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© Petrie / MSF

South Africa
OUR COVID-19 RESPONSE IN SOUTH AFRICA

All MSF project staff in South Africa have been moved to COVID-19 response teams in the Gauteng, KwaZulu-Natal and Western Cape provinces. Our staff are assisting with contact tracing, the development and dissemination of health promotion materials, and the set-up of health care facilities. We are making plans to assist further by partnering on triage, isolation and treatment interventions. 

We are ensuring HIV/TB patients have medicine refills delivered to their homes during the pandemic. 

In northern Gauteng, in and around Pretoria, our activities focus on mitigating the impact of the national 21-day lockdown on vulnerable groups such as asylum seekers, the elderly and homeless. 

In South Africa’s biggest city and the capital of Guateng, Johannesburg, a mobile team is conducting primary healthcare consultations and COVID-19 screenings in three homeless shelters.

Triage tents and handwashing facilities have been set up at MSF-supported facilities in Eshowe (KwaZulu-Natal) and Rustenburg (North West province).

 

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Right now, Médecins Sans Frontières is providing much needed support and medical care in over 30 countries to counter the COVID-19 pandemic.
 
Our teams are also gearing up to confront potential outbreaks in the hundreds of areas we were already working before the pandemic struck. We are deploying medical staff, sending supplies and applying nearly 50 years of experience fighting epidemics to protect the most vulnerable and save lives.

 
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FIND OUT MORE ABOUT CORONAVIRUS COVID-19

South Africa has the largest HIV patient cohort in the world and is helping to lead the way in gaining access to new treatments for multidrug-resistant tuberculosis (MDR-TB).

The South African HIV/AIDS pandemic saw life expectancy in the country fall by ten years between 1992 and 2005, largely due to the failure of the national government to take steps in addressing the problem.

Médecins Sans Frontières has worked in South Africa since 1999.

Since 2012, as part of its outreach testing services, MSF has annually performed thousands of HIV tests in over 30 high schools. This has not only increased HIV testing coverage in the district, but also demonstrated the feasibility of delivering sexual and reproductive health services on school grounds.

South Africa

A doctor consults a patient in Michael Mapongwane Community Health Centre’s HIV/TB unit in Khayelitsha, Western Cape, where MSF works alongside the health ministry to provide a range of integrated HIV and TB services. © Petrie / MSF

MSF’s project in KwaZulu-Natal province utilises community-oriented strategies to reduce the incidence of diseases and mortality, and to increase integrated HIV testing and tuberculosis (TB) screening, as well as access and adherence to HIV treatment.

MSF initiatives to decentralise drug resistant tuberculosis (DR-TB) care are underway in King Cetshwayo district, and allow patients to receive treatment closer to home.

The Khayelitsha project near Cape Town continues to develop innovative interventions in HIV and DR-TB care, with the aim of influencing local, national, regional and international policies on treatment for these diseases.

"Opportunities are missed each day to prevent HIV infection, psychological trauma, and unwanted pregnancy for victims of sexual violence in the platinum mining belt, because there are too few health facilities with the capacity to provide essential care."

Sarah-Jane Steele
MSF Epidemiologist

Sexual and Gender-based Violence

One-in-five HIV infections and one-in-three cases of depression among women are attributable to rape and intimate-partner violence (IPV). One-in-three women inducing abortion was pregnant as a result of sexual violence.

Much additional suffering could have been prevented if survivors had been able to access a basic package of healthcare services.

MSF continues to support provincial health departments; MSF nurses support the provision of sexual and reproductive health services, including screening for sexual transmitted infections, distributing condoms, and supporting the choice of termination of pregnancy. To increase the numbers of patients accessing services, MSF positions social workers in community-based organisations and local police stations.

In South Africa’s platinum mining belt one in four women between the ages of 18 and 49 have been raped in their lifetime.

MSF continues to advocate increased access to comprehensive services at healthcare facilities for victims of sexual violence nationwide. A report, Untreated Violence: Critical gaps in medical and clinical forensic care for survivors of sexual violence in South Africa, publicised the findings of MSF’s telephone survey of facilities designated across the country to provide care for victims of sexual violence. The survey found that 73% of participating facilities do not provide or do not have the capacity to offer all necessary services.

MSF is calling for the inclusion of ambitious targets for increasing access for survivors of sexual violence to medical and psychosocial services at health facilities. Key interventions include providing post-exposure prophylaxis (PEP) to prevent HIV and other sexually transmitted infections, psychosocial support including trauma counselling, emergency contraception, other basic medical services (e.g. first-aid), and the option of forensic examination.

Alongside increased access to services there is also a need for health promotion within communities, as half of the women MSF surveyed in 2015 did not know that HIV can be prevented after rape if PEP is received within 72 hours.

