In 2016, MSF continued to offer care to refugees and slum dwellers and to respond to public health challenges such as HIV and access to hospital services.
The existence of the Dadaab refugee camps in northeastern Kenya, which have sheltered refugees for over 25 years, came under threat in May when the Kenyan government announced that they would close it by the end of the year, citing economic, security and environmental concerns. The closure would mean that the camps’ inhabitants would have to return to war-torn Somalia. MSF publicly opposed the decision, and in August carried out a survey in Dagahaley, one of the five camps that make up the complex. The survey showed that 86 per cent of people were unwilling to return to Somalia. In November, the government announced it would extend the deadline for closure until May 2017.
Throughout the year, MSF continued its work in the 100-bed hospital in Dagahaley, and at the two health posts. Teams carried out 162,653 outpatient consultations, and admitted 9,137 patients to the hospital, including 917 children with severe malnutrition. More than 3,000 babies were born in the hospital’s maternity ward.
In January, MSF launched a sexual and reproductive health project in Mrima health facility, in Mombasa. In partnership with the Mombasa County Department of Health, MSF aims to reduce maternal and newborn mortality in the area. In 2016, 1,473 births were assisted and more than 2,000 women attended antenatal consultations.
Teams continued to tackle a cholera outbreak that began in December 2014. By the end of 2016, a total of 16,511 cases had been reported nationally. MSF responded in 16 counties, supporting local authorities to set up cholera treatment centres, training staff, donating drugs and supplies, conducting health promotion activities and improving water and sanitation. A total of 4,712 cholera patients were treated. In Mandera, the cholera outbreak coincided with a simultaneous outbreak of the mosquito-borne disease chikungunya, placing additional strain on health services. MSF teams treated around 1,150 patients and distributed 2,800 mosquito nets.
In Nakuru, MSF intervened to respond to an epidemic of influenza virus declared by the health authorities, with a reported 12.3 per cent of deaths among patients. MSF confirmed the existence of a peak of Syndrome of Acute Respiratory Infections (SARI) cases, due to several pathogens and not only influenza. High mortality was due to case management issues , MSF intervened at the end of April to support the treatment of 240 patients, and a month later, the rate of patients dying fell to to 0 per cent.
More than 200,000 people living in Kibera, Nairobi’s largest slum, have access to comprehensive medical care at a clinic run by MSF. This year, 176,415 people received medical treatment from MSF. As well as providing basic and maternal healthcare, the clinic treated 728 patients for HIV, 386 for tuberculosis (TB) and 997 for non-communicable diseases, such as hypertension, asthma and epilepsy. In addition, 11 patients started a new hepatitis C regimen and 114 received care for sexual and gender-based violence.
After more than 20 years in Kibera, MSF is in the process of handing the clinic over to the Kenyan government and another NGO. In June, the running of the maternity ward, where 200 babies are born every month, was successfully transferred. The handover process is scheduled for completion by the middle of 2017.
Year MSF first worked in the country: 1987.
|Patients on first-line ARV treatment||17,600|
|Patients treated after incidents of sexual violence||2, 000|
|Patients under treatment for TB||790|
|No. staff in 2016||792|
|Expenditure 2016||€24,0 million|
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