Lors d'une intervention chirurgicale, les spécialistes de MSF travaillent ensemble pour prodiguer des soins vitaux à un patient sous anesthésie à l'hôpital de Salama. © MSF
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Lifesaving medical care addresses urgent needs of civilians in Ituri province

On Monday, February 26, 2024

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A resurgence in attacks by armed groups in Ituri, in eastern Democratic Republic of Congo, since mid-February has resulted in large numbers of people injured and killed, says Médecins Sans Frontières (MSF), whose teams are running a surgical care centre in the town of Bunia. 

After six months of relative calm, the recent resurgence in violent attacks has resulted in significant loss of life”, says MSF head of mission Halidou Alira, speaking from Goma. “This demonstrates that Ituri remains firmly in the grip of violence characterised by unpredictable intensity, with civilians bearing the brunt of these attacks.” 

To date, the decades-long conflict in Ituri province has forced more than 1.63 million people – or one-third of the population – to flee their homes and live in displacement. Cut off from their livelihood and communities, their life in prolonged displacement is very difficult. 

people have been forced to flee their homes in Ituri province to date.

surgical operations were performed by MSF teams in Bunia between June and December 2023.

Between June and December 2023, MSF teams in Bunia’s Salama hospital treated 863 patients and conducted 838 surgical interventions. One-third of the patients treated by MSF teams were direct victims of the violence, including women and children. The types of injuries patients have been treated for are deep cuts caused by machetes and various weapon wounds.  

My child fell victim to an attack by an armed group on my village in Drodro,” says the mother of a two-year old patient. “As we were fleeing, our grandmother who held my little daughter was not able to get away fast enough. They were seized and they cut off her arm with a machete. When my child cried out in fear, they tried to kill her with the machete.”

Clarisse*, 34 ans, mère de cinq enfants à Drodro, lorsque des groupes armés se sont infiltrés dans la cour, brandissant des armes à feu et des machettes, Clarisse a rapidement mis son enfant de trois ans et sa sœur aînée en sécurité à l'intérieur. © MSF

With a total capacity of 45 beds, MSF's trauma and orthopaedic care centre in Bunia serves as a crucial healthcare hub for the population of Ituri province, who have been affected by protracted conflict. As well as providing complex trauma surgery, the medical teams in Bunia treat burns patients and provide post-trauma care, including physiotherapy and mental health consultations. Road accident victims are also treated due to the high prevalence of these types of injuries and the lack of adequate specialist care in the province. 

Des patients attendent de recevoir des soins urgents devant l'entrée principale de l'hôpital Salama. © MSF

The centre plays a pivotal role in saving lives while offering tailored and quality medical care to reduce the level of functional disability that patients might otherwise face for the rest of their lives. 

MSF’s medical activities in Ituri address the needs of the most vulnerable people in the province, particularly those in remote areas with very difficult access to healthcare,” emphasises MSF medical coordinator Dr Patrick Nkemenang. “Bunia’s general reference hospital (HGR) has limited capacity and could not meet the needs of the population alone, hence the importance of MSF providing additional surgical care that is accessible to all in a volatile security context."

To strengthen local healthcare infrastructure and improve the quality of medical care, MSF is also training local medical staff, improving the quality of biomedical equipment, supporting the referral system, donating medical equipment and constructing health infrastructure. MSF's support also extends to the general reference hospital (HGR).

Un technicien de laboratoire de MSF prépare des échantillons de sang pour des tests en utilisant des procédures standard. Des résultats de laboratoire rapides et précis permettent de poser des diagnostics et de prendre des décisions cliniques à l'hôpital de Salama. © MSF

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