MSF continues to run tuberculosis (TB), mental health and cardiac care programmes in Chechnya, and provides basic healthcare to marginalised migrants in Moscow.
Drug-resistant TB is a life-threatening issue in Chechnya, the result of years of poor TB diagnosis and interrupted treatment. A comprehensive programme, including diagnosis, treatment and counselling for TB, multidrug-resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB), is integrated in health ministry facilities. MSF handed the management of MDR-TB patients over to the Ministry of Health in July and is now focusing on the extensively drug-resistant form of the disease. MSF provided medicines for XDR-TB patients, including new treatments that have recently become available. MSF’s programme also includes laboratory support, health promotion and psychosocial assistance for patients and their families.
MSF observed that between 10 and 20 per cent of XDR-TB patients also suffer from diabetes, and this further complicates the management of the disease. As a result, teams began addressing co-morbidity with regular education sessions and the monitoring of blood sugar levels.
MSF also runs a mental healthcare programme in Grozny and the mountainous districts of Chechnya still affected by violence.
Cardiac care in Chechnya
MSF continued to support the cardio-resuscitation unit of the Republican Emergency Hospital in Grozny by donating medicines and medical equipment, providing technical advice for case management and organising training in coronarography (an imaging technique to examine the inside of coronary arteries) and angioplasty (a procedure to widen narrowed or obstructed coronary arteries). A total of 83 patients were treated during the two workshops organised by MSF in 2015.
Healthcare in Moscow
A team offered basic healthcare to migrants from the former Soviet republics and other countries with limited or no access to medical services, and referred them for specialist care in state medical facilities when necessary.
No. staff in 2015: 137 | Expenditure: €5.4 million | Year MSF first worked in the country: 1992 | msf.org/russianfederation