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How we work

See what triggers an intervention and how supply and logistics allow our teams to respond quickly.

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What we do

Médecins Sans Frontières brings medical humanitarian assistance to victims of conflict, natural disasters, epidemics or healthcare exclusion.

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Where we work

In more than 70 countries, Médecins Sans Frontières provides medical humanitarian assistance to save lives and ease the suffering of people in crisis situations.

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Our offices around the world
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Access Campaign

We set up the MSF Access Campaign in 1999 to push for access to, and the development of, life-saving and life-prolonging medicines, diagnostic tests and vaccines for people in our programmes and beyond.

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CRASH

Based in Paris, CRASH conducts and directs studies and analysis of MSF actions. They participate in internal training sessions and assessment missions in the field.

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UREPH

Based in Geneva, UREPH (or Research Unit) aims to improve the way MSF projects are implemented in the field and to participate in critical thinking on humanitarian and medical action.

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ARHP

Based in Barcelona, ARHP documents and reflects on the operational challenges and dilemmas faced by the MSF field teams.

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MSF Analysis

Based in Brussels, MSF Analysis intends to stimulate reflection and debate on humanitarian topics organised around the themes of migration, refugees, aid access, health policy and the environment in which aid operates.

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MSF Supply

This logistical and supply centre in Brussels provides storage of and delivers medical equipment, logistics and drugs for international purchases for MSF missions.

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MSF Logistique

This supply and logistics centre in Bordeaux, France, provides warehousing and delivery of medical equipment, logistics and drugs for international purchases for MSF missions.

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Amsterdam Procurement Unit

This logistical centre in Amsterdam purchases, tests, and stores equipment including vehicles, communications material, power supplies, water-processing facilities and nutritional supplements.

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Brazilian Medical Unit

BRAMU specialises in neglected tropical diseases, such as dengue and Chagas, and other infectious diseases. This medical unit is based in Rio de Janeiro, Brazil.

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MSF Medical Guidelines

Our medical guidelines are based on scientific data collected from MSF’s experiences, the World Health Organization (WHO), other renowned international medical institutions, and medical and scientific journals.

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Epicentre

Providing epidemiological expertise to underpin our operations, conducting research and training to support our goal of providing medical aid in areas where people are affected by conflict, epidemics, disasters, or excluded from health care.

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Evaluation Units

Evaluation Units have been established in Vienna, Stockholm, and Paris, assessing the potential and limitations of medical humanitarian action, thereby enhancing the effectiveness of our medical humanitarian work.

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LGBTQI+ Inclusion in Health Settings

MSF works with LGBTQI+ populations in many settings over the last 25-30 years. LGBTQI+ people face healthcare disparities with limited access to care and higher disease rates than the general population.

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LUXOR

The Luxembourg Operational Research (LuxOR) unit coordinates field research projects and operational research training, and provides support for documentation activities and routine data collection.

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MSF Academy for Healthcare

To upskill and provide training to locally-hired MSF staff in several countries, MSF has created the MSF Academy for Healthcare.

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Humanitarian Law

This Guide explains the terms, concepts, and rules of humanitarian law in accessible and reader-friendly alphabetical entries.

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MSF Paediatric Days

The MSF Paediatric Days is an event for paediatric field staff, policy makers and academia to exchange ideas, align efforts, inspire and share frontline research to advance urgent paediatric issues of direct concern for the humanitarian field.

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MSF Foundation

The MSF Foundation aims to create a fertile arena for logistics and medical knowledge-sharing to meet the needs of MSF and the humanitarian sector as a whole.

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DNDi

A collaborative, patients’ needs-driven, non-profit drug research and development organisation that is developing new treatments for neglected diseases, founded in 2003 by seven organisations from around the world.

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MSF Science Portal

Our digital portal dedicated to sharing the latest medical evidence from our humanitarian activities around the globe.

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Noma

Noma is a preventable and treatable neglected disease, but 90 per cent of people will die within the first two weeks of infection if they do not receive treatment.

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TIC

The TIC is aiming to change how MSF works to better meet the evolving needs of our patients.

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Telemedicine

MSF's telemedicine hub aims to overcome geographic barriers for equitable, accessible, and quality patient care.

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Sweden Innovation Unit

Launched in 2012, the MSF Sweden Innovation Unit deploys a human-centered approach for promoting a culture of innovation within MSF.

