Doctors Without Borders Japan 国境なき医師団日本
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Mission Statement
Doctors Without Borders/Médecins Sans Frontières (MSF) is a private, international association. The association is made up mainly of doctors and health sector workers and is also open to all other professions which might help in achieving its aims. All of its members agree to honor the following principles: MSF provides assistance to populations in distress, to victims of natural or man-made disasters, and to victims of armed conflict. They do so irrespective of race, religion, creed, or political convictions. MSF observes neutrality and impartiality in the name of universal medical ethics and the right to humanitarian assistance and claims full and unhindered freedom in the exercise of its functions. Members undertake to respect their professional code of ethics and maintain complete independence from all political, economic, or religious powers.
About This Cause
Our Principles MSF’s actions are guided by medical ethics and the principles of independence and impartiality. Medical Ethics MSF’s actions are first and foremost medical. We carry out our work with respect for the rules of medical ethics, in particular the duty to provide care without causing harm to individuals or groups. We respect patients’ autonomy, patient confidentiality, and their right to informed consent. We treat our patients with dignity, and with respect for their cultural and religious beliefs. In accordance with these principles, MSF endeavors to provide high-quality medical care to all patients. Independence Our decision to offer assistance in any country or crisis is based on an independent assessment of people’s needs. We strive to ensure that we have the power to freely evaluate medical needs, to access populations without restriction, and to directly control the aid we provide. Our independence is facilitated by our policy to allow only a marginal portion of our funds to come from governments and intergovernmental organizations. Impartiality and Neutrality MSF offers assistance to people based on need and irrespective of race, religion, gender, or political affiliation. We give priority to those in the most serious and immediate danger. Our decisions are not based on political, economic, or religious interests. MSF does not take sides or intervene according to the demands of governments or warring parties. Bearing Witness The principles of impartiality and neutrality are not synonymous with silence. When MSF witnesses extreme acts of violence against individuals or groups, the organization may speak out publicly. We may seek to bring attention to extreme need and unacceptable suffering when access to lifesaving medical care is hindered, when medical facilities come under threat, when crises are neglected, or when the provision of aid is inadequate or abused. Accountability MSF is committed to regularly evaluating the effects of its activities. We assume the responsibility of accounting for our actions to our patients and donors Every year, Doctors Without Borders/Médecins Sans Frontières (MSF) provides emergency medical care to millions of people caught in crises in more than 60 countries around the world. MSF provides assistance when catastrophic events—such as armed conflict, epidemics, malnutrition, or natural disasters—overwhelm local health systems. MSF also assists people who face discrimination or neglect from their local health systems or when populations are otherwise excluded from health care. MSF is a neutral and impartial humanitarian organization that aims first and foremost to provide high-quality medical care to the people who need it the most. It does not promote the agenda of any country, political party, or religious faith, and, as such, endeavors to communicate its history, background, and capabilities to all parties in a given situation so that it may gain the necessary access to populations in need. On any given day, more than 30,000 doctors, nurses, logisticians, water-and-sanitation experts, administrators, and other qualified professionals working with MSF can be found providing medical care around the world. In 2014, MSF medical teams carried out more than eight million outpatient consultations; delivered 194,400 babies; treated more than 2.1 million people for malaria; provided over 200,000 mental health consultations; registered 229,900 HIV patients under care; conducted more than 81,700 surgeries; treated 46,900 people for cholera; and vaccinated almost 1.5 million against measles and more than 75,100 against meningitis When MSF Responds At its core, the purpose of humanitarian action is to save the lives and ease the suffering of people caught in acute crises, thereby restoring their ability to rebuild their lives and communities. In the countries where MSF works, one or more of the following crises is usually occurring or has occurred: armed conflict, epidemics, malnutrition, natural disasters, or exclusion from