2017 Best & Worst: Doctors Without Borders' Year in Photos

Thursday, December 28, 2017 — Are you looking for compelling 2017 end-of-year wrap-up content for your publication/channel?

Look no further.

Doctors Without Borders' 2017 Pictures Of The Year collection looks back on a year of providing medical care in extreme conditions and contexts across the globe.

Through the lens of MSF photographers and some photojournalists, we remember and pay tribute to those who have struggled, those who have persevered and those who have perished.

From war and civil strife ,to disease and epidemics, to natural disasters, MSF staff have been on the frontlines to save lives during 2017. Talented and dedicated photographers have been there too every step of the way to bear witness to the stories of the past year, to save those in peril in our world.

In each photograph, there is both a personal story and a wider story that led up to the event pictured. 

Today, we share with you:

An EXPOSURE PAGE (A YEAR IN PICTURES) with 29 striking photographs taken by our photographers - https://msf.exposure.co/a-year-in-pictures-2017

A selection of 29 High Res Photographs from our different projects throughout the globe (Please note only these 29 selected photos can be republished in the media. The rest that have not been included in this selection and appear on the Exposure page can be used on social media only).

We sincerely thank you for helping us to tell the stories of people and their struggles for survival in crises and conflicts around the world and to share the stories from our field workers working day and night to save lives. We look forward to working with you again in 2018.

Some of the stories to look out for include the plight of refugees who fled beatings and violence among other things to seek safety in Greece, where they are now living and receiving counselling and support from MSF. MSF also continued to rescue people from the Mediterranean Sea in 2017. Of note is a powerful photo where a wooden boat with 412 people on board, mainly from Asian countries such as Pakistan, Bangladesh and Nepal, was rescued at night by the MSF search and rescue ship, Vos Prudence and other vessels, in the Mediterranean Sea.

In Malawi, MSF supports adolescents living with HIV to cope and live positively. Because of the support and the medication she receives, Deborah Njala, an 18 year old girl from Chiradzulu District, is positive that her condition won’t stop her from achieving her dreams and having a bright future.

The plight of the Rohingya refugees has also made headlines in 2017. Thousands of Rohingya refugees have fled Myanmar during episodes of violence in previous years and have settled in Bangladesh where MSF is providing health care to them. In one of the photos, a Rohingya woman comforts her two sons in their tent in the Kutupalong camp in Cox's Bazar, Bangladesh. The family recently fled Myanmar joining hundreds of thousands of Rohingya who have fled across the border, moving into makeshift settlements without adequate access to shelter, food, clean water, or proper sanitation.



Angela Makamure & Borrie Lagrange


Doctors Without Borders/MSF is an independent international medical humanitarian organisation working to bring emergency medical care to people caught in conflict, crises and disasters in more than 65 countries around the world including South Africa. We rely on the regular generous donations from individual donors to support our work.