As part of MSF's comprehensive sexual violence project in Rustenburg, 'Body Mapping' is used to help survivors of sexual violence identify the internal and external scars and hardships they are living with and working through. 'Body Maps' comprise a life-size outline of the body, which the survivor "maps" with their experiences and emotions. © Wegner / MSF

South Africa

As part of MSF's comprehensive sexual violence project in Rustenburg, 'Body Mapping' is used to help survivors of sexual violence identify the internal and external scars and hardships they are living with and working through. 'Body Maps' comprise a life-size outline of the body, which the survivor "maps" with their experiences and emotions. © Wegner / MSF

Find out more about SOUTH AFRICA

Médecins Sans Frontières has been working in Afghanistan since 1980, providing emergency surgical care, responding to conflict and natural disasters, and treating people cut off from healthcare. 

MSF worked in Angola from 1983 until 2007. Why were we there? Armed conflict Endemic/Epidemic disease Social violence/Healthcare exclusion

MSF worked in Argentina from 2001 until 2003. Why were we there? Providing essential medicines and supplies

MSF worked in Belgium from 1987 to 2009

Why are we there? Endemic/epidemic disease

Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion Natural disaster

Why are we there? Endemic/Epidemic disease

Cameroon is facing multiple and overlapping crises, including recurrent epidemics, malnutrition due to food insecurity, displacement, and conflict.

Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion

Why are we there? Armed conflict Healthcare exclusion Natural disaster

The political, economic and military crises of 2002-2010 have taken a severe toll on the Ivorian health system.

MSF worked in Ecuador until 2007. Why were we there? Endemic/Epidemic disease Natural disaster

Find out more about MSF's work in Egypt

In France, we work with migrants and refugees, who encounter policies and practices aimed at preventing them from settling or claiming their rights.

Why are we there? Healthcare exclusion

Why are we there? Armed conflict Endemic/epidemic disease Social violence/heathcare exclusion

Why are we there? Endemic/epidemic disease

Haiti’s healthcare system remains precarious in the wake of natural disasters and ongoing political and economic crises. Ongoing disasters have led to Haiti becoming the poorest country in the Western Hemisphere.

Honduras has experienced years of political, economic and social instability, and has one of the highest rates of violence in the world. This has great medical, psychological and social consequences for people.

An MSF team in Hong Kong opened a project at the end of January focusing on health education for vulnerable people. Community engagement is a crucial activity of any outbreak response and in Hong Kong, this focuses on groups who are less likely to have access to important medical information, such as the socio-economically disadvantaged. The team is also targeting those who are more vulnerable to developing severe disease if they are infected, such as the elderly.

MSF worked in Indonesia between 1995 and 2009 Why were we there? Natural disaster

Find out about MSF's work in Iran

Why we are there? Healthcare exclusion Natural disaster

Why are we there? Natural disasters

Jordan hosts over 700,000 refugees, according to the UNHCR, many of whom reside in camps or have settled in the country.

Why are we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Healthcare exclusion

Although health services are being progressively restored in Liberia, important gaps persist, notably in specialised paediatric care and mental health.

Libya remains fragmented by a decade of conflict and political instability. The breakdown of law and order, the collapse of the economy, and fighting have decimated the healthcare system.

Why are we there? Endemic/epidemic disease Natural disaster

Access to medical care remains very limited in the north and centre of Mali due to a lack of medical staff and supplies and spiralling violence between armed groups.

Why are we there? Access to healthcare

In Mozambique we are responding to emergencies including disease outbreaks, providing care to people with advanced HIV, while also working in the conflict-ridden Cabo-Delgado province.

Why are we there? Endemic/epidemic disease Social violence/healthcare exclusion

Why are we there? Providing comprehensive emergency healthcare to people in remote regions of Pakistan is a priority, yet accessibility and security are a constraint for both Médecins Sans Frontières (MSF) and patients.

Why are we there? Armed conflict Healthcare exclusion

At the end of 2007, MSF ended its activities in Rwanda after 16 years in the country. MSF's work included assistance to displaced persons, war surgery, programmes for unaccompanied children and street children, support to victims traumatised by the conflict, programmes to improve access to healthcare, responding to epidemics such as malaria, cholera and tuberculosis, and projects linked to maternal and reproductive health.

Why are we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Armed conflict Endemic/epidemic disease Healthcare exclusion

Why were we there? Endemic/epidemic disease Healthcare exclusion

Why are we there? Refugee assistance

Why are we there? Healthcare exclusion

Why are we there? Armed conflict Endemic/Epidemic disease Healthcare exclusion

Why were we there? Healthcare exclusion

Why are we there? Endemic/epidemic disease

Why are we there? Endemic/epidemic disease Social violence Healthcare exclusion

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