments, the united Nations, other international bodies, the media and the general public.

MSF develops international campaigns to push for increased access to medicines, vaccination, and healthcare for the world’s most vulnerable populations.

Through its Access Campaign, MSF is advocating lower drug prices to stimulate research and development of new treatments and to overcome trade and other barriers to accessing treatment for diseases such as HIV/AIDS, malaria and tuberculosis.

Launched in 2003, the Drugs for Neglected Diseases Initiative (DNDi) is a partnership involving MSF, the World Health organization and public research institutes to develop new drugs and new drug formulations to treat neglected diseases such as sleeping sickness, kala azar and chagas disease.

© Michael Tsegaye, Ethiopia

© Gilles Varela, France10

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In order to go where the need is greatest, to reach the most vulnerable and to be able to speak out about the plight of people in distress, MSF must remain independent. Thanks to the generosity of individuals like you, private funds account for 91% of our income; we are able to maintain our impartiality and continue to provide essential medical assistance, regardless of race, religion, gender and political affiliation and without any external pressure.

Committed professionalsThe work of MSF is carried out by thousands of health professionals, logistical and administrative staff. This huge human potential is the driving force of MSF. Training and development within the organisation is one of our top priorities. The vast majority of MSF staff comes from the countries where the organisation provides medical assistance. over 2,000 international workers are sent to the field to work each year with more than 27,900 local workers.

© Robin Meldrum, Democratic Republic of congo

Independence and Accountability

© Michael Goldfarb, uSA

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“In my work with MSF, I have seen people die from AIDS, from TB, and from malaria, but, in recent years, I have most of all seen people survive these diseases. We simply can’t afford to squander the opportunity we have now to deal these diseases a final blow.” Dr unni karunakara, MSF international President, 2012.

© José cendron, South Africa

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MSF in South Africa

In South Africa, your help allows us to fight against HIV/AIDs & TBSince 2000, MSF has been working in South Africa, primarily in response to the HIV epidemic. In khayelitsha, the largest township in the Western cape, MSF has worked with the provincial authorities to pioneer comprehensive HIV treatment, including antiretroviral (ARV) medicines, at a primary care level. Today, these clinics support over 18,000 people on ARV therapy.

In 2003, together with the Nelson Mandela Foundation, MSF opened a similar programme in Lusikisiki, one of the most underserved areas of rural Eastern cape, and in 2006 the programme was finally handed over to the provincial health authorities. At the same time, MSF opened a programme in Lesotho based on the model implemented in Lusikisiki. There, MSF and the health authorities started a pilot nurse-based programme to provide HIV/AIDS and TB care. In less than two years, nearly 2,000 people had been initiated on ARV treatment.

In 2010, MSF opened an HIV project in kwazulu-Natal that aims to reduce the number new HIV and TB infections in the community. In December 2011, we launched a Mobile 1-Stop-Shop (M1SS) in Eshowe park. The M1SS is a mobile unit consisting of several tents that offer comprehensive services around HIV testing and counselling as well as TB screening. Services also include health education, pregnancy testing, referrals, and most importantly, a link to community health workers in the area.

Together, these programmes have done more than simply treat patients. They have provided vital lessons about how comprehensive treatment for HIV can practically be delivered both in rural and urban settings. MSF has also been lobbying, with many other organisations, for more affordable medicines, more global funding to fight the HIV crisis and changes in policy towards the epidemic.

Many believed that providing effective treatment for HIV/AIDS patients in the developing world was unachievable. MSF has proven otherwise by pioneering large scale treatment free of charge. Despite the successes, many challenges remain, such as the problem of TB and HIV co-infection, drug-resistant strains of TB and the issue of maintaining long-term adherence to ARV treatment. In khayelistha, MSF has developed a decentralised patient-centred care and treatment model of DR-TB through which patients can be managed in the TB/HIV peripheral clinics and at home, mainly by nurses and supported by doctors. MSF works with patients, academics, local health authorities and international experts to find innovative and practical solutions to these problems.

