In 2024, our teams worked in five regions, delivering lifesaving care to thousands of displaced people and host communities living under blockade. Our office and the facilities we support were the targets of violent attacks several times; our teams and patients were threatened or assaulted, and one staff member was fatally shot in circumstances not yet clarified. Other NGOs and Ministry of Health teams were also targeted during the year.

After numerous security incidents, we had to end our support to the thousands of people living in the blockaded town of Djibo, Sahel region, who are mainly reliant on humanitarian aid. We also closed our projects in Pama and Gorgadji, in order to redirect and adapt our response to the movement of people in these areas. As the violence forced more people to flee across the country, we launched several emergency activities in the Sahel and Est regions. 

Despite these challenges, MSF ran a range of medical activities, including basic, paediatric, and maternal healthcare, sexual and reproductive health services, and screening and treatment for malaria and malnutrition. We continued to work in Hauts-Bassins, strengthening our provision of maternal, paediatric, and emergency healthcare, as well as nutritional support. We also focused on preventing neonatal deaths by implementing strategies such as ‘zero separation’, which advocates that one parent is always present with a newborn, and creating a training centre for point-of-care ultrasound, to facilitate faster diagnosis and interventions. Our other activities in 2024 included distributing water, responding to a surge in febrile jaundice in Kaya, and supporting the local authorities' response to outbreaks of measles by providing vaccinations and medical treatment in the Centre-Nord, Sahel and Est regions.