Throughout 2025, MSF continued to collaborate with the Ministry of Health, provincial and district health offices, health centres, local NGOs, and other partners to deliver training programmes on emergency preparedness and response. The sessions covered medical emergencies, mental health awareness, psychosocial support, medical waste management in healthcare facilities during crises, and the use of geographical information systems and data collection.  

We conducted this training through MSF’s emergency preparedness project (‘E-hub’) in Maluku, West Sulawesi, Aceh, and West Java. We made the decision to close the E-hub project at the end of the year, handing over all training tools and materials to the Ministry of Health’s Health Crisis Centre.  

In late November, Cyclone Senyar brought extreme rainfall to parts of Indonesia, Malaysia, and Thailand. In Indonesia, the cyclone triggered catastrophic flooding across three provinces on Sumatra island – Aceh, North Sumatra, and West Sumatra. According to the Indonesian authorities, more than 1,100 people died, and over a million were displaced as of late December. MSF responded in close coordination with the Ministry of Health Crisis Centre and local health authorities by providing mobile clinics, psychological first aid, water and sanitation supplies, and support to reactivate healthcare centres. We also distributed hygiene and debris-cleaning kits.  

MSF also worked with a local partner to assist Rohingya communities in Aceh and Riau provinces. As well as running mobile clinics, we trucked in clean water and distributed maternal, newborn, and first-aid kits, and provided emergency response training in Pekanbaru, in Riau.

In West Papua, we supplied hygiene kits to a local organisation working in flood-affected communities in Wamena district, Jayawijaya regency. We also conducted medical surveillance for malaria and dengue in the highland villages of Nipsan and Talambo, and training sessions on basic medical care for community partners.