International Activity Reports
Get the annual facts and figures about our work around the world
- International Activity Report 2019
- International Activity Report 2018
- International Activity Report 2017
- International Activity Report 2016
- International Activity Report 2015
- International Activity Report 2014
- International Activity Report 2013
- International Activity Report 2012
- International Activity Report 2011
- International Activity Report 2010
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MSF speaks out about what our project teams see and hear from the people we serve to create positive change and improve the situation for them.
- Lone ranger no longer
- Ministries of health are MSF’s principal collaborators in nearly all contexts. The landscape of this relationship, however, is changing as governments are more willing and able to fulfil their responsibility to lead humanitarian responses
- No time to lose: Detect, treat and prevent AIDS
- MSF is working to save lives and help reach the global target of fewer than 500,000 AIDS deaths by 2020.
- "No one was left": Death and violence against the Rohingya in Rakhine State, Myanmar
- MSF estimates that at least 9,400 people lost their lives in Myanmar between 25 August and 24 September, of whom at least 6,700 died due to violence. At least 730 children under the age of five are estimated to have been killed.
- Yemen: Healthcare under siege in Taiz
- After almost two years of continuous fighting, the medical-humanitarian situation in Taiz, Yemen’s third most populous city, is extremely dire and only seems likely to further deteriorate.
- Changes in medical practice in Syria
- This report examines the direct and indirect factors that are driving changes in medical practice in Syria.
- Pushed to the limit and beyond: A year in to the largest every Ebola outbreak
- A year into the outbreak, many questions abound. How did the epidemic spiral so spectacularly out of control? Why was the world so slow to wake up to its severity and respond?
- Where is everyone? Responding to emergencies in the most difficult places
- This report diagnoses some of the key issues inherent in the international response to humanitarian crises.
- Violence, vulnerability and migration: trapped at the gates of Europe
- As the EU has tightened its border controls and increasingly externalised its migration policies, Morocco has changed from being just a transit country for migrants en route to Europe to being both a transit and destination country by default.
- DR-TB drugs under the microscope
- The response to the TB epidemic remains inadequate. With 94 percent of patients at risk of MDR-TB (those previously treated) not having access to tests capable of diagnosing MDR-TB the full extent of the burden is unknown and undertreated.
- Central African Republic: A state of silent crisis
- Five separate retrospective mortality surveys, carried out by MSF and other researchers, in prefectures accounting for the majority of the population, show excess mortality above what is considered to be the “emergency threshold.”
- Giving developing countries the best shot: an overview of vaccine access and R&D
- MSF and Oxfam show how access to newer vaccines and the development of products for developing countries is faltering and failing to provide life-saving vaccines to children in developing countries.
Looking for MSF UK’s annual reports and accounts?
You'll find them on our How we spend your money page.
Further reading on MSF
By Guy Delisle
In the middle of the night in 1997, MSF administrator Christophe Andre was kidnapped by armed men and taken away to an unknown destination in the Caucasus region. For three months, Andre was kept handcuffed in solitary confinement, with little to survive on and almost no contact with the outside world.
Close to 20 years later, award-winning cartoonist Guy Delisle (Pyongyang, Jerusalem, Shenzhen, Burma Chronicles) recounts Andre's harrowing experience in Hostage, a book that attests to the power of one man's determination in the face of a hopeless situation.
The Politics of Fear: Médecins sans Frontières and the West African Ebola Epidemic (2017)
Edited by Michiel Hofman and Sokhieng Au
The 2014-2015 Ebola epidemic in West Africa was an unprecedented medical and political emergency that cast an unflattering light on multiple corners of government and international response.
Fear, not rational planning, appeared to drive many decisions made at population and leadership levels, which in turn brought about a response that was as uneven as it was unprecedented: entire populations were decimated or destroyed, vaccine trials were fast-tracked, health staff died, untested medications were used (or not used) in controversial ways, humanitarian workers returned home to enforced isolation, and military was employed to sometimes disturbing ends.
Comprising eleven topic-based chapters and four eyewitness vignettes from both MSF- and non-MSF-affiliated contributors (all of whom have been given access to MSF Ebola archives from Guinea, Sierra Leone, and Liberia for research), it aims to provide a politically agnostic account of the defining health event of the 21st century so far, one that will hopefully inform current opinions and future responses.
