Conflict, persecution, poverty, food insecurity and natural disasters—increasingly fueled by climate change—continue to drive migration globally. Yet many wealthy countries are doubling down on hostile policies to prevent people from seeking safety within their borders, thereby subjecting them to a wide range of harms.
In a newly-published report MSF focuses on European Union and member state policies that intensify exposure to violence, exploitation, risk of drowning at sea, disease, and lack of access to basic health care and shelter, both within European Union borders and beyond.
The Collection linked below presents this report alongside selected publications illustrating the broader context, based on quantitative studies and accounts from MSF patients and medical teams over nearly a decade of operational experience along the European migration route. From violent, squalid detention centers in Libya— where people intercepted by the EU-supported Libyan coast guard are forcibly returned —to perilous Mediterranean crossings in flimsy rubber boats and often abysmal reception centers and camps within the EU, it documents how these policies and practices further harm highly vulnerable people seeking safety and protection.
The World Health Organization estimates that 410,000 people developed a drug-resistant tuberculosis infection (DR-TB) in 2022, only 40% of whom were diagnosed and started on treatment—and only 63% then cured. Given all these points of failure, innovation in preventing, diagnosing and treating DR-TB cannot come fast enough.
To mark World TB Day (24 March 2024) the content collection linked below highlights recent work by MSF and collaborators to help change this grim picture. The TB-PRACTECAL and endTB studies delivered robust evidence for shorter, safer, more effective drug regimens that are already saving lives worldwide. Other studies explore new approaches to preventive treatment and simpler, quicker, accurate detection of TB and drug resistance—especially among difficult-to-diagnose populations such as children and people living with HIV.
But to impact DR-TB globally these innovations must become widely accessible. This requires changes on many fronts, as described in an accompanying Collection (Expanding Access to Lifesaving New TB Tools).
Bossard C, Chihana ML, Nicholas S, Mauambeta D, Weinstein D, et al.
2022-12-30 • PLOS One
2022-12-30 • PLOS One
Female Sex Workers (FSWs) are a hard-to-reach and understudied population, especially those who begin selling sex at a young age. In one of the most economically disadvantaged regions in...
This safety improvement project used quality improvement methods in a Comprehensive Emergency Obstetric and Newborn Care facility in Yemen, managed by an international humanitarian non-g...
Kumar M, Schulte-Hillen C, De Plecker E, Van Haver A, Marques SG, et al.
2022-10-23 • Perspectives on Sexual and Reproductive Health
2022-10-23 • Perspectives on Sexual and Reproductive Health
CONTEXT Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched ...
Baobeid A, Faghani-Hamadani T, Sauer SM, Boum Y II, Hedt-Gauthier BL, et al.
2022-07-12 • BMJ Global Health
2022-07-12 • BMJ Global Health
INTRODUCTION Women researchers find it more difficult to publish in academic journals than men, an inequity that affects women's careers and was exacerbated during the pandemic, part...
BACKGROUND This article shares the learnings of Médecins Sans Frontières (MSF)’s experience of adapting its sexual violence care training for its staff and missions in the Middle Eas...
Russell N, Tappis H, Mwanga JP, Black B, Thapa K, et al.
2022-05-07 • Conflict and Health
2022-05-07 • Conflict and Health
BACKGROUND Maternal and perinatal death surveillance and response (MPDSR) is a system of identifying, analyzing and learning lessons from such deaths in order to respond to and preve...
2022-04-01 • International Journal of Women's Health
2022-04-01 • International Journal of Women's Health
BACKGROUND Almost 1 million pregnant women were estimated to be infected with syphilis in 2016, resulting in over 350,000 adverse birth outcomes including 200,000 stillbirths and new...
Bullens M, de Cerqueira Melo A, Raziq S, Lee JS, Khalid GG, et al.
2022-03-21 • Public Health Action
2022-03-21 • Public Health Action
BACKGROUND The level of antibiotic resistance of pathogens causing uncomplicated urinary tract infections (UTIs) is increasing. The 2017-2018 GLASS (Global Antimicrobial Resistance a...
Marquis A, O'Keeffe J, Jafari Y, Mulanda WK, Carrion Martin AI, et al.
2022-03-07 • BMJ Open
2022-03-07 • BMJ Open
OBJECTIVES Chad reports the second highest maternal mortality worldwide. We conducted a survey in Sila region in southeast Chad to estimate the use of maternal health services (MHS) ...
A psychiatry trainee reflects on a period of work on the Greek island of Samos with the international medical non-governmental organisation Medécins Sans Frontières/Doctors Without Borde...
Tran NT, Lichtenstein D, Black B, Rosmini A, Schulte-Hillen C
2021-07-10 • Conflict and Health
2021-07-10 • Conflict and Health
The recent Ebola virus disease (EVD) outbreaks in 2021 exemplify how sexual and reproductive health services are too often considered unessential during health emergencies. Bleeding for ...
Bjertrup PJ, Mmema N, Dlamini V, Ciglenecki I, Mpala Q, et al.
2021-04-14 • BMC Public Health
2021-04-14 • BMC Public Health
BACKGROUND Pre-exposure-prophylaxis (PrEP) has been heralded for its potential to put women in control of preventing HIV infection, but uptake and continuation rates have been disapp...
Rahman A, Chao TE, Trelles M, Dominguez LB, Mupenda J, et al.
2021-02-09 • World Journal of Surgery
2021-02-09 • World Journal of Surgery
BACKGROUND Médecins Sans Frontières (MSF) provides surgical care in fragile states, which are more vulnerable to conflict. The primary objective of this study was to compare the indi...
Obel J, Martin AIC, Mullahzada AW, Kremer R, Maaloe N
2021-01-07 • BMC Pregnancy and Childbirth
2021-01-07 • BMC Pregnancy and Childbirth
BACKGROUND Fragile and conflict-affected states contribute with more than 60% of the global burden of maternal mortality. There is an alarming need for research exploring maternal he...
Carter A, Anam F, Sanchez M, Roche J, Wynne ST, et al.
2021-01-01 • Archives of Sexual Behavior
2021-01-01 • Archives of Sexual Behavior
Despite the fact that HIV can be controlled with medication to undetectable levels where it cannot be passed on, stigmatization of women living with HIV persists. Such stigmatization piv...
Burtscher D, Schulte-Hillen C, Saint-Sauveur JF, de Plecker E, Nair MM, et al.
2020-12-01 • Sexual and Reproductive Health Matters
2020-12-01 • Sexual and Reproductive Health Matters
Unwanted pregnancy and unsafe abortion contribute significantly to the burden of maternal suffering, ill health and death in the Democratic Republic of Congo (DRC). This qualitative stud...
Aboubakar S, Evers ES, Kobeissi L, Francis L, Najjemba R, et al.
2020-11-01 • BMJ Global Health
2020-11-01 • BMJ Global Health
BACKGROUND Significant global gains in sexual, reproductive, maternal, newborn, child and adolescent health and nutrition (SRMNCAH&N) will be difficult unless conflict settings are a...
Belanteri RA, Hinderaker SG, Wilkinson E, Episkopou M, Timire C, et al.
2020-09-17 • PLOS One
2020-09-17 • PLOS One
OBJECTIVES Sexual violence can have a destructive impact on the lives of people. It is more common in unstable conditions such as during displacement or migration of people. On the G...