
simevina desh

 (emm. ess. eff.; uchcharit), jyala doctor vidaut borders asehi mhanatat, hii eka dharmaday sanstha aahe jee manavtavadi vaidyakeey seva puravate. hii french vanshachi eka bigger-sarkari sanstha (aine. jee. oo.) aahe jee sangharsh kshetrantil aanee sthanik roganni prabhavit deshanmadhil prakalpansathi olakhali jaate. hii sanstha madhumeh, aushadh-pratirodhak sansarg, etch. aay. vhee./eds, hipatities see, ushnakatibandhiy aanee durlakshit rog, kshayrog, lussy aanee covid-19 chee kalji ghete. 2019 madhye, hii dharmaday sanstha 70 deshanmadhye 35,000 hoon adhik karmchanyansah sakriy hotee; mukhytah sthanik doctor, paricharika aanee itar vaidyakeey vyavsayik, vahtook tadnya, paanee aanee swachchata abhiyante aanee prashasak. khajgi dengidar sansthechya nidhipaiki sumare 90 takke nidhi puravatat, tarr corporate dengya urvarit puravatat, jyamule msfla andaje us $1.63 abj varshik andajpatrak milate.
rashtriy simanpalikade aanee vansh, dharm, panth kinwa rajkiy sanlagnata vicharat naan gheta vaidyakeey sevechi upalabdhata vadhavanyacha prayatna karananya french doctor aanee patrakaranchya eka chhotya gatane, nigerian yadavi yuddhachya biafran dushkalanantar 1971 madhye emm. ess. eff. chee sthapana kelee. emm. ess. eff. chee tattve aanee karyatmak margdarshak tattve tyachya sanademadhye, mantravadachi tattve aanee nantarchya laa mancha kararat thalakpane namood kelee aahet. yaa antim dastaivajachya niyamanchya bhagachya kalam 2 madhye prashasanala sambodhit kele aahe. emm. ess. eff. chee eka sahyogi, ulatpakshi astavyast rachana aahe, jithe paach parichalan kendrandware (amsterdam, barcelona-ethans, braseels, jineva aanee parris) swatantrapane parichalan nirnay ghetale jaatat. mukhya muddyanvaril samaan dhorane aantarrashtriy parishadedvare samanvayit kelee jaatat, jyamadhye 24 vibhaganpaiki (rashtriy karyalaye) pratyekache pratinidhitva kele jaate. aantarrashtriy parishadechi baithak jineva, switzerland yethe hote, jithe aantarrashtriy karyalay, jeey parichalan kendransathi samaan asalelya aantarrashtriy upkramanche samanvay karate, teey sthit aahe.
sanyukt rashtranchya aarthik aanee samajik parishademadhye emm. ess. eff. laa samanya sallamasalaticha darja aahe. tivra sankatat vaidyakeey seva puravanyasathi tasech sambhavya manavtavadi aapattinvishayi aantarrashtriy jagrukta vadhavanyasathi tyachya sadasyanni satatyane kelelya prayatnanchya sanmanarth tyala 1999 chaa nobel shantata puraskar midala. tyaveli sanstheche adhyaksh asalele james orbinsky yanni emm. ess. eff. chya vatine haah puraskar swikarla. yapurvi, emm. ess. eff. laa 1996 salcha siol shantata puraskarhi midala hota. khristos christo juuna 2019 madhye joenne lioo yanchya jaagi aantarrashtriy adhyaksh mhanoon nivadoon aale.
itihas.
1967 teey 1970 yaa kalat.
1967 teey 1970 chya nigerian yadavi yuddhadarmyan, nigerian sainyane deshachya navyane swatantra jhalelya aagney pradesh, biyafrachya bhovati nakabandi kelee. yaa velee, france haah biafrance (united kingdam, soviet union aanee united states yanni nigerian sarkarchi bajoo ghetali) yanna pathimba denanya kahee pramukh deshanpaiki eka hota aanee nakabanditil paristhiti jagasathi adnyat hotee. anek french doctoranni french reed cross vedhalelya biyaframadhil rugnalaye aanee aahar kendranmadhye kaam karnyasathi swechhene kaam kele. sansthechya saha-sansthapakanpaiki eka bernard kushner hote, jyanni nantar french rajkaranat karkird kelee, europe aanee pararashtra vyavhar mantryachya padavar pohochale, jeey tyanni 2007-2010 dharan kele.
deshat pravesh kelyanantar, biafran aarogya karmchari aanee rugnalayanvyatirikt swayamsevkanvar nigerian sashastr dalanni halle kele aanee nakabandi karananya sainyane nagarikanchi hatya aanee upashi rahane pahile. doctoranni nigerian sarkar aanee reed crossver tyanchya sahbhagachya vartanabaddal sarvajanikpane teeka kelee. yaa doctoranni assa nishkarsh kadhala qee rajkiy/dharmik simankade durlaksh karananya aanee vachalelyanchya kalyanala pradhanya denanya naveen madat sanghatanechi garaj aahe.
nayajeriyavyatirikt, emm. ess. eff. heey benin, zambia, uganda, keeniya, dakshin africa, ravanda, sudan, siera leone aanee itaransah anek african deshanmadhye astitvat aahe.
1971 chee sthapana.
madat puravanyasathi aanee vachalelyanchya hakkanchya mahattvavar jore denyasathi, biyaframadhye kaam kelelya french doctoranni 1971 madhye ("aapatkalin vaidyakeey aanee shalyakriya hastakshep gut") sthapana kelee. tyach velee, french vaidyakeey niyatkalik 'tonus' chey sampadak raymond borel yanni 1970 chya bhola chakrivadalala pratisad mhanoon ('french vaidyakeey madat') navacha eka gut suru keela hota, jyat purv pakistanmadhye (aata bangladesh) kiman 625,000 lock marle gele hote. naisargik aapattit vachalelyanna madat karnyasathi doctoranchi bharati karnyacha borelcha hetu hota. 22 december 1971 roji, sahakanyanche done gut villin houn 'madessins sance frontiers' tayar jhaale.
emm. ess. eff. chee pahili moheem nikaraguachi rajdhani, manua yethe hotee, jithe 1972 chya bhookampane shaharacha bahutansh bhag nasht keela hota aanee 10,000 teey 30,000 lock marle gele hote. aaj aapatkalin paristhitit twarit pratisad denyasathi olakhali jaanari hii sanstha, reed crossney madat moheem suru kelyanantar teen divasanni pohochali. 18 aanee 19 september 1974 roji, chakrivadal fifimule hondurasmadhye motha puur aala aanee hajaro lock marle gele (andaj vegvegale aahet) aanee emm. ess. eff. neey tyache pahile dirghakalin vaidyakeey madat abhiyan suru kele.
1975 teey 1979 darmyan, dakshin vietnam uttar vhietnamvar aadallyanantar, khmer rugg talhanyasathi lakho cambodian thayalandmadhye sthalantarit jhaale. pratisad mhanoon, emm. ess. eff. neey thayalandmadhye aapale pahile nirvasit shibir sthapan kele. 1989 madhye vhietnamne kambodiyamadhun maghar ghetali tevha emm. ess. eff. neey samoohik hatyanmadhun vachalelyanna madat karnyasathi aanee deshachya aarogya seva pranalichi punarrachana karnyasathi dirghakalin madat mohima suru kelya. aagney aashiyatil yuddhagrastanna madat karnyasathi thayalandmadhil tyachya mohimankade jaree tyache pahile yuddhakalin mission mhanoon pahile jaau shakate, taree emm. ess. eff. neey 1976 madhye shatruchya aagichya samparkat yenyabarobarach khyan yuddhakshetrasathiche tyache pahile mission pahile. emm. ess. eff. neey lebnonmadhil vividh shaharanchya rugnalayanmadhye, lebnonchya yadavi yuddhadarmyan, shastrakriyanna madat karnyasathi nauu varshe (1976-1984) ghalavali aanee tyachya tatasthatesathi aanee aagikhali kaam karnyachya ichchhesathi pratishtha prasthapit kelee. sampoorn yuddhadarmyan, emm. ess. eff. neey khrishchan aanee muslim sainikanna samaan madat kelee, tyaa velee jyaa gatala sarvat jaast vaidyakeey madatichi aavashyakta hotee, tyanna madat kelee. 1984 madhye, lebnonmadhil paristhiti aanakhi khalavali aanee madat gatanchi suraksha qamee karnyat aalee, tevha emm. ess. eff. neey aaplya svayamsevakanna mage ghetale.
1970 chey dashak.
1977 madhye 'medecins sance frontiers' chey naveen adhyaksh mhanoon claude malhuret yanchi nivad jhaali aanee sansthechya bhavishyabaddal charcha suru jhalyanantar lagechach. visheshtah, maun balganyaivaji ekhadyala jyaa dukkhabaddal vatate tyabaddal bolanyacha sandarbh denanya 'temoignase' ('sakshidar') yaa sankalpanela, malhuret aanee tyache samarthak virodh karat hote kinwa qamee lekhat hote. malhuretla vatale qee msfne jyaa deshanmadhye teey kaam karat aahet tyaa deshanchya sarkaranvar teeka karane talhale pahije, tarr kauchanaracha assa vishvas hota qee deshatil dukkhache dastaivajikaran aanee prasaran haah samasya sodavanyacha sarvat prabhavi marg aahe.
