{
    "title": "FYI: MSF concludes 12-week emergency response in Nampula, Mozambique - but critical gaps remain",
    "modified_at": "2026-04-13 12:51:17",
    "published_at": "2026-04-13 12:51:00",
    "url": "https://msf-sa-press.prezly.com/fyi-msf-concludes-12-week-emergency-response-in-nampula-mozambique-but-critical-gaps-remain",
    "short_url": "http://prez.ly/LSBd",
    "culture": "en",
    "language": "EN",
    "slug": "fyi-msf-concludes-12-week-emergency-response-in-nampula-mozambique-but-critical-gaps-remain",
    "body": "<p style=\"text-align: justify\">After 12 weeks of emergency activities, Doctors Without Borders (MSF) has concluded its intervention in Er&aacute;ti district, in northern Mozambique&rsquo;s Nampula province. Our teams provided primary healthcare and emergency services to displaced and host communities in Alua Velha, Alua Sede and Miliva, at a time when local health services were overwhelmed and the risk of disease outbreaks was high. MSF continues to carry out regular activities in the country.</p><p style=\"text-align: justify\">MSF launched this response in December 2025, following the largest wave of displacement recorded that year, triggered by attacks by the armed group Islamic State Mozambique and fear of further violence. More than 100,000 people fled Memba district<sup>1</sup>, with many seeking refuge in neighbouring Er&aacute;ti under extremely precarious conditions.</p><p style=\"text-align: justify\">With no formal camps in place, displaced families relied largely on host communities, who shared their homes, food and land despite already limited resources. </p><p style=\"text-align: justify\">&ldquo;People arriving had nowhere to go and nothing to eat,&rdquo; says Josefina Pedro, a resident of Alua Sede. &ldquo;The fear and exhaustion were written on their faces. So those of us who already lived here began to take in whoever we could. In my home, I ended up hosting seven people. We didn&rsquo;t have much, but we shared what we had, because no one deserves to face suffering alone.&rdquo;</p>\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 80%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/ea0ec812-def6-4396-b9cd-63ee7e35002f/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"&lt;em&gt;Josefina Pedro carries her daughter, Esfenosa, as she waits for care at an MSF mobile clinic in Alua Velha, in Nampula province. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique&lt;/em&gt;\"\n                id=\"image-ea0ec812-def6-4396-b9cd-63ee7e35002f\"\n                data-id=\"ea0ec812-def6-4396-b9cd-63ee7e35002f\"\n                data-original=\"https://cdn.uc.assets.prezly.com/ea0ec812-def6-4396-b9cd-63ee7e35002f/-/inline/no/Image1.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/ea0ec812-def6-4396-b9cd-63ee7e35002f/-/format/auto/\"\n                alt=\"Josefina Pedro carries her daughter, Esfenosa, as she waits for care at an MSF mobile clinic in Alua Velha, in Nampula province. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\"><em>Josefina Pedro carries her daughter, Esfenosa, as she waits for care at an MSF mobile clinic in Alua Velha, in Nampula province. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique</em></figcaption>\n    </figure>\n<p style=\"text-align: justify\"><strong>Malaria and cholera were among urgent health needs</strong></p><p style=\"text-align: justify\">MSF teams deployed mobile clinics in Alua Sede, Alua Velha and Miliva &mdash; areas hosting large numbers of displaced people. The teams provided more than 18,000 medical consultations, with over 2,000 consultations per week at the height of the emergency. \u200b Children accounted for nearly two-thirds of patients.</p><p style=\"text-align: justify\">&ldquo;The first few weeks of the response were crucial,&rdquo; says Abdullahi Chara, MSF emergency medical coordinator. &ldquo;Health facilities were already under-resourced when the influx of people started increasing. Malaria cases were surging, and when a cholera outbreak was declared days later, there was simply not enough capacity to cope with everything at once.&rdquo;</p><p style=\"text-align: justify\">Malaria was the leading cause of illness, representing over half of all consultations, alongside respiratory infections, diarrhoeal diseases and skin conditions. MSF conducted more than 11,000 malaria rapid diagnostic tests, with a positivity rate of 63 per cent. Teams also provided antenatal care, family planning and mental health services, and carried out health promotion activities reaching tens of thousands of people.</p>\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 75.28%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/453188f2-ecaf-41b1-a1ca-9f598e918fd5/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"&lt;em&gt;A view of the Cholera Treatment Centre (CTC) set up by MSF at Alua Health Centre to help health authorities in handling the outbreak. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique&lt;/em&gt;\"\n                id=\"image-453188f2-ecaf-41b1-a1ca-9f598e918fd5\"\n                data-id=\"453188f2-ecaf-41b1-a1ca-9f598e918fd5\"\n                data-original=\"https://cdn.uc.assets.prezly.com/453188f2-ecaf-41b1-a1ca-9f598e918fd5/-/inline/no/Image2.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/453188f2-ecaf-41b1-a1ca-9f598e918fd5/-/format/auto/\"\n                alt=\"A view of the Cholera Treatment Centre (CTC) set up by MSF at Alua Health Centre to help health authorities in handling the outbreak. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\"><em>A view of the Cholera Treatment Centre (CTC) set up by MSF at Alua Health Centre to help health authorities in handling the outbreak. Photographer: Costantino Monteiro | Date: 11/02/2026 | Location: Mozambique</em></figcaption>\n    </figure>\n<p style=\"text-align: justify\"><strong>Barriers to accessing health care persist</strong></p><p style=\"text-align: justify\">For many people, access to free and timely care was critical, particularly in a context where cost and medicine shortages often limit the very possibility of consulting a doctor and treating illness. </p><p style=\"text-align: justify\">&ldquo;Back in my village, we have to pay for consultations and medicines, and sometimes there are no drugs available at the health centre,&rdquo; says Isabel Carlos Pereira, a woman who fled from Memba. &ldquo;We are told to buy them from private pharmacies.&rdquo;</p><p style=\"text-align: justify\">Her experience echoes that of host community members such as Josefina, who describes the MSF mobile clinic in Alua Velha as &ldquo;something like a hospital nearby&rdquo; &mdash; a level of access to care she had never experienced before. Often, distance and transport costs are significant barriers for people in northern Mozambique.</p><p style=\"text-align: justify\">&ldquo;For treatment, we have to go to Alua Sede, where the nearest health centre is,&rdquo; explains Laura M&aacute;rio Freda, a resident of Miliva. &ldquo;It costs between 150 and 250 meticais to get there. If someone is very sick, mototaxi drivers sometimes refuse to transport them because they are afraid the person will die on the way. Having a mobile clinic here is like a dream. We can come and consult someone at any time.&rdquo;</p>\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 76.61%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/10997745-3a47-4816-9351-aa2390777272/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"&lt;em&gt;Laura M&amp;aacute;rio Freda (left) and Amina M&amp;aacute;rio (right), neighbours in Miliva, describe how they have been affected by the third and largest wave of displacement caused by violence in northern Mozambique. Photographer: Sofia Minetto | Date: 11/02/2026 | Location: Mozambique&lt;/em&gt;\"\n                id=\"image-10997745-3a47-4816-9351-aa2390777272\"\n                data-id=\"10997745-3a47-4816-9351-aa2390777272\"\n                data-original=\"https://cdn.uc.assets.prezly.com/10997745-3a47-4816-9351-aa2390777272/-/inline/no/Image3.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/10997745-3a47-4816-9351-aa2390777272/-/format/auto/\"\n                alt=\"Laura M\u00e1rio Freda (left) and Amina M\u00e1rio (right), neighbours in Miliva, describe how they have been affected by the third and largest wave of displacement caused by violence in northern Mozambique. Photographer: Sofia Minetto | Date: 11/02/2026 | Location: Mozambique\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\"><em>Laura M&aacute;rio Freda (left) and Amina M&aacute;rio (right), neighbours in Miliva, describe how they have been affected by the third and largest wave of displacement caused by violence in northern Mozambique. Photographer: Sofia Minetto | Date: 11/02/2026 | Location: Mozambique</em></figcaption>\n    </figure>\n<p style=\"text-align: justify\"><strong>Cholera response and water and sanitation activities</strong></p><p style=\"text-align: justify\">During an officially declared cholera epidemic<sup>2</sup>, MSF supported the Ministry of Health-led cholera response by establishing a cholera treatment centre in Alua Sede and training local health staff. Teams also implemented water, sanitation and hygiene activities, including building emergency latrines, rehabilitating water sources, and supplying safe drinking water to affected communities.