CAR conflict in photos: Healing while conflict rages

17 Feb 2021
Since last December, the security and humanitarian situation has deteriorated rapidly in Central African Republic (CAR). A coalition of armed groups continue to attack the government forces, who are supported by UN military personnel and foreign troops, in the wake of presidential and general elections.
 
After numerous offensives across the country, fighting took place on the outskirts of the capital, Bangui, on 13 January 2021. 31 year-old France Beldo was shot and wounded—she was taken to SICA Hospital, a surgical trauma facility run by Médecins Sans Frontières (MSF). This is her story, as told through photos.
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France Beldo was hit by a stray bullet while at home on her terrace in Damala neighbourhood.

The bullet hit her hand, chest and shoulder, luckily without causing damage to any vital organs. 

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We were near home when I heard gunfire. We went inside to hide.

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The shooting eased off, so we went out on the terrace. I was talking to my daughter when a bullet hit me. I wondered if I was going to survive. They took me on a motorbike [to SICA hospital] and I regained consciousness. They gave me medication, first aid and an X-ray. Three days later I had my first surgery.

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MSF teams provide free surgery and trauma care in this 80-beds hospital they built in 2017. SICA hospital has an emergency room and two operating theatres, and offers comprehensive treatment, including post-operative care and physiotherapy. In the wards, road traffic accident victims, who represent the majority of trauma patients treated every year at the hospital, are alongside war wounded and victims of violence, with bullet or stab wounds. 

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After the dressings, they take me to have physiotherapy for my hand. I exercise it, and they put cream on it. Then there’s the massage, and I touch and feel objects for them to evaluate my mobility. I have massage on my leg, too. They do a lot of good work on me.

After orthopaedic or visceral surgeries, convalescence often takes months or even years, and the physiotherapists department of the MSF’s SICA Hospital plays an essential role in the healing process. Physiotherapy begins as soon as the operation is over in order to ensure optimal recovery, regain motion, and avoid disabling consequences.

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On January 22, France Beldo completed her inpatient treatment and returned home. She will return regularly at SICA hospital for medical follow-up, dressing care and physiotherapy. 

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The day before, the government announced a 15-day state of emergency across the national territory. Tensions continue to run high. 

In a country already hard-hit by years of civil war and facing a chronic health crisis, this latest cycle of violence is further exacerbating people’s vulnerability. 

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At the gates of SICA Hospital, France Beldo and her family say goodbye to the relatives of other admitted patients, before getting into the taxi that will take them home. France lives with Claire, her sister, and their respective children. During her stay at hospital, France’s sister, aunt and mother took care of her, helped her wash and eat, and often slept outside waiting for visiting hours. 

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To all my family, I say a big thank you.

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By practicing her physiotherapy exercises twice a day at home, she hopes to regain full and painless motion as quickly as possible. She moves her fingers more freely, but her forearm hurts. She hopes to be able to stand up, walk, and get rid of the pain to resume her activities. 

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I’m a shopkeeper. I sell small stuff here in my home. But since the incident, all my money’s gone. I don’t sell anything anymore.

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Her health has improved but still requires outpatient care on a regular basis. She feels tired. Her left leg has been hurting for a few days now and she can barely walk. A bullet is still lodged in her left shoulder.

For now my arm’s immobilised, and I can’t get around. I’m often hungry, but I don’t have the money to feed myself properly. The bullet wound paralysed one of my legs. I have nerve pain and the wound where the bullet penetrated hurts. My chest and my arm hurt too.

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France's two children, Estive and Jolivia, eat breakfast on the terrace where their mother was hit by a stray bullet during the fighting on 13 January. 

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The children have school for a month, and then the shooting and fighting start up again, and they stop going. I want it to stop for our children to be safe. It has to stop so that the country can be peaceful again. And so that we, the people, can work and have money. It worries me. We can’t live with weapons all the time.

All images © Adrienne Surprenant / Collectif ITEM / MSF