1979 madhye, dakshin vietnam aanee aaspaschya deshanmadhun chaar varshanchya nirvasitanchya payee aanee botitoon jhalelya halchalinnantar, french vicharvantanni nirvasitanna vaidyakeey madat puravanyachya uddeshane 'vhietanamsathi eka boat' yaa prakalpasathi 'leey monde' madhye aavahan kele. yaa prakalpala bahutansh emm. ess. eff. kadoon pathimba midala nasla taree, nantarche mantri bernard kauchanar yanchyasah kahinni, 'laal' ile dii lumier '(' prakashache bett ') navache jahaj bhadyane ghetale aanee doctor, patrakar aanee chhayachitrakaransaha dakshin chean samudrat pravas keela aanee botitil lokanna kahee vaidyakeey madat puravali. jyaa vibhajankari sanghatnene heey haatee ghetale, medecins du mondene nantar manavtavadi hastakshepachi kalpana kartavya mhanoon vikasit kelee, visheshtah francesarkhya pashchatya rashtranni. 2007 madhye emm. ess. eff. neey spasht kele qee sumare 30 varshanpasun emm. ess. eff. aanee kushner yanchyat hastakshep karnyacha adhikar aanee manavtavadi karanansathi sashastr dalacha vapar yasarkhya muddyanvar sarvajanik matbhed aahet. kushner nantarchya bajoone aahe, tarr emm. ess. eff. serve rajkiy, aarthik aanee dharmik shaktinpasun swatantra asalelya nihpakshapati manavtavadi krutisathi ubha aahe.
1980 chey dashak.
1982 madhye, malhuret aanee ronny broman (jeey 1982 madhye sanstheche adhyaksh jhaale) yanni dengya adhik changlya prakare gola karnyasathi mail-buy-funderaging suruvat karoon msfla aarthik swatantrya vadhavale. 1980 chya dashakat emm. ess. eff.-france (1971) madheel itar karyarat vibhaganchi sthapana dekhil jhalih emm. ess. eff.-belgium (1980), emm. ess. eff.-switzerland (1981), emm. ess. eff.-holland (1984) aanee emm. ess. eff.-spain (1986). msf-luxemberg haah 1986 madhye tayar jhalela pahila aadhar vibhag hota. 1990 chya dashakachya suruvatila msf-greece (1990), msf-yusa (1990), msf-canada (1991), msf-japan (1992), msf-yuk (1993), msf-itali (1993), msf-austreliya (1994), tasech germany, austriya, denmark, sweeden, norwey aanee hongkong (msf-uae nantar sthapan karnyat aale) yaa bahutansh samarthan vibhaganchi sthapana jhaali. emm. ess. eff. vyavsayik banavanyat malhuret aanee bruman yancha motha vaataa hota. december 1979 madhye, soviet sainyane afganistanavar aakraman kelyanantar, mujahideenana vaidyakeey madat puravanyasathi lagechach maidani mohima sthapan karnyat aalya aanee februwari 1980 madhye, emm. ess. eff. neey khmer ragcha jahirpane nishedh keela. ethiopiatil 1983-1985 dushkaladarmyan, msfne 1984 madhye deshat poshan karyakram suru kele, parantu aantarrashtriy madaticha gairavapar aanee jabardastine punarvasan kelyabaddal nishedh kelyanantar 1985 madhye tyanchi hakalpatti karnyat aalee. emm. ess. eff. neey ethiopian sarkarvar kelelya spasht hallyanmule itar ngone tyanchi kathit tatasthata sodoon dilyabaddal teeka kelee aanee francemadhye manavtavadi naitikatebaddalchya charchechya malikela hatbhar lavala. 10 aktoobar 1986 roji shaharat aalelya bhookampanantar, all salvadorchi rajdhani sann salvadorchya loksankhyesathi swachchh pinyache paanee tayar karnyasathi yaa gatane upkarane dekhil ubharali.
1990 chey dashak.
1990 chya dashakachya suruvatila emm. ess. eff. neey anek naveen rashtriy vibhag ughadale aanee tyach velee, tyala aataparyant aalelya kahee sarvat dhokadayak aanee trasdayak paristhitinmadhye kshetriy mohima sthapan kelya.
1990 madhye, emm. ess. eff. neey pratham liberian gruhyuddhane prabhavit jhalelya nagarikanna aanee nirvasitanna madat karnyasathi liberiamadhye pravesh keela. 1990 chya dashakat aanee dusya liberian yadavi yuddhat satatchya ladhyamule emm. ess. eff. svayamsevakanna sakriyapane poshan, moolbhut aarogya seva aanee mothya pramanavar lasikaran puravanyasathi aanee rugnalaye aanee khadya kendranvaril hallyanvirodhat, visheshtah monroviamadhye, aavaj uthavanyasathi madat jhaali aahe.
all-anfal mohimetoon vachalelya kurdish nirvasitanna dilasa denyasathi kshetriy mohima sthapan karnyat aalya, jyasathi 1991 madhye atyacharache purave gola kele jaat hote. 1991 madhye somaliyamadhye gruhyuddha suru jhaale, jyaa darmyan emm. ess. eff. neey 1992 madhye sanyukt rashtranchya shantata mohimet sahbhagi houn kshetriy mohima sthapan kelya. 1993 paryant bund naan kelele kaam asale taree, emm. ess. eff. chya pratinidhinni tyanche madatkarya suru thewale, nagarikansathi davakhane aanee rugnalaye chalavali.
msfne bosnian yuddh suru jhalyanantar eka varshanantar 1993 madhye yuenchya tafyacha bhag mhanoon srebrenikamadhye (bosnia aanee harzegovinamadhye) pratham kaam suru kele. heey shahar bosnian serb sainyane vedhalele hote aanee sumare 60,000 bosniac asalele heey shahar sanyukt rashtranchya sanrakshn dalane sanrakshit kelele antakshetra banale hote. emm. ess. eff. hii sabhovatalachya nagarikanna vaidyakeey seva puravinari ekmev sanstha hotee aanee tyamule, deshatoon haddapar honyachya bhitine narsamharala nishedh keela nahee (tathapi, itar sansthanna pravesh nasalyacha nishedh keela). 1995 madhye bosnian serb sainyane shahar tabyat ghetale tevha emm. ess. eff. laa haah parisar sodanyas bhag padale gele. 40, 000 bosniac nagri rahivashanna haddapar karnyat aale aanee sumare 7,000 lock samoohik fashichya shikshet marle gele.
1994 ravandan narsamhar.
april 1994 madhye jevha ravandamadhye narsamhar suru jhaala, tevha deshat kaam karananya emm. ess. eff. chya kahee pratinidhinna sanrakshanasathi reed crosschya aantarrashtriy samitimadhye (aay. see. aar. see.) vaidyakeey sanghat samavisht karnyat aale. donhi gatanna narsamharachya mukhya kalat ravandachi rajdhani kigalimadhil serve mukhya rugnalaye karyanvit thevanyat yash aale. msf aanee icrcchya anek swayamsevakanni icrcchya sahbhagachya niyamannusar ekatra kaam kele asale taree, tatasthata heey atyant mahattvache hote, asey manana msf aanee itar anek madat sansthanna 1995 madhye desh sodawa lagla. yaa ghatananmule manavtavadi madat karmchanyanchya sakshidar bhoomikeviruddha tatasthata santulit karnyachya sankalpanebaddal sanghatanet vadavivad jhaala. tyachya ravanda mohimecha parinam mhanoon, tatasthatechya sandarbhat emm. ess. eff. chee sthitee aay. see. aar. see. chya jawal gelee, jee sansthechya utpattichya prakashat eka ullekhaneey vikas aahe.
aay. see. aar. see. neey 56 gamavale aanee emm. ess. eff. neey tyanche sambandhit sthanik karmchari ravandamadhye gamavale aanee emm. ess. eff.-france, jyane deshatoon aapale pathak baher kadhanyachi nivad kelee hotee (sthanik karmchanyanna rahnyas bhag padale gele), tyanni hatyancha nishedh keela aanee french lashkari hastakshepane narsamhar thambavanyachi magani kelee. emm. ess. eff.-francene prasarmadhyamansamor 'doctorancha narsamhar konihi thambavu shakat nahee' haah naara mandala aanee eka mahinyapeksha qamee kalanantar vadgrast 'piroj' haah aavaj aala. yaa hastakshepamule pratyaksh kinwa apratyakshapane zair aanee tanzaniyamadhye lakho ravandan nirvasitanchya halchali jhalya, jeey gret lake nirvasit sankat mhanoon olakhale gele aanee tyanantar patakichi mahamari, upasamar aanee nagarikanchya mothya gatanmadhye adhik samoohik hatya jhalya. emm. ess. eff.-france yaa bhagat paratala aanee gomamadhil nirvasitanna vaidyakeey madat puravali.
narasamharadarmyan, emm. ess. eff., aay. see. aar. see. aanee itar madat gatanchya vaidyakeey prayatnanmadhil spardha sarvkaleen uchchanki patalivar pohochali hotee, parantu ravandatil paristhitimule manavtavadi sanghatananni madat mohimankade jaanyachya paddhatit motha badal jhaala. manavtavadi mohimansathi eka chaukat pradan karnyasathi aay. see. aar. see. neey 1994 madhye 'aantarrashtriy reed cross aanee reed ardhchandra chalval aanee aapatti madat karyakramanmadhil enjiosathi aachar sanhita' tayar kelee hotee aanee emm. ess. eff. haah yaa sanhitecha swaksharikarta aahe. sanhita keval manavtavadi madatichi tartud karnyache samarthan karate aanee gatanna konatyahi rajkiy kinwa dharmik hitachi seva naan karnyache kinwa paradeshi sarkaransathi sadhan mhanoon naan vaparnyache aavahan kele jaate. tevhapasoon emm. ess. eff. laa 1999 madheel chechaniyasarkhya sarkaranchya krutincha nishedh karane aavashyak vatale aahe, parantu tevhapasoon tyane aanakhi lashkari hastakshepachi magani keleli nahee.
