In 2025, MSF collaborated with the Burundian health authorities on a lifesaving malaria prevention initiative in Cibitoke, which involved administering vaccines and malaria prevention drugs and distributing mosquito nets. We carried out research to assess the impact of the initiative, and reported a 40 per cent drop in severe malaria cases at Cibitoke district hospital compared with the same period in 2024.  

To increase our support to communities in Cibitoke, we drilled two boreholes to provide clean water. We also installed a solar power station at the hospital to ensure the continuity of care. 

In early 2025, thousands of refugees from the war in the Democratic Republic of Congo (DRC) arrived in Burundi. MSF teams supported the refugees both in Cibitoke and in the designated Musenyi site in Burunga province, where around 18,000 people were living in precarious conditions by the end of April In Musenyi, we provided outpatient care and measles vaccinations for children, as well as treatment for malaria and mosquito nets to prevent malaria. In Rugombo, Cibitoke Province, we responded to a cholera outbreak by installing oral rehydration points.  

During the year, we also responded to cholera outbreaks in Bujumbura and the Nyanza-Lac health district in south Burundi in August and November, respectively. 

In December, more than 100,000 people fled across the border from South Kivu, DRC Our teams launched an initial response in Ndava transit camp, providing healthcare and distributing relief items, then we collaborated with the authorities in Busuma camp, where most of the refugees were moved to, by supporting a cholera treatment centre, running a general healthcare clinic, organising specialist referrals, and distributing water.