Band-aid for a Broken Leg: Being a Doctor with No Borders (and Other Ways to Stay Single) (2013)
By Damien Brown
Written with great warmth and empathy, Band-Aid for a Broken Leg is a compassionate, deeply honest and often humorous account of life on the medical frontline in Angola, Mozambique and South Sudan.
It is also a moving testimony to the work done by medical humanitarian groups and the remarkable, often eccentric people who work for them.Damien Brown thinks he's ready when he arrives for his first posting with MSF in Africa.
But the town he's sent to is an isolated outpost of mud huts, surrounded by landmines; the hospital, for which he's to be the only doctor, is filled with malnourished children and conditions he's never seen; and the health workers - Angolan war veterans twice his age who speak no English - walk out on him following an altercation on his first shift.
By Guy Delisle
"Jerusalem is Delisle's biggest and most accomplished work to date. Without Delisle we might never learn what it's actually like to live in a place like this, or get a realistic idea of the people we would meet if we did.
He's clear-eyed, good-hearted, he takes what he sees and he turns it into art." (Rev’d Hayley Campbell New Statesman )Jerusalem is a travelogue and memoir in which Delisle recounts his time spent in the city and other parts of Israel and the occupied West Bank with his two young children and his long-term partner, Nadège, an MSF logistician.
The purpose of this book is to challenge this assumption through the analysis of the events that have marked MSF s history since 2003 (when MSF published its first general work on humanitarian action and its relationships with governments).
It addresses the evolution of humanitarian goals, the resistance to these goals and the political arrangements that overcame this resistance (or that failed to do so).From international NGOs to UN agencies, from donors to observers of humanitarianism, opinion is unanimous: in a context of the alleged 'clash of civilizations', our 'humanitarian space' is shrinking.
Put in another way, the freedom of action and of speech of humanitarians is being eroded due to the radicalisation of conflicts and to the reaffirmation of state sovereignty over aid actors and policies.
Burma Chronicles (2011)
By Guy Delisle
Delisle's graphic novel describes a year spent in Burma with his wife, an MSF logistician. Although the main focus of the book is his own personal memoirs, it's a fascinating book that often speaks about MSF's current and past work in Burma and gives descriptions of the daily lives of MSF staff in the country. It's funny and easy to read, without trivialising or simplifying the details of the situation.
Writing on the Edge: Great Contemporary Writers on the Front Line of Crisis (2010)
By Tom Craig
Award-winning photographer Tom Craig was commissioned by MSF to document the writers in these places in trouble. His striking photographs amplify the sense of compassion required while also demonstrating that beautiful humanity is the victim of tragedy.
An important book for anyone interested in global issues, Writing on the Edge features twelve essays that take the reader to countries in crisis.
Award-winning writer Martin Amis experienced firsthand the problems of gang violence in Colombia, South America; New York Times bestselling author Tracy Chevalier focuses on the abuse of women in Burundi, East Africa; Oscar-winning actor Daniel Day-Lewis writes of meeting children raised in war-torn Palestine; Booker Prize–winning author DBC Pierre addresses the unusually high incidence of mental health issues in Armenia.
Hope in Hell: Inside the World of Médecins Sans Frontières (2010)
By Dan Bortolotti
This book is a collection of interviews with MSF's doctors, nurses and non-medical staff, as well as a number of accompanying photographs.
Bortolotti visited MSF volunteers from Angola to Afghanistan and the book builds to give a very detailed picture of MSF's current and recent work all over the world, and what it is like to volunteer for them.
Six Months in Sudan: A Young Doctor in a War-torn Village (2010)
By James Maskalyk
This personal account was adapted from Maskalyk's blog, which he kept during his time as an emergency doctor in Abyei, Sudan.
The book has the immediacy and feel of a journal, with transcriptions of conversations and Maskalyk's detailed and frank observations of his work on a daily basis. The book is an immediate and vivid description of life in Sudan but also a rallying call to humanitarian action.
An Imperfect Offering: Dispatches from the Medical Frontline (2009)
By James Orbinski
The last part of the book focuses on the need to widen access to aids drugs in the developing world and highlights MSF's position as a politically independent campaigning force as well as a humanitarian organisation.
Written by the one time president of MSF's international council, An Imperfect Offering is a brilliant introduction to the organisation and its work. Not only does it tell Orbinski's own story of his humanitarian awakening and work as an MSF doctor, it also gives a comprehensive picture of MSF's history, its major campaigns and the kinds of problems it comes up against.
