Learn about how, why, and where MSF teams respond to different diseases around the world, and the challenges we face in providing treatment.
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Learn about the different contexts and situations in which MSF teams respond to provide care, including war and natural disaster settings, and how and why we adapt our activities to each.
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Where we work
In more than 70 countries, Médecins Sans Frontières provides medical humanitarian assistance to save lives and ease the suffering of people in crisis situations.
We set up the MSF Access Campaign in 1999 to push for access to, and the development of, life-saving and life-prolonging medicines, diagnostic tests and vaccines for people in our programmes and beyond.
Based in Paris, CRASH conducts and directs studies and analysis of MSF actions. They participate in internal training sessions and assessment missions in the field.
Based in Geneva, UREPH (or Research Unit) aims to improve the way MSF projects are implemented in the field and to participate in critical thinking on humanitarian and medical action.
Based in Brussels, MSF Analysis intends to stimulate reflection and debate on humanitarian topics organised around the themes of migration, refugees, aid access, health policy and the environment in which aid operates.
This logistical and supply centre in Brussels provides storage of and delivers medical equipment, logistics and drugs for international purchases for MSF missions.
This supply and logistics centre in Bordeaux, France, provides warehousing and delivery of medical equipment, logistics and drugs for international purchases for MSF missions.
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MSF Logistique
Amsterdam Procurement Unit
This logistical centre in Amsterdam purchases, tests, and stores equipment including vehicles, communications material, power supplies, water-processing facilities and nutritional supplements.
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Amsterdam Procurement Unit
Southern Africa Medical Unit
SAMU provides strategic, clinical and implementation support to various MSF projects with medical activities related to HIV and TB. This medical unit is based in Cape Town, South Africa.
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Southern Africa Medical Unit
Brazilian Medical Unit
BRAMU specialises in neglected tropical diseases, such as dengue and Chagas, and other infectious diseases. This medical unit is based in Rio de Janeiro, Brazil.
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Brazilian Medical Unit
MSF Medical Guidelines
Our medical guidelines are based on scientific data collected from MSF’s experiences, the World Health Organization (WHO), other renowned international medical institutions, and medical and scientific journals.
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MSF Medical Guidelines
MSF Field Research
Find important research based on our field experience on our dedicated Field Research website.
Providing epidemiological expertise to underpin our operations, conducting research and training to support our goal of providing medical aid in areas where people are affected by conflict, epidemics, disasters, or excluded from health care.
Evaluation Units have been established in Vienna, Stockholm, and Paris, assessing the potential and limitations of medical humanitarian action, thereby enhancing the effectiveness of our medical humanitarian work.
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Evaluation Units
LGBTQI+ Inclusion in Health Settings
MSF works with LGBTQI+ populations in many settings over the last 25-30 years. LGBTQI+ people face healthcare disparities with limited access to care and higher disease rates than the general population.
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LGBTQI+ Inclusion in Health Settings
LUXOR
The Luxembourg Operational Research (LuxOR) unit coordinates field research projects and operational research training, and provides support for documentation activities and routine data collection.
The MSF Paediatric Days is an event for paediatric field staff, policy makers and academia to exchange ideas, align efforts, inspire and share frontline research to advance urgent paediatric issues of direct concern for the humanitarian field.
The MSF Foundation aims to create a fertile arena for logistics and medical knowledge-sharing to meet the needs of MSF and the humanitarian sector as a whole.
A collaborative, patients’ needs-driven, non-profit drug research and development organisation that is developing new treatments for neglected diseases, founded in 2003 by seven organisations from around the world.
We are working with the Tajikistan Ministry of Health and Social Protection to diagnose and treat children with drug-resistant tuberculosis (DR-TB).
Where possible, we aim to treat TB patients at home, and demonstrate that the comprehensive TB care model is feasible. This includes patient follow-up, active testing for new patients, laboratory diagnosis, individualised treatment and psychosocial support (including play therapy).
In the south of the country, we run the Zero TB project in Kulob, aiming for TB elimination. This project focuses on TB prevention and care in households, places where people seek care and where they work.
We have also started working in the penitentiary system with the aim of improving the quality of TB care and other comorbidities in the central prison hospital and strengthening TB screening in prisons and pre-trial detention facilities.
Médecins Sans Frontières (MSF) has a long-running tuberculosis (TB) care programme in Tajikistan, focusing on developing innovative approaches to reduce incidence and death rates among both children and adults.
In the capital, Dushanbe, we are implementing family directly observed treatment (F-DOT), which enables patients to take their TB medication at home under the supervision of a family member. Our teams also actively engage in contact tracing, ensuring early detection and treatment, for example among relatives of TB patients.
We have introduced simple laboratory diagnostic procedures to improve TB detection among children, such as sputum induction, and alternative ways of testing, using stool samples and blood tests.
In Kulob district, we continued the 'Zero TB' project, which is designed to demonstrate the feasibility of eliminating TB in geographically contained areas with appropriate treatment and preventive strategies. To facilitate case finding, MSF introduced computer-aided detection through digital x-ray.
In Dushanbe, Vahdat and Norek districts, our teams provide TB screening and diagnosis for both detainees and staff in prison colonies and in a pre-trial detention centre.
MSF also actively supports the national TB programme and the Ministry of Health and Social Protection of Population to implement shorter, all-oral treatment regimens for both drug-resistant and drug-sensitive TB, in line with the latest recommendations from the World Health Organization.
An international TB symposium, jointly hosted by the ministry and MSF, was convened in Dushanbe in May 2023, with the aim of devising novel approaches to treatment and advocating a wider rollout of new drugs and diagnostic tools. More than 160 participants from various countries in Eastern Europe and Central Asia, as well as India and Libya, attended the symposium.
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