Now showing items 21-40 of 121

    • Untangling the Web of Antiretroviral Price Reductions 18th Edition

      MSF Access Campaign (MSF Access Campaign, 2016-07)
    • Simplifying Cardiovascular Risk Assessment - mixed methods audit of MSF's NCD mission in Irbid, Jordan

      Collins, Dylan (2016-06-17)
      We undertook a mixed methods clinical audit with the aim of simplifying guidance for cardiovascular risk assessment in humanitarian settings
    • Management of Obstertic Fistula in Burundi

      Morren, Geert; van den Boogaard, Wilma; Dominguez, Eva; MSF OCB (MSF, 2016-05)
    • Défis en matière de diagnostic de la Trypanosomiase Humaine Africaine

      Van Nieuwenhove, Simon (2015-11-04)
      Entre fin 2010 et fin 2014, Médecins sans Frontières a, dans des conditions extrêmement difficiles, mené un projet de lutte contre la trypanosomiase humaine africaine (THA) ou maladie du sommeil dans la région de Dingila, Ango et Zobia, dans la Province Orientale de la République Démocratique du Congo (RDC). La THA en RDC est causée par Trypanosoma brucei gambiense et y est transmise par des glossines (mouches tsé-tsé) du groupe palpalis. Sans traitement efficace, quasiment tous les malades du premier stade et cent pourcent des malades au deuxième stade de la THA décèdent.
    • Challenges in Diagnosing Human African Trypanosomiasis: Evaluation of the MSF OCG project in Dingila, DRC

      Van Nieuwenhove, Simon (2015-11-04)
      Between late 2010 and the end of 2014 and under extremely difficult conditions, Médecins sans Frontières (MSF) carried out a project to combat Human African Trypanosomiasis (HAT), also known as sleeping sickness, in the Dingila, Ango and Zobia regions of Orientale Province in the Democratic Republic of Congo (DRC). HAT in DRC is caused by Trypanosoma brucei gambiense and is transmitted by the tsetse fly (Glossina genus) of the Palpalis group. Without effective treatment, virtually all first-stage HAT patients and one hundred per cent of second-stage patients will die.
    • Capitalisation de la mise en œuvre de la chimio-prévention du paludisme saisonnier au Niger

      Koscalova, Alena; MSF (2015-09-30)
      La chimio-prévention du paludisme saisonnier (CPS) a été mise en œuvre au Niger depuis 2013, conformément aux recommandations de l'Organisation mondiale de la Santé (OMS) et à la politique nationale de lutte contre le paludisme. Elle se déroule sous la forme d’une campagne de masse qui consiste en l’administration de doses curatives de sulphadoxine-pyriméthamine (SP) et d'amodiaquine (AQ) durant trois jours, à 28 jours d’intervalle entre juillet et novembre, aux enfants de 3 à 59 mois. Les résultats de ce travail de capitalisation montrent que la mise en œuvre de la CPS dans le contexte du Niger a été réussite et ceci même avec une population cible qui a plus que doublé par rapport à l’année 2013. Cependant, nous ne constatons pas de simplification attendue du mode opératoire qui pourtant pourrait se traduire par une diminution des ressources humaines déployées et ainsi par une réduction considérable du coût de la CPS. Nous tenons à souligner que pour alléger de manière concrète l’implémentation de la CPS, MSF devrait envisager de tester des modes opératoires plus « osés » (p.ex. la distribution de plaquettes entières via les structures sanitaires), et ceci notamment dans les zones où la population est déjà habituée à la CPS et adhère bien à cette stratégie préventive. MSF a démontré la faisabilité de combiner la CPS avec d’autres activités préventives, notamment avec la distribution de Plumpy’Doz™, d’Albendazole, de moustiquaires imprégnés, ainsi qu’avec la vaccination de routine.
    • “Soins de plaies modernes”: mise en place d’un diplôme d’université au Cameroun autour de l’expérience du Buruli

      Wanda, Franck; Tabah, Earnest; Bissek, Anne-Cecile; Mvogo, Côme; Same-Ekobo, Albert; Njamnshi, Alfred; Comte, Eric; Vuagnat, Hubert (2015-03-23)
    • How MSF operational research in a neglected disease (Buruli ulcer) treatment programme can impact international management guidelines

      O'Brien, Daniel P; Ehounou, Geneviève; Ford, Nathan; Calmy, Alexandra; Serafini, Micaela; Wanda, Franck; Nkemenang, Patrick; Christinet, Vanessa (2015-03-23)
    • “Now there is trouble with cows.....”

