An MSF nurse checks the file of a child in a hospital in Koutiala. Mali, September 2019.
In 2019, spiralling violence in central and northern Mali continued to disrupt public services, restricting people’s movements and preventing them from obtaining medical assistance.

Doctor Without Borders (MSF) programs around the country focus on improving access to healthcare for the most vulnerable people in both rural and urban areas.

Responding to a growing crisis in central Mali

Insecurity in central Mali has reached an unprecedented level, with an increase in clashes between the military and non-state armed groups, together with a rise in intercommunal violence. In March 2019, 160 people were killed in an attack allegedly perpetrated by a militia group, sparking a cycle of violent reprisals in the region.

We have teams working in Douentza and Ténenkou hospitals in the Mopti region, and organizing referrals from surrounding rural areas. In the area surrounding Douentza, we worked in three health centres and implemented a community-based program to provide healthcare in 26 sites in villages most affected by violence. Around Ténenkou, we deployed mobile teams to around 40 villages to deliver general healthcare to nearly 15,000 patients.

We expanded our activities in Koro, Bandiagara, and Bankass to assist some of the people most affected by the escalating violence in the region, providing them with general healthcare, mental health support, and relief items, such as blankets. In June, we opened a new program dedicated to women and children under 15 in Niono, in the Segou region. In addition to supporting the maternity and pediatric units at Niono hospital, we work in five outlying health centres. In 2019, we conducted 4,590 outpatient consultations.

Bringing healthcare closer to nomadic communities in the north

In Ansongo, Gao region, and Kidal, north of Gao, we ensure that healthcare is available to nomadic communities by training community health workers to diagnose and treat the most common diseases affecting pregnant women and children under five. In 2019, our teams worked in 62 nomadic camps in Kidal and Ansongo regions.

We also have teams in a hospital and four health centres in Ansongo, providing medical care and psychological support for victims of violence, and in six health centres in and around Kidal.

 

MSF doctor Djenabou Diallo examines her 77yo patient Bambi Gandega in Bamako, Mali

MSF in Mali in 2019

MSF doctor Djenabou Diallo examines her 77yo patient Bambi Gandega in Bamako. During the consultation, which takes place at the patient’s family home, Dr. Djenabou Diallo checks on pain management, vital parameters, infections, and any other pathologies the patient might have in addition to breast cancer.

Caring for cancer patients in Bamako

Since November 2018, we have been working with the Ministry of Health in Bamako to facilitate access to diagnosis and treatment (radiotherapy, surgery, chemotherapy) of cervical and breast cancer. In order to assist patients receiving treatment in the capital’s Point G University Hospital, most of whom are in the advanced stages of the disease, with few or no treatment options, we run free palliative care and support services in both the hospital and their homes. In 2019, we also trained healthcare staff and carried out rehabilitation works at the hospital in partnership with the health authorities.

Ten years of child healthcare in Koutiala

In the south, we support nutrition and pediatric services at Koutiala hospital through our newly built 185-bed pediatric care unit. Our teams also conduct preventive and curative activities in 36 health centres, especially during seasonal malaria and malnutrition peaks. During the year, they conducted a total of 165,000 outpatient consultations.

No. staff in 2019: 907 | Expenditure in 2019: €17.2 million | Year MSF first worked in the country: 1992

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