Sapa
Sunday, August 18, 2013
Maryan Muse sits with her four children in
front of the closed doors of the Jaziira medical facility in Somalia's
capital Mogadishu, tearful and discouraged.
“Who will now help my family?” the
single mother asks, throwing up her hands as she contemplates a future
without the assistance of medical charity Medicins Sans Frontieres
(MSF).
Like thousands of other Somali
families, Muse and her children have been relying on the free health
care services provided by MSF. A public health system is as good as
non-existent in the war-torn East African nation.
But on August 14, MSF closed all
its operations, citing recurring attacks on its staff, including murders
and kidnappings. In the 22 years the charity has been working in
Somalia, 16 staff members have been killed by armed groups.
“The closure of our activities is a direct result of extreme attacks on our staff,” explained MSF President Unni Karunakara.
Insecurity
continues to reign in Somalia, where the new government, formed almost a
year ago, has been struggling to establish peace and stability.
A bedraggled army, supported by
almost 18 000 African Union peacekeepers, has been trying to fight
Islamist al-Shabaab militants and rival warlords for control over the
country's south, without tangible success.
“Some of (my colleagues) were
killed, wounded, harassed or being kidnapped for ransom payments,” said
Ahmed Sheikh Osman, a logistics worker for MSF who lost his job this
week, along with 1 500 other local staff members the charity employed in
Somalia.
Osman and his colleagues will now
join the masses of the jobless, with little prospect of finding new
employment. More than half of all adults are without work in the country
of 10 million people, according to the United Nations.
But worst affected by MSF's
pullout will be the hundreds of thousands of poor Somalis who cannot
afford to pay for private health care or medication at a pharmacy.
Almost three quarters of Somalia's population lives in extreme poverty, surviving on less than 2 dollars a day.
“My
baby is sick. I don't know where to go for free health care services
since MSF left us behind. I cannot afford to get medicine from private
pharmacies or the local hospital for lack of money,” said Asho Du'alle, a
mother of three, who, in despair, queued in front of the Jaziira
clinic, although she knew the charity had left.
For many years, MSF provided free
consultations, medicines, vaccinations and nutritional support in the
poverty-stricken nation in the Horn of Africa. All that is now over.
The minute the charity announced
its departure, members of the al-Qaeda linked Al-Shabaab group swooped
in, seizing MSF-funded facilities in the Middle Jubba and Bay Regions,
looting the remaining medical equipment and supplies, witnesses told
dpa.
“The reality is, in some places
there will be no medical care for the people left behind,” Karunakara
admitted. “We just have to face that fact.”
For many Somalis, this could mean a
death sentence. Already, 71 percent of the population is
undernourished, according to the United Nations Development Programme
statistics. Life expectancy is a meagre 50 years, compared to the global
average of 70 years.
Children, the most vulnerable,
will be worst affected. With 180 deaths per 1 000 live births, Somalia
already has one of the highest under-five mortality rates in the world,
according to the World Health Organisation.
Dr Ali Abdullahi Warsame, health minister of the northern Puntland state, called MSF's departure “disheartening.”
The Somali government Thursday pleaded with MSF to review its closure.
“This decision will directly
affect the lives of thousands of vulnerable people,” said Maryan Qasim,
minister of human development and public services.
“We fear that this decision will lead to a catastrophic humanitarian crisis.”