The book balances the general and the personal in a manner that is informed and interesting. Orbinski describes his own work in areas of conflict, in refugee camps, and helping in the aftermath of natural disasters, showing the broad and far reaching nature what MSF does.
He mixes anecdotes about individuals he has known with more general discussions of the difficulties faced by MSF as an organisation. Orbinski's account is both an inspiring and a compelling read.
Heart of Darfur (2008)
By Lisa French Blaker
Lisa French Blaker worked as a nurse for MSF in Darfur, between September 2005 and Summer 2006.
The first hand account talks about her work that could be difficult, frustrating and often feel impossible. Blaker manages to write with humour and hope about her experiences and the book is warm and humane.
She also describes her work as a delivery nurse, meaning the book gives a good insight into issues surrounding women's rights and women's health issues affected by war and by religious control.
Rebel Without Borders (2008)
By Marc Vachon
The tough-talking tone of Marc Vachon's book is unusual for a book about humanitarianism, but Vachon has led an unconventional life.
After a difficult upbringing in foster care homes around Montreal he became involved in biker gangs, dealing and taking cocaine. He managed to get away from his life and start again, working in construction and eventually becoming a frontline logistician for MSF.
This book really is an individual account - Vachon is hot headed and has had a turbulent relationship with MSF. He often talks of getting things wrong while working in places affected by confict.
By describing his mistakes so frankly he shows how difficult the job facing aid staff can be and the toll his work has taken on him, particularly how the situation in Rwanda and DRC affected him and his faith in humanitarianism.
A Bed for the Night: Humanitarianism in Crisis (2002)
By David Rieff
Timely and controversial, A Bed for the Night reveals how humanitarian organizations trying to bring relief in an ever more violent and dangerous world are often betrayed and misused, and have increasingly lost sight of their purpose.
Drawing on first-hand reporting from hot war zones around the world - Bosnia, Rwanda, Congo, Kosovo, Sudan and, most recently, Afghanistan - David Rieff shows us what humanitarian aid workers do in the field and the growing gap between their noble ambitions and their actual capabilities for alleviating suffering.
Tracing the origins of major humanitarian organizations such as the International Committee of the Red Cross, Médecins Sans Frontières, and CARE, he describes how many of them have moved from their founding principle of neutrality, which gave them access to victims, to encouraging the international community to take action to stop civil wars and ethnic cleansing.
The Photographer (2009)
By Didier Lefevre and Emmanuel Guibert
In 1986, Afghanistan was torn apart by a war with the Soviet Union. This graphic novel/photo-journal is a record of one reporter's arduous and dangerous journey through Afghanistan, accompanying MSF.
Didier Lefevre's photography, paired with the art of Emmanuel Guibert, tells the powerful story of a mission undertaken by men and women dedicated to mending the wounds of war.
The Cardboard House: MSF - 25 Years on Aids (2002)
By Larry Towell
Towell brings us black and white images of people shunned by society and desperate through poverty, their situation exacerbated through the HIV/AIDS epidemic.
This book is a celebration of MSF's work and the people we have helped.
Touched by Fire: Doctors Without Borders in a Third World Crisis (1998)
By Greg Locke
Elliot Leyton and Greg Locke travelled to Rwanda in the autumn of 1996. There they found themselves plunged into a humanitarian crisis of epic proportions. Hundreds of thousands of people were on the move.
Armed militias and hostile armies lurked in the background. Mass starvation, plague, and an eruption into civil or criminal violence were immediate possibilities.
The two Canadians, one an internationally recognized expert on the psychology of killing, the other an experienced photo-journalist, had a rare opportunity to observe MSF in action at a time when the stress was enormous and its resources were stretched to the limit.
Healing our World (2008)
By David Morley
"When I tell friends at home about my missions with Doctors Without Borders, they often say to me 'It must be so depressing.' But it doesn't feel depressing. Working with Doctors Without Borders, I get a chance to make things better for people who are suffering and need medical care.
"Our volunteers don't have to sit by helplessly, wondering what on earth we can do. The gift of action is ours."
David Morley uses his journals to describe his seven years working for the Canadian section of MSF, as well as giving clear detailed descriptions of MSF's work and its history.
Refugee Camp: Surviving the War in Sudan - Carbino's Story (2006)
By David Dalton with MSF
Young people living in dire situations tell their heart-warming stories in their own words. This is combined with facts, timelines, statistics and reports by governments and aid agencies.
This book forms part of the citizenship and geography curriculum for KS3 students.