      Bont, Annemieke (2015-03-06)
      A medical anthropological inquiry on the perceptions of health and illness and health seeking behaviour amongst the Dinka in the Abyei Administrative Area.
    • Emergency response to Typhoon Haiyan

      Curtis, David; Allie, Marie-Pierre Dr (2015-03-06)
      The Intersectional Philippines MSF Typhoon Haiyan Emergency Response review was requested by the Executive Committee of MSF. It was designed to examine the operational choices of each Operational Centre, the perceived cost disparity, the role of the MSF regional offices in the emergency and the external perception regarding MSF’s added value in the response. The review took place during August and November 2014. Overall the response by MSF to Typhoon Haiyan was well perceived by all involved. The response was timely compared to other actors, but the first MSF consultations were only done six days after the emergency and MSF’s surgical services commenced only after two weeks. The very low surgical activities done by OCB and OCBA raised the question of pertinence of the decision to send and setup an OT, especially as they were not functioning until two weeks after the typhoon. The presence of five OCs allowed for a good geographical coverage which was appreciated by the authorities and it allowed for a good contextual understanding and provision of a wide range of assistance. There was a cost disparity regarding the different operational choices and strategies which resulted in a wide difference between budgets. The MSF response was perceived as having had an added value and played an important role in the overall response, especially regarding the input provided by MSF as part of the foreign medical teams. The main obstacle remains the difficulty of access in natural disasters. From an MSF perspective the issue of supply remains a constraint, even though this doesn’t seem to be the case for OCB. How many resources are allocated towards managing supply in an emergency is still an issue for some OCs.
    • Capitalisation of the handover of the MSF-CRENI to the Zinder National Hospital, Niger

      Novoa, Jonathan (2015-03-06)
      The MSF-OCG handover process of the nutritional programme in Zinder was evaluated with the objective to assess best practices, challenges and lessons learnt of the handover/integration process of the Zinder CRENI to the hospital, with the main purpose to improve handover processes in such contexts as well as decision-making in future projects. The evaluation has confirmed the pertinence of MSF in Zinder since 2005 and has contributed to the reduction of the infant mortality rate. However, there are several issues that need to be considered to guarantee the continuity of the activities in the CRENI with good quality standards of care.
    • Telemedicine in low-resource settings

      Wootton, Richard; Bonnardot, Laurent (Frontiers Media, 2015-01-21)
    • Diagnostics différentiels de l’ulcère de Buruli : données d’Akonolinga, Cameroun

      Trellu, Laurence Toutous; Nkemenang, Patrick; Bastard, Mathieu; Ehounou, Geneviève; Eyangoh, Sara; Mboua, Bitoungui; Rambaud-Althaus, Clotilde; Rusch, Barbara; Comte, Eric; Njih Tabah, Earnest; et al. (Elsevier, 2014-12)
    • Operational research capacity building using 'The Union/MSF' model: adapting as we go along

      Kumar, Ajay Mv; Zachariah, Rony; Satyanarayana, Srinath; Reid, Anthony J; Van den Bergh, Rafael; Tayler-Smith, Katie; Khogali, Mohammed; Harries, Anthony D (BioMed Central, 2014-11-19)
      We have conducted 23 operational research (OR) courses since 2009, based on 'The Union/ Medecins Sans Frontieres (MSF)' model, now popularly known as SORT-IT (Structured Operational Research and Training Initiative) model - wherein participants are mentored through the whole research process from protocol development (module 1) to data analysis (module 2) to publication (module 3) over a period of 9-12 months. We have faced a number of challenges including shortage of time, especially for data analysis and interpretation, and a heavy mentorship burden on limited numbers of experienced facilitators. To address these challenges, we have made several modifications to the structure of the OR course. In this article, we describe the revised structure and our experience (successes and challenges) of implementing it in Asia in 2013.
    • Capitalisation de la mise en œuvre de la chimio-prévention du paludisme saisonnier au Niger

