We fill gaps in India’s health system and provide specific medical care to neglected people who would otherwise struggle to access it.

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.

Our teams are currently responding to the coronavirus COVID-19 pandemic in the country.

Annual Report

International Activity Report 2021

Report 13 Jul 2022

A discharged kala azar patient co-infected with HIV

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.

MSF, Doctors without borders, Doctor and Patient

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.

MSF, Doctors without borders, Counsellor and Patient

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.

MSF, Doctors without borders, Pharmacy, India

A Pharmacist sets up the pharmacy at the mobile clinic. The pharmacy is responsible for supplying patients with medication prescribed by the doctor and administering vaccinations for young children amongst its many other roles. Through mobile clinics, MSF provides medical services with a focus on maternal and child health care and, through health-promotion trainings and sit-in forums, encourages the community in health seeking behavior. Mobile Clinics offers quality primary health care services which includes treatment of malaria, tuberculosis, respiratory infections, ante-natal care, post-natal care and immunization of children. Secondly and with the aim to ensure sustainability after our exit, we organize community approach activities which includes Behavior Change Communication in Sexual and Reproductive Health aspects.

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 2021

Data and information from the International Activity Report 202 1 .

685

STAFF IN 2021(FULL-TIME EQUIVALENT)

€14.7 M

14.7M

EXPENDITURE IN 2021

1999

YEAR MSF FIRST WORKED IN COUNTRY

MSF IN INDIA IN 2021 In India, Doctors Without Borders works to fill gaps in healthcare for the most marginalised and vulnerable people, including victims of sexual violence and patients with infectious diseases.

MSF, Doctors without borders, India, Map

Highlight of our activities in India in 2021

In spite of constraints imposed by COVID-19, we continued to run a wide range of services in India, including mental health support for people affected by conflict in Kashmir, basic healthcare in remote areas of Chhattisgarh, and treatment for victims of sexual and gender-based violence in the capital, New Delhi.

In Manipur, our teams run HIV clinics offering a patient-centred approach to care, and support the antiretroviral treatment centre and HIV inpatient ward in a district hospital. We also distribute food coupons and dry rations to homeless intravenous drug users, and continue to work with the government to improve access to holistic care for HIV patients with life-threatening opportunistic infections.

During the second COVID-19 wave, we sent emergency teams to manage high-dependency units in Imphal and Churachandpur. We also launched a telemedicine and a mental health helpline for those diagnosed with the virus. In one of India’s poorest states, Bihar, we focus on providing both lifesaving and palliative care to patients living with advanced HIV. Nutrition and mental health support are important elements of our model of care.

In Mumbai, we treat complex cases of drug-resistant tuberculosis (TB) at our clinic and support outpatient services in M/East ward, which has one of the highest rates of the disease in the city. In 2021, we continued to treat 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. During the COVID-19 pandemic, we offered phone consultations and provided longer drug refills to ensure continued care.

Our teams also supported the treatment of moderate COVID-19 patients in one of the city’s hospitals, provided training to Ministry of Health staff, and carried out health promotion and shielding activities in the community.

14,700

14,7

INDIVIDUAL MENTAL HEALTH CONSULTATIONS

7,680

7,68

PEOPLE TREATED FOR MALARIA

1,070

1,07

PEOPLE STARTED ON TREATMENT FOR TB, INCLUDING 400 FOR MDR-TB

620

62

PEOPLE TREATED FOR SEXUAL VIOLENCE

MSF, Doctors without borders, India, Kala Azar

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.