Presentation Médecins Sans Frontières Ärzte Ohne Grenzen

Transcription

1 Presentation 2011 Médecins Sans Frontières Ärzte Ohne Grenzen The humanitarian nebula D U N A N T I S T R E L I G I O U S SOLIDARIST WILSONIAN Adapted from: Stoddard A and Donini A 1

2 Composition of the Humanitarian System Estimated number of field staff and distribution, 2008 Total field staff: 210,800 49, ,900 48,400 UN humanitarian agencies and IOM International Movement of the Red Cross/Red Crescent INGOs ALNAP The State of the Humanitarian System. The MSF international network 5 operational centres International Council Executive Committee 14 «non-operational» sections France Belgium Switzerland Holland Spain - Australia - Austria - Canada - Denmark - Germany - Greece - Hong-Kong - Italy - Japan - Luxemburg - Norway - Sweden - United Kingdom - USA 2

3 MSF s Charter Médecins Sans Frontières (MSF) is a private international association. The association is made up mainly of doctors and health sector workers and is also open to all other professions which might help in achieving its aims. All of its members agree to honor the following principles: Médecins Sans Frontières provides assistance to populations in distress, to victims of natural or man-made disasters and to victims of armed conflict. They do so irrespective of race, religion, creed or political convictions. Médecins Sans Frontières observes neutrality and impartiality in the name of universal medical ethics and the right to humanitarian assistance and claims full and unhindered freedom in the exercise of its functions. Members undertake to respect their professional code of ethics and to maintain complete independence from all political, economic or religious powers. As volunteers, members understand the risks and dangers of the missions they carry out and make no claim for themselves or their assigns for any form of compensation other than that which the association might be able to afford them. History of MSF 20th of December 1971: a group of young French doctors and journalists starts Médecins Sans Frontières. First non governmental organization to both provide emergency medical assistance and publicly bear wittness to the plight of the populations they served. 3

4 MSF axis of work Medical Action Advocacy Recognised through the reception of the Nobel Peace Price Lead to the creation of the Access Campaign on Essential Medicine and then DNDI MSF Switzerland Founded in 1981 Operational center in Geneva 1 office in Zürich 1 group of volonteers in Bern 1 groupe of volonteers in Lugano 4

5 MSF-Switzerland operations in 2010 TYPE OF INTERVENTIONS 5

6 Emergencies Refugees and internally displaced populations Conflicts Natural disasters (earthquakes, cyclons, flooding, etc.) Outbreaks Complex emergencies Rehabilitation of health facilities, management of tropical diseases, health promotion, emergency preparedness 6

7 Vertical programs I HIV/AIDS, tuberculosis, neglected diseases (Kala Azar, trypanosomiasis, Buruli ulcer, ), mental health Vertical programs II People with limited access to care: migrants, homeless, street children,... 7

8 Main medical activities in 2008 MSF Movement Activities Consultations Hospitalisations Severe malnutrition treatment Surgery HIV/AIDS Vaccination Deliveries Water and Sanitation Indicator 8.8 millions 312,509 Admitted patients 212,565 children treated 47,515 interventions 227,000 patients treated 2,856,000 vaccinated children 101,860 deliveries 681 millions liters of water distributed HUMAN RESOURCES 8

9 MSF-CH: Field positions 2010 Paramedical 48% Non medical 47% Medical 5% MSF-CH 2010: some figures 370 expatriate positions in the field 1020 departures for missions 3300 national employees 9

10 Example of organization chart in an MSF mission Head of Mission NATIONAL Coordinator: finance, Coordinator: logistics administration and HR Medical coordinator Field coordinator: Non-medical Field coordinator: medical STAFF Nurse Logistician Medical doctor Nurse Administrator Logisticians Maintenance of equipments and vehicles, Stock management, Supplies Technicians, engineers, architects, Construction specialists, mecanicians, water and sanitation, 10

11 Medical doctors Supervision or implementation of medical activities, training of local staff, referrals Nurses Organisation of medical activities, medical orders and stock management, Training, infection control 11

12 Administrators Administrative management of expatriate and local staff, Administrative and financial management of project Managers, economists, human resources specialists, OTHER PROFILES Medical specialists : obstetricians, anesthesiologists, surgeons, pediatricians, HIV or TB specialists, Midwifes Physiotherapists Clinical psychologists and psychiatrists Laboratory technicians Anthropologists 12

13 Financial resources: MSF-CH 2010 Total expenditure: CHF 148 millions Majority of financial resources from private donors 91 % of expenses directly linked to missions (projects and advocacy) EXERCISE Dadaab refugee camps, north of Kenya. More than 270'000 refugees from Somalia. 13

14 Emergency phase: the ten top priorities 1. Initial assessment 2. Measles immunization 3. Water and sanitation 4. Food and nutrition 5. Shelter and site planning 6. Health care in the emergency phase 7. Control of communicable diseases and epidemics 8. Public health surveillance 9. Human resources and training 10.Coordination 14