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Médecins Sans Frontières

Médecins Sans Frontières (MSF; pronounced [medsɛ̃ sɑ̃ fʁɔ̃tjɛʁ] ), also known as Doctors Without Borders, is a charity that provides humanitarian medical care. It is a non-governmental organisation (NGO) of French origin known for its projects in conflict zones and in countries affected by endemic diseases.[1] The organisation provides care for diabetes, drug-resistant infections, HIV/AIDS, hepatitis C, tropical and neglected diseases, tuberculosis, vaccines and COVID-19. In 2019, the charity was active in 70 countries with over 35,000 personnel; mostly local doctors, nurses and other medical professionals, logistical experts, water and sanitation engineers, and administrators.[1] Private donors provide about 90% of the organisation's funding, while corporate donations provide the rest, giving MSF an annual budget of approximately US$1.63 billion.[2]

Not to be confused with Médecins du Monde.

Founded

22 December 1971 (1971-12-22)

Paris

  • Global: Centres:
    • Amsterdam (OCA)
    • Barcelona-Athens (OCBA)
    • Brussels (OCB)
    • Paris (OCP)
    • Geneva (OCG)
    • West and Central Africa (WaCA)

Worldwide

International General Assembly

€1.9 billion

45,375

MSF was founded in 1971, in the aftermath of the Biafran famine of the Nigerian Civil War, by a small group of French doctors and journalists who sought to expand accessibility to medical care across national boundaries and irrespective of race, religion, creed or political affiliation.[3] MSF's principles and operational guidelines are highlighted in its Charter,[4] the Chantilly Principles, and the later La Mancha Agreement.[5] Governance is addressed in Section 2 of the Rules portion of this final document. MSF has an associative structure where operational decisions are made, independently, by the six operational centres (Amsterdam, Barcelona-Athens, Brussels, Geneva, Paris and West and Central Africa – with Headquarter office in Abidjan, Ivory Coast). Common policies on core issues are coordinated by the International Council, in which each of the 24 sections (national offices) is represented. The International Council meets in Geneva, Switzerland, where the International Office, which coordinates international activities common to the operational centres, is based.


MSF has general consultative status with the United Nations Economic and Social Council. It received the 1999 Nobel Peace Prize in recognition of its members' continued efforts to provide medical care in acute crises, as well as raising international awareness of potential humanitarian disasters.[6] James Orbinski, who was the president of the organisation at the time, accepted the prize on behalf of MSF. Prior to this, MSF also received the 1996 Seoul Peace Prize.[7] Christos Christou succeeded Joanne Liu as international president in June 2019.[8]

Jacques Bérès

Philippe Bernier

Raymond Borel

Jean Cabrol

Marcel Delcourt

Xavier Emmanuelli

Pascal Grellety Bosviel

Gérard Illiouz

Bernard Kouchner

Gérard Pigeon

Vladan Radoman

Max Récamier

Phase 1 lasts for 24 hours and involves basic health care and several small meals of low energy/protein food spaced over the day.

Phase 2 involves monitoring of the patient and several small meals of high energy/protein food spaced over each day until the individual's weight approaches normal.

In-house organisations[edit]

Epicentre[edit]

In 1986, MSF created Epicentre, an in-house research organisation, to support its activities. Epicentre conducts training, publishes scientific papers and develops new techniques for MSF. It performs epidemiological research, conducts clinical vaccine trials during outbreaks MSF is responding to, experiments on vaccine stability, and analysis of vaccine deployment strategy.[138]

14 August 2013: MSF announced that it was closing all of its programmes in Somalia due to attacks on its staff by militants and perceived indifference or inurement to this by the governmental authorities and wider society.[150]

Al-Shabaab

[151]

27 October 2015: An MSF hospital in , Yemen, was bombed by the Saudi Arabia-led military coalition.[154]

Sa'dah

28 November 2015: An MSF-supported hospital was barrel-bombed by a Syrian Air Force helicopter, killing seven and wounding forty-seven people near Homs, .[155]

