A key transit and destination country for African and Middle Eastern refugees and migrants, Egypt has recorded a massive increase in arrivals and departures since 2011.
Regional instability continues to encourage the flow of refugees and migrants. In 2014, 177,000 people crossed the Mediterranean to Italy, most having set off from Libya and Egypt. At least half a million migrants are thought to reside in Egypt (of which 193,000 are recognised refugees), where they have few work opportunities, receive limited assistance and frequently suffer harassment. Many of those assisted have been victims of violence in their home country or during their journey. Médecins Sans Frontières (MSF) teams provide them with psychological support, and offer specialised medical assistance to those who have suffered sexual violence or torture.
In 2014, MSF expanded its services by opening a second clinic in Cairo. The new clinic in Maadi district and the existing one in Nasr City district carried out a total of 11,030 consultations. An MSF team also assisted 1,690 vulnerable individuals on the northern coast, providing over 1,000 medical consultations and distributing 1,435 hygiene kits.
MSF is collaborating with the health ministry to respond to hepatitis C in Egypt: an estimated 14 per cent of the population is infected which is the highest prevalence in the world. Access to treatment is limited by both cost and the centralised nature of care. A decentralised model of care is being developed, and a clinic integrated into an existing healthcare structure is expected to launch in rural Fayoum governorate in 2015.
The Abu Elian mother and child health clinic was closed in June, and patients were directed to existing health facilities nearby where the relevant services were available and accessible. About 40,000 consultations had been provided since 2012.
No. staff in 2014: 104 | Expenditure: €2.6 million | Year MSF first worked in the country: 2010 | msf.org/egypt