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MSF-OCBA Annual Report 2011

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MSF-OCBA Annual Report 2011 MSF-OCBA Annual Report 2011 Independent humanitarian-medical intervention in a changing world MSF-OCBA Annual Report 2011 1 / 222 Summary 4 Chronology 2011 9 Introduction: A strategic summary of 2011 operations. By Raquel Ayora 12 Article: A practical focus on accountability to the beneficiaries. By Maddalena Basevi 17 Article: Healthcare protection during conflict. By Dr. José Antonio Bastos 20 Projects 2011 21 Map of Projects 22 Sub-Saharan Africa 23 • Somalia 31 • Regional focus for the management of projects in the Horn of Africa. An interview with Alfonso Verdú 36 • Ethiopia 45 • Article: Hunger in the Horn of Africa: A delayed and challenging response. By Nuria Salse 52 • Kenya 58 • Niger 65 • Nigeria 69 • Central African Republic (CAR) 78 • Sudan 87 • Article: Darfur: Mission impossible. By Alberto Cristina 91 • Southern Sudan 96 • Democratic Republic of Congo (DRC) 106 • Zambia 111 • Zimbabwe 117 • Uganda 124 Middle East and Northern Africa 125 • Article: A humanitarian spring among the Arab Surprise: MSF’s response to the uprisings in the Arab world. By Kate Burton 130 • Iraq - Syria 133 • Morocco 138 • Occupied Palestine Territories (OPT) 142 • Yemen 150 Latin America 151 • Article: Financial and political commitment for the neglected disease oriented programmes. By Gemma Ortiz Genovese 156 • Bolivia - Paraguay 162 • Haiti 171 • Colombia 178 • Mexico 181 Eurasia 182 • Greece - Turkey 188 • India 193 Exploratory missions and short emergencies 194 • Bahamas Islands 194 • Ghana MSF-OCBA Annual Report 2011 2 / 222 195 • Guatemala 196 • Libya 197 • Western Africa 199 Improvements to enhance the medical support to the field projects. An interview with Dr. Pedro Pablo Palma 203 Article: Human resources management in 2011. By Silvia Moriana 207 Article: MSF-OCBA finances. Finance in times of crisis and the strength of belonging to an international movement. By Andreu Maldonado 211 Article: Continuous commitment to our members: A guarantee of action in times of crisis. By Anna Pineda 215 Article: Social support and campaigns 2011. By Gemma Planas and Laura Calonge 219 Article: Challenges, successes and new imperatives in public communication. By Nondas Paschos MSF-OCBA Annual Report 2011 3 / 222 Chronology 2011 Chronology 2011 January Start-up of the campaign “Pills against other people’s pain” This campaign was launched by MSF for the second year running to make Spanish society more aware, and to raise funds for patients suffering from forgotten diseases. February Closure of the Jacmel Project in Haiti After being present for two years in the country responding to the earthquake and outbreak of cholera, MSF-OCBA transferred the Jacmel hospital to the Ministry of Health. Haiti, 2010. © Tristan Pfund March Intervention in Libya MSF carried out two evacuations by ship of patients wounded in war, and contacted the two conflicting sides in order to allow medical care access to the wounded. Libya, 2011. © Tristan Pfund April World Cholera Day MSF asks that the populations of the African countries have access to new treatment for this disease, above all, for children suffering from severe malaria. Democratic Republic of Congo, 2011. © Robin Meldrum MSF-OCBA Annual Report 2011 5 / 222 Chronology 2011 May Presentation of the nutrition study to the G8 in Deauville MSF claims that food with a high nutritional quality should become the spearhead of the world fight against infant mortality. Somalia, 2011. © Peter Casaer June Birth of the International MSF The International MSF association was officially founded, and with it the International General Assembly and the International Board. France, 2011. © Bruno De Cock July Massive exodus in search of food in Somalia In spite of the difficult security problems MSF increased its medical response in Mogadiscio and Jowhar. Somalia, 2011. © Peter Casaer August Alarm in the refugee camps in Kenya The refugee camps are overflowing – Dadaab receives over more than 350,000 people even though its capacity is only for 90,000. Kenya, 2011. © Brendan Bannon MSF-OCBA Annual Report 2011 6 / 222 Chronology 2011 September A permanently critical situation in the Dem. Rep. of the Congo MSF highlights the problems of access for the aid teams in a country where the population suffers from epidemics and violence and which has great difficulty to arrive at the health structures. Democratic Republic of Congo, 2011. © Gwenn Dubourthoumieu October The fight against tuberculosis MSF asks that more funds be assigned to the diagnosis, treatment and prevention of this illness. Cambodia, 2011. © Eddy McCall November The 40th anniversary of MSF MSF is 40 years old and takes advantage of this to express its gratitude to the members, donors and other people who have supported their work and allowed them to intervene. December Launch of the “Positive Generation” campaign This musical project is based on the songs of the choirs made up