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A local boy look at the refugees arriving under torrential rain at a border crossing on the Naf river, near Teknaf, September 19, after fleeing Myanmar.<br/><br/>More than 507,000 Rohingya have fled to Bangladesh from Rakhine State in Myanmar following an escalation in violence on 25 August. The most recent wave of Rohingya refugees has added to the hundreds of thousands of Rohingya who fled across the border in previous years. Most of the newly arrived refugees have moved into makeshift settlements without adequate access to shelter, food, clean water, or latrines. With little potable water available, people are drinking water collected from paddy fields, puddles, or hand-dug shallow wells which are often contaminated with excreta. At MSF’s clinic in Kutupalong, 487 patients were treated for diarrhoeal diseases between 6 and 17 September. Food security in and around the settlements is also incredibly fragile: newly arrived refugees are completely reliant on humanitarian aid, prices in the market are skyrocketing and the lack of roads is compromising access to the most vulnerable populations. A massive scale-up of humanitarian assistance in Bangladesh is needed to aid the Rohingya refugees and avert a wider public health disaster. Photographer: Antonio Faccilongo
A severely malnourished child is being measured at an MSF supported health center in Bukama, Masisi, North Kivu, February 8, 2017. Photographer: Gwenn Dubourthoumieu
A young woman is carried to the MSF mobile clinic after travelling on a horse and cart for over 30km. She is being checked by MSF staff before being brought to the main hospital in Bol from Yakoua town. Photographer: Dominic Nahr
Breathing Fresh Air in Solitary Confinement. CAPTION / DESCRIPTION:Um Ahmad (Sally Saad, 29)<br/>Received MSF mental health counseling<br/><br/>(Today, Sally is living with a female refugee from West Africa and exploring her body as canvas of expression. Her body is her own for first time in years. Her favorite new tattoo? I suffered I learned I changed. She is learning Greek and receiving counseling from MSF)<br/><br/>Divorce was not easy….my husband was from Basra, and I am from Nasiriyah.<br/><br/>Iraq has a tribal way of living. Everybody gets involved like the uncles and the father. Despite being beaten violently, they all intervened, and I was coerced to return home. <br/><br/>They took me back under the pretext that it was for the children. It was inevitable for the families to intervene because they don’t want to develop a reputation due to divorce and the children.<br/><br/>This cycle continued for years. It was worse when my husband joined the army. He broke my jaw, when my daughter Rula was a year and a half old.<br/><br/>She doesn’t remember any of it, but my older son does. He was three years old.<br/>He was beginning to understand what was going on.<br/><br/>After joining army, only thing that changed was that his dominance had become undisputed. <br/><br/>He had acquired authority and power. Guns! Can you believe that? He hit me with guns twice. Another time he pulled a gun on me. Once he assaulted me here… [She indicates a delicate part of her body]<br/><br/>In 2014, I had had enough.<br/>I stayed with my family for about eight months. The kids stayed with me. In the beginning, he took them claiming that it would only be a visit. He told my father that he wanted to see the children and asked for them to be sent over.<br/><br/>I had a feeling it would be the last time. And indeed, he took them and kept them.<br/><br/>Afterwards, he informed that we were getting divorced. It came from him not from me because if I asked for it, society would have looked at me as if the fault were mine.<br/>I waited for him to say it.<br/><br/>He wanted to get divorced but his condition was to have the children.<br/>I refused, of course. He sent back agreeing to me keeping custody and things carried on.<br/><br/>I went to court. It was the first time we had seen each other after eight months; it happened at the courthouse. I was shocked to see that all the papers he had prepared entailed that he would have custody of the children, not me. He prepared papers to have custody of the children for himself.<br/>Another thing is that he agreed with my older brother to have me give up everything. Everything.<br/><br/>Due to the condition I was in, I didn’t care. Honestly, I didn’t care about the gold or the money or anything. That was it. It meant to give up everything to be free from him.<br/>The judge asked me if I was being threatened, because no woman would stand up and give everything up like that. We got divorced. I told him that I didn’t want any problems.<br/><br/>He threatened my mother, telling her that we did not want to see his “other face”.<br/>Naturally, my mom felt scared for my siblings. I had fights with my mother throughout the whole winter.