2020 saal.
2020 varnadveshache aarop.
eka hajarahun adhik karmchanyanni 2020 chya yachiket tyanchi chinta vyakt kelee tevha dharmaday sansthevar pandhya varchasvacha aarop keela. cameroonmadheel eka karmchanyane gatachya netyankadun varnadveshashi nigadit tichya anubhavancha tapasheel deela. rashtriy karmchanyanchya tulanet europe aanee uttar americetil, jeey samanyatah pandhare asatat, asha paradeshi karmchanyanshi vegvegalya paddhatine vaganuk dene, yaa anek chintanmadhye samavisht hote. aine. pii. aar. laa dilelya mulakhatit, sansthechya adhyakshanni manya kele qee, simevina doctor heey varnadveshi hote aanee tyanni adhik changle kaam karnyache vachan dile.
rajkiy badalanna pratisad.
dobbs vhee. nantar msfne surakshit garbhpatasathi nivedan jaaree kele. jackson mahila aarogya sanstha.
thikananusar upkram.
1999 madhye, sansthene kosovo aanee chechniyamadhye manavtavadi pathimbyachya abhavabaddal bhashya kele, sambandhit rajkiy paristhitimule prabhavit jhalelya nagarikanna madat karnyasathi kshetriy mohima sthapan kelya. emm. ess. eff. neey 1993 pasoon kosovo pradeshat kaam kele asale taree, kosovo yuddhachya prarambhamule hajaro nirvasitanchi halchal jhaali aanee yogya jivanshailit ghat jhaali. emm. ess. eff. neey natochya dhoranatmak bombsfot mohimanmule prabhavit jhalelya nagarikanna niwara, paanee aanee aarogya seva puravali.
kosovomadhil sansthechya karyashi sambandhit emm. ess. eff. madheel eka gambhir sankat nirman jhaale, jevha emm. ess. eff. chya greek vibhagala sansthetun hakaloon denyat aale. greek emm. ess. eff. vibhagane serbia swikaranyachya kimmativar serb sarkarla swikaroon, too kuthe jaau shakato aanee kaay pahoo shakato yavar maryada ghatalya hotya-jyaa atty urvarit emm. ess. eff. chalvaline nakarlya hotya. eka bigger-emm. ess. eff. strotacha aarop aahe qee greek vibhag vagalane heey ghadale kaaran tyachya sadasyanni natochya bombusfotadarmyan prestinamadhye albanian aanee serbian nagarikanna madat kelee.
2005 saalee greek vibhagala emm. ess. eff. madhye punha pravesh dilyamulech hii daree burry jhaali.
ashich paristhiti chechniyamadhye aadhalali, jyachya nagri loksankhyela mothya pramanat tyanchi ghare sodoon aswasthyakar paristhitit jaave lagale aanee dusya chechan yuddhachya hinsacharala samore jaave lagale.
emm. ess. eff. 1991 pasoon haitimadhye kaam karat aahe, parantu adhyaksh jeane -bertrand aristide yanna sattevarun hatavalyanantar, deshat sashastr gatanni nagri halle aanee balatkaranmadhye mothee vaadh pahili aahe. sadhya astitvat asalelya rugnalayanmadhye shastrakriyesathi aanee mansik sahayya pradan karnyavyatirikt-poort-oo-princemadhye upalabdh asaleli ekmev mofat shastrakriya-jaal aanee kachara vyavasthapan pranalichi punarbandhani karnyasathi aanee chakrivadal jeenmule jhalelya mothya puratoon vachalelyanvar upchar karnyasathi kshetriy mohima sthapan karnyat aalya aahet; etch. aay. vhee./eds aanee maleriyache rugna, jeey donhi deshat vyapak aahet, tyanna dekhil changle upchar aanee dekhrekh milate. 12 janewari 2010 roji jhalelya haiti bhookampamule, haitichya ahavalanni soochit kele qee sansthechya tinhi rugnalayanche gambhir nuksan jhaale hote; eka purnapane kosalali aanee itar done rugnalaye sodoon dyavi lagali. bhookampanantar, piditanvar upchar karnyasathi vaidyakeey upkarananni bharaleli sumare nauu vimane aanee eka kshetriy rugnalay emm. ess. eff. neey pathavale. matra, mothya sankhyene manavtavadi aanee lashkari uddane yet asalyamule kahee vimananchya landingla vilamb jhaala.
uttar bharatatil kashmir sangharshamule jammoo aanee kashmirmadhye tasech manipurmadhye ladhaitoon visthapit jhalelya nagarikanna madat karnyasathi alikadchya kalat emm. ess. eff. hastakshep (pahili maidani moheem 1999 madhye sthapan karnyat aalee) jhaala. manasshastriy pathbal heey mohimanche pramukh lakshya aahe, parantu kshayrog, etch. aay. vhee./eds aanee maleria yanchyavar upchar karnyasathihi pathkandware karyakram tayar kele aahet. 2004 chya hindi mahasagaratil bhookampapasun dakshin aashiyatil bahutansh bhagat emm. ess. eff. sathee mansik aarogya sahayya heey mahattvapoorn aahe.
emm. ess. eff. hii svayampariksha aanee 2005-2006 madhye charchechya pradirgh prakriyetoon gelee. 'nagrik', tasech 'nyayya rojgar' aanee aatm-tikasah anek muddyanvar charcha jhaali.
up-sahara africa.
msf anek dashakanpasun mothya sankhyene african deshanmadhye sakriy aahe, kahivela aarogya seva, ann aanee paanee puravathadar mhanoon kaam karate. aantarrashtriy pathbal vadhavanyasathi emm. ess. eff. neey aafriketil paristhitiche prasarmadhyamanche vartankan vadhavanyacha satatyane prayatna keela asala taree, dirghakalin kshetriy mohima ajunahi aavashyak aahet. up-sahara aafriketil, jithe yaa rogache sarvadhik mrutyu aanee prakarane aadhaltat, tithe etch. aay. vhee./edsvishayi lokanvar upchar karane aanee tyanna shikshit karane heey svayamsevkansathi eka mothe kaam aahe. anty-retroviral upcharachi garaj asalelya 1.6 kotee lokanpaiki, jyanni andaj vartavala hota qee vikasansheel deshanmadhye keval 5.25 kotee lokanna teey milat hote, aanee emm. ess. eff. sarkar aanee companyanna etch. aay. vhee./eds upcharanmadhye sanshodhan aanee vikas vadhavanyache aavahan karat aahe jenekarun kharch qamee hoil aanee upalabdhata vadhel.
siera leone.
1990 chya dashakachya uttaradhat, aral sagari bhagatil rahivashanmadhye kshayrog aanee raktakshayavar upchar karnyasathi aanee aushadh-pratirodhak rog, dushkal aanee pataki aanee edschya sathine prabhavit jhalelya nagarikanchi kalji ghenyasathi emm. ess. eff. mohima sthapan karnyat aalya. tyanni 1996 madhye eka mahamarichya kalat 30 laakh nigerian lokanna mendujwarapasun bachav karnyasathi lasikaran kele aanee 1997 madhye talibanane mahilanchya aarogya sevekade durlaksh kelyacha nishedh keela. nihsanshaypane, 1990 chya dashakachya uttaradhat msfne jyaa sarvat mahattvachya deshat maidani mohima sthapan kelya tyaa tyaa tyaa velee gruhyuddhat sahbhagi asalelya siera leone hotya. 1998 madhye, svayamsevakanchya vadhatya apanganchya madatisathi freetownmadhye shastrakriyanmadhye madat karnyas suruvat jhaali aanee ecomagche pratinidhitva karnyacha dawa karananya purushanchya mothya gatanni nagarikanvar (purush, mahila aanee mule) hallah kelyachi aakadevari gola kelee. purushanche gut gavanmadhye pravas karat hote aanee paddhatshirpane pratyek rahivashachi eka kinwa donhi shastre kapoon takat hote, mahilanvar balatkar karat hote, kutumbanvar golya zadat hote, ghare padat hote aanee vachalelyanna parisar sodanyas bhag padat hote. yadavi yuddh sampalyanantarchya dirghakalin prakalpanmadhye mansik aadhar aanee pret avyavanchya vedna vyavasthapanacha samavesh hota.
sudan.
