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Congo | "Our future will be surviving, not living"

Médecins Sans Frontières/Doctors Without Borders (MSF) is witnessing an increase in the mortality of malnourished children in Masisi, an isolated area of North Kivu in the Democratic Republic of Congo, where pervasive violence is restricting people’s access to healthcare.

In the last two months, the mortality rate in the health care facilities supported by MSF went from 6.4 percent to 8 percent.

Driven from their land

“Insecurity is putting a stop to rural activities and causing families to flee for safety”, said Ahmosi Twengererwe Bembeleza, Mobile Clinic Nurse Supervisor.

“When people lose their land and belongings they often also lose the ability to feed their children. Too often people avoid the journey to a health center because of the fear of being robbed or attacked.

"As a result, more malnourished children come to our therapeutic feeding centers at an advanced stage of malnutrition, and when their situation is too critical, even our best care is not enough.”

Abarishimana, mother of two twins, explained her situation to MSF medics in one of the mobile clinics: “One day they loot one village, the next day another, and so on. When I gave birth to these twins, they got sick. Do you remember how they looked like the first time I brought them here? I was so ashamed.”

"The land is very fertile here and, under normal circumstances, there should not be a problem of severe malnutrition," continues Bembeleza. "But people often worry about growing their fields or find that the little they can grow is stolen or burned."

Supply problems

But insecurity is not the only worrying factor. In July, our teams recorded an increase in the total number of malnourished children arriving for treatment in the health facilities they support.

This was because of a breakdown in the supply of Plumpy'Nut (therapeutic food used in the treatment of malnutrition) in neighbouring health centres not supported by MSF.

When these other health centres had run out of supplies, families had no choice but to take their children to MSF. "Unfortunately, supply problems are not new, but recurring," says Ahmed Tijany Deh, Nursing Manager of MSF’s mobile clinics.

MSF in Masisi

We have been working in Masisi since 2007, supporting the General Reference Hospital, the Masisi Health Centre, and the Nyabiondo Health Centre.

In these health facilities, our teams provide free primary and secondary healthcare services (surgery, internal medicine, gynecology, maternity, pediatrics, neonatology, nutritional programme, sexual violence, mental health, cholera treatment, ambulance emergency service). 

We also organise mobile clinics to reach communities in remote places, to provide them with fast and flexible assistance. Our mobile teams are also working on malaria, sexual violence, and family planning.

The province of North Kivu is suffering from extreme violence that has continued since the Congo wars in the 1990s.

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