<br/><br/>We got divorced but I did not see any of children afterwards. Not once. Not even a phone call or a message. My life changed too; everybody looked at me differently. My family did too.<br/><br/>My oldest brother was the first to antagonize me. My mother did too.<br/>My mother was scared and wanted me to forget what happened and go back to him, but… my children.I tried to get them back. I tried to rent a house. He would be legally obliged to pay their alimony. The law stipulates that he pays alimony while I rent a small house.<br/><br/>He had documents claiming that I had given up custody.<br/>He claimed that by separating I agreed to give up custody. <br/><br/>I moved out of my family’s house at the time due to all the problems and the pressure that was mounting on me. I moved in with my aunt; my mother’s sister. <br/><br/>I tried to do something... I tried to get them back. I tried to see them.<br/>I was surprised to see one of cars from my husband's family one day through the cameras at my family’s house. They were dressed in their tribe’s clothing.<br/>They spoke with my mother and told her that I must forget about the children.<br/>They said that as a tribe they are capable of doing anything. No government or country can intervene or do anything to stop them. It suddenly became a conflict between two tribes.<br/><br/>After that, my older brother said if that I didn’t go back to my husband, he’d kill me.<br/>At the time, I felt like going back was not a way to live. <br/><br/>I tried to take the children and leave the country. I was able to get my passport out of the house.<br/>My son snuck it out for me. I talked to him and said: “Hamodeh, I need something. Can you do it for me?”<br/><br/>I told him where the passport was and asked him to leave it at my neighbor’s. He just had to hide it for me there. I tried to get the children out of the house more than once, but I was surprised to know that he found out that my passport had been taken out of the house.<br/>He figured I could leave the country, so he said if anything happened to the children or if any of them had been taken or if I had to come see them, he would take one of my brothers in return.<br/><br/>If you bring the children back, I’ll let your brother go. But if you don’t then it’s over.<br/><br/>I was conflicted; I had to choose between my children and my siblings.<br/><br/>I thought about leaving to escape the problems caused by my brother and ex-husband, so I wouldn’t go back. I went to Turkey. My best friend since seventh grade lives in Jordan and helped me.<br/>She booked me a flight ticket from Jordan. She sent it to me via cellphone.<br/>She got me out of my aunt’s house after they found out I was staying there. I went to her mother’s house.<br/><br/>I tried one thing… two days before I left, I went to the school.<br/>I told them because I didn’t want them to think their mother had abandoned them, or that she just left.<br/>He told me their father had told them that I didn’t want them. And that I gave them up.<br/>I told them there was no truth to that.<br/>I told them there is one thing I want to do, but I will only go forward with it if you accept, if not then I will stay. I told them I wanted to leave the country and I promised to take them with me.<br/>That I would take them once I feel like I am capable of protecting them.<br/><br/>My daughter immediately said: “Mom, go and leave all of this behind.” She said that right away.<br/>I was startled that my daughter was telling me to leave.<br/><br/>Hamodeh asked me to promise him to that I would take them, then said that once I was going to do it, he’d go to the courthouse and tell them he wants to live with his mother. I went to see Noor at the kindergarten. He was really upset and told me that his father was going to get married. It’s true; he got married one week after we divorced.<br/>One week. He married right away. He gave her my house, my room, my stuff. All the same.<br/>It was like a movie; I went to the house of my friend’s mother. I was scared and afraid someone would see me; it was the first time I had taken such a step.I was really scared when I went to the airport. I had turned my phone off. I passed through Baghdad airport as if I had passed through hell.<br/><br/>When I got to Turkey… my Jordanian friend sent her friend to meet at the airport right away.<br/>She told him: “Keep Sally by your side,” because it was a new place and I knew nothing about it.<br/>I was supposed to stay with him until she would arrive.<br/>She booked a ticket and came to see me in Turkey. I haven’t heard my kids voices in six months.<br/><br/>I did see Rula once though, on the camera.<br/>She recognized me so she told her father. He overheard them talking to each other so he figured out that I had phoned them. He hit Hamodeh and Rula when he found out. The neighbors told me.