MSF, Doctors Without Borders, Rohingya refugees

Bangladesh

Hundreds of thousands of Rohingya are living in Bangladesh after fleeing targeted violence in Myanmar.

Cox’s Bazar district in Bangladesh has hosted Rohingya refugees fleeing targeted violence in neighbouring Myanmar's Rakhine state since 1978. The latest violence, which began in August 2017, has provoked an unprecedented exodus, forcing hundreds of thousands of people to live in camps with deteriorating conditions. Around 860,000 Rohingya refugees live over a surface of 26 square kilometres.

At present, we are providing medical care in two districts, Dhaka and Cox’s Bazar, while working to maintain our regular medical response. The current intervention in Cox’s Bazar started in 2009 when Kutupalong Field Hospital was established to serve both refugees and the local community.

In August 2017, we scaled up activities and now run nine health facilities across Cox’s Bazar district, including three hospitals, three primary health centres and two specialised clinics.

In Cox’s Bazar, we provide support through three hospitals, four health centres and two specialised health clinics. In addition, two standalone isolation and treatment centres for severe acute respiratory tract infections (SARI) are ready to be activated if necessary. Inpatient and outpatient services include emergency and intensive care, paediatric care, obstetrics and sexual and reproductive healthcare, as well as victims of sexual violence and patients with non-communicable diseases. We also provide water and sanitation activities for people in the camps.

We run an occupational health programme for people living in the Kamrangirchar slum area of Bangladesh's capital, Dhaka. Many of them work in small factories where they are exposed, without protection, to dangerous machinery and substances. Activities include curative care for workers diagnosed with illnesses/morbidities related to work, preventive services (e.g. tetanus vaccinations), factory-level hazard assessments, and primary prevention of hazards and health promotion activities to workers and owners in the factories. In 2020, MSF teams conducted almost 5,000 occupational health consultations in Kamrangirchar.

MSF's women's health clinic in Kamrangirchar, Bangladesh

Different medical and psychological services are available for survivors of sexual and gender-based violence in our facilities in both Cox’s Bazar and Dhaka. In 2020, more than 3,000 patients received assistance.

Our reproductive health services include antenatal consultations, assistance for deliveries and family planning. In 2020, more than 43,000 antenatal consultations were performed and more than 35,000 people were supported through family planning. Additionally, almost 4,000 deliveries were assisted by MSF teams in Cox’s Bazar.

We're supporting government initiatives to expand routine vaccinations, and we have also supported the first round of COVID-19 vaccinations for Rohingya refugees (over 55 years old). Staff at all our facilities now have the capacity to administer immunisation for measles and rubella, oral polio and tetanus according to national protocols.

Our teams in Bangladesh provide mental health support for thousands of people every year. We offer mental health and psychosocial support through group sessions or individual consultations.

As they require long-term treatments, NCDs are often not properly covered by health systems in low-income countries and migration contexts. In Cox’s Bazar area, we provide healthcare for NCD patients for both Rohingya refugees and host communities. Currently, more than 2,000 patients are under treatment and in the first nine months of 2021, more than 43,000 consultations have been performed at MSF facilities.

Our activities in 2023 in Bangladesh

Data and information from the International Activity Report 2023.

2,012

STAFF IN 2023 (FULL-TIME EQUIVALENT)

€28.8 M

28.8M

EXPENDITURE IN 2023

1985

YEAR MSF FIRST WORKED IN THE COUNTRY

MSF IN BANGLADESH IN 2023 In 2023, Doctors Without Borders (MSF) provided medical services through multiple health facilities in Bangladesh, primarily serving Rohingya refugees and host communities in Cox’s Bazar and Dhaka's capital.

Our general and specialised health services included emergency care, sexual and reproductive care, and mental health support. We also treated patients with non-communicable diseases, such as diabetes and hypertension, and survivors of sexual and gender-based violence.

It is over six years since hundreds of thousands of Rohingya arrived in Bangladesh, fleeing persecution in Myanmar, yet the possibility of a safe return remains remote. Dire, overcrowded living conditions, a lack of basic services and a complete reliance on humanitarian aid are taking a toll on both refugees and the host community. With no solutions to the crisis on the horizon, MSF is witnessing severe consequences for the physical and mental health of refugees stuck indefinitely in the camps.

Since 2019, we have been treating people with injuries sustained in physical assaults and other forms of intense violence, a further indication of the dangerous living conditions in the camps.

In May, a scabies prevalence survey conducted by the World Health Organization revealed that nearly 40 per cent of Rohingya refugees had the disease, reflecting what we were seeing in our clinics between March 2022 and May 2023. MSF undertook concerted advocacy work calling for a mass drug administration programme in the camps, which was then successfully implemented.

Towards the end of the year, we handed over our Unchiprang project, where we had been offering basic healthcare, to the International Rescue Committee. We concluded our activities at Sadar Hospital in Cox’s Bazar.

In Dhaka, we continue to run two clinics in the Kamrangirchar district, offering sexual and reproductive healthcare, medical and psychological treatment for survivors of sexual and gender-based violence, and occupational health services for factory workers.

We also constructed a waste management area in Kamrangirchar Hospital, a 31-bed public health facility, where we will begin offering sexual and reproductive health services in 2024.

Additionally, in collaboration with the National Communicable Disease Control Programme, we drafted national hepatitis C treatment guidelines, which are currently being reviewed by Bangladeshi specialists.