health care. Armed Conflict In numerous countries, MSF is providing medical care to people caught in war zones. Some may have been injured by gunfire, knife or machete wounds, bombings, beatings, or sexual violence. Others are cut off from medical care or denied the ability to seek the treatment they need. This could be a pregnant woman who cannot reach help to deliver her baby, or someone with a chronic condition who has no way to resupply his medicines. Conflict’s consequences are manifold, and MSF has historically attempted to respond with speed, focus, and flexibility in order to deliver the necessary care to those most in need. In 2012 and 2013, MSF provided surgical care in approximately two dozen countries, including the Democratic Republic of Congo, Syria, Haiti, Nigeria, Iraq, South Sudan, Somalia, and Jordan, among other countries. MSF also provided medical care to refugees and internally displaced people seeking sanctuary in camps and other temporary shelters. Today, in numerous countries around the globe, MSF teams are running vaccination campaigns and water-and-sanitation projects, providing basic medical care through clinics and mobile clinics, building or rehabilitating hospitals, treating malnutrition and infectious diseases, and providing mental health support. Field teams also provide shelter and basic supplies—blankets, plastic sheeting, cooking pots, and more—when people have been uprooted from their homes and have nothing to help them survive. Epidemics MSF has a long history of responding to epidemic outbreaks of cholera, meningitis, measles, malaria, and other infectious diseases that spread rapidly and can be fatal if not treated. Over the past decade, MSF has also become involved in the treatment of the devastating pandemics of HIV/AIDS and tuberculosis (TB), which is the leading cause of death for people with HIV/AIDS. MSF also treats neglected diseases such as kala azar, sleeping sickness, and Chagas, diseases that largely affect the world's poorest people and for which there are, at present, few effective treatment options. Furthermore, MSF treats and advocates for people afflicted with drug-resistant and multi-drug resistant forms of TB that require lengthy, difficult treatment regimens. MSF believes in bringing the highest quality medical care possible to its patients. Through the Access Campaign, MSF pushes for improved diagnostics and treatments for diseases that disproportionately affect the world's poor, along with urgently needed second-line drugs for the growing numbers of patients developing resistance to first-line medicines. MSF has also called attention to the need for appropriate pediatric formulations for children with HIV/AIDS, and improved treatments and diagnostics for TB, for which there have been virtually no new advances in treatment since the 1960s. Malnutrition An estimated 195 million children worldwide suffer from the effects of malnutrition, with 90 percent of them living in sub-Saharan Africa and South Asia. In fact, malnutrition contributes to at least one-third of the eight million annual deaths of children under five years of age. In 2014, MSF treated approximately 217,900 severely and moderately malnourished children in a host of countries in Africa and Asia. In many cases, teams employed ready-to-use therapeutic food, or RUTF, a revolutionary product that is changing protocols for responding to malnutrition. These nutrient-dense milk- and peanut-based pastes include all the minerals, vitamins, and nutrients that rapidly growing young children need for proper development. In traditional treatment programs, severely malnourished children had to be hospitalized for several weeks to receive treatment. The fact that several weeks worth of RUTF can be given to families and then taken at home means that far more children can be treated than ever before Natural Disasters Natural disasters can overwhelm a local or national health structure in a matter of minutes. There are times when the aftermath of monumental disasters requires more of a development and reconstruction focus than a medical one. This was the case after the Indian Ocean tsunami in 2005, when other organizations and government agencies had the necessary capacities to address the most pressing needs and there actually was not much for MSF to do. In numerous instances, however, MSF played a large role in tending to the wounded and the ill who were left in a catastrophe’s wake. In several situations, MSF teams were already present in a place when disaster struck and were thus able to respond quickly. This was the case when the Kashmir region of Pakistan and India was hit by a devastating earthquake in 2005, when flooding swamped Mexico in 2007, and when cyclones thrashed Bangladesh in 2007 and Myanmar in 2008. MSF teams were able to rapidly assess where their expertise would be of most assistance and set up primary and secondary care health facilities, surgical units, and mobile clinics to reach people trapped in remote areas.