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In South Africa, your help allows us to provide healthcare to vulnerable migrants and refugees

Since 2007, MSF South Africa has supported MSF programmes

in the region and elsewhere by providing medical expertise,

recruiting medical and other professionals and fundraising. MSF

in Johannesburg also speaks out about medical and humanitarian

crises facing vulnerable communities by sharing information with

the South African public, the media, government agencies, and other

non-governmental organisations. We are always ready to tackle new

humanitarian needs as they arise in South Africa.

© Finbarr o’reilly, South Africa

Since the early 2000’s large numbers of zimbabweans started seeking refuge in South Africa due to the collapse of the economy and the political violence in zimbabwe. MSF launched two projects providing humanitarian relief and medical assistance to the refugees at the end of 2007.

In Musina, the northernmost town of the Limpopo province across the border from zimbabwe, MSF provides medical care for the new arrivals, collaborating with the public hospital to refer patients for secondary level care, chronic patient assessment and treatment of HIV and TB. In Johannesburg, MSF carries out primary healthcare services, and provides support for water, sanitation, and punctual relief assistance.

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“A 16-year-old-girl crossed into South Africa with her two aunts and four men. When the group was at a farm about 30 km south of Musina, they slept in the bush. At dawn they were ambushed by a group of guma-gumas. As she was running, the young girl tripped and fell. One of the guma-gumas then searched her and took her money. He then proceeded to violently rape her. Her genitalia were bruised. She was infected with an STI. She cannot sit up straight and can hardly walk. She has missed her period and could be pregnant from the rape. She said she could not go to the hospital for fear of being deported.” An MSF nurse, Musina, South Africa

“A Zimbabwean mother brought her six-year old child to our clinic. The child had been raped. She was examined by our medical doctor and prophylactic treatment was given. Our counselor did an initial counseling session with the mother and referred them to Child Welfare. From there they were referred to the hospital for further medical follow-up. The child was turned away from the hospital because she and the mother did not have legal documentation. It is unacceptable and inhumane to refuse treatment for a six-year old child who needs essential medical care after she has been raped. Not having legal documents cannot be a reason to deny access to healthcare.” Bianca Tolboom, nurse and project coordinator, MSF in Johannesburg

© Austin Andrews, South Africa

© Alon Skuy, South Africa

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You and MSF South Africa

With your help we can save more lives. Establishing a rapid response and providing appropriate relief in crisis situation requires more than skills and experience. critically, it also depends on the ongoing financial support of those who have made the decision to join us.

your generosity will help us to sustain ongoing programmes like the khayelistsha HIV/AIDS project but also to respond quickly to outbreaks of meningitis for instance, as most related meningitis death may occur within 48 hours of contracting the disease.

Please contact us: [email protected] or at 011 403 4440.

All donations to MSF are tax deductible in South Africa, under Section 18A of the Income Tax Act.

Once off donation: your support helps provide our dedicated field staff with the necessary resources to carry out their daily and vital work.

Become a MSF Field Partner through monthly giving: MSF’s greatest need is for committed long-term support, through regular giving. Regular donations ensure that we can react swiftly when an emergency occurs as well as making solid commitments to our new and current programmes and projects.

Multiyear Pledge Initiative is a giving programme that provides

MSF with predictable and sustainable funding for years to come. For

instance, your three to five year commitment of R 30,000 or more per

year provides MSF with the necessary strength.

Give in celebration: By including MSF in the celebration of a

special occasion you not only support us financially, but also increase

awareness of our work. Whether the gift is in lieu of wedding or

birthday present, or to mark an anniversary, a donation of this kind

extends the goodwill of the occasion far beyond the day itself.

Give in memory: A memorial is a way to make a lasting tribute to

someone special. The work carried out in their name by MSF has

positive, long-term effects: saving lives by meeting basic healthcare

needs.

Leaving MSF a legacy: is a unique commitment to a cause that

makes a real and lasting difference in peoples’ lives. your contribution

is invaluable, whatever the amount you bequeath.

Corporate, Trusts and Foundations: all of our partners are

crucial to our ability to provide medical and relief care and supplies

when and where ever it is urgently needed.

If you need help in your fund and awareness raising efforts, we are always happy to help you.

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Spent on Administration fees

Reinvested in Fundraising

Goes directly to our programme activities/humanitarian work

5%

13%

82%

Where does your money go?