1979 pasoon, emm. ess. eff. upasamar aanee gruhyuddha, prachalit kuposhan aanee jagatil sarvadhik matamrutyu darr asalelya sudan yaa deshat vaidyakeey manavtavadi madat puravat aahe. march 2009 madhye, emm. ess. eff. neey sashastr sangharsh, mahamariche rog, aarogya seva aanee samajik bahishkar yasarkhya samasyanna tond denyasathi 4,590 kshetriy karmchanyanna sudanmadhye niyukt kelyache nondavale gele aahe. sudanmadhye emm. ess. eff. chee satatyapurn upasthiti aanee karya heey sansthechya sarvat mothya hastakshepanpaiki eka aahe. emm. ess. eff. sudanmadhye rahana lokanna poshan samarthan, punarutpadak aarogyaseva, kaala-azar upchar, samupadeshan seva aanee shastrakriya yasah anek aarogya seva puravate. sudanmadhye prachalit asalelya samanya roganmadhye kshayrog, kaala-azar, jyala visaral leshmaniasis asehi mhanatat, mendujwar, gover, pataki aanee maleria yancha samavesh hoto.
sudanmadhil kaala-azar.
kaala-azar, jyala visaral leshmaniasis asehi mhanatat, hii sudanmadhil pramukh aarogya samasyanpaiki eka aahe. 9 janewari 2005 roji uttar aanee dakshin sudan yanchyatil sarvasamaveshak shantata kararanantar, yaa pradeshatil sthiratet vaadh jhalyamule aarogya seva purvathyatil pudhil prayatnanna madat jhaali. medicines sance frontiersney soodiyam stibogluconate aanee paromomycin sanyojanachi chachani kelee, jyamule upcharancha kalavadhi (30 teey 17 divas) aanee kharch 2008 madhye qamee hoil. march 2010 madhye, msfne purv sudanmadhye tyache pahile kaala-azar upchar kendra sthapan kele, jeey yaa anyatha pranghatak rogasathi mofat upchar pradan karate. upchar naan kelyas, sansarg jhalyapasun 1 teey 4 mahinyanchya aat mrutyuche praman 99 takke asate. upchar kendra sthapan jhalyapasun, msfne 27,000 hoon adhik kaala-azar rugna barey kele aahet, jyancha yash darr andaje 90-95% aahe. upchar gheu ichchinanya rugnanchya mothya sankhyecha samna karnyasathi dakshin sudanmadhil malakal yethe atirikt kaala-azar upchar kendra ughadanyachi yojana aahe. emm. ess. eff. rugnalayanna aavashyak vaidyakeey puravatha puravat aahe aanee sudani aarogya vyavsayikanna kaala-azarcha samna karnyat madat karnyasathi prashikshan dett aahe. emm. ess. eff., sudani aarogya mantralay aanee itar rashtriy aanee aantarrashtriy sanstha kaala-azarchya upcharanmadhye aanee nidanat sudharana karnyasathi prayatna ekatra karat aahet. tyache upchar aanee lasinvar sadhya sanshodhan kele jaat aahe. december 2010 madhye, dakshin sudanla aath varshantil sarvat bhishan kaala-azarcha fatka basala. upchar ghenanya rugnanchi sankhya mageel varshachya tulanet aath patine vadhali aahe.
sudanmadhil aarogya seva payabhoot suvidha.
sudanche alikadil gruhyuddha 1983 madhye suru jhaale aanee 2005 madhye uttar sudan aanee dakshin sudan yanchyat shantata kararavar swakshya jhalyanantar sampale. emm. ess. eff. vaidyakeey pathake yadavi yuddhadarmyan aanee tyapurvi sakriy hotee, anek thikani aapatkalin vaidyakeey manavtavadi madat puravat hotee. yadavi yuddhamule dakshinetil garib payabhoot suvidhanchi paristhiti bighadali aanee parinami yaa pradeshatil bhitidayak aarogya nirdeshak bighadale. navjat deshatil andaje 75 takke lokanna moolbhut vaidyakeey seva upalabdh nahee aanee satpaiki eka mahilecha prasutidarmyan mrutyu hoto. kuposhan aanee rogancha udrek hii dekhil barmahi chinta aahet. 2011 madhye, dakshin sudanmadhil jonglei rajyatil emm. ess. eff. clinicover hallekhoranni lutmar kelee aanee tyanchyavar hallah keela. mahila aanee mulansah shekado lock marle gele. chhapyadarmyan vaidyakeey upkarane aanee aushadhansah maulyavan vastoo nasht jhalya aanee msf suvidhanche kahee bhag aagit nasht jhaale. yaa ghataneche gambhir parinam jhaale kaaran emm. ess. eff. haah jonglei rajyachya yaa bhagatil ekmev prathamik aarogya seva pradata aahe.
kangoche lokshahi prajasattak.
1985 pasoon aafrikechya kango pradeshat sakriy asale taree, pahilya aanee dusya kango yuddhane yaa bhagat hinsachar aanee asthirata vadhavali. atireki hinsacharamule emm. ess. eff. laa ituri jilhyatil buniyachya aaspaschya bhagatoon aapale pathak baher kadhave lagale aahe, parantu hajaro visthapit nagarikanna ann puravanyasathi, tasech samoohik balatkar aanee vyapak ladhaitoon vachalelyanna upchar denyasathi itar bhagat kaam karane suru aahe. sathichya roganna rokhanyasathi kinwa mandavanyasathi pataki, gover, polio, marberg taap, zopecha aajaar, etch. aay. vhee./eds aanee bubonic plaig yasarkhya roganvar upchar aanee sambhavya lasikaran dekhil mahatvache aahe.
uganda.
emm. ess. eff. 1980 pasoon ugandamadhye sakriy aahe aanee deshachya chhapamar yuddhadarmyan nagarikanna madat puravat aahe. tathapi, prabhuchya pratikar sainyachya nirmitimule uttar uganda aanee dakshin sudanmadhye hinsacharachya pradirgh mohimechi suruvat jhaali. nagarikanna samoohik hatya aanee balatkar, chhal aanee mulanche apaharan kele jaat asey, jeey nantar laingik gulam kinwa baal sainik mhanoon kaam kartil. 15 lakhanhun adhik lock tyanchya gharatoon visthapit jhaale asatana, msfne swachchh paanee, ann aanee swachchata puravanyasathi antargat visthapit vyakti (idp) shibiranmadhye madat karyakram suru kele. kshayrog, gover, polio, pataki, ibola aanee etch. aay. vhee./eds yasarkhe rog deshatil sathichya roganmadhye aadhaltat aanee svayamsevak rahivashanna lasikaran (gover aanee poliochya babatit) aanee/kinwa upchar detat. ugandatil emm. ess. eff. sanghansathi mansik aarogya haah vaidyakeey upcharacha eka mahattvacha pailu aahe kaaran bahutek lock satat hallah honyachya bhitine aay. dii. pii. shibire sodanyas nakar detat.
hastidant kinarpatti.
emm. ess. eff. chya pahilya shibirane 1990 madhye coat dii 'ivore yethe eka maidani moheem suru kelee, parantu chaloo hinsachar aanee bandkhor gut aanee sarkardware 2002 madhye deshachya vibhaganimule anek hatyakand jhaale aanee emm. ess. eff. chya gatanni vanshik shuddhikaran hott asalyacha sanshayahi ghenyas suruvat kelee aahe. govarasathi mothya pramanavar lasikaran, kshayarogavaril upchar aanee ladhatimule bund jhaleli rugnalaye punha ughadane heey emm. ess. eff. dware chalavale jaanare prakalp aahet, joou deshachya bahutansh bhagat madat karnara ekmev gut aahe.
emm. ess. eff. neey aafriket garbhnirodhakanchya vaparala jordar protsahan dile aahe.
paschim aafriketil ibolacha udrek.
2014 madhye paschim aafriket ibola udrekadarmyan, sansthechya suruvatichya ishanyankade mothya pramanat durlaksh kelyanantar, msfne gambhir vaidyakeey maganya mukhyatve swatachya balavar purn kelya.
burundi.
2019 chya burundi bhuskhalanamadhye jhalelya jivitahanichi bharpai karnyat emm. ess. eff.-burundine madat kelee aahe.
ashiya.
srilanka.
emm. ess. eff. shrilankemadhye sahbhagi aahe, jithe 2009 madhye 26 varshanche gruhyuddha sampale aanee emm. ess. eff. neey aapale dhyey chaloo thevanyasathi tethil kriyakalap sweekarle aahet. udaharanarth, pathichya kanyala dukhapat jhalelya rugnansathi sharirik upcharpaddhatimadhye heey madat karate. tee samupadeshanachi satre aayojit karate aanee "punarrachanatmak orthopedic shastrakriyesathi eka shastrakriya kendra ubharale aahe aanee jatil yuddh-sambandhit dukhapati asalelya rugnanvar shastrakriya karnyasathi tadnya shalyachikitsak, bhulatadnya aanee paricharika puravilya aahet".
kambodiya.
emm. ess. eff. neey pahilyanda 1979 madhye thaee-kambodiya simevaril chhavanit paloon gelelya nagrik aanee nirvasitanna vaidyakeey madat puravali. anek dashakanchya yuddhamule, deshatil yogya aarogya seva vyavasthecha gambhir abhav hota aanee moolbhut vaidyakeey suvidhanchi punarrachana karnyat madat karnyasathi 1989 madhye emm. ess. eff. neey antardeshiy sthalantar kele.