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Aerial view of a road being built in Bentiu
Aerial view of a road and dikes being built by the UN in Bentiu. The dikes are up to 2.5 metres high and five metres wide. The floods around Bentiu extend over 80 kilometres. South Sudan, August 2022.
© Christina Simons

A year in pictures 2022

Aerial view of a road and dikes being built by the UN in Bentiu. The dikes are up to 2.5 metres high and five metres wide. The floods around Bentiu extend over 80 kilometres. South Sudan, August 2022.
© Christina Simons
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  • A year in pictures 2022
Photo Story19 December 2022

Pictures from a year of humanitarian response

In 2022, MSF teams around the world continued to respond to crises, old and new. While COVID-19 was no longer the emergency it was in previous years, new challenges arose. The war in Ukraine escalated in February; the political, humanitarian and economic crises in Haiti deteriorated severely; cholera emerged on an exceptional scale in several countries.

This collection of 63 images, from December 2021 until November 2022, outlines 12 months of some of the work our teams undertook, highlights the people whom we serve, or illustrates the contexts in which we work.

A child plays with a balloon at Al-Sweida camp
A child plays with a balloon, as part of a mental health activity, at Al-Sweida camp for internally displaced people. Marib, Yemen, December 2021. 
Hesham Al Hilali
Patient referral by helicopter in Rhoe Camp
Patients and their families are transported to Bunia hospital in the UN helicopter. Following attacks in Drodo, forcing the hospital there to be abandoned, the helicopter was the only way to refer people from the MSF-run health centre in nearby Rho displaced people’s camp to hospitals that provide more advanced care. Democratic Republic of Congo, December 2021. 
Alexis Huguet
Water, sanitation and Hygiene activities in Rhoe camp
MSF teams try out a water pump as part of a bid to provide clean water and latrines to displaced people in Rho camp. Democratic Republic of Congo, December 2021.
Alexis Huguet
A man on the move found in the forest in Kabeliai frontier section
Lithuanian emergency services workers prepare to take a man, who had crossed the border from Belarus and was no longer able to walk, to hospital. Kabeliai, Varėna district, Lithuania, December 2021.
Vidmantas Balkunas/BNS
Barangay Catadman, Surigao City
An MSF staff member inspects the remains of Barangay health centre, which was severely damaged by typhoon Rai (known locally as typhoon Odette). Surigao City, Philippines, January 2022.
Regina Layug Rosero/MSF
Boost Hospital - Male IDP | Gul Story
Gul washes his hands with the help of his son at the MSF-supported Boost hospital in Lashkar Gah. Helmand province, Afghanistan, January 2022.
Oriane Zerah
DR-TB Project Hargeisa
Nimo Abdi* rests on her bed in MSF’s drug-resistant tuberculosis ward in Hargeisa. Somaliland, Somalia, February 2022. *name changed to protect identity  
Sean Sutton
Vaishnavi, pulmonary DRTB patient from Thane
Seven-year-old DR-TB patient Vaishnavi speaks with MSF nurse Prachi during a home visit, as Vaishnavi’s mother Vishaka looks on. Mumbai, India, February 2022.
Prem Hessenkamp
MSF staff on their journey to set up a clinic
MSF staff walk towards Paukaw township to set up a clinic where they will provide medical and mental healthcare for displaced people in Ah Nau Ywe camp. Myanmar, March 2022.
Ben Small/MSF
Mudslide at Ramba, Kalehe
Mosquito larvae thrive in standing water in Ramba, Kalehe Territory, where MSF has distributed insecticide-treated mosquito nets to families to prevent malaria. South Kivu, Democratic Republic of Congo, February 2022.
Norah Mbadu/MSF
SOUTH SUDAN - Access to safe water
Sera James, a resident of Akello village, shares a laugh with her friends as she draws water from a pump MSF teams have just installed to improve the community’s access to clean water during the dry season. Pibor country, South Sudan, March 2022.
Njiiri Karago/MSF
Prototypes de prothèses de mains et d’avant bras réalisées à l’aide de la technologie 3D
Prototypes of hand and arm prostheses, made as part of MSF’s programme to 3D print prostheses for amputee patients, sit on a shelf. Amman, Jordan, February 2022.
MSF/SORIYA
MSF in Agadez
A portrait of M., from Guinea, who was treated by MSF teams in Agadez, Niger, after fleeing Libya, where he was burned, beaten and imprisoned. Agadez, Niger, March 2022.
Yarin Trotta del Vecchio
Children on the Geo Barents
