To cope with the influx of patients, MSF decided in June 2019 to decentralize simple trauma cases to other partner institutions.

Today in Bujumbura two health centers (Buterere II and Ngagara) and two hospitals (Kamenge and Bwiza-Jabe) handle these simple cases, with MSF reimbursing the costs of treatment, training of staff and providing input for these facilities.

MSF in Burundi, a priority: removing financial barriers

In the Bwiza parish, Nicole Niyoyankunze faces a crowd of carpenters this morning.

Armed with her megaphone, this MSF health promoter explains how and when to get to Bwiza Jabe Hospital and explains the cost recovery policy.

This is valuable information for these workers who are highly exposed to accidents at work.

“In the facilities we manage or support, our patients don’t have to pay for their treatment,” he explains.

” This is an important benefit as financial costs can be a real barrier to treatment.

Two weeks ago, Abdoul Karim was severely hit by a car while crossing the street.

He was taken to Kigobe Arc, had arm surgery and is still recovering from his injuries.

“When I woke up at the Arc that day, I didn’t know where I was or how to get there,” he says.

“Then I got lightning. I remembered that the car was approaching me at high speed … “

If the memories of the accident remain vague, one thing is clear to Abdoul Karim: if he had paid for his treatment, he would never have been cured.

“I was very lucky to be brought here,” he says.

“The doctors operated on me and looked after me like I had to give them money.

I’m just a fisherman, where would I have found the means to pay for all of this? ”

In the Kigobe Arch Center (Burundi) MSF offers 68 beds

Kigobe Arch’s 68 beds are always occupied, and the staff, 240 Burundian employees and a dozen expatriates, are always unemployed.

In addition to emergency and orthopedic surgery, the center offers physiotherapy and psychosocial support so that patients can optimally recover from their physical and psychological injuries.

The laughter and applause can be heard further down the corridor. Seven-year-old Amina is having her first rehabilitation session in a rehabilitation room after spending a month in a plaster cast on her left leg after suffering from a double fracture.

Next to her, her father smiles broadly. Like the physiotherapist, he is happy that his daughter is learning to walk again.

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Official MSF website