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.
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.
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Key Activities
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 2023
Data and information from the International Activity Report 2023.
797
797
€16.4 M
16.4M
1999
1999
In Mumbai, MSF’s clinic treats complex cases of drug-resistant TB (DR-TB), including extensively drug-resistant forms of the disease, with innovative drug combinations. For children under five, we implement all-oral regimens. The clinic also supports some palliative care patients when all available treatment options have failed.
In addition, we work with the National Tuberculosis Elimination Programme and Municipal Corporation of Greater Mumbai to reduce 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, contact tracing and health promotion.
In Manipur, our project caring for people living with HIV, TB, DR-TB and hepatitis C was severely disrupted when conflict broke out in May, effectively dividing the state into two ethnically separate areas. At the end of the year, as this continued to pose significant challenges to the provision of care and the medical supply chain, our teams were monitoring needs and exploring possible short-term emergency interventions.
In Mizoram state, northeast India, we offered basic healthcare and specialist referrals for refugees from Chin state, Myanmar, at our clinic in Zawkhatar. In displacement camps in the southern-border districts of Champhai, Siaha and Lawngtlai, we provided newly arrived families with relief items such as tents, and cooking and hygiene kits, as well as access to water and sanitation facilities, and medical referrals.
We closed our sexual violence treatment centre in the capital, New Delhi, in November, but will continue to work with other organisations to call for improved access to care for victims and survivors in India. This involves addressing the existing legal and medical barriers that prevent people from seeking urgent treatment.
MSF’s other projects in India include the provision of comprehensive care to people living with advanced HIV in Bihar, essential healthcare via mobile clinics in remote areas of Chhattisgarh, and mental health services in Jammu and Kashmir.
20,800
20,8
6,440
6,44
830
83
640
64
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.