Children watch a cartoon in the women's area on board MSF’s search and rescue ship, the Geo Barents, following their earlier rescue. Central Mediterranean Sea, March 2022.
Kenny Karpov
Mariupol, Ukraine AP 13 March
People look at a burning apartment building after shelling in Mariupol, following the escalation of the war in Ukraine in late February. Donetsk oblast, Ukraine, March 2022.
Evgeniy Maloletka/AP Photo
Border crossing with Ukraine
Refugees who escaped from Ukraine try to find warmth in a makeshift humanitarian point at the Hrebenne border crossing. Poland, March 2022.
Maciej Moskwa
Ukrainian refugees in Palanca
A mother comforts her daughter while waiting to board a bus at a departure point for Ukrainian refugees fleeing the war. Palanca, Moldova, March 2022.
Maxime Fossat
Breast and cervical cancer screening mass campaign
An MSF staff member wears a prosthetic chest so she and the health promotion team can demonstrate breast self-examination, a technique that women can use to detect lumps for potential breast cancer. Bamako, Mali, March 2022.
Mohamed Dayfour Diawara
Hospital Nosy Varika
MSF teams clean and rehabilitate the wards of a hospital, which was partially destroyed by two cyclones which went through the area in February. Nosy Varika, Madagascar, March 2022.
iAko M. Randrianarivelo/Mira Photo
Village of fishermen
A fisherman repairs his canoe while he’s unable to fish; there have been no fish since cyclone Batsirai hit the area in early February, devastating livelihoods. Nosy Varika, Madagascar, March 2022.
iAko M. Randrianarivelo/Mira Photo
Sierra Leone - Barriers to accessing health care 2022
Aminata looks over her newborn baby, who she delivered at the MSF-supported community health centre in Mile 91, Tonkolili. Tonkolili, Sierra Leone, March 2022. 
Oliver Barth/MSF
Venezuelan Migrants in Peru
A man from Venezuela holds his daughter and looks out from the pier along the Tumbes River. The pier, which is 23 kilometres from the Peru-Ecuador border, is where people rest and take shelter before continuing their journey to the border. Central Tumbes, Peru, March 2022.
MAX CABELLO ORCASITAS
Recovering from the Horror - Stories of torture victims in Mexico
A man hangs clothes inside the Integral Attention Centre in Mexico City, where an MSF team offers medical and mental health care to survivors of extreme violence, torture, or inhumane treatment. Mexico City, Mexico, March 2022.  
Jordi Ruiz Cirera
Gaza: reconstructing lives after amputations
Muawiyah Al-Wahidi, who had his right leg amputated after being injured during an airstrike in Gaza City in 2021, is able to continue working as a barber with support from his wife, community, and an MSF psychologist. Gaza City, Palestine, April 2022. 
Giles Duley
Gaza: reconstructing lives after amputations
Amro Ayman Alhadad spends his time drawing and looking after his pet bird since having his leg amputated as a result of an injury from a bullet during the Great March of Return protest movement in 2018. Gaza City, Palestine, April 2022.
Giles Duley
Aerial view Bentiu IDP camp
An aerial view of Bentiu internally displaced persons camp, where approximately 120,000 people live, and the surrounding floodwaters. The dykes around the camp are the only thing protecting people from flooding. Bentiu, Unity State, South Sudan, April 2022. 
Peter Caton
People walk on road between dykes
People walk along the road between flooded dykes surrounding Bentiu internally displaced persons camp. Bentiu, Unity State, South Sudan, April 2022. 
Peter Caton
Non Food Item distribution
Members of the MSF logistics team distribute blankets and jerry cans to people who have fled violence in Agok and are now staying in Nyin Deng Ayuel displacement camp. Twic County, South Sudan, April 2022. 
Scott Hamilton/MSF
Illeret ward water sources
Women fetch water in a shallow well along a dry riverbed in Illeret. Drought in the region is forcing people to look for alternative water sources, which are unsafe for human consumption. Illeret ward, Kenya, April 2022.
MSF/Lucy Makori
MSF Mobile Clinics in Kharkiv Metro
Akademika Barabashova, a metro station in Kharkiv, hosts people sheltering from the war. Kharkiv, Kharkiv oblast, Ukraine, April 2022. 
Mohammad Ghannam/MSF
COVID-19 tests
Xiomara Villoria, a bioanalyst, holds a COVID-19 test to be processed at the Public Health Molecular Biology Laboratory in San Cristóbal. The laboratory was refurbished by MSF to include a specialised machine that is capable of analysing molecular tests. Táchira state, Venezuela, April 2022.
Matias Delacroix