<br/>Hamodeh is the bravest one of them; he isn’t scared. He would contact me from his friend’s house or facebook or send me messages. He tells me that he hasn’t forgotten about me but he is scared of his father. However, I haven’t heard a word from them since January. I know their news; the neighbor always visits and tells me afterwards.<br/><br/>When I arrived to Turkey, my friend told me that the only thing I would be able to get back is my children and that I would be able to live and relax. She encouraged me to cross the sea. She told me to leave.<br/><br/>I feel like I’m the victim of a society that rejects the idea of a woman getting divorced and then moving on with her life.<br/><br/>I left my children behind because my friend and my aunt got me to believe that I would be able to get them back once I got to Europe. I was shocked to discover that this were not the case.<br/>It can only happen with his consent. Leaving Iraq requires the parents’ consent or after they turn 18 and make the choice themselves.<br/><br/>Another thing is that if I stayed in Greece, it would be difficult to bring them here. You can see how we live here, how will the children live?<br/>If I got a job or built a life, even here in Greece, I would be able to care for them. I would not hesitate for a moment.<br/><br/>I got to university but never finished because I got married.<br/><br/>I took a deep breath of relief after getting the ID for “residency” in Athens. I felt like I had accomplished something.Despite the situation in Greece, I accomplished something.<br/><br/>I signed up at that university course today—to learn Greek and work to a new life.<br/><br/><br/>They [the children] are fine, but they always ask about my whereabouts and want to talk to me. They are living through the same hardships I did.<br/><br/>I look at pictures or videos of them. I cry constantly. Sometimes I contact the neighbors just to hear their voices. Only then do I calm down. Sometimes I have this fear that they have forgotten about me.<br/>I talked to him about two months ago; to the father. I asked him to just let me hear their voices and talk to them because I’m far away so it wouldn’t make any difference. I told him that I wanted to check on him and hear their voices, but they are scared of him. Every phone call ends abruptly after 2 minutes; Hamodeh would just say “dad is coming” and he’d hang up.<br/>He had the same vileness, behavior and way of thinking. Blasphemy, explicit language. Just forget about it. Forget about it.<br/><br/>Every time I talk to Hamodeh, they ask me when I’m going to get married. I tell him this: “Habibi, I only have one person I love that I hope I get to be with. He is growing up and will be as tall as me soon. I hope he will be as tall as me or even taller when he gets to me. I will hug him, walk among the people and let them all know that he is the one I love. Don’t ever think that one day I would leave you or marry. It is never going to happen.”<br/><br/>I want him to keep that in mind because I truly wouldn’t do it. It would be difficult, especially for them.<br/><br/>I will never forget what the Turkish did. The boat carried around 300 people, all of which were children. The Turkish police kept filling up water until it reached here.<br/>I didn’t care because I was exhausted. It didn’t matter whether we died or got to our destination. Greek police were just watching, doing nothing to help. The big boat which carried the Greek flag just watched through binoculars.<br/><br/>This was on the day of the agreement. I had the luck to take to the sea on this very day.<br/>Two boys jumped into the water so the Turkish police were trying to get them on board of their ship. They did this for us, collectively, giving us a chance to get away as they focused on boys. We then arrived to the island. One of them did it so his brother would make it. What happened with the Turkish police was utterly unforgettable.The boat was full of water and the screams and crying of children.<br/>I was taking pictures with my phone. One of the Turkish policemen saw me and gave me daunting looks. He started pointing at my phone and doing this with his hand. [Indicating he would “show me” when he got his hands on me]<br/>He said: “Take all the photos you want; the phone will be confiscated anyway.”<br/>When we came to the island, we informed [the Greek police]. They did nothing.<br/>We arrived on Chios Island.<br/><br/>My third son is Noor. 2007.<br/>His name is Ahmad. My daughter’s name is Rula.<br/>Noor Eddin. (Third child) He was born in 2010.<br/><br/>Rula was born in 2012. Five years old.<br/><br/>Hamodeh (Ahmad) is 10 years old.<br/>Rula is nearly now nearly 8 years old.<br/>ADDITIONAL INFORMATION / SHOTLIST:This series of photographs highlight the challenges for the refugees suffering from mental health issues, as well as illustrate their resilience as they cope with the EU’s complex, ever-changing and punitive asylum system.<br/><br/>Men, women and children have arrived on Greek shores fleeing from war and conflict. Just like us, they long to be free of fear, and lead safe, normal and productive lives.