1999 madhye kambodiyala maleriyachi mahamari lagali hotee. patra doctorancha abhav aanee kharab gunavatta niyantranamule mahamarichi paristhiti aanakhi bighadali jyamule banavat maleria virodhi aushadhanchi bajarpeth jhaali. mahamarichya kalat kiman 30 lokanchya mrutyus banavat maleriyavirodhi aushadhe jababdar hotee. yamule emm. ess. eff. neey maleria pohoch prakalp ubharanyasathi aanee nidhi puravanyasathi aanee grameen maleria kamgarancha vapar karnyasathi prayatna karnyas chalana dilee aahe. emm. ess. eff. neey yaa rogavar upchar karnyasathi paramparikpane vaparlya jaananya junya aushadhanchya pratikarshakticha aanee mrutyucha samna karnyasathi pahilya-kramankachya upcharpaddhatila sanyojanachya upcharpaddhatimadhye (artesunate aanee mefloquin) badalanyachi suruvat kelee.
kambodiya haah aagney aashiyatil etch. aay. vhee./edscha sarvadhik fatka basalelya deshanpaiki eka aahe. 2001 madhye, emm. ess. eff. neey rugnanna mofat madat karnyasathi antiretroviral (aii. aar. vhee.) upcharpaddhati suru karnyas suruvat kelee. hii upcharpaddhati rugnache ayushya vadhavate aanee haah eka dirghakalin upchar aahe. 2002 madhye, uchch raktadab, madhumeh aanee sandhivat, jyanche praman jaast aahe, tyabarobarach etch. aay. vhee./eds upcharanna ektrit karnyasathi msfne vividh prantanmadhye cambodian aarogya mantralayasah junat rog chikitsalaye sthapan kelee. etch. aay. vhee./eds vishesh upchar kendrachya ulat rugna bahuuddeshiy chikitsalayat upchar gheu shakatat, tyamule suvidheshi sambandhit kalank qamee karane haah yamagcha uddesh aahe.
2002 madheel mothya purasarkhya naisargik aapattichya velee, jyane 14.7 laakh lokanna prabhavit kele, emm. ess. eff. neey manavtavadi madat dekhil pradan kelee. msfne 2004 madhye durgam gavanmadhye samuday-aadharit kshayrog karyakram suru keela, jithe rugnanchya aushadhopacharansathi gavatil svayamsevakanna niyukt kele jaate. sthanik aarogya adhikari aanee itar engiochya bhagidarit, msfne vikendrikrut chikitsalayanna protsahan dile aanee 2006 pasoon adhik grameen bhagat sthanik upchar pradan kele. 2007 pasoon, msfne nome penmadhil turunganparyant samanya aarogya seva, samupadeshan, hiv/eds aanee tb upcharancha vistar mobile chikitsalayandware keela aahe. tathapi, bahutek cambodian turunganmadhye ajunahi kharab swachchata aanee aarogya sevecha abhav aahe kaaran teey jagatil sarvat gardichya turunganpaiki kahee aahet.
2007 madhye, emm. ess. eff. neey prabhavit mulanna balrogatadnya etch. aay. vhee./eds upchar pradan karnyasathi manosamajik aanee tantrik sahayya pradan karnyasathi cambodian aarogya mantralayasobat kaam kele. emm. ess. eff. neey 2007 madheel denguechya sarvat bhishan udrekamadhye madat karnyasathi vaidyakeey puravatha aanee karmchari dekhil puravale, jyat 40,000 hoon adhik lokanna rugnalayat dakhal karnyat aale hote, jyat 407 lock, pramukhyane mule thaar jhaali hotee.
2010 madhye, kambodiyachya dakshin aanee purv prantanna patakichya sathicha fatka basala aanee msfne deshat vaparasathi anukool vaidyakeey sahayya puravun pratisad deela.
kshayarogacha motha boja asalelya 22 deshanpaiki kambodiya haah eka desh aahe. jyacha andaj aahe qee serve kambodiyanpaiki 64 takke kshayrog mycobacterium balgatat. tyamule, emm. ess. eff. neey tevhapasoon etch. aay. vhee./edspasoon kshayarogakade aapale laksh kendrit kele aahe, etch. aay. vhee. sambandhit bahutek karyakram sthanik aarogya adhikaahyaankade sopavale aahet.
madhya purv aanee uttar africa.
libia.
2011 chya libian yadavi yuddhamule sangharshane prabhavit jhalelya sthanikanna madat karnyasathi rugnalay aanee mansik aarogya seva ubharanyasathi emm. ess. eff. chya prayatnanna chalana midali aahe. yaa ladhaimule shastrakriyechi garaj asalelya rugnanchi sankhya vadhali. deshatil kahee bhag haloohaloo rahnyayogya sthiteet parat yet asalyane, msfne garja purn karnyasathi sthanik aarogya karmchanyansobat kaam karnyas suruvat kelee aahe. mansik samupadeshanachi garaj vadhali aahe aanee paanee aanee vijeshivay tambumadhye rahana lokanchi bheeti aanee tanav door karnyasathi emm. ess. eff. neey mansik aarogya seva suru kelya aahet. sadhya deshat pratyaksh upasthiti asaleli emm. ess. eff. hii ekmev aantarrashtriy madat sanstha aahe.
bhoomadhya samudrat shodh aanee bachav.
ayogya boaty gheuun paar karnyacha prayatna karananya sthalantaritanche pran vachavanyasathi msf bhoomadhya samudrat sagari shodh aanee bachav (sar) seva puravat aahe. bhoomadhyasagaramadhil atyant aavashyak asalelya saar kshamatet gambhir ghat karoon european unionne aapale pramukh saar operation meer nostrum sampavalyanantar 2015 madhye hii moheem suru jhaali. sampoorn mohimedarmyan emm. ess. eff. neey "borban argos" (2015-2016), "garima 1" (2015-2016) aanee "voss prudence" (2016-2017) yasarkhi swatachi jahaje chalavali aahet. msfne itar ngo aanee tyanchya moas "phoenix" (2015) kinwa "aquarious" (2017-2018) aanee "ocean wiking" (2019-2020) sarkhya jahajanna madat karnyasathi vaidyakeey pathake dekhil puravali aahet, jyat soos mediterreni aanee mediterrania heey manwala vachavtat. august 2017 madhye emm. ess. eff. neey libian tatarakshak dalachya nirbandhancha aanee dhamkyancha nishedh karananya 'vos prudence' chya kriyakalapanna sthagit karnyacha nirnay ghetala.
december 2018 madhye emm. ess. eff. aanee ess. oo. ess. mediterrani yanna "kumbh" chey karya thambavanyas bhag padale gele, tyaa divashi emm. ess. eff. dware samarthit shevatche jahaj. jahajavarun nondani kadhoon takna aanee emm. ess. eff. viruddha gunhegari aarop nirman karananya eae. yuu. rajyanchya hallyanantar heey ghadale. mohimechya suruvatipasun aataparyant 80,000 lokanchi sutka kinwa madat karnyat aalee hotee. julai 2019 madhye 'ocean wiking' saha operation punha suru jhaale, parantu julai 2020 madhye jahaj sisilimadhye tabyat ghenyat aale. meey 2021 madhye, emm. ess. eff. 'geo barrents' yaa naveen jahajasah bhoomadhyasagariy nirvasit bachav karyat paratale. eka mahinyachya aat yamule sumare 400 lokanchi sutka jhaali.
yemen.
emm. ess. eff. heey yemeni yadavi yuddhamule udbhavalelya manavtavadi sankatat madat karnyachya prayatnat guntalele aahe. hii sanstha yamanmadhye akra rugnalaye aanee aarogya kendre chalavate aanee itar 18 rugnalaye kinwa aarogya kendranna madat puravate. emm. ess. eff. chya mhananyanusar, aktoobar 2015 pasoon, saudichya netrutvakhalil aaghadichya havai hallyanmule tyanchi chaar rugnalaye aanee eka rugnavahika nasht jhaali aahe. august 2016 madhye, aii. bii. ess. rugnalayavar jhalelya havai hallyat eka emm. ess. eff. karmchari sadasyasah 19 lock thaar jhaale aanee 24 jann jakhami jhaale. emm. ess. eff. chya matey, rugnalayache jee. pii. ess. nirdeshank varanvar sangharshatil serve pakshanshi samayik kele gele, jyat saudichya netrutvakhalil aaghadicha samavesh hota aanee tyache sthan sarvashrut hote.
europe.
netherlands.
august aanee september 2022 madhye, netherlandschya tair epel yetheel gardichya sthalantar kendrabaher rahana aashrayprarthi lokanna emm. ess. eff. neey vaidyakeey seva puravali.
upkramanchi sanghatana.
ekhadya deshat kshetriy moheem sthapan honyapurvi, emm. ess. eff. chey pathak manavtavadi aanibaniche swaroop, tyaa bhagatil surakshitatechi patali aanee konatya prakarchya madatichi aavashyakta aahe heey nirdharit karnyasathi tyaa bhagala bhet dete (yala 'shodh moheem' mhanatat).
jaree kahee mohima jalshuddhikaran aanee poshan yasarkhya kshetranmadhye madat karatat, taree vaidyakeey madat haah bahutek mohimancha mukhya uddesh asato.
maidani mission sangh.
maidani mohimechya sanghat samanyatah maidani mohimechya pratyek ghatakache netrutva karnyasathi thodya sankhyene samnvayak aanee 'pramukh' asatat. missionchya pramukhala sahasa sanghatil sadasyanchya manavtavadi paristhiticha sarvat jaast anubhav asato aanee prasarmadhyame, rashtriy sarkare aanee itar manavtavadi sanghatananshi vyavhar karane heey tyanche kaam asate. missionchya pramukhala vaidyakeey parshvabhoomi asane aavashyak nahee.