Abandoned vehicle in the floods
A vehicle lies abandoned and submerged in the floodwaters that have devastated Rubkona. Unity state, South Sudan, May 2022. 
Peter Caton
Rotation 11 - Rescues 6 & 7
During the night of 11 May, the MSF search and rescue team completed two rescues, saving a total of 96 people from boats in distress in the Maltese search and rescue zone. Mediterranean Sea, May 2022.
Anna Pantelia/MSF
Mozambique: The challenge of a safe pregnancy and childbirth in Cabo Delgado
Atija, a traditional birth attendant, walks through Eduardo Mondlane camp for displaced people. She works to counsel women in the camp, who like herself, have been displaced by violence. Mozambique, May 2022.
Mariana Abdalla/MSF
Shelter under construction in Reynosa, Mexico
A woman from Haiti retrieves water from an old transport trailer that is now being used as a water tank at the construction site for what will be the "Senda de Vida II" migrant shelter. Reynosa, Mexico, May 2022. 
Yael Martínez/Magnum
Doctors on Rails - MSF Medicalised train in Ukraine
The medical team on board the MSF medical train discuss the condition of a war-wounded patient during the journey from Pokrovsk in eastern Ukraine, to Lviv in the country’s west. The journey takes approximately 20 hours. Ukraine, May 2022.
Andrii Ovod
Gabriel Kalany, MSF Academy student, gets ready for a training session
Gabriel Kalany, a nursing student of the MSF Academy in Old Fangak, gets ready for a practice session at the Skills Lab, where he will place a urinary catheter on a mannequin. Gabriel has since graduated, completing his 18 months of training. Old Fangak, South Sudan, June 2022. 
Florence Miettaux
MSF Emergency Centre in Turgeau
A batch of bullets that MSF doctors removed from the wounds of patients at the Emergency Centre of Turgeau. Port-au-Prince, Haiti, June 2022.
MSF
Medical Care in Diffa – Malnutrition and other diseases
Halima Hamadou is being comforted by her mother, Zeinaolou Hamadou, as a medical team treats her headwound. Diffa, Niger, June 2022. 
Oliver Barth/MSF
Nablus hospital, West Mosul
Hussein was born a few hours ago, by caesarean section, at Nablus hospital. His mother, who is still resting, travelled 77 kilometres to give birth. Mosul, Iraq, June 2022.
MSF/Florence Dozol
Treating cutaneous leishmaniasis in Peshawar, Pakistan
Gulnaz plays with her daughter at her brother’s home. She travelled to her relatives’ place in Peshawar to get treatment for cutaneous leishmaniasis, a parasitic disease, as it is not commonly available in the country. Peshawar, Pakistan, May 2022.
Saiyna Bashir
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MSF health promoter Arina Ilchenko sits with nine-year-old Karina in a shelter for displaced people. Dnipro, Ukraine, June 2022. 
Alexander Glyadyelov 
Amaka Joseph, 35
Amaka Joseph, 35, tends to her recovering child at an inpatient therapeutic feeding centre at Specialist Hospital Sokoto. “When we began treatment, I started seeing improvements. Now they can eat well and play, and this makes me happy,” she says. Nigeria, July 2022. 
KC NWAKALOR
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Children gather outside a school in Liberia, Young people living with epilepsy in Liberia can find it difficult to stay in school because of their seizures and the stigma attached to them. Our teams support schools of students living with epilepsy. Liberia, June 2022. 
Carielle Doe
Rotation 12 - Rescues 1
Teams on board the Geo Barents search and rescue evacuate a person in critical condition to Malta. On the afternoon of 27 June, MSF teams rescued 71 people from a rubber boat in distress. Central Mediterranean, June 2022. 
Anna Pantelia/MSF
Violent practices against migrants
An MSF nurse straps up the ankle of a patient during a medical consultation at the MSF mobile clinic in Horgos 2, a border crossing area in Serbia. In 2022, our teams provided healthcare in informal settlements at the Serbian-Hungarian and Serbian-Romanian borders through two mobile clinics. Serbia, July 2022. 
Evgenia Chorou/MSF
MSF provides medical care for stranded asylum-seekers in the Netherlands
A view of a sink for washing at an informal tented area for stranded asylum seekers in Holland. Ter Apel, Netherlands, August 2022. 
Olga Victorie
Emergency Medical Aid (EMA) for new arrivals in Samos, Greece
People who have just arrived on Samos walk along a rocky path on the island after arriving by boat across the Aegean Sea. MSF’s emergency teams have reported high medical and humanitarian needs amongst new arrivals. Samos, Greece, July 2022. 
