Through our independent clinic and outpatient department (OPD) managed in collaboration with the Municipal Corporation of Greater Mumbai (MCGM) and the National Tuberculosis Elimination Programme (NTEP) we provide medical and psychosocial care to people living with drug-resistant tuberculosis (DRTB). Most of our patients come from Mumbai - a city of 22 million people, 43,464 of whom have TB, and 10 per cent who are infected with drug-resistant strains of the disease. We also offer screening, diagnosis and specialised care for TB, HIV and hepatitis C in four clinics in the north-eastern state of Manipur. In addition, we provide care for people with advanced HIV in Bihar, one of the most populous states in India.
We have a number of long-standing projects in India, which we run in conjunction with the state authorities to address specific healthcare needs and emerging public health concerns.
We also run mobile clinics in remote areas of the country, where even preventable, treatable conditions such as malaria can assume life-threatening proportions.
In the capital, Delhi, we provide medical and psychological care to survivors of domestic and sexual violence, and raise awareness about the importance of seeking timely medical and psychological care. We work with community-based organisations, police, government protection agencies and the health ministry to highlight the clinic’s services and create an efficient referral system. We also engage the community in discussions on domestic violence, sexual assault and child abuse.
Since 2001 we have been offering counselling in Jammu and Kashmir, where years of conflict have taken a toll on people’s mental health. Our work includes raising awareness of the support available, reducing the stigma associated with mental health, and emphasising the importance of seeking assistance.
In remote villages in Chhattisgargh, our teams conduct mobile clinics to take primary healthcare to areas where it is extremely difficult for people to access medical care. Our teams provide free treatment for malaria, respiratory infections, pneumonia and skin diseases among others.
Our Activities in India in 2022
Data and information from the International Activity Report 2022.
In the capital, New Delhi, we run a clinic for victims of sexual and gender-based violence, offering round-the-clock care. In December, we organised a national-level symposium calling for better access to medical and psychological care for victims.
Throughout the year, we provided mental health and psychosocial support to people affected by the conflict in Kashmir and ran mobile clinics offering basic healthcare to communities in remote areas of Chhattisgarh.
In Mumbai, MSF’s clinic focuses on treating complex cases of DR-TB, including extensively drug-resistant forms of the disease, with innovative drug combinations. For children under five, we implement all-oral regimens, thereby avoiding the need for painful injections.
In addition, we are working with the National Tuberculosis Elimination Programme and Municipal Corporation of Greater Mumbai to reduce the high TB incidence and death rates in the area. Our team co-manages a DR-TB centre in a public hospital, and we support diagnosis, treatment, counselling, health promotion and follow-up in general healthcare facilities.
In 2022, we also continued treating patients enrolled in the endTB clinical trial with the aim of generating more evidence for shorter, more tolerable, injection-free treatments for multidrug-resistant TB.
Our project in Manipur implements a person-centred care approach for people living with HIV, TB, DR-TB and hepatitis C. We transferred many of our stable HIV patients to Ministry of Health facilities, enabling us to focus on those with co-infections and complications. We also run a one-stop care centre offering comprehensive services for intravenous drug users.
In one of India’s poorest states, Bihar, we provide both lifesaving and palliative care to patients living with advanced HIV.
Our toll-free telemedicine helpline supports diabetes patients in managing their condition. India has the second-highest burden of diabetes globally, and the prevention and management of the disease, as well as its associated complications, remain a huge challenge.
Have you heard of kala azar?
KALA AZAR IS A NEGLECTED BUT POTENTIALLY FATAL TROPICAL DISEASE. INDIA ACCOUNTS FOR 30 PER CENT OF CASES WORLDWIDE. This short animation explains what kala azar is, how it relates to HIV, and what we are doing in response.
Since 80 per cent of India's kala azar cases are reported in Bihar, we set up a programme there in 2007.
People living with HIV are particularly vulnerable to kala azar, so since 2016 we have been focusing on treating patients co-infected with the two diseases, in partnership with the Rajendra Memorial Research Institute of Medical Sciences (RMRIMS) in Patna, Bihar.