While MSF continues to provide lifesaving emergency and surgical care to men, women and children wounded in the ongoing battle for Mosul, northern Iraq, our teams are now extending their response in order to cover gaps in hospital care, left by the severe destruction of the local health system.
MSF is currently working in six medical facilities in and around Mosul, providing lifesaving emergency and surgical care, including mother and child health care as well as providing long-term post-operative care to those in need of follow-up and rehabilitation following major surgery. The teams are also providing care for children suffering malnutrition, as well as primary healthcare and mental healthcare in the newly established camps for people fleeing Mosul.
MSF has so far worked to provide life-saving stabilisation and emergency care to people wounded in fighting in west Mosul. During April, MSF has received 175 patients in our two posts in western Mosul, and referred them to other medical facilities with surgical capacity, such as the MSF trauma hospital in Hammam al-Alil, south of Mosul.
MSF is working on broadening its medical services and setting up facilities with surgical capacity, including for emergency maternal care, as well as an inpatient paediatric department. The objective is to fill urgent gaps in medical services to provide for the most vulnerable population groups until health authorities resume services.
Hundreds of thousands of people are still trapped in West Mosul. The patients who make it to our facilities tell us that water and food are running low, that the few supplies available are extremely expensive, and that access to health care is almost impossible.
In East Mosul, MSF is working in a former retirement home transformed into an emergency room, operating theatre, and maternity and inpatient departments. Since the hospital opened at the beginning of March, the team has seen 4,376 patients, over half of whom were emergency cases, and performed 93 caesarean sections.
Also in East Mosul, MSF opened a 15-bed maternity unit on 19 March to provide basic emergency services allowing women to deliver safely. Since opening, the team has safely brought 130 babies into the world. In a third facility in eastern Mosul hospital, MSF has opened a 24/7 emergency room, that has so far received 336 patients. The team is currently setting up a surgical unit and a 32-bed ward.
South of Mosul
Since its opening, 1,904 patients have been received in MSF’s field trauma hospital in Hammam al-Alil, which was the closest surgical facility to West Mosul for more than a month. Fifty-five percent of the patients were women and children, and 82% were war-wounded. To date, the MSF team has performed 160 major surgical procedures. MSF has also begun supporting the primary healthcare centre in Hammam al-Alil, carrying out about 500 consultations per day both for the local population as well as for the people displaced from Mosul hosted in a nearby camp.
At the hospital in Qayyarah, MSF treats medical and surgical emergencies. Since January, more than 5,657 patients were admitted to the emergency room. The team in the emergency room sees patients wounded in airstrikes and explosions or by mortar fire. A four-bed intensive care unit was recently opened to provide care for burns victims, patients in shock, and other critical cases.
As the Iraqi army advanced into west Mosul, families were able to escape. MSF teams started seeing children with acute malnutrition, as a result of food shortages in besieged West Mosul. To treat malnourished children, mainly babies under six months, MSF has set up a 12-bed intensive therapeutic feeding centre in Qayyarah hospital. In Hammam al-Alil, MSF is running an ambulatory nutrition programme and refers the most severe malnutrition cases to Quayyarah hospital.
In Hamdaniya, southeast of Mosul, MSF is providing long-term post-operative care with rehabilitation and psychosocial support in the hospital, in collaboration with Handicap International. Since 15 March, MSF has admitted 100 patients, about 45% of whom are women and children. This 40-bed facility is the only facility providing such a package of long- term post-operative care in all of
Camps for displaced people
According to the UN, over 500,000 people have been displaced from Mosul. In 17 sites hosting such displaced people, to the west of Erbil, MSF mobile teams are providing primary health care, treatment for chronic diseases (mainly diabetes and hypertension) as well as psychological and psychiatric care. The mental health programme focuses on severe cases and its activities include psychological and psychiatric consultations, group therapy sessions, psychosocial counselling and therapy for children. Since the beginning of the year, the team has carried out 14,098 medical consultations and 8,238 mental health consultations.
INSIDE MOSUL CITY
Maternal Health, Karama
- MSF opened a 15-bed, 24/7 free-of-charge Maternity Hospital in Karama, East-Mosul on the 19th of March. Since then, the MSF team made up of both expat and Iraqi midwives and obstetricians has assisted 200 women in giving birth safely.
Emergency and Post Operative Care, Al-Taheel
- MSF opened an24/7 emergency room in Al Taheel hospital on 26 March. The team has also set up a surgical unit (currently one operating theatre but a second will soon be online) and a 32-bed post-operative ward in order to provide medium term care to those suffering from violent trauma injuries in and around Mosul. Cold cases, surgical follow-up and other types of surgical issues are also treated in this facility. Since the opening, about 336 patients have been received in the emergency room and 30 surgical interventions have been carried out.
Former Retirement home turned into Hospital
- In north-east Mosul, MSF works in a hospital set up inside a former retirement home.
- The ER opened in February and has been running 24/7 since March 1 providing emergency, surgery, maternity (including caesarean sections), and IPD with 50 beds.
- Since the opening of the hospital until early May, the MSF team has treated 4,376 patients, over half of whom (2,286) were urgent cases (yellow and red cases).
- Since the opening of the maternity 93 C-sections were performed.
- As the level of access to healthcare is improving in East Mosul, the hospital has seen a drop in activities in the past weeks, especially in terms of lifesaving medical care. As a result, MSF is re-evaluating the project strategy.
OUTSIDE OF MOSUL CITY
Trauma care and primary healthcare, Hammam al-Alil
- Hammam al-Alil (known as HAA) is the closest IDP camp to the south of Mosul and is located so 30km south of the current frontline. The town has received a big influx of IDPs from western Mosul since the start of the military offensive with more people are arriving every day and settle in different camps in the area or to be sent elsewhere after they are screened by security forces.
- MSF opened a field trauma hospital with an emergency room, 2 OTs, ICU/recovery room and IPD on 16 February and for more than one month was the closest surgical facility to West Mosul. The emergency room received 2689 patients from 19 February to 19 May, 55% of them were women and children and 67% war-wounded. So far the team has performed 245 major surgical procedures and 56 minor procedures (wound debridement etc)
- Since the 15 April, MSF has been supporting the local department of health’s primary healthcare centre (PHCC) in Hamman Al Alil town and had already carried out a total of 12,232 consultations on 19 May for both the host population and the IDPs hosted in the community. In the PHCC we perform also dressings for wounded patients including those still being followed up after being discharged from our trauma centre. Also in Hammam al-Alil MSF runs an ambulatory therapeutic feeding centre for children suffering from malnutrition with a rapidly increasing cohort made up primary of small babies aged under 6 months.
Find out more about MFS's work in Iraq.