• "Home is where the patient is": a qualitative analysis of a patient-centred model of care for multi-drug resistant tuberculosis

      Horter, S; Stringer, B; Reynolds, L; Shoaib, M; Kasozi, S; Casas, E C; Verputten, M; du Cros, P (BioMed Central Ltd, 2014-02-21)
      Ambulatory, community-based care for multi-drug resistant tuberculosis (MDR-TB) has been found to be effective in multiple settings with high cure rates. However, little is known about patient preferences around models of MDR-TB care. Medecins Sans Frontieres (MSF) has delivered home-based MDR-TB treatment in the rural Kitgum and Lamwo districts of northern Uganda since 2009 in collaboration with the Ministry of Health and the National TB and Leprosy Programme. We conducted a qualitative study examining the experience of patients and key stakeholders of home-based MDR-TB treatment.
    • A little help from my friends: caring for premature babies in a war zone

      Harris, H; Birralee Maternity Unit, Box Hill Hospital, Box Hill, Australia. sadiechild@yahoo.co.uk (BioMed Central Ltd, 2007-02-03)
      This paper is a narrative of some aspects of my work as a midwife with Médecins Sans Frontieres (MSF) in West Africa. I was situated in an isolated north-western regional hospital in an area under rebel military control in 2004-2005 in the Côte d'Ivoire during the civil war which divides the north and south of the country. Access to health care is severely curtailed in this politically unstable environment resulting in much avoidable illness including many premature births. It is a short account of methods used to care for premature babies in a resource poor setting. Equipment was basic, necessitating a creative use of available resources. Providing warmth, oxygen and adequate feeding were often sufficient for a successful outcome for many premature babies. This paper is a combination of descriptions of health care interspersed with case studies.
    • Local discrepancies in measles vaccination opportunities: results of population-based surveys in Sub-Saharan Africa

      Grout, L; Conan, N; Juan Giner, A; Hurtado, N; Fermon, F; N'goran, A; Grellety, E; Minetti, A; Porten, K; Grais, RF (BioMed Central Ltd, 2014)
      The World Health Organization recommends African children receive two doses of measles containing vaccine (MCV) through routine programs or supplemental immunization activities (SIA). Moreover, children have an additional opportunity to receive MCV through outbreak response immunization (ORI) mass campaigns in certain contexts. Here, we present the results of MCV coverage by dose estimated through surveys conducted after outbreak response in diverse settings in Sub-Saharan Africa.
    • Obstetric Fistula in Burundi: a comprehensive approach to managing women with this neglected disease

      Tayler-Smith, K; Zachariah, R; Manzi, M; van den Boogaard, W; Vandeborne, A; Bishinga, A; De Plecker, E; Lambert, V; Christiaens, B; Sinabajije, G; et al. (BioMed Central Ltd, 2013-08-21)
      In Burundi, the annual incidence of obstetric fistula is estimated to be 0.2-0.5% of all deliveries, with 1000--2000 new cases per year. Despite this relatively high incidence, national capacity for identifying and managing obstetric fistula is very limited. Thus, in July 2010, Medecins Sans Frontieres (MSF) set up a specialised Obstetric Fistula Centre in Gitega (Gitega Fistula Centre, GFC), the only permanent referral centre for obstetric fistula in Burundi. A comprehensive model of care is offered including psychosocial support, conservative and surgical management, post-operative care and follow-up. We describe this model of care, patient outcomes and the operational challenges.
    • Spinal cord injury in the emergency context: review of program outcomes of a spinal cord injury rehabilitation program in Sri Lanka

      Armstrong, J C; Nichols, B E; Wilson, J M; Cosico, R A; Shanks, L (BioMed Central Ltd, 2014-03-20)
      The final months of the conflict in Sri Lanka in 2009 resulted in massive displacement of the civilian population and a high volume of orthopedic trauma including spinal cord injury. In response to this need, Medecins Sans Frontieres implemented a multidisciplinary rehabilitation program.