vaidyakeey svayamsevkanmadhye doctor, shalyachikitsak, paricharika aanee itar vividh tadnyancha samavesh aahe. kshetriy mohimetil vaidyakeey aanee poshan ghatak chalavanyabarobarach, heey svayamsevak kadhikadhi sthanik vaidyakeey karmchanyanchya gatacha prabhari asatat aanee tyanna prashikshan detat.
jevha jagala emm. ess. eff. kshetra mohimechi jaaniv hote tevha vaidyakeey swayamsevakankade jawaljawal nehmich madhyamanche sarvadhik laksh jaat asale taree, anek bigger-vaidyakeey svayamsevak aahet jeey kshetra mohimeche karya chaloo thevanyas madat karatat. suraksha aanee vahanachya dekhbhalipasun ann aanee veej purvathyaparyant mohimechya vaidyakeey ghatkala aavashyak asalelya serve goshti puravanyasathi logisticans jababdar asatat. teey abhiyante aanee/kinwa adhikari asoo shakatat, parantu teey sahasa upchar kendre ubharanyat aanee sthanik karmchanyanchya dekharekhikhali madat karatat. itar bigger-vaidyakeey karmchari heey paanee/swachchata tadnya asatat, jeey sahasa jaal prakriya aanee vyavasthapan kshetratil anubhavi abhiyante asatat aanee aarthik/prashasana/manushyabal tadnya asatat jyanna kshetriy mohimanmadhye thewale jaate.
vaidyakeey ghatak.
emm. ess. eff. mohimandarmyan puravilya jaananya vaidyakeey sevecha lasikaran mohima haah eka pramukh bhag aahe. diptheria, gover, mendujwar, dhanurvat, pertusis, pivala taap, polio aanee pataki yasarkhe rog, jeey vikasit deshanmadhye durmil aahet, lasikaranadvare rokhale jaau shakatat. yapaiki kahee rog, jase qee pataki aanee gover, agadi jawal rahana mothya loksankhyet, udaharanarth nirvasit chhavanit, vegane pasaratat aanee lokanna alpavadhitach shekado kinwa hajaro lokanni lasikaran karane aavashyak aahe. udaharanarth, 2004 madhye mozambikchya baira yethe, sumare eka mahinyat sumare 50,000 rahivashanna prayogik patakichi lus donada midali.
emm. ess. eff. mohimandarmyan puravilya jaananya vaidyakeey sevecha titkach mahattvacha bhag mhanje upchar (antiretroviral aushadhansah), chachani aanee shikshan. aafriketlya anek deshansathi emm. ess. eff. haah upcharacha ekmev srot aahe, jyanche nagrik jagbharatil etch. aay. vhee. aanee eds asalelya bahusankhya lokanmadhye aahet. antiretroviral aushadhe (aii. aar. vhee. ess.) sahaj upalabdh naslyamule, emm. ess. eff. sahasa sandhisadhu sansarganvar upchar pradan karate aanee rogacha prasar kassa mandvayacha yabaddal janatela shikshit karate.
bahutek deshanmadhye, emm. ess. eff. swachchata sudharun, upkarane aanee aushadhe puravun aanee sthanik rugnalayatil karmchanyanna prashikshan deuun sthanik rugnalayanchi kshamata vadhavate. jevha sthanik karmchari bharavun jaatat, tevha emm. ess. eff. sthanik rogachya upcharasathi kinwa yuddhagrastansathi shastrakriyesathi naveen vishesh davakhane ughadu shakatat. aantarrashtriy karmchari hii davakhane suru karatat parantu emm. ess. eff. prashikshan aanee dekharekhidware swatah davakhane chalavanyachi sthanik karmchanyanchi kshamata vadhavanyacha prayatna karatat. nikaraguaasarkhya kahee deshanmadhye, emm. ess. eff. prajnan aarogya seva aanee laingik rogambaddal jagrukta vadhavanyasathi sarvajanik shikshan pradan karate.
jyaa kshetranna kshetriy mohimanchi aavashyakta asate, tyapaiki bahutek bhag naisargik aapatti, gruhyuddha kinwa sthanik rogane prabhavit jhalyamule rahivashanna sahasa mansik pathimbyachihi aavashyakta asate. jaree emm. ess. eff. vaidyakeey chamoochya upasthitimule vachalelyanmadhye tanav kahisa qamee houu shakato, taree anekada manasshastradnya kinwa manasopacharatadnyancha eka gut nairashya asalelya, gharguti hinsacharatun vachalelya aanee madak padarthanchya vaparacha vikar asalelya lokanna madat karato. doctor sthanik mansik aarogya karmchanyannahi prashikshan deu shakatat. asha prakarananmadhye palestini nirvasit shibirancha samavesh aahe, jithe dirghakalin visthapan aanee bhoo-rajkiy paristhitimule anek rahivashanna dirghakalin uddesh kinwa krutisathi spasht ranniti naan deta sodale aahe. manavtavadi kalakaranni, jase qee seema nasalele nagrik, kadhikadhi manavtavadi uddisht aanee parinam mhanoon rahivashanna samna karanyachi kaushalye suchavoon pratisad deela aahe. 2000 chya dashakachya uttaradhat, medecins sance frontiersney lebnonmadhil burj all barajneh shibirat laingik aanee punarutpadak aarogya seva, mansik aarogya sahayya aanee aarogya protsahan upkram pradan karnara mansik aarogya karyakram suru keela.
poshan.
anekada emm. ess. eff. mission sthapan kelya gelelya paristhitit, yuddh, dushkal kinwa sarkari aarthik gairvyavasthapanamule madhyam kinwa gambhir kuposhan hote. yuddhadarmyan kahivela jaanunbujun upasamar dekhil shastra mhanoon vaparla jaato aanee msf, ann puravnyabarobarach, paristhitibaddal jagrukta aanate aanee paradeshi sarkarchya hastakshepacha aagrah dharate. sansargjanya rog aanee atisar, jeey donhi vajan qamee karnyas aanee vyaktiche shareer kamkuvat honyas karanibhoot tharatat (visheshtah mulanmadhye), pudhil sansarg aanee vajan qamee honyapasoon rokhanyasathi aushadh aanee yogya poshanane upchar karane aavashyak aahe. varr namood kelelya paristhitiche sanyojan, jase qee dushkal aanee sansargjanya roganchya udrekachya velee jevha gruhyuddha ladhale jaate, tevha dushkal nirman houu shakato.
aapatkalin paristhitit jethe paushtik annachi kamatarata asate, parantu khyan dushkalaparyant nasate, lahan mulanmadhye prathine-urja kuposhan sarvat samanya aahe. ushmankachya kamtaratecha eka prakar asalela marasmus haah balpanatil kuposhanacha sarvat samanya prakar aahe aanee tyache vaishishtya mhanje rogpratikarak shakticha tivra apavyay aanee anekada ghatak kamkuvat hone. kwashiyorkor haah ushmank aanee prathinanchya kamtaratecha eka prakar aahe, joou lahan mulanmadhye kuposhanacha eka adhik gambhir prakar aahe aanee sharirik aanee mansik vikasavar nakaratmak parinam karoo shakato. donhi prakarche kuposhan sandhisadhu sansarganna pranghatak banavoo shakate. asha paristhitit, msf mulanvar aanee itar kuposhit vyaktinvar dekhrekh thevanyasathi "upcharatmak aahar kendre" sthapan karate.
upcharatmak aahar kendra (kinwa upcharatmak aahar karyakram) heey gambhir kuposhanachya upcharansathi, itar aarogya samasyansathi upchar kelyanantar vajan vadhanyas protsahan denyachya uddeshane vishesh aaharachi haloohaloo suruvat karnyasathi tayar kele jaate. upchar karyakram done tappyat vibhagalela aaheh
emm. ess. eff. visheshtah gambhir kuposhanachya upcharansathi tayar kelele annapadarth vaparte. pahilya tappyat, eff-75 navache eka prakarche upcharatmak dudh rugnanna dile jaate. eff-75 hii tulanene qamee urja, qamee charbi/prathinyukt dudhachi puud aahe jee panyat misalali pahije aanee rugnanna tyanchya sharirala dusya tappyasathi tayar karnyasathi dilee pahije. dusya tappyat, eff-100 navache upcharatmak dudh, jeey eff-75 peksha urja/charbi/prathinanche praman jaast asate, teey rugnanna dile jaate, sahasa shengdanyachya lonachya mishranasah jyala plumpy 'nutt mhanatat. eff-100 aanee bharad shengdane heey mothya pramanat poshak tatve twarit puravanyasathi tayar kele aahet jenekarun rugnanvar karyakshamatene upchar karata yeteel. upasamarichya dhokyat asalelya lokanna puravilelya itar vishesh annamadhye samruddha peeth aanee lapshi, tasech bii. pii. 5 navache uchch prathinyukt biskeet yancha samavesh hoto. bii. pii. 5 heey loksankhyevar upchar karnyasathi eka lokpriy ann aahe kaaran teey sahajpane vitarit kele jaau shakate aanee vyaktinsah gharee pathavale jaau shakate, kinwa vishisht upcharansathi teey chirun upcharatmak dudhat misalale jaau shakate.