Syria

10 January 2016: An MSF-supported hospital in Sa'dah was bombed by the -led military coalition, killing six people.[156]

Saudi Arabia

15 February 2016: Two MSF-supported hospitals in and Aleppo, Syria, were bombed, killing at least 20 and injuring dozens of patients and medical personnel.[157][158] Both Russia and the United States denied responsibility or being in the area at the time.[159]

Idlib District

28 April 2016: An MSF hospital in Aleppo was bombed, killing 50, including six staff and patients.

[160]

12 May 2020: an MSF-supported hospital in , Kabul, Afghanistan, was attacked by an unknown assailant. The attack left 24 people dead and at least 20 more injured.[161]

Dasht-e-Barchi

25 June 2021: Three MSF employees were reported killed in .[162]

Tigray, Ethiopia

18 November 2023: An evacuation convoy of MSF vehicles was attacked in during the 2023 Israel-Hamas war, resulting in deaths of two family members of MSF workers with one being a volunteer supporting MSF at Al Shifa Hospital. MSF reported "MSF considers that all elements point to the responsibility of the Israeli army for this attack".[163]

Gaza, Palestine

2015 , from the New York based Lasker Foundation.[166]

Lasker-Bloomberg Public Service Award

2016 Hamdan Award for Volunteers in Humanitarian Medical Services, from Hamdan Medical Award.

[167]

Namesakes[edit]

A number of other unrelated non-governmental organisations have adopted names ending in "Sans Frontières" or "Without Borders", inspired by Médecins Sans Frontières, for example: Engineers Without Borders, Avocats Sans Frontières ('Lawyers Without Borders'), Reporters sans frontières ('Reporters Without Borders'), Payasos Sin Fronteras ('Clowns Without Borders'), Bibliothèques Sans Frontières ('Libraries Without Borders'), and Homeopaths Without Borders.


The French game show Jeux Sans Frontières ('Games Without Borders') is older than MSF, being first broadcast in Europe in 1965.

, 2006 book by Dan Bortolotti

Hope in Hell

Brown, Damien (2013). . Sydney: Allen & Unwin. ISBN 978-1743315569. A doctor's memoir of his first MSF posting on the medical frontlines in Angola, Mozambique, and South Sudan

Band-aid for a broken leg: Being a doctor with no borders (and other ways to stay single)

graphic 'novel' (a memoir in graphic-novel format) by Guibert, Emmanuel (2009); photography and narration by Didier Lefèvre; colourist: Frédéric Lemercier. New York: First Second Books. ISBN 978-1596433755

The Photographer: Into War-torn Afghanistan with Doctors Without Borders

, 2008 documentary film by Mark N. Hopkins that tells the story of four MSF volunteer doctors confronting the challenges of medical work in war-torn areas of Liberia and Congo

Living in Emergency: Stories of Doctors Without Borders

, 2009 memoir by doctor James Maskalyk

Six Months in Sudan

, 2008 memoir by former MSF president James Orbinski

An Imperfect Offering

2007 documentary

Triage: Dr. James Orbinski's Humanitarian Dilemma

Attacks on humanitarian workers

Bortolotti, D. (2004). . Firefly Books. 97 (11). Buffalo, N.Y.: 1575–1577. ISBN 978-1-55297-865-8. PMC 2594913.

"Hope in Hell: Inside the World of Doctors Without Borders"

Katz IT, Wright AA (2004). "Collateral Damage – Médecins sans Frontières Leaves Afghanistan and Iraq". . 351 (25): 2571–2573. doi:10.1056/NEJMp048296. PMID 15602015. (registration required)

The New England Journal of Medicine

McCall M, Salama P (1 September 1999). . British Medical Journal. 318 (7176): 113–116. doi:10.1136/bmj.318.7176.113. PMC 1114577. PMID 9880288.

"Selection, training, and support of relief workers: an occupational health issue"

(1995). French Doctors. Robert Laffont.

Weber, Oliver

(2002). Humanitaires. Félin.

Weber, Oliver

Zwi, A.B. (2004). . PLOS Medicine. 1 (1): e14. doi:10.1371/journal.pmed.0010014. PMC 523835. PMID 15526042.

"How Should the Health Community Respond to Violent Political Conflict?"

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