Pakistan has one of the highest rates of maternal and infant mortality in Central Asia. In Khyber Pakhtunkhwa (KPK) province, as in the Federally-Administered Tribal Areas (FATA), vulnerable women have very little access to high-quality obstetrical and gynecological care. With the children, they are the first victims of shortages of health care staff and the general lack of medical care in the country.

After evaluation of the gynecological, obstetric and reproductive health needs and of the main health facilities of the KPK province, MSF has opened ? on the 18th of May of 2011 - a private hospital in Peshawar. This structure is dedicated to female vulnerable population of Peshawar valley and surrounding areas: refugees, displaced or poor women & to patients at risk, complicated and emergency obstetrics and gynecologic cases. *** Local Caption *** This 30-bed reference hospital is furnished with a labor, a delivery room and an operating room. In this structure, MSF staff provides free, emergency OB-GYN care (surgery, labor and delivery, consultations and hospitalization) 24/7. MSF also supports 10 Basic Health Units (BHU) in Peshawar district, providing family planning, ante & post-natal care (ANC & PNC). This activity enables the patient's identification and transfer to the MSF "Women's hospital." 65% of the BHUs patients go to the MSF hospital. A medical referral network has been set up and is progressively expanding to other poor communities around Peshawar and to neighboring tribal areas. 4 Afghan refugees camps has been selected to refer all their pregnancy case.

Our objective is to reduce the risk of maternal and neonatal mortality and morbidity by improving the screening, prevention, diagnosis and treatment of diseases during pregnancy and/or labor and delivery. To offer access to adequate gynaecological and obstetric care. And to support the MoH in providing qualified ANC/PNC.

By the end of December 2011, 10 international staffs & 103 national staffs were working at the MSF ?Women?s hospital? - From May till December 2011: 227 admissions; 156 deliveries; 37.2% of C-Sections; 0% of mortality rate. By mid November 2011, 5 BHUs were supported by MSF: 2 530 ANC consultations; 47 women followed for PNC ; 69 for gynaecological care. 112 patients have been referred from a BHU to the MSF hospital.