The Americas

 
MSF Chagas project in Aiquile, Bolivia
The Americas

Bolivia

Bolivia is still the country with the highest incidence of Chagas worldwide. It is endemic in 60 per cent of the country and around 4.4 million people are at risk of infection.
 
The Americas

Brazil

MSF first worked in Brazil in 1991, and closed its projects in 2011.
 
The Americas

Chile

MSF worked in Chile following the earthquake that struck the country in February 2010.
 
Violence in Buenaventura
The Americas

Colombia

As a result of the peace process, there has been in a decrease in the number of clashes between armed groups, but civilians continue to be caught up in violence as criminal organisations fight for control of territory.

12,900

outpatient consultations

9,600

individual mental health consultations
 
The Americas

Cuba

MSF began work in Cuba in 1993 and made the difficult decision to discontinue its work in 1999.
 
The Americas

Ecuador

MSF first worked in Ecuador in 1996 and spent a month providing mental health support and distributing relief items after two earthquakes hit the country in 2016.
 
Guatemala - Sexual violence
The Americas

Guatemala

MSF started working in Guatemala in 1984 and closed its projects in 2012.
 
Hurricane Matthew Devastation in Haiti
The Americas

Haiti

Health needs are immense in Haiti, with a weak health system that was further weakened after the damage caused by Hurricane Matthew at the end of 2016.

13,000

major surgical interventions
 
Sexual and reproductive healthcare in Choloma, Honduras
The Americas

Honduras

Honduras has experienced years of political, economic and social instability, and has one of the highest rates of violence in the world. This has great medical, psychological and social consequences for the population.

6,800

antenatal consultations

2,300

individual mental health consultations

800

postnatal consultations
 
Migrants in Mexico
The Americas

Mexico

Every year, an estimated 400,000 people flee violence and poverty in El Salvador, Honduras and Guatemala and enter Mexico with the hope of reaching the United States. In Mexico, they are systematically exposed to further episodes of violence.

29,200

outpatient consultations

8,600

individual mental health consultations

3,000

group mental health sessions
 
The Americas

Nicaragua

After 22 years, MSF withdrew from Nicaragua in 2005.
 
Fatal Neglect Chagas Seamus Murphy
The Americas

Paraguay

MSF first worked in Paraguay in 2010 and closed its projects in 2013.