International / Médecins du Monde - ONG de solidarité internationale

programs International

International

International programmes in 2008

Beneficiaries	1 370 000
Target population	11 600 000
Primary care consultations carried out	680 000
Countries	43
Programmes	68

Algérie: Algeria
Médecins du Monde works on domestic violence against women
Afghanistan: Afghanistan
The health and security situation in the country worsened considerably in 2008, with the intensification of fighting between insurgents and Afghan and international forces. In this situation, access to healthcare for the most vulnerable groups remains very difficult. This is particularly the case for drug users, of whom there are an estimated 1 million, and amongst whom MdM is running a harm reduction programme.
Angola: Angola
Although Angola is getting ready to become the biggest oil producer in Africa, with economic growth of 15% per year, and health reforms which began in 2006, the level of healthcare provision is often just as poor as it was at the end of the civil war. In this context, access to primary healthcare, including for HIV/AIDS, for the most vulnerable (particularly women and children) remains a priority.
Birmanie: Burma
The Burmese suffer from growing poverty, due as much to the restrictive economic policies as to under-investment in education and health. AIDS continues to spread in the face of a lack of any appropriate response. MdM intervened with an emergency programme after Cyclone Nargis struck the country in May.
Bolivie: Bolivia
MdM’s programme in Bolivia focuses on protecting the health of miners, victims of environmental pollution caused by mineral exploitation in Potosi.
Bulgarie: Bulgarie
Burkina Faso: Burkina Faso
Access to healthcare remains difficult for most Burkinabés—45% of whom live below the poverty line. MdM’s activities focus on preventing malnutrition and providing mother and child healthcare and dental care.
Cambodge: Cambodia
Although the combined efforts of NGOs and the government have slowed HIV transmission, many factors which encourage the spread of the disease—such as internal migration, poverty, human trafficking and prostitution—continue to threaten a resurgence of the epidemic in this country where MdM runs an HIV programme.
Côte d'Ivoire: Ivory Coast
Egypte: Egypt
MdM will continue its work for three years, overseeing a project promoting the rights of street children, including better access to healthcare.
Guatemala: Guatemala
In the context of economic globalisation and trade liberalisation, Guatemala opened its doors to many ‘maquilas’ (textile factories). Women employed in these factories are deprived of access to healthcare and work in conditions which violate labour standards. MdM aims to improve the health of this vulnerable population.
Guinée: Guinea
The deplorable conditions in prisons prompted MdM to try to improve the detention conditions and health situation in Kindia’s central prison.
Haïti: Haiti
MdM has set up mobile clinics to care for people affected by the cyclones and has developed a system of free healthcare to improve access to healthcare.
Indonésie: Indonesia
With more than 40 million inhabitants living below the poverty line, Indonesia is faced with a precarious health and socio-economic situation, further weakened by many natural disasters. Access to healthcare for the archipelago’s isolated populations and shantytown residents remains difficult. Indonesia is still, therefore, dependent on humanitarian organisations to deal with the spread of infectious diseases such as malaria, HIV and tuberculosis.
Kosovo: Kosovo
Since it achieved independence in February 2008, Kosovo (still not officially recognised by every country in the international community) is struggling to build itself up. Although ethnic violence seems to have calmed down, mental health problems and lack of health services affect the majority of a young population, which is why MdM is working on a medical and psychological support programme.
Liban: Lebanon
Libéria: Liberia
Weakened by years of war, Liberia under Ellen Johnson-Sirleaf is still on the way to recovery. MdM, in partnership with the local health authorities, is helping to rebuild the health system and is involved in the development of national policies.
Madagascar: Madagascar
Madagascar, a country regularly exposed to extreme weather (cyclones, drought, flooding), has been through a period of tension and political violence creating new socio-economic difficulties. MdM’s work supports the key priorities of the Madagascan authorities and includes improving the conditions for detainees, improving preparation for disasters such as cyclones and providing care to children waiting for surgical treatment.
Mali: Mali
Long and difficult childbirth can induce lesions that cause urinary or faecal incontinence. Women affected by this condition— which can be treated with surgery—are often rejected by their communities. MdM is working in Mopti hospital to train surgeons to repair fistulas.
Mexique: Mexico
Mexico faces a problem with clandestine emigration to the United States. MdM’s work aims to promote the right to health for migrants and the indigenous population.
Moldavie: Moldova
Moldova is one country where the drama of human trafficking is played out. MdM is involved in the north of the country to help this group suffering from physical and psychological problems, and to prevent the occurrence of trafficking.
Népal: Nepal
Although the geography of the country, on one hand, makes access to emergency obstetric care difficult, the weakness of the health system after years of conflict does little to facilitate access to healthcare. MdM is working in the health and microfinance sectors to help women become more independent.
Niger: Niger
Pakistan: Pakistan
The situation for women in Pakistan has worsened considerably. In Punjab province, however, some social reforms have been undertaken which have enabled projects, like the one which MdM is working on, to be developed with a view to setting up new refuges (Dar Ul Amans) for women affected by violence.
Pérou: Peru
Although there have been considerable advances in health policy, the implementation of the law on provision of the morning-after pill remains blocked because of strong cultural and religious barriers. MdM’s work in this context seeks to promote sexual and reproductive health in adolescents.
République Démocratique du Congo: Democratic Republic of Congo
Despite a wealth of natural resources, the economic, social and health systems in DRC have slowed down dramatically since the 1980s, followed by total collapse during two inter-African wars.