nirjalikaran, kadhikadhi atisar kinwa patkimule, loksankhyet dekhil asoo shakate aanee yacha samna karnyasathi emm. ess. eff. neey punarjalikaran kendre sthapan kelee. glucose aanee electrolytes asalele oral rehydration solution (ors) navache eka vishesh dravan, haravalelya dravpadarthanchya jaagi rugnanna dile jaate. atisar asalelya vyaktinna pataki kinwa atisar asalyache kalalyas tyanna kadhikadhi pratijaivike dekhil dilee jaatat.
paanee aanee swachchata.
swachchatesathi, vaparasathi aanee khanyachya karyakramansathi (choornyukt upcharatmak dudh kinwa lapshimadhye misalanyasathi) tasech panyamule honanya rogacha prasar rokhanyasathi swachchh paanee aavashyak aahe. tyamule, emm. ess. eff. jaal abhiyante aanee swayamsevakanni swachchh panyacha srot tayar keela pahije. heey sahasa vidyaman panyachya vihireet badal karoon, naveen vihir khodoon aanee/kinwa loksankhyesathi swachchh paanee midvanyasathi jaal prakriya prakalp suru karoon sadhya kele jaate. yaa paristhitit jalsanskrutimadhye upalabdh sansadhanannusar sathavan gaal, galan aanee/kinwa chlorinationcha samavesh asoo shakato.
swachchata haah kshetriy mohimancha eka aavashyak bhag aahe aanee tyat sthanik vaidyakeey karmchanyanna yogya nirjantukikaran tantra, sandapani prakriya prakalp, yogya kachara vilhewat aanee loksankhyela vaiyaktik svachchateche shikshan dene yancha samavesh asoo shakato. sandpanyavar yogya upchar aanee jaal swachchata haah patkisarkhya jaljanya gambhir rogancha prasar rokhanyasathi sarvottam marg aahe. pinyachya panyache pradushanapasun sanrakshn karnyasathi svayamsevak sopya sandapani prakriya pranali sthapan karoo shakatat. kachyachya vilhewat lavnyat samanya kachyasathicheeii khadde aanee vaidyakeey kachyasathi jaalanicha samavesh asoo shakato. tathapi, svachchatecha sarvat mahattvacha vishay mhanje sthanik lokanche shikshan, jenekarun msfne parisar sodalyanantar yogya kachara aanee paanee prakriya suru rahoo shakel.
aakadevari.
manavtavadi aanibanichya paristhiticha urvarit jug aanee prashasakeey sansthanna achook ahwal denyasathi, pratyek kshetriy mohimedarmyan anek ghatakanchi mahitee gola kelee jaate. mulanmadhil kuposhanacha darr loksankhyetil kuposhanacha darr nirdharit karnyasathi aanee nantar aahar kendranchi garaj nirdharit karnyasathi vaparla jaato. manavtavadi aanibanichya gambhiratechi nond karnyasathi vividh prakarche mrutyudar vaparale jaatat aanee loksankhyetil mrutyuche mojmap karnyasathi vaparali jaanari eka samanya paddhat mhanje karmchari smashanbhumitil dafananchya sankhyevar satat laksh thevatat. rugnalayanmadhil roganchya varanvartevishayichi mahitee sankalit karoon, emm. ess. eff. mahamarichya vadhichi (kinwa "rutoo") ghatana aanee sthan yancha magova gheu shakate aanee lasincha aanee itar aushadhancha satha karoo shakate. udaharanarth, 'meningitis belt' (up-sahara africa, jyamadhye jagaat meningitischi sarvadhik prakarane aadhaltat) 'mapp' karnyat aalee aahet aanee meningitischa hangam december teey juuna darmyan hoto. pattyachya sthanatil badal aanee hangamachya velecha andaj anek varshantil sanchayi mahiticha vapar karoon lavala jaau shakato.
mahamarishastriy sarvekshananvyatirikt, vividh pradeshanmadhil hinsacharache praman nirdharit karnyasathi emm. ess. eff. loksankhya sarvekshanancha dekhil vapar karate. hatyanchya vyapticha andaj lavoon aanee apaharan, balatkar aanee hatyanche praman nishchit karoon, aatmahatyeche praman qamee karnyasathi aanee loksankhyemadhye surakshitatechi bhavna vadhavanyasathi manosamajik karyakram rabavale jaau shakatat. mothya pramanat jabardastine sthalantar, atee nagri jivitahani aanee hatyakandanche praman sarvekshan vaparoon mojale jaau shakate aanee madat puravanyasathi kinwa narsamhar ughad karnyasathi sarkaranvar dabav taknyasathi msf parinamancha vapar karoo shakate. emm. ess. eff. neey 2004 madhye darfurmadhye pahile sarvasamaveshak mrutyu sarvekshan kele.
tathapi, hii aakadevari gola karnyat naitik samasya asoo shakatat.
navkalpana aanee tantradnyanacha vapar.
2014 madhye msfne upgrah operator cess, itar ngo archemed, fondation foleiro, friendship luxemberg aanee german doctor aanee luxemberg sarkar yanchyashi satmedchya prayogik tappyat bhagidari kelee, haah prakalp vikasansheel deshanchya vilag bhagat aarogya aanee telemedicine aananyasathi upgrah broadband tantradnyanacha vapar karnyacha aahe. ebolaviruddhachya ladhyachya samarthanarth satmedla pratham siera leonmadhye tainat karnyat aale hote.
shasson aanee rachana.
aantarrashtriy adhyakshanchi yadeeh
jineva jaagtik mukhyalay aanee paach pradeshik parichalan kendranvyatirikt, 2020 paryant emm. ess. eff. chee rashtriy karyalaye khalilpramane hotih
antargat sanstha.
kendrabindu.
1986 madhye, emm. ess. eff. neey tyachya upkramanna pathimba denyasathi eka antargat sanshodhan sanstha, epicenter tayar kelee. kendra prashikshan aayojit karate, vaidnyanik kagadpatre prakashit karate aanee emm. ess. eff. sathee naveen tantre vikasit karate. teey mahamarishastriy sanshodhan karate, udrekachya velee vaidyakeey lus chachanya karate, lus sthiratevar prayog aanee lus upayojan dhoranache vishleshan karate.
atyavashyak aushadhe milanyasathi moheem.
vikasansheel deshanmadhye aavashyak aushadhanchi upalabdhata vadhavanyasathi 1999 madhye aavashyak aushadhanchi upalabdhata vadhavanyasathi moheem suru karnyat aalee hotee. "atyavashyak aushadhe" hii ashee aushadhe aahet jee loksankhyesathi samanya asalelya rogavar upchar karnyasathi puresha purvathyat aavashyak asatat. tathapi, vikasansheel deshantil loksankhyesathi samanya asalele bahutek rog aata vikasit deshantil loksankhyesathi samanya rahilele naheet; mhanoon, aushadhanirmiti companyanna asey vatate qee yaa aushadhanche utpadan karane aata fayadeshir rahilele nahee aanee teey pratyek upcharasathi kimmat vadhavu shakatat, aushadhacha vikas qamee karoo shakatat (aanee naveen upchar) kinwa aushadhache utpadan dekhil thambavu shakatat. emm. ess. eff. madhye anekada kshetriy mohimandarmyan prabhavi aushadhancha abhav asato aanee aavashyak aushadhansathi nidhi vadhavanyasathi sarkar aanee aushadhanirman kampanyanvar dabav aananyachi moheem suru kelee.
2006 madhye, emm. ess. eff. neey aushadh utpadak novartisla bharatatil paytant kayadyaviruddhacha khatala mage ghenyas aagrah karnyasathi tyachya prabhavacha vapar karnyacha prayatna keela, joou novartisla bharatat tyachya aushadhanche paytant ghenyas pratibandhit karato. kahee varshanpurvi, dakshin africela swast aushadhanchi aayat karnyapasoon rokhanyasathi novartisne dakshin aafrikevar khatala dakhal keela. 1 april 2013 roji, bharatiy nyayalayane novarticeche imatinibavaril (gleewake) paytant avaidh ghoshit kele asey ghoshit karnyat aale. yaa nirnayamule heey aushadh bharatiy bajarat generic aushadhandvare khoopach qamee kimmatit upalabdh hote.
march 2017 madhye, 1999 teey 2003 yaa kalat yaa mohimeche netrutva karananya ell torylene pravesh mohimeche karyakari sanchalak mhanoon emm. ess. eff. kadey punragman kele. pudhil teen varshe tyanni jaagtik vishleshan aanee samarthan karyasanghache netrutva kele, jyache uddisht yogya aushadhe, lussy aanee nidan vikasit, upalabdh, parvadanare aanee lokanchya garjannusar anukool asalyachi hummy dene heey hote.