<br/><br/>Some of those who arrive are extremely traumatized, and their mental state often shows scars, but it takes a specialized medical professional to recognize their severe condition. Too often their terrible ordeal is overlooked during the asylum process, thus blocking their access from the islands to the mainland to receive adequate treatment and safety.<br/><br/>Currently, the asylum process is opaque and living conditions can be terrible for those people in limbo for over a year as they wait to hear the outcome of their cases, with their futures at risk for detention and deportation.<br/><br/>MSF has noticed an increase in suicidal thoughts and incidents of self-harm, as well as emotions of anger, frustration, loss, grief, depression, passivity and hopelessness in the general population, and often exacerbated with those most vulnerable.<br/><br/>The reportage raise visibility about the lives of those refugees suffering from mental health issues – on the islands, inside camps on the mainland and in Athens itself – showing the challenges they face, but importantly, individual resilience in overcoming these daily. Finally, it denounces the consequences of the EU’s current migration policies on human lives. Photographer: Tanya Habjouqa
Breathing Fresh Air in Solitary Confinement. Views from inside and outside Thermpolis. MSF Greece/ Mental health assignment in Thermopiles / Thermopylae ex-spa hotel refugee camp. <br/>During MSF NFI distrubtion. <br/>ADDITIONAL INFORMATION / SHOTLIST:This series of photographs highlight the challenges for the refugees suffering from mental health issues, as well as illustrate their resilience as they cope with the EU’s complex, ever-changing and punitive asylum system.<br/><br/>Men, women and children have arrived on Greek shores fleeing from war and conflict. Just like us, they long to be free of fear, and lead safe, normal and productive lives.<br/><br/>Some of those who arrive are extremely traumatized, and their mental state often shows scars, but it takes a specialized medical professional to recognize their severe condition. Too often their terrible ordeal is overlooked during the asylum process, thus blocking their access from the islands to the mainland to receive adequate treatment and safety.<br/><br/>Currently, the asylum process is opaque and living conditions can be terrible for those people in limbo for over a year as they wait to hear the outcome of their cases, with their futures at risk for detention and deportation.<br/><br/>MSF has noticed an increase in suicidal thoughts and incidents of self-harm, as well as emotions of anger, frustration, loss, grief, depression, passivity and hopelessness in the general population, and often exacerbated with those most vulnerable.<br/><br/>The reportage raise visibility about the lives of those refugees suffering from mental health issues – on the islands, inside camps on the mainland and in Athens itself – showing the challenges they face, but importantly, individual resilience in overcoming these daily. Finally, it denounces the consequences of the EU’s current migration policies on human lives.<br/>Photographer: Tanya Habjouqa
Cambodia Hep-C. Din Savorn, 50, carries his son to daycare in Phnom Penh, Cambodia, 20, April 2017. In 2016, MSF set up a treatment clinic for patients with hepatitis C in Preah Kossamak Hospital in Phnom Penh.  By April 2017 over 10,000 patients had been screened since the start of the programme, of whom 4,000 patients had been diagnosed with hepatitis C infection.  Around 800 patients have, as a result, been put on treatment since October 2016. MSF is treating patients with the improved hepatitis C medicines called direct-acting antivirals (DAAs) that have recently been introduced. These medicines are far more effective than previous hepatitis C drugs; they carry far fewer side-effects for patients and the treatment lasts around 12 weeks compared with the previous treatment of 24 to 48 weeks with painful weekly injections. However the high price of the medicines is a barrier to treatment access. Diagnostic costs too present a challenge for treatment providers. Photographer: Todd Brown
Chiradzulu: HIV care for adolescents. Debora Njala, 18 years old, from Chiradzulu (HIV and TBC positive) lies on her bed in Chiradzulu suburb.<br/><br/><br/>Do you know how you get HIV?<br/>Yes, I got it from my parents. Through mother to child.<br/><br/>How do you feel living with HIV?<br/>I feel ok because I accepted that am HIV positive. With the counseling I received from counsellors I realized that being HIV positive is not the end of everything. <br/><br/>How do you feel living with HIV?<br/>I feel ok, with the medication everything is fine.<br/><br/>What is the main constraint for someone living with HIV?<br/>For my case the great constraint is not be able to study in boarding school because I always think on how I will be taking my drugs and if my friends know that am taking ARVs how are they going to think about me.<br/><br/>Is there anything you don’t do because you have HIV?<br/>YES going and spend much time away from home, i always think how will manage to take drugs and for this reason I do not travel frequently, am always home.<br/>What changed in your life since you know you have HIV?<br/>Nothing changed.<br/><br/>Greatest regret – sometimes I feel that am different with my friends, I have to visit the hospital frequently and this sometimes give me headache.<br/><br/>Greatest hope – I know that one day I will achieve my dream of becoming a journalist. With proper medication I will achieve my dream and the future is bright. Photographer: Luca Sola
