15 July 2021. A business owner surveys the damage to his panelbeating workshop in Malvern, Johannesburg. Social violence and exclusion has devastating consequences. Picture: James Oatway.

Social violence and exclusion

Putting social violence and exclusion in context

Many people are unable to access healthcare simply because of who they are. They may be afraid to seek help, or are excluded because they are forced to live outside of mainstream societal bounds.

Social violence and exclusion has devastating consequences. People who are excluded include undocumented migrants, street children, sex workers, prisoners, drug addicts or the mentally ill. Sometimes, entire communities are systematically neglected by relevant authorities. These might be people who live in slums, or communities hit by criminal violence and gang warfare. 

Some homeless men attending the Hong Kong Homeless Primary Healthcare Project which was ran in Hong Kong by MSF in response to the social exclusion of homeless people from receiving adequate health care. No access to healthcare is one of the consequences of social violence and exclusion
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Exclusion from healthcare

How MSF responds to social violence and exclusion

Our teams provide medical, psychological and social support to people cut off from health services. Our work also involves drawing attention to the obstacles patients face in accessing healthcare.

How MSF responds to social violence and exclusion
Sex Workers in Malawi: Jacqueline Zulu, MSF's health promotion officer, teaches sex workers how to perform a human papillomavirus self-test. Malawi has the highest rate of cervical cancer in the world, accounting 37 per cent of new cancer cases among women in the country. Nearly all cases of cervical cancer can be attributed to HPV infection. No access to healthcare is one of the devastating consequences of social violence and exclusion
Jacqueline Zulu, MSF's health promotion officer, teaches sex workers how to perform a human papillomavirus self-test. Malawi has the highest rate of cervical cancer in the world, accounting 37 per cent of new cancer cases among women in the country. Nearly all cases of cervical cancer can be attributed to HPV infection.
© Diego Menjibar
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Sexual and reproductive health services for sex workers

MSF programmes are helping thousands of women who earn their living from sex work to overcome barriers to health services, in part by training and employing sex workers as health workers in their communities.

A close-up of the hands of two people who are holding hands. Social violence and exclusion have devastating consequences
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How you can help

msf.org.za

It is thanks to the support and generosity of people and organisations that our teams can provide independent, impartial medical humanitarian care where it’s needed most.

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