Last week, inter-communal violence in Jonglei State, South Sudan, forced hundreds of people, including MSF staff, to flee their work and homes.
A 12 -person medical and logistics team returned to Pibor on Saturday, but the climate of uncertainty and the state of our facilities, looted during the disturbances, have made it difficult to provide healthcare for the people affected by the violence.
Concern for missing staff
MSF's looted clinic, Pibor, South Sudan, January 2011
© Parthesarathy Rajendran/ MSF
As of Tuesday 10th January, 60 of the 155 locally-hired MSF staff in Pibor county remain unaccounted for.
We are very concerned for their welfare, as we are for the fate of all the inhabitants who fled into the bush to save their lives.
“There is a strong sense of uncertainty in the area around Pibor,” says Colette Gadenne, programme manager for South Sudan.
“Lots of people, including many of our local staff, are looking for lost family members in the bush, fearing the worst.
"This, and the irreparable damage to most of our drugs and medical material, makes it extremely challenging for us to mount an effective emergency response for those in urgent need of medical care.”
Ransacked hospital
MSF primary health care hospital in Pibor County, before the recent violence. © Liang Zi
The MSF-run hospital in Pibor town was totally ransacked.
Although the main concrete building and roof are largely intact, little if any of the medical equipment or drugs are currently useable.
MSF is rehabilitating the facilities to allow the team to resume medical activities, and has airlifted more than one ton of supplies, including drugs and medical and logistical material, to Pibor town, with more to follow this week.
MSF provide emergency care
In these constraining circumstances, MSF has started to provide emergency medical care for the people who have returned to Pibor town.
Until more people have returned from the bush, where they are scattered over a large area, it is impossible for MSF to have a clear view of what the precise medical needs will be.
Over the coming days MSF will assess the non-medical needs and will undertake an appropriate humanitarian response depending on its independent findings.
Commitment to healthcare
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Since 2005, the MSF team has provided healthcare for the 160,000 people in Pibor County, as well as providing healthcare in other parts of Jonglei State.
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MSF is committed to providing the high quality of healthcare we offered before the violence as soon as possible.
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MSF has demonstrated its complete impartiality and neutrality over the years, working in a great many different communities in South Sudan.
In 2011, three MSF medical facilities were targeted in Jonglei State.
We condemn the targeting of medical facilities by any armed group.
MSF commits to continue to bring humanitarian aid and medical assistance to the people of Jonglei State.