      Koscalova, Alena; Ousmane, Fassouma; Jimenez, Enrique; Médecins Sans Frontiéres (2014-11-18)
      La chimio-prévention du paludisme saisonnier (CPS) a été mise en œuvre au Niger en 2013, conformément aux recommandations de l'Organisation mondiale de la Santé (OMS) et à la politique nationale de lutte contre le paludisme (PNLP). Elle s'est déroulée sous la forme d'une campagne de masse qui a consisté en l'administration de doses curatives de sulphadoxine-pyriméthamine et d'amodiaquine durant trois jours, à un mois d'intervalle entre juillet et novembre, aux enfants de 3 à 59 mois. La population cible des enfants de 3 à 59 mois résidant dans 12 aires de santé (AS) de cinq districts sanitaires (DS) (Magaria, Madaoua, Bouza, Madaraounfa et Guidam-Roumdji) répartis dans trois régions du Niger (Zinder, Tahoua, Maradi) a été initialement estimée à 139 000. Cette estimation a été revue à la hausse de 50 % à l'issue de recensements exhaustifs effectués dans les différents DS, portant le nombre total d'enfants ciblés par la CPS à 206 000. Les médicaments de CPS, disponibles sous la forme de plaquettes alvéolées combinant le SP et l'AQ, ont été distribués par plus de 2 000 agents communautaires encadrés par 90 superviseurs, et ce, sur un ensemble de 179 sites fixes et de 75 sites fixes avancés et par 99 équipes faisant du porte-à-porte. Seules les équipes du COB dans le DS de Guidam Roumdji ont surveillé la prise des médicaments pendant les trois jours. Dans les autres DS, seule la première dose de médicaments a été administrée sous surveillance, les deux autres ont été administrées à domicile par les accompagnants.
    • Evaluation of two emergency interventions: outbreak of malaria and epidemic of measles, DRC

      Alena Koscalova; Marta Iscla; Médecins Sans Frontiéres (2014-11-18)
      This report sets out the results of the evaluation of two emergency interventions: outbreak of malaria and measles epidemic, carried out by OCG in Orientale Province of the Democratic Republic of the Congo between June 2012 and July 2013. It is a retrospective evaluation that was done between March and May 2014, with the methodology based mainly on a review of documents and interviews with resource persons. Its objective was to capitalise on the lessons learned so as to improve preparation and response capacity for future epidemics in similar situations. During the malaria outbreak, MSF led a four-month emergency intervention (28 June - 25 October 2012) targeting some 380 000 persons in the four health zones. In all, 58 761 cases of simple malaria were treated by the ambulatory units, and 3 537 cases of severe malaria were treated in four hospitalization units. In addition, 6 886 persons benefited from the "Test & Treat" strategy, 3 236 of whom (47%) tested positive and received ACT treatment. To respond to the measles epidemic, MSF intervened for nine months (November 2012 - July 2013) and covered some 741 000 persons in the seven health zones. In all, 26 804 cases of simple measles and 4 114 cases of complications were treated by MSF. In addition, 189 067 children between the ages of 6 months and 15 years were vaccinated against measles, with coverage ranging, according to surveys, from 87% to 97%.
    • Vulnérabilités urbaines à Conakry, Guinée

      Alena Koscalova; Marianne Viot; Médecins Sans Frontiéres (2014-11-18)
      L’évaluation des vulnérabilités urbaines dans la ville de Conakry a été commissionnée par MSF-CH pour identifier les populations les plus vulnérables et mieux comprendre les facteurs sanitaires de vulnérabilité afin de proposer des pistes de réflexion pour un futur projet. Cette évaluation qualitative a été réalisée par l’Unité d’évaluation de MSF à Vienne. Elle a été menée dans les cinq (5) communes de la ville de Conakry entre août et septembre 2012. Les recommandations et le rapport final sont présentés en octobre 2012. Le manque de temps était la contrainte majeure de cette évaluation.
    • Akonolinga - Buruli Ulcer Project, Cameroon, 2002 - 2014

      Michèle Mercier; Javier Gabaldon; Médecins Sans Frontiéres (2014-11-18)
      The primary objective of the evaluation was to identify the lessons learned throughout the period that the BU Project was in operation in Akonolinga, from its launch in 2002 until its conclusion in late June 2014. To accomplish this, the assessors relied on existing documentation, interviews with persons directly or indirectly involved with the project, and on any observations that they made during their time in the field. The findings presented in the evaluation deal essentially with the study of the project phases, its strategic evolution, its management, the partnerships entered into by MSF, decentralisation, awareness-raising campaigns and advocacy activities. One major chapter is devoted to an analysis and an appreciation of medical activities, with their therapeutic choices, performance, support elements and the research carried out in and around the project. The evaluation also looked at planning for the disengagement phase and on the legacy left by MSF after twelve years of engagement. A total of 1231 patients with ulcers, including 435 confirmed cases of BU, were diagnosed. They received institutional care, based on quality standards and methods which were unknown in Cameroon until now. Numerous research papers, training courses and a multi-disciplinary approach were also part of the care given over the years. A modest advocacy action was carried out. All these activities were developed against a background that highlighted a reduction in the incidence and number of new BU cases detected, not only on the national level, but also on the international level. Also, with time, there was a growing threat to the sustainability of activities after MSF had left.