2022 paryant, yaa mohimeche sarvat mahattvache vishay mhanje vadhata pratijaivik pratikar aanee ibola aanee covid sarkhya mahamarichya rogancha udrek. tarihi, garajoo lokansathi anek lussy, nidan aanee aushadhe upalabdh navhati.
karmchanyansathi suraksha jokhim.
msfchya karmchanyanvar kadhikadhi hallah keela jaato kinwa tyanche apaharan kele jaate. kahee deshanmadhye manavtavadi madat sansthankade shatrula madat karat asalyache manale jaate. sangharshachya eka bajula piditansathi keval madat moheem sthapan kelee gelyache samajale tarr tyavar hallah houu shakato. tathapi, dahashatvadavirodhatil yuddhamule, emm. ess. eff. sarkhya bigger sarkari madat sanstha yutee dalanshi sanlagn aahet kinwa tyanchyasathi kaam karatat, ashee manovrutti amerikechya tabyat asalelya deshanmadhil kahee gatanmadhye nirman jhaali aahe. amerikechya karvainantar afghanistan aanee irakmadhil shaharanmadhye asurakshitata lakshaniyaritya vadhali aanee yaa deshanmadhye madat dene khoop dhokadayak asalyache emm. ess. eff. neey ghoshit kele aahe. 2 juuna roji badgis prantatil khair khana jawal adnyat sainyane kelelya hallyat paach karmchari (afghan fasil ahmed aanee besamillah, belgian helen dii bayer, norwegian egil tinnes aanee duchman vilem quint) thaar jhalyanantar 28 julai 2004 roji sanghatanela afaganistanmadhun aapale pathak baher kadhanyas bhag padale gele. juuna 2007 madhye, emm. ess. eff.-francecha karmchari sadasya elsa sarfas madhya african prajasattakat marla gela aanee janewari 2008 madhye, done paradeshi karmchari (demian lehalle aanee victor okumu) aanee eka rashtriy karmchari sadasya (mohammed bidhan allie) somaliyatil sanghatit hallyat marle gele, parinami prakalp bund jhaala.
rajkiyadrushtya asthir pradeshanmadhye svayamsevkansathi atak aanee apaharan dekhil houu shakatat aanee kahee prakarananmadhye, emm. ess. eff. kshetriy mohimanna deshatoon purnapane hakaloon dile jaau shakate. uttar cocksusmadhil dagestanmadhil missionche pramukh arjan erkel yanche 12 august 2002 teey 11 april 2004 yaa kalavadhit adnyat apaharankartyanni apaharan kele aanee adnyat thikani tyanna olis thewale. emm. ess. eff.-hollandche pramukh paul foreman yanna meey 2005 madhye sudanmadhye atak karnyat aalee, kaaran tyanni sarkar samarthak janjavid miliciageni kelelya balatkarachya ghatanancha ahwal sankalit karnyasathi vaparleli kagadpatre ughad karnyas nakar deela hota (darfur sangharsh pahaa). foremanne sambandhit mahilanchya gopaniyatecha hawala deela aanee emm. ess. eff. neey aarop keela qee sudani sarkarne tyala atak kelee aahe kaaran ahavalamule nirman jhaleli white prasiddhi tyala aavadali nahee.
ghatana.
emm. ess. eff. karmchari kinwa suvidhanviruddha thet hinsacharachya ullekhaneey ghatananchi kalkramanusar aanshik yadee khalee dilee aaheh
puraskar.
1999chaa nobel shantata puraskar.
emm. ess. eff. chey tatkalin adhyaksh james orbinsky yanni sansthechya vatine nobel shantata puraskarache bhashan dile. udghatanat, too ravandan narsamharatil piditanchya paristhitivar charcha karato aanee tyachya eka mahila rugnavar laksh kendrit karatoh
emm. ess. eff. laa bhedasavana samasyanchi jahirat karnyasathi orbinskyne sansthechya vachanbaddhatela dujora dett mhatale aahe qee,
nave.
itar anek asambandhit bigger-sarkari sansthanni, udaharanarth, 'simevina abhiyante' ('simanvina vakeel'), ('simanvina patrakar'), ('simanvina jokar'), ('simanvina granthalaye') aanee simanvina homeopath, yampasoon prerit houn 'kinwa' simanvina 'ashee shevat karnari nave sweekarli aahet.
french game shhow ('simevina khel') haah msfpeksha juna aahe, joou 1965 madhye europemadhye pahilyanda prasarit keela jaat aahe.
naitik chinta aanee teeka.
msfchya kahee dhoranancha aanee paddhatincha parinam mhanoon msf karmchari, grahak aanee samudayanna msfdware naitik vaganuk denyababat prashna upasthit jhaale aahet, karmchari, vikas kshetratil itar aanee prasarmadhyamandvare yaa samasyancha prachar keela jaat aahe.
msfne rojgarachya vegalya atty rakhalya aahet aanee tyachya 'rashtriy karmchari' (jeey sthanik patalivar kshetriy mohimansathi karyarat aahet) aanee tyachya 'aantarrashtriy karmchari' (jeey pradeshik kinwa rashtriy ghatakatoon itar deshantil kshetriy mohimansathi tainat aahet) yanna vetan dile aahe. aantarrashtriy karmchari ekhadya mohimevar varishtha padey dharan karatat, rashtriy karmchari bahutek vela itar thikanahun aalelya varishtha karmcharyanna ahwal detat. rashtriy karmchanyankadun takrari suru aahet qee tyanna qamee anukool vaganuk dilee jaate, adhik dhokadayak kamanvar kaam kele jaate, tyanna lakshaniy pramanat qamee pagar deela jaato aanee tyanna ghar, aarogya seva aanee yenanya paradeshi karmchanyanna milanare itar fayade milat naheet. msfne 2020 madhye sangitale qee, vibhedak upchar door karnyachya uddeshane yaa dhoranacha aadhava ghetala jaeel. itar chintambarobarach, yaa paddhati, sansthechya sadhyachya aanee majee karmchanyanpaiki 1,000 karmchanyanni sansthechya kathit sanrachanatmak varnadveshababatchya tyanchya chintanchi ruparesha aakhana 2020 chya vidhanasathi utprerak hotya. samoohik karmchari nivedanat samavisht kelele, kamachya thikani pratikool vagnukichya swarupat aanee karyakramanchya nirmiti aanee amalbajavanimadhye vyakt keleli shwet varchasvavadi aanee vasahatvadi mansikta mhanoon olakhali jaanari, emm. ess. eff. madheel varnadveshachya vaiyaktik anubhavanchi saksh hotee. 
emm. ess. eff. aaplya missionsathi 'deshantargat' mhanoon navvad takke karmchari niyukt karat asatana, sanstheche uchch vyavasthapanat europeey lokanche varchasva kayam aahe. 2012-2022 yaa dashakat jaagtik dakshinetun udbhavalelya tyachya aantarrashtriy karyakram samanvayakanchi takkewari 24 takkyanvarun 46 takkyanparyant vadhoon, aantarrashtriy adhyaksh christos christo yanni manya kele qee msfchya sarvoch staranvar ajunahi jaagtik uttarekadil lokanche varchasva aahe. paschim europemadhye mukhyalay aanee paach karyarat ghatak asalelya msfchi dhorane aanee karye 2020 chya msf-staff statementmadhye 'eurocentric' mhanoon darshavili gelee hotee. 
2018 madhye, emm. ess. eff. karmcharyandvare laingik gairvartanukiche khulase jhaale, jyat laingik chhal aanee rugna, sthanik samuday sadasya kinwa itar emm. ess. eff. karmchanyanvar atyachar yancha samavesh hota. emm. ess. eff. chya takrarinchya tapasacha parinam mhanoon ekonis lokanna kamavarun kadhoon taknyat aale. emm. ess. eff. chya sahakanyankadun honara laingik chhal, emm. ess. eff. dhoranaviruddha kshetriy karmchanyandware sthanik (aanee kadachit qamee vayache kinwa keval 'jaganare ling') laingik karyakartyanche shoshan, aanee rugna kinwa samudayatil sadasyanchya kathit laingik upalabdhatebabat karmchanyanchi apmanaspad manovrutti aanee tippanya, kinwa laingik sambandhansathi vaidyakeey upcharanchi devanghevan karnyacha vyakt kelela hetu, asha takrarincha samavesh hota. parinami honare jawaljawal serve badtarf aantar-karmchari laingik gairvartanashi sambandhit aahet.
aanakhi eka vadat asurakshit rugnanchya mahitipurn sammatishivay kadhalelya chhayachitrancha samavesh hota, jyapaiki kahee praudh palkanshivay alpavayin hote. kahee pratimanvar shoshankari aanee vastunishtha mhanoon teeka karnyat aalee. tyat eka aaiche chhayachitra samavisht hote, jyat tichya balachya mrutyuvar shoke vyakt karat asatana, mulache shareer drishyaman hote; baal balatkar pidit aanee laingik aanee gharguti atyacharatun vachalele, tyanchya anubhavancha tapasheel samavisht hota. emm. ess. eff. kaam karat asalelya thikani aanee tyanchya karyakramanchi garaj asalelya gambhir paristhitibaddal jagrukta vadhavanyacha hetu asalelya yaa pratimancha vapar emm. ess. eff. aanee samudayik sanketsthalanvar aanee mudrit prakashananmadhye keela jaat asey. pratimancha parwana pratimanchya detabasesna vikrisathi upalabdh hota. uddhvast jhalelya kinwa balee padalelya vyaktincha, kadhikadhi anshatah olakh patavanari mahitee ughad karnyachya naitiktevar prashnachinh upasthit kele gele. tikenantar, emm. ess. eff. neey pratimancha vapar thambavanyacha nirnay ghetala. tyaa badalyat pratima kadhoon taknyavarhi teeka jhaali.
blackrockne tyachya covid-19 sankat nidhisathi $500,000 daan kelyanantar, karmchari aanee itar manavtavadi sanghatanankadun dhongipanachya aavahananna tond dilyanantar, emm. ess. eff. chey nidhiche model chhananikhali aale aahe.