Conflict and Health


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Providing HIV care in the aftermath of Kenya's post-election violence Medecins Sans Frontieres' lessons learned January – March 2008

Tony Reid1*, Ian van Engelgem2, Barbara Telfer3 and Marcel Manzi4

Author Affiliations

1 MSF Brussels, rue Dupre 94, Brussels 1090, Belgium

2 Former medical coordinator, MSF Kenya, Belgian Technical Cooperation, 41 rue Depute Kayuku – Kiyovu, BP 6089, Kigali, Rwanda

3 Former epidemiologist, MSF Kenya, Medicos Sem Fronteiras, Belgica-Maputo, Avenida Agostinho Neto N1024, Maputo, Moçambique

4 FUCHIA Data Manager, MSF Luxembourg, rue de Gasperich 68, L-1617, Luxembourg

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Conflict and Health 2008, 2:15 doi:10.1186/1752-1505-2-15

Published: 4 December 2008

Abstract

Kenya's post-election violence in early 2008 created considerable problems for health services, and in particular, those providing HIV care. It was feared that the disruptions in services would lead to widespread treatment interruption. MSF had been working in the Kibera slum for 10 years and was providing antiretroviral therapy to 1800 patients when the violence broke out. MSF responded to the crisis in a number of ways and managed to keep HIV services going. Treatment interruption was less than expected, and MSF profited from a number of "lessons learned" that could be applied to similar contexts where a stable situation suddenly deteriorates.