</p><p style=\"text-align: justify\"><strong>Access to healthcare remains a challenge</strong></p><p style=\"text-align: justify\">As the most acute phase of the crisis subsided, many displaced people began returning to their areas of origin, and MSF handed over activities to the Ministry of Health. However, the intervention exposed longstanding structural gaps in access to healthcare, particularly in remote and underserved areas where people continue to face barriers to care, medicines and basic services.</p><p style=\"text-align: justify\">In a context marked by insecurity, MSF stresses the need for sustained, coordinated and needs-based humanitarian responses. </p>\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 58.75%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/dd5de35e-aeec-4e62-b82d-8f9aaf284594/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"&lt;em&gt;People waiting outside an MSF mobile clinic in Alua Velha, Er&amp;aacute;ti District, Nampula Province. Photographer: Sofia Minetto | Date: 12/12/2025 | Location: Mozambique&lt;/em&gt;\"\n                id=\"image-dd5de35e-aeec-4e62-b82d-8f9aaf284594\"\n                data-id=\"dd5de35e-aeec-4e62-b82d-8f9aaf284594\"\n                data-original=\"https://cdn.uc.assets.prezly.com/dd5de35e-aeec-4e62-b82d-8f9aaf284594/-/inline/no/Image4.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/dd5de35e-aeec-4e62-b82d-8f9aaf284594/-/format/auto/\"\n                alt=\"People waiting outside an MSF mobile clinic in Alua Velha, Er\u00e1ti District, Nampula Province. Photographer: Sofia Minetto | Date: 12/12/2025 | Location: Mozambique\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\"><em>People waiting outside an MSF mobile clinic in Alua Velha, Er&aacute;ti District, Nampula Province. Photographer: Sofia Minetto | Date: 12/12/2025 | Location: Mozambique</em></figcaption>\n    </figure>\n<p style=\"text-align: justify\">During the response, displaced people consistently reported that access to assistance was linked to returning to their areas of origin<sup>3</sup>, leading some families to go back despite the ongoing fear and uncertainty. This reinforces the importance of ensuring that humanitarian assistance is provided based on needs alone; assistance is not conditioned and certainly not used to pressure population movements during a protracted crisis.</p><p style=\"text-align: justify\">We reiterate our commitment to providing essential healthcare, guided by principles of neutrality, independence and impartiality, while addressing both emergency needs and chronic gaps in access to care.</p><p style=\"text-align: justify\"><em><strong>In Cabo Delgado, MSF runs projects in Moc&iacute;mboa da Praia, Macomia and Palma. We provide general outpatient consultations, emergency care, maternity and paediatric services, sexual and reproductive healthcare, treatment for HIV and tuberculosis, and mental health and psychosocial support. \u200b </strong></em></p><p style=\"text-align: justify\"><em><strong>In 2025, we carried out over 100,000 outpatient consultations, treated nearly 50,000 malaria cases and assisted 7,500 child births. We run mobile clinics and outreach activities, refer patients to health centres, and support medical facilities and hospitals in collaboration with the Ministry of Health. </strong></em></p><p><sup>1</sup> Source: <a href=\"https://dtm.iom.int/reports/mozambique-ett-movement-alert-report-memba-nampula-attack-151-30-november-2025?close=true\">https://dtm.iom.int/reports/mozambique-ett-movement-alert-report-memba-nampula-attack-151-30-november-2025?close=true</a> \u200b https://dtm.iom.int/reports/mozambique-ett-movement-alert-report-memba-nampula-attack-151-30-november-2025?close=true </p><p><sup>2</sup> Source: <a href=\"https://aimnews.org/2026/02/19/cholera-no-longer-an-outbreak-but-an-epidemic/\">https://aimnews.org/2026/02/19/cholera-no-longer-an-outbreak-but-an-epidemic/</a></p><p><sup>3</sup> Source: <a href=\"https://www.msf.org/msf-begins-emergency-response-northern-mozambique\">https://www.msf.org/msf-begins-emergency-response-northern-mozambique</a></p><div\n    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   data-chromatic-gallery-force-full-width='data:application/json,true'\n    data-chromatic-gallery-expand-icon='data:text/plain;base64,PHN2ZyBjbGFzcz0iaWNvbiBpY29uLWV4cGFuZCI+CiAgICAgICAgICAgICAgICA8dXNlIHhsaW5rOmhyZWY9IiNpY29uLWV4cGFuZCI+PC91c2U+CiAgICAgICAgICAgIDwvc3ZnPg=='\n    data-image-zoom-popup-selector='.chromatic-gallery__photo'\n    data-image-zoom-popup-i18n='data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0='\n    data-image-zoom-popup-tracking-view-event='Story Image View'\n    data-image-zoom-popup-tracking-download-event='Story Image Download'\n    data-image-zoom-popup-placement='content'\n></div><a href=\"https://www.msf.org.za/our-work/where-we-work/mozambique\"\n        target=\"_blank\" rel=\"noreferrer noopener\"\n        class=\"story-content-button-block story-content-button-block--center