© Maimouna Jallow, uganda 17

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What your money can provide

R 8 000 corresponds to the price of a MSF First Aid Kityou can ensure MSF field teams travel with a First Aid kit, stocked with drugs and basic medical supplies, so they’re always prepared to respond to medical

emergencies and treat minor injuries and wounds.

R 12 000 provides 10 patients with Anti-Retroviral Therapy for one year When you purchase anti-retrovirals (ARVs) you are giving patients essential medicine to treat HIV and restoring hope to 10

families. Anti-retroviral therapy does not eradicate HIV, but slows the progression of the disease, improves the patient’s clinical state and helps people stave off infections that can lead to death.

R 15 000 protect 50 babies against the transmission of HIV from mother to child

R 21 000 to provide a Water Tank KitThis Water Tank kit allows MSF’s water and sanitation teams to fill plastic tanks with water that can be chlorinated and transported to people in need. They are

frequently used following natural disasters, when water supplies are disrupted: people face a high risk of contracting water-borne diseases such as cholera and typhoid.

R 30 000 vaccinates 10 000 people with the New Meningitis VaccineEach year, MSF vaccinated more than one million people for meningitis during emergency

responses to outbreaks in Africa’s ‘meningitis belt’, an area stretching from Senegal to Ethiopia, which is regularly hit by epidemics.

© unknow, Afghanistan

© Fiona Morris, Papua New Guinea

© oscar Sanchez, Somalia

© Roger Job, croatia

© Mickael Tsegaye, Ethiopia

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R 43 000 provides Emergency Health Kit for 2 000 peopleWhen there are no medical facilities or when healthcare systems are disrupted, you can help save lives by providing emergency medical kits which include basic supplies –

such as oral and topical medicines.

R 100 000 restores 300 children to health with Ready-to-Use Therapeutic Food (100 sachets)With your help, MSF can use RuTF to save lives by providing the essential vitamins, minerals,

fat and proteins children need to survive and grow properly. Ready-to-use Therapeutic Food (RuTF) can cure up to 90% of children with uncomplicated malnutrition. Every year, MSF treats over 300,000 children with malnutrition, mostly in Sub-Saharan Africa and South Asia.

R 150 000 provides a Cholera Kityou can work with MSF to respond quickly to cholera outbreaks by providing all the necessary materials to treat people infected with the illness and to stop its

spread. If left untreated, cholera can kill within hours. our cholera kits contain enough medicines, rehydration salts and other related supplies to treat 625 patients as well as buckets, boots, chlorine and plastic sheeting to keep clinics clean and the bacteria contained.

R 250 000 for a Doctor one year missionBy sending a doctor, you give people in crisis a chance to get medical care they otherwise would not receive.

over a 12-month period, doctors will treat patients with diseases,

including malaria, diarrheal diseases and tropical diseases, such as sleeping sickness. obstetric care is lacking in many parts of the world and doctors help prevent maternal and infant deaths. They further help to address shortages of medical personnel by supervising and training local medical staff.

© corentin Fohlen, Sudan

© Benoit Finck, Libya

© Mario Travaini, DRc

© Eymeric-Laurent Gascoin, Somalia

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Commitment to our donorsWe value our donors without whom our work would not be possible.

We aim to bring our supporters closer to the reality and challenges of our work through our publications, mailings and updates on our website.

Accountability: we are committed to provide high standards of accountability and financial transparency to our supporters. our accounts are independently audited and our financial reports are publicly accessible.

Privacy Policy: MSF SA respects your rights and protects personal information.

Listening: We welcome and encourage dialogue with our donors. We are always happy to hear your feedback, questions, concerns or words of encouragement.

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© Brendan Bannon, zimbabwe 21

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MSF South Africa 49 Jorissen Street3rd Floor, orion BuildingBraamfontein South Africa

P o Box 32117Braamfontein, 2017

Phone: + 27 (0) 11 403 4440Fax: +27 (0) 11 403 4443Email: [email protected]

www.msf.org.za

VAT no.: 4890249974NPo No: 060-840-NPo PBo No: 930025677

DOCTORS WITHOUT BORDERSMEDECINS SANS FRONTIERES

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