MSF/Alice Gotheron
Aerial view of a road being built in Bentiu
Aerial view of a road and dikes being built by the UN in Bentiu. The dikes are up to 2.5 metres high and five metres wide. The floods around Bentiu extend over 80 kilometres. South Sudan, August 2022.
Christina Simons
Sudanese refugees from Darfur living in eastern Chad
A man sits in a phone-charging shop within a refugee camp for people who have fled war in western Sudan’s Darfur province. Guereda district, Chad, August 2022.
Mohammad Ghannam/MSF
Patient Portraits
Mohamed Hussein, who fled Myanmar because due to discrimination and violence, sits with Rohingya children in a refugee camp in Cox’s Bazar. Bangladesh, June 2022. 
Saikat Mojumder/MSF
Mental health activities in Hajjah City
An MSF mental health team member comforts Sanaa*, a patient in Hajjah city. “I felt empty, as if something was missing, and I didn’t know where my son was... I felt powerless, and never felt safe. Then I learned about MSF’s services in Hajjah. I came here and they offered me psychological care,” says Sanaa. Yemen, September 2022.   *Name changed to protect identity 
Jinane Saad/MSF
Cholera MSF Community response
A child steps through a flooded street in the Port-au-Prince neighbourhood of Cité l'Eternel. Floods are caused by clogged canals due to poor waste management. In such settings, cholera spreads rapidly due to inadequate treatment of sewage and a lack of access to clean water. Port-au-Prince, Haiti, October 2022.
MSF/Alexandre Marcou
Floodings: Khyber Pakhtunkhwa E-Response
An MSF medical doctor in consultation with a patient at the mobile clinic in Sara Sang village, Charsadda district. Khyber Pakhtuhkwa province, Pakistan, September 2022. 
Zahra Shoukat/MSF
Floods in Dadu district, MSF response
A boy reads from his school textbook in his family’s one-room shelter in Nangar Daro village, after their house collapsed during heavy rains and flooding in Dadu district. Sindh province, Pakistan, October 2022.
Asim Hafeez
Emergency response in Kwamouth 07
A young patient in consultation with an MSF psychologist at a site for displaced people in Kwamouth. Besides treating the wounded and sick, our teams provide mental health sessions to help people traumatised by the violence they witness. Democratic Republic of the Congo, September 2022. 
Johnny Vianney Bissakonou/MSF
Physiotherapy in Kyiv
MSF physiotherapist Ahmad Alrosan undertakes a muscle-stretching exercise on a patient with a broken wrist and amputated finger. Kyiv, Ukraine, September 2022.
Hussein Amri/MSF
Raising awareness of decentralised health care among the inhabitants
In Salamabila, community health workers organise awareness-raising sessions with the community to address preventable health issues, as well as listen, answer questions and explain the importance of a decentralised approach to healthcare. Maniema province, DRC, September 2022.  
Michel Lunanga/MSF
Rotation 18 - Life on deck
On board the Geo Barents, one survivor cuts the hair of another. The 293 survivors – including 146 minors – wait for a place of safety to disembark after having been rescued from the Mediterranean Sea. Central Mediterranean, October 2022. 
MSF/Candida Lobes
Informal camp of displaced people just outside Goma
People displaced by intermittent clashes between the M23 group and Congolese army set up basic shelters at an informal camp just outside of Goma. In their escape, families took only the bare necessities with them and now lack food, shelter, water and latrines. Democratic Republic of the Congo, November 2022. 
Moses Sawasawa
Rotation 18 - Life on deck
Aboard the MSF search and rescue ship Geo Barents, shipwreck survivors wait to disembark at a port of safety. Central Mediterranean, October 2022. 
MSF/Candida Lobes
Mothers coping with Cholera outbreak Lebanon
Portrait of Zainab. Zainab, from Lebanon, shares the challenges she faces in obtaining safe drinking water during a cholera outbreak in the country. “We don’t have a functioning water network here. Knowing that cholera spreads in contaminated water, I was scared that we would get sick,” she says. Arsal, Lebanon, November 2022. 
Carmen Yahchouchi/MSF
Confinament and lack of access in Alto Baudó, Chocó.
MSF teams traverse the Baudó river, on their way to treating local communities for dehydration, diarrhoea, malaria and malnutrition. Here, communities encounter food and supply difficulties, as well as mental health problems, due to clashes and lock downs. Alto Baudó, Colombia, November 2022.
MSF/Santiago Valenzuela
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