Chiradzulu: HIV care for adolescents. Gloria Chipasula (Right), 11 years old, HIV and TB positive patient seats in her house as her mother, Teleza James, stands in the same room.<br/>ADDITIONAL INFORMATION / SHOTLIST:In Nsanje district, MSF supports the severely underfunded district management team in running a fully decentralised HIV and tuberculosis (TB) programme that includes infants newly diagnosed with HIV. MSF also supports in providing care for patients with advanced HIV in the district hospital, and healthcare for truck drivers and sex workers.<br/><br/>For 18 years, MSF has been working in partnership with the health ministry to support HIV patients in Chiradzulu. A four-year handover process is underway to ensure high-quality management of stable HIV patients once MSF withdraws from the project. MSF now focuses on hard-to-reach groups, including adolescents with HIV and patients whose treatment has failed and are in need of second- or third-line antiretrovirals. The team is also improving access to viral load testing in five district health centres and providing screening and preventive treatment for cervical cancer. Photographer: Luca Sola
Cholera intervention in South Kivu. A mother watches her child, who she just brought to the CTC in Katana is examined by MSF nurses for cholera symptoms. Photographer: Marta Soszynska
DRC - Tanganyika IDPs may 2017. Mukuku refugee camp, Kalemie, DRC Congo.<br/>ADDITIONAL INFORMATION / SHOTLIST:Intercommunal fighting in the province of Tanganyika has displaced 433,700 people since July 2016. Many of these people are living in informal settlements and have limited access to healthcare, and face alarming shortages of food, water and shelter. <br/>MSF undertook an assessment in April and found that the mortality rates of children under 5 are those we would expect to see in the acute phase of an emergency. However, people have been living in these conditions for months.<br/>Aid has been deployed but it is insufficient. More needs to be done, for the people living in the settlements around Kalémie but also for the pockets of displaced people in more inaccessible areas. Photographer: Lena Mucha
Dawn at internally displaced people (IDP) camp in Mweso, the camp was established in 2007. Mweso is a town in North Kivu, Eastern Democratic Republic of the Congo. it is located about 120 kilometres from North Kivu’s capital Goma. Mweso, February 8, 2017. Photographer: Gwenn Dubourthoumieu
Diffa, Niger: a region devastated by the Boko Haram crisis. At Garin Wazam, Garba receives mental health care at the MSF clinic. His wife went to MSF for prenatal care. Photographer: Juan Carlos Tomasi
From his arrival in Cagliari, a long - lasting Odysseys has started for M., which will take him from Sardinia to Milan, passing by Ventimiglia and Como. While attempting to cross the French border, M. witness the death of this travel friend, who lost his life in a tragic accident, in the attempt of reaching France.<br/>Sent back first from France and then from Switzerland, M. is now stuck at the border in Como. Even if he never got registered in Italy since his arrival, the only choice he has left is now to present the demand of international protection in Italy. His mental health condition is very fragile, due to the deep stress he experienced during the last months, since he left his country.<br/>During an absurd obstacle course, many people as M. have been denied their right to protection and have to risk their life in the attempt of crossing EU internal borders, and many of them continue dying along the way. Because of the challenging humanitarian conditions of migrants in transit at the Northern borders of Italy, Médécins Sans Frontières-MSF has carried out an assessment of the main psychological needs in the field. It has emerged a strong need to intervene with psychological support in favor of migrants in transit at the main border points.<br/>In Como, a team of cultural mediators and a psychologist has started to provide mental health support to migrants in transit in the city, mainly hosted in the local Red Cross camp (around 275 people) and at the San Martino in Rebbio parish, where the priest opened the doors to people who would otherwise sleep on the street. Here every night almost 40 people find shelter, in addition to a group of unaccompanied minors and single women who live here permanently.<br/>Sheltering and food is provided to migrants thanks to a strong network of volunteers, with whom MSF coordinates to provide psychological services for the most vulnerable cases. Photographer: Giuseppe La Rosa