story-content-button-block--primary\">\n    Read more about our activities in Mozambique</a>\n<a href='https://cdn.uc.assets.prezly.com/814c00cb-7e07-45cc-b695-fb5cc3000cb9/-/inline/no/202604mozambiqueupdateend-of-emergency-response-in-eratien.docx' class='release-content-attachment' id='attachment-814c00cb-7e07-45cc-b695-fb5cc3000cb9' data-type='attachment' data-track='Story File Download' data-placement='content' data-id='814c00cb-7e07-45cc-b695-fb5cc3000cb9'>\n    <span class='release-content-attachment__icon'>\n        <svg class=\"icon icon-download\">\n                <use xlink:href=\"#icon-download\"></use>\n            </svg>\n    </span>\n    <span class='release-content-attachment__details'>\n        <strong class='release-content-attachment__title'>202604_MOZAMBIQUE_update_end of emergency response in Erati_EN.docx</strong>\n        <em class='release-content-attachment__subtitle'>36 KB</em>\n    </span>\n</a><div class=\"release-content-contact\" id=\"contact-7f3a358c-5f14-4ae4-bda5-f0d3e5c543dd\">\n    \n    <div class=\"release-content-contact__details\">\n        <strong class=\"release-content-contact__name\">Rebaone Mogoera</strong>\n        <em class=\"release-content-contact__description\">Communications and Media Intern, Doctors Without Borders (MSF) Southern Africa</em>\n        <ul class=\"release-content-contact__details-list\"><li class=\"release-content-contact__details-list-item\"><a href=\"mailto:comms.intern@joburg.msf.org\"  class=\"release-content-contact__details-list-item-link\" title=\"comms.intern@joburg.msf.org\"><svg class=\"icon icon-paper-plane release-content-contact__details-list-item-icon\">\n                <use xlink:href=\"#icon-paper-plane\"></use>\n            </svg>comms.intern@joburg.msf.org</a></li>\n<li class=\"release-content-contact__details-list-item\"><a href=\"tel:+27 114 034 440\"  class=\"release-content-contact__details-list-item-link\" title=\"+27 114 034 440\"><svg class=\"icon icon-phone release-content-contact__details-list-item-icon\">\n                <use xlink:href=\"#icon-phone\"></use>\n            </svg>+27 114 034 440</a></li>\n<li class=\"release-content-contact__details-list-item\"><a href=\"tel:+27 73 612 1160\"  class=\"release-content-contact__details-list-item-link\" title=\"+27 73 612 1160\"><svg class=\"icon icon-mobile release-content-contact__details-list-item-icon\">\n                <use xlink:href=\"#icon-mobile\"></use>\n            </svg>+27 73 612 1160</a></li></ul>\n    </div>\n</div><hr /><p><strong>About Doctors Without Borders (MSF)</strong></p><p>Doctors Without Borders (MSF) is a global network of principled medical and other professionals who specialise in medical humanitarian work, driven by our common humanity and guided by medical ethics. We strive to bring emergency medical care to people caught in conflicts, crises, and disasters in more than 70 countries worldwide.</p><p>In South Africa, we currently run a non-communicable diseases (NCDs) project in Butterworth, Eastern Cape province, where we support the Department of Health (DoH) in improving care for patients with diabetes and hypertension. The project focuses on improving screening, diagnosis, management, and prevention of NCDs through advocacy, research, health promotion, training, and mentorship of Community Healthcare Workers.</p><p>MSF is also recognised as one of the pioneers in providing antiretroviral treatment (ART) in the public sector. It started the first HIV programme in South Africa in 1999. The organisation&#039;s earlier interventions in the country have primarily been on developing new testing and treatment strategies for HIV/AIDS and Tuberculosis (TB) in Eshowe (Kwa-Zulu Natal) and Khayelitsha (Western Cape). The Eshowe project was handed over to DoH in 2023 after 12 years of operations. The Khayelitsha project was closed in 2020 after 22 years of activities and campaigning for improved HIV and TB treatment.</p><p>Other projects we have been involved in include our Migrant Project in the country&#039;s capital, Tshwane, which was handed over to authorities and a local Community-Based Organisation after building the capacity to work with undocumented populations. We also previously offered free, high-quality, and confidential medical care to survivors of sexual and gender-based violence in Rustenburg, North West province.</p><p>To learn more about our work in South Africa, please visit this page on our website (www.msf.org.za). To support MSF&rsquo;s work:</p><ul class=\"release-content-list release-content-list--bulleted release-content-list--align-inherit\"><li><span>SMS &ldquo;JOIN&rdquo; to 42110 to donate R30 Once-off</span></li><li><span>Visit https://www.msf.org.za/donate </span></li></ul><p>&nbsp;</p><p>&nbsp;</p>",
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