of HIV patients in Zimbabwe. A number of Spanish and international musicians have participated. Zimbabwe, 2011. © Salomé Limón MSF-OCBA Annual Report 2011 7 / 222 Democratic Republic of Congo, 2011. © Robin Meldrum Ethiopia, 2011. © Lali Cambra A strategic summary of 2011 operations By Raquel Ayora Director of Operations of MSF OCBA A quick look at the figures and indicators of our projects shows a decrease in the number managed by the operational centre at the end of 2011 (44 – although during the year, at some point or other, we managed up to 53 projects). The dynamics of closures and start-ups impeded 10 projects which had to be transferred or cancelled and only 5 start-ups (with 1 new mission opened) took place. Nevertheless, the global project indicators show a huge increase in terms of medical activity. Many key activities (OPD, IDP, cases of malaria diagnosed by laboratories and treated, reproductive health, attention for victims of violence, including sexual violence, patients helped with nutritional therapy, amongst others) have grown at percentages between 30 and 50%. Half our projects provide at least secondary important crises were: the nutritional crisis in the medical attention. At the end of 2011, the OCBA refugee camp at Liben (Ethiopia) and the measles independently managed 7 hospitals and vaccination programme in Zambia. Response to intervened in all the hospital services of 10 of epidemics (10 in 2011) and nutritional crises them. All of which has had a clear impact on the continue to occupy a central location in the financial costs and the human resources deployed emergency response of our Operational Centre. It in the field (in the same way, the necessary is worrying that only 2 of the interventions of the accompanying support has been provided from Emergency Unit responded to new acute conflicts. Barcelona and Athens) which obviously has meant As in 2010, the majority of the interventions took a growth in the volume of activity. In spite of these place in countries where MSF OCBA was already reasons to be content, there is still a great deal to present, and the teams of these regular missions be done in the consolidation of quality standards, are those who manage most of the response to such as the implementation of certain transversal crisis related to conflict and violence (a fact that components (PMTCT and routine vaccination) led in previous years to the creation of Teams of which deserve a greater effort. Emergency Response in key missions, although the model still needs many improvements, and at Looking at the year in general, it is positive with the end of 2011 only one of these teams, in the respect to our goal of increasing the complexity CAR, continued to be active). and reach of our operations; although evidently we would like that in the future there would also be an The crisis of displacement and malnutrition that increase in the diversity of contexts and affected Somalia (and by extension Kenya and populations that we assist. Ethiopia) has without doubt been the most complex operation for the OCBA in 2011. In spite Emergency response: positive and negative of finding ourselves in an optimum situations in aspects terms of prepositioning our regular teams in the zones most affected by the crisis, this did not In 2011, OCBA assisted 27 emergencies, 10 of serve as an early warning system and did not which were headed by the Emergency Unit. Two accelerate our response in proportional manner A strategic summary of 2011 operations considering the seriousness of the situation. The others). In 2012 we hope to carry out a systematic reaction not only of the OCBA, but also of the and exhaustive evaluation of the opportunities (the whole MSF was inadequate. Especially in the risks and challenges) of alternative operational case of Liben, the slow handover of the regular models. cell to the Emergency Unit had severe consequences for the management of the crisis Reflection, Capitalisation, Communication and revealed dysfunction in the mechanism of and Advocacy coordination between the EU and the normal cells. This intervention also demonstrated the loss of During 2011 we progressed in the capitalisation of response expertise in the Displacement-Refugee our experiences and reflections with respect to camps. Global management of the intervention interventions in migrations and urban settlements was evaluated in 2012 and there are hard lessons in the Middle East, an area that continues to give to be learnt. us complex operational problems. Besides the restrictions in access experienced by our teams in Access, access, access Syria, the OCBA continues to fight to find an adequate angle in order to operate in this kind of Whether it be for reasons of security or due to context where the health services are relatively control carried out by the states on humanitarian good. The Inter-sectional Workshop on acts, access for the OCBA continues to be very Interventions in Urban Contexts, held at the end of limited in many key contexts.
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