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Pakistan

Women and children in particular suffer from the lack of access to healthcare in Pakistan and there is an overwhelming need for neonatal care. Mother and child health remains a focus for Médecins Sans Frontières.

Teams also respond to the medical needs of vulnerable communities largely excluded from medical care, including people displaced by conflict, and marginalised, low-income groups.

Government restrictions, bureaucratic processes and a climate of insecurity and sporadic violence pose operational challenges in Pakistan. The presence of armed militant groups and ongoing counter-terrorism operations hamper humanitarian access and there is a general distrust of aid workers.

Balochistan
Médecins Sans Frontières continued to provide basic healthcare with a focus on women and children in Quetta and Kuchlak.  A total of 3,361 individual and group psychosocial sessions were undertaken with both women and men in 2014 and additional psychosocial support services, such as children’s play groups, were available.

Teams also admitted 697 people suffering from cutaneous leishmaniasis, a parasitic disease prevalent in this region, and provided treatment and supportive care.

Overall, Médecins Sans Frontières conducted almost 59,690 consultations and assisted 3,598 births in Quetta and Kuchlak.

Teams carried out 6,978 outpatient consultations and assisted 4,048 births. Over 5,795 women attended a prenatal consultation.

Federally Administered Tribal Areas (FATA)
Médecins Sans Frontières provides medical care to displaced and vulnerable communities in Bajaur Agency, the northernmost tribal agency. Medical staff support two basic health centres in Talai and Bilot, and are improving services in the outpatient departments and antenatal care units. Children are screened for malnutrition and receive vaccinations.

Médecins Sans Frontières runs a paediatric outpatient department for children up to the age of five, inside Tehsil Headquarters Hospital. Newborns and children under 12 needing hospitalisation are treated on the Médecins Sans Frontières-supported paediatric ward, and referrrals are organised. Médecins Sans Frontières staff also assisted the ante- and postnatal departments. In addition, some 160 patients received treatment for cutaneous leishmaniasis at a centre Médecins Sans Frontières established for the general population.

In Alizai, a Shia community in Kurram, Médecins Sans Frontières operates a paediatric outpatient department for children under 12 years of age. More than half (59 per cent) of patients in 2014 were under the age of five.

Khyber Pakhtunkhwa
In Peshawar, the province’s capital, Médecins Sans Frontières runs a 35-bed maternity hospital receiving patients from health units, government-run hospitals and other health partners in the district and FATA. Over 3,700 patients were admitted and 3,268 babies were delivered.

Médecins Sans Frontières continues to work in the District Headquarters Hospital in Timurgara, Lower Dir, providing medical expertise in the emergency room (where 114,957 patients were triaged), resuscitation room (where 27,576 patients were seen and treated) and in the observation room. Comprehensive obstetric care is available, including surgery for complicated deliveries, and 7,369 deliveries were assisted in 2014. In May, Médecins Sans Frontières opened a neonatal unit for premature and low birth weight babies.

Médecins Sans Frontières also ran dengue fever prevention and awareness activities in communities and schools in the area. More than 8,000 students and teachers attended health promotion sessions.

Karachi
The Machar Colony slum is situated on the edge of Karachi’s Fish Harbour, and is crowded and polluted and has no proper sanitation. Médecins Sans Frontières opened a clinic in 2012 with local partner SINA Health, Education and Welfare Trust, providing basic and emergency healthcare, including outpatient consultations, triage, stabilisation and referrals for emergencies. Labour and delivery support for pregnant women is also available.

Médecins Sans Frontières first worked in the country in:
1986    

No. staff: 1,528  

This text is an excerpt from the 2014 International Activity Report, published annually looking at our work in the previous year. The full report is available here.

Pakistan: six months in Peshawar’s neonatal unit

10/02/2015

From July to December 2014, Dr Yasmine Ley headed up the neonatal unit at Médecins Sans Frontières’ obstetrics and gynaecology hospital in Peshawar, northern Pakistan.

Category: Field news

Surgical News: Behind the mask

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Vascular surgeon John Swinnen, who first joined Médecins Sans Frontières in 2011, shares his experiences with the organisation.

Category: Media

Malnutrition in Pakistan

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Médecins Sans Frontières (Doctors Without Borders) treats nearly 10,000 malnourished children each year in the town of Dera Murad Jamali and surroundings, in the southwestern Pakistani province of Balochistan. Levels of...

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Pakistan: “No place to call home”

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The internally displaced persons in the Federally Administrated Tribal Areas have escaped the violence but are confronted with greater challenges.

Category: Field news

Daily News: Pakistan hospital an eye-opener for Dwyer

14/11/2014

Jess Dwyer has been busy saving babies from death's door in Pakistan. She has just returned from volunteering in Peshawar where she headed the nursing team at a neo-natal unit, which was newly built by non-profit organisation...

Category: Media
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