Lake Chad: Life amidst a protracted crisis (Chad).<br/>Dr. Henryk Mazurek, MSF gynaecologist-obstetrician conducts an ultrasound on a patient who is about to deliver twins, prior to obstetric surgery. Since November 2015, MSF has been working at the Bol regional hospital to support the Ministry of Health in maternal and paediatric care. A gynaecologist, an anaesthetist, a paediatrician, a midwife and a nurse are now working together with the hospital’s medical staff to improve the quality of treatment and to provide patients free and comprehensive medical services. Photographer: Sara Creta
Living Conditions in Lesbos, Greece. Portrait of Karon, 31 Years old from Iraq<br/><br/>Karon, his wife and their two twins are blocked in Lesvos since their arrival on August 2nd 2016.<br/><br/>Their dream was to reach the Island to start a new life.<br/><br/>“What I have seen in Iraq, I do not want my children to see it again. This is why we left our country, where everything is paralyzed, everything stopped, there is no life…My true dream is that my children will live in a beautiful country, without war, without bloodshed, without any of this. This is the only thing I wish for.” Photographer: Giuseppe La Rosa
MSF Medical Action - Rohingya Crisis. A mother comforts her two albino children in their tent. Photographer: Antonio Faccilongo
MSF and SOS Mediterannee Search and Rescue personnel operate in appalling conditions in the Mediterranean sea, 22 December 2016, as they help a boat in distress full of refugees and migrants off the northern coast of Libya. Photographer: Kevin McElvaney
March 2017: Search and Rescue Operations in The Mediterranean. The first rescue of 2017 was of a wooden boat with 412 people on board, mainly from Asian countries such as Pakistan, Bangladesh and Nepal. This represented a new element compared to last year context, and it can be probably considered as a direct consequence of the EU border closure policies after the EU –Turkey deal. These people would have taken shorter and safer routes to reach Europe. However, the closure of the Balkan route hasn’t persuaded them from leaving, and the new context only forced them to face such an incredibly long and dangerous journey until Libya and then Italy, in order to reach safety. Photographer:  Albert Masias
Mexico Migrants. A woman rests with her granddaughter during an MSF support session for women in the Tenosique migrant shelter. Photographer: Marta Soszynska
Nigeria: Fighting the worst meningitis C epidemic in nine years. Zahardien Musa, a meningitis patient from Sokoto, being admitted at the Muhammed Murtala Specialist Hospital of Sokoto, with his father. Photographer: Fabrice Caterini
Outdoors support clinics, Thaker. Leer, South Sudan. James*, a Medecins Sans Frontieres (MSF) Community Area Supervisor organises his bedding for the night close to an MSF outdoor support clinics in Gier, Leer County, South Sudan, March 21, 2017. Photographer: Siegfried Modola
Outdoors support clinics, Thaker. Leer, South Sudan. Medecins Sans Frontieres (MSF) Community Health Promoter, Gatbel*, tests a child for malaria at an outdoor support clinic in Thaker, Leer County, South Sudan, March 18, 2017. ADDITIONAL INFORMATION / SHOTLIST:Three years after the beginning of the conflict, Leer and Mayendit counties are greatly affected by the ongoing violence and the longstanding clashes between governmental and opposition forces. Civilians are on the first line of the conflict and the ongoing violence has a very clear impact on the ability for the population to access basic and secondary medical care and other basic services. The population has been locally displaced multiple times; and many people had fled the area completely.<br/><br/>In July, following clashes in Leer County, the population again had to flee and Medecins Sans Frontieres (MSF) had to evacuate international teams from both Leer and Thonyor. In September MSF set up a decentralised basic healthcare programme to continue to reach the population and provide them with primary healthcare in their villages. Through a network of community health workers, community health promoters, and women health promoters, who live as part of the affected population, MSF teams have been able to continue to provide healthcare. These community health workers are trained in treating the most common morbidities, such as respiratory tract infections, malaria, water-borne diseases, etc. They stay with the community and are able to move with the communities if the population need to move, thus continuing to provide healthcare. MSF resupplies them with medical supplies and provides ongoing supervision and training through supporting international teams. Photographer: Siegfried Modola
