In India, MSF focuses mainly on mental healthcare, screening and treatment for HIV, tuberculosis (TB) and hepatitis C, and support to victims of sexual and gender-based violence. In 2016, MSF continued to fill gaps in India’s health system and provide medical care to people who would otherwise struggle to access it.
In Chhattisgarh, where ongoing low-intensity conflict has left much of the local population with limited or no access to healthcare, MSF runs mobile clinics in remote areas, offering reproductive healthcare, vaccinations and treatment for TB, malaria and skin diseases. In 2016, teams conducted 50,057 outpatient consultations, treated 9,094 malaria patients and administered 2,872 vaccinations.
At MSF’s 15-bed mother and child health centre in Bijapur, staff assisted 312 deliveries and carried out 5,419 antenatal consultations in 2016. The centre provides outpatient services for mothers and children, including TB treatment and vaccinations.
Umeed ki Kiran (Ray of Hope), MSF’s community-based clinic in north Delhi, offered medical and psychological care to 98 victims of domestic and sexual violence this year. In addition, 298 counselling sessions were conducted.
MSF’s outreach team also raised awareness about the importance of seeking timely medical and psychological care, and engaged the community in discussions on domestic violence, sexual assault and child abuse.
MSF’s mental health team trained 164 accredited social health activists in identifying signs and symptoms of sexual and gender-based violence.
Extending care for HIV, TB and hepatitis
MSF’s clinic in Mumbai provides psychosocial and outpatient medical care to patients with HIV, drug-resistant TB (DR-TB), hepatitis B and C, and those co-infected with any of these diseases. The team also supports infection control activities for DR-TB and works closely with staff at Sewri TB hospital to increase treatment capacity. Towards the end of the year, MSF started working with the Revised National Tuberculosis Control Programme to find ways to reduce the number of people contracting and dying from TB in eastern Mumbai, where the number of cases is particularly high.
The northeastern state of Manipur has some of the highest rates of HIV in the country, and in mid-2015, MSF began treating HIV patients co-infected with hepatitis C – more than 25 per cent of all patients. The comprehensive care programme for HIV and TB patients continued in Churachandpur, Chakpikarong and Moreh, as did MSF’s work supporting a local NGO with oral substitution therapy for intravenous drug users.
Mental health in Jammu and Kashmir
Since 2001, MSF has provided counselling services to people affected by conflict in Jammu and Kashmir. Following an outbreak of violence in July 2016, the team gave psychological first aid to victims of trauma and donated over two tons of medical supplies.
In May, MSF released the first ever comprehensive survey on the state of mental health across 10 districts in Jammu and Kashmir. Conducted in collaboration with Kashmir University and the Institute of Mental Health and Neurosciences, the survey found significant symptoms of mental distress in 45 per cent of adults, highlighting the need for comprehensive and decentralised prevention, care and treatment programmes in the Kashmir Valley.
Year MSF first worked in the country: 1999.
|Individual mental health consultations||3,500|
|Patients received first-line ARV treatment||1,800|
|Patients started treatment for TB, of which 490 for MDR-TB||1,300|
|No. staff in 2016||575|
|Expenditure 2016||€12.3 million|
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