Serbie: Serbia
The geopolitical problems of the country have generated numerous social and economic tensions, and it is the population that bears the brunt. In this situation, health service provision breaks down and vulnerable groups, such as drug users, find it difficult to get healthcare. MdM is involved, side by side with local NGOs, in supporting this population in facing the spread of AIDS and hepatitis.
Soudan: Sudan
Marginalised by the consequences of war and by the enduring political crisis, the rural populations of the remote areas of Sudan don’t have access to healthcare. Because of the chronic instability and the embryonic nature of the health system currently being rebuilt, the population’s health remains poor.
Tanzanie: Tanzania
Despite relative stability and some economic growth, Tanzania has not been able to build sufficient capacity in the health system to be able to offer comprehensive HIV/AIDS care or to contain the epidemic. The MdM project focuses on caring for HIV-positive people, and includes a component dealing with prevention of mother-to-child transmission of HIV.
Tchad: Chad
Faced with a serious economic and political crisis, Chad has also witnessed a growing flow of refugees and militia from Darfur. MdM is trying to improve the health conditions for street children, whose situation is worsened by the lack of infrastructure, shortage of health workers and poor hygiene.
Tchétchénie: Chechnya
Devastated by years of conflict, the Chechen Republic is today experiencing a degree of stability, because of the drastic security measures implemented by Ramzan Kadyrov’s government. This security policy allows human rights violations to take place and the reopening of health centres does not address the issue of the health inequalities between Grozny and the most isolated districts. MdM supports 34 health centres in the most remote areas.
Turquie: Turkey
Despite legislative progress concerning the legal attitude towards torture, prisoners and political opponents still experience discrimination and abuse. In addition, renewed demands for Kurdish recognition brings fears of new tensions within the country.
Vietnam: Vietnam
Although HIV appeared relatively late in Vietnam at the beginning of the 1990s, and for a long time it remained confined to marginalised groups, the epidemic has today spread throughout Vietnamese society.
Zimbabwe: Zimbabwe
Zimbabwe, a model of economic and social development after independence, is today facing an unprecedented political, economic, health and food crisis. Five million Zimbabweans, from a population of 13 million, are affected by the food crisis. Of the 1.6 million people living with HIV, 320,000 need antiretroviral therapy and only 100,000 currently have access to this treatment.
Colombie: Colombia
The indigenous and rural populations of Colombia are indirect victims of the armed conflict between armed groups like FARC and ELN and the national army which has been going on since the 1960s. These groups also live below the poverty line. Since 2003, MdM has been striving to tackle the poor access to health services which affects this population already suffering because of the conflict.
Yemen: Yemen
In partnership with the Ministry of Health, MdM is working on strengthening the Yemeni health system. The poorest are the first victims of a health system that covers only 58% of primary healthcare needs.
Erythree: Eritrea
MdM is working on a mother and child health project to help support this vulnerable population.
Rwanda: Rwanda
Rwanda, still affected by the consequences of the 1994 genocide, when nearly one million Tutsis were killed, is rebuilding itself with a reconciliation and unity policy. MdM is working with a local organisation, IBUKA, which provides psychological support to the genocide survivors.
Nicaragua: Nicaragua
Despite advances in the social sector, particularly with the introduction of free education and free healthcare, Nicaragua remains one of the poorest countries in Latin America. MdM’s work targets cervical cancer—the leading cause of mortality in young women—and domestic violence, which constitutes one of the key problems in Nicaraguan society.
Chine: China
In this country where the AIDS epidemic continues to be denied and where needle sharing represents the main mode of transmission by far. This is why MdM has been running a harm reduction project with drug users in Chengdu.
Roumanie: Romania
Despite joining the EU in 2007 and economic growth, Romania is still affected by political instability. Certain social sectors such as child protection, suffer greatly. MdM supports the actions of associations and civil society in the fight against child abuse and cruelty towards children.
Irak: Iraq
MdM tries to improve the response to medical emergencies in the governorates that are most affected by the conflict, and to strengthen capacity within local healthcare teams.
Sénégal: Senegal
Gamadji Sare is a rural community of 24,000 inhabitants located in Podor district in the north of the country, 500km from Dakar. The habitat and the subsistence conditions are very poor. In this context, MdM is working to improve the health of the scattered rural population and to facilitate access to healthcare.
Daghestan: Dagestan
Dagestan has one of the poorest health records within the Russian Federation. Although a network of health services exists, the lack of equipment limits the population’s access to care. Women in rural areas are particularly vulnerable. MdM aims to help such women by supporting a women’s hospital.
Géorgie: Georgia
On the 8th August 2008, a Georgian military operation against South Ossetia led to open warfare between Georgia and their Russian neighbours. South Ossetia remained inaccessible to humanitarian aid workers during the conflict and the weeks that followed.
Inde: India
Despite exceptional growth, India still has major social inequalities and the current economic development has not managed to reduce these. At the request of the local organisation JKSMS, MdM’s Midi-Pyrenees regional delegation has been developing a mother and child healthcare project since 2007, supporting primary healthcare in ten shantytowns in Jaipur.
Territoires palestiniens: Palestinian Territories
MdM supports 25 of the 56 primary health centres of the Ministry of Health in Gaza with training, health education sessions and provision of essential equipment and medicines. To build capacity to deal with emergencies, the setting up of emergency care rooms is supported in 11 centres.