Saom Koem lives with his wife, daughter, son-in-law and grandson. They only live here during the planting and harvest seasons.<br/><br/>Two years ago Saom Koem contracted malaria but was treated. This year the whole family went to the pro ACD, they are awaiting the results. <br/><br/><br/>Cambodia, November 2016.<br/>Pni Ro Luk, Preah Vihear province. Photographer: Tim Dirven/Panos Pictures
Sexual and reproductive healthcare in Choloma, Honduras. Cinthya (name has been changed) a 18 years old patient has come to the Choloma clinic for medical and mental healthcare after suffering domestic violence. She is 2 months pregnant. Photographer: Christina Simons
The Central African Republic (CAR). Baptist church's medical centre of Ippy.9. Photographer: Colin Delfosse
The Crossing 05. "The Crossing" is a photographic project by Andrew McConnell/Panos Pictures based on night portraits and testimonies from people rescued by the SAR Prudence boat in International Mediterranean Sea waters in July 2017.<br/><br/>CAPTION / DESCRIPTION:Omayma, Morocco, 21<br/><br/>I had a lot of problems with my father, as did all my siblings. There are four of us, with me in the middle. My father’s a drug addict. He didn’t give us money to go to school, so we dropped out. He had no job. Although he was healthy, he’d sleep at home all day, so my mother worked as a housekeeper to feed us. He used to beat my mum with a belt, over and over until she bled. He’d come home and beat us all with anything within reach. <br/><br/>One Friday, my dad was drunk and asked me to get him some money by any means I could, even if it meant prostituting myself. Again and again he pulled my hair, pushed me around and banged my head against the wall until my nose bled. The drugs had made him mad. My mother and I were under such stress that we used to faint a lot. When I told my mum we should call the police, she got angry and said we should be patient. She said if we reported him, we’d all be out on the street as the house was his. <br/><br/>When I told my mother I wanted to go to Europe, she was sad and tried to stop me. She asked me how I could leave her when she was sick. She said I should stay and find a job and maybe get married. But I’m too young to get married. I asked her for money for the journey and promised that I’d return it once I’d educated myself. She was worried I’d die. “What will I do if you die?” she asked me. I replied that if I died, she should forgive me. <br/><br/>I flew to Tunisia and took a bus from Tunis to my uncle’s house near the border. I couldn’t stay with him because he can barely feed his own children. We talked with people who could put me on a boat to Europe. The smuggler took me to a house in Sabrata [on the Libyan coast, 100 km east of the Tunisian border] with other women and young men and we stayed there for a couple of months. They beat the men, but the girls were well treated. <br/><br/>I paid them 20,000 Moroccan dirhams [1,800 euros] – mum borrowed the money from the family she works for. One night they came to us and told us to collect our things quickly because it was time to go. When I took the boat I saw death with my own eyes. There was 20 cm of water in the bottom of the boat. There were a lot of young kids, I couldn’t even lift my head because I was so seasick – I threw up many times. <br/><br/>They gave us lifejackets, but they turned out to be fake. When we found out, the young men in the boat – Moroccans and Syrians – started arguing and fighting. The women and children were terrified we’d capsize. The sea is very dangerous. I’ll never take a boat like that again. <br/><br/>I thank God that no one assaulted me and that I was saved. I will continue my education. I will learn a new language and find a job. I want to help my mother, because otherwise she’ll work as a housekeeper forever. My father will carry on doing nothing. I couldn’t go back to Morocco, I’d rather die. Photographer: Andrew McConnell
The inhabitants of Bolosse village watch the arrival of a helicopter bringing suppliers during the distribution of aid packages MSF in the most remote areas of Jérémie and Cayes. Haiti, Friday 6 January 2017. Photographer: Jeanty Junior Augustin
Violence in Buenaventura.<br/>Francisca with a portrait of her late son, who died six years ago. Photographer: Marta Soszynska
Yemeni chronicles. Besam’s child is 7 months old. She brought him to the health center because he keeps vomiting and has diarrhea and fever. The child is malnurished and according to the doctor, such cases happen very often: « mothers stop breastfeeding and replace their milk with powder one but the water isn’t clean and the children get sick. We have to cure the sickness and they get immediately healthy again ». Photographer: Florian SERIEX
Borrie la Grange Head of Communication at Doctors Without Borders (MSF) Southern Africa