Médecins Sans Frontières - WALK & TALK: MSF health clinic in PK3 camp, Bria, CAR (INT)

Unique Identifier Code / URN MSF211082

Date taken / Date Recorded 01/09/2017 12:00 AM

Country Central African Republic

Commissioning section MSF-FRANCE

Photographer / videographer / producer Benoit Finck

Copyright MSF

Usage Rights (MSF) MSF Publications, Social Media

Formal Consent Copy available no

Editor's rating ★★★★★ (C)

Video format h264 (Constrained Baseline) (avc1 / 0x31637661)

Duration 3m45s

Maximum Size 1920px × 1080px 374.44 MB

Additional Information / Shotlist Walk and talk clinique mobile Brice V3
00 :01 We’re in Central African Republic, in Bria to be precise. This is displaced persons camp PK3.
BRIA – CENTRAL AFRICAN REPUBLIC
BRICE Gueweny Nzango
MSF’s manager of external activities

I’m Brice, and I’m in charge of external activities—that’s everything MSF does outside Bria hospital.

WALK AND TALK
Mobile clinic in PK3
Filmed on September 1, 2017

00 :18 off
00 : 21 How’s it going?
00 : 23 You’ve got peanuts!
00 :26 Hello
00 :28 So this is PK3, a displaced persons camp where over 23,000 people are living.

A l’écran
PK3 CAMP - BRIA - OVER 23,000 DISPLACED PEOPLE LIVING IN PK3 CAMP

00 : 32 These people have fled their villages and homes to come and live here.

THE CAMP IS UNDER THE PROTECTION OF UNITED NATIONS PEACEKEEPING FORCES
BUT ARMED GROUPS ARE STILL PRESENT

00 : 40 Their living conditions are really harsh. Look at the tents and how they have to eat. People sleep without bed nets. When it rains, water seeps under their tents. The situation of the displaced in PK3 camp is appalling, so MSF decided to set up a mobile clinic here to provide care to children, from new-borns up to 15-year olds. Let me show you the mobile clinic.

THE MOBILE CLINIC TEAM TREATS PATIENTS INSIDE THE CAMP

01 :12 This is where MSF treats children, from new-borns up to 15-year olds.
01 :17 Good morning mums; how are we today?

MOBILE CLINIC – TRIAGE AREA

01 :20 This is the triage zone. Mums from the various areas in the camp sit here while we sort cases according to how serious they are.
01 :28 How are you? Why is this one cross?
01 :31 This where the nurse records the necessary information, temperature, weight... We also systematically screen for malnutrition by measuring the mid-upper arm circumference of all children between the ages of 6 and 59 months. This is how we identify cases of malnutrition. Then we test them for malaria—that’s here. The most common diseases are malaria and then respiratory infections. They’re the cause of fever in lots of the kids, which is why we do the rapid malaria test. After the test, we send them for a medical consultation.
02 :12 As you see, we also have an ambulance ready to transfer serious cases.

THE MOST SERIOUS CASES ARE TAKEN TO BRIA HOSPITAL

02 : 18 All the serious cases are taken to the hospital in our ambulance, which is permanently on stand-by.
02 :34 So this is the consultation tent. Mums come over from the triage zone and wait here.

CONSULTATION AREA – MSF GIVES AN AVERAGE OF 1,200 CONSULTATIONS EVERY MONTH.

- Have you got a lot of cases today?
- Yes, and this one has a respiratory infection and the mother’s coughing.
02 : 40 After the consultation we send them for their medication. When a child doesn’t manage to take it, we put them under observation and try again a bit later.

03 : 02 The first dose is always administered by a member of staff. We also have kids running a high fever who we keep under observation. After a few hours, if the fever drops, we let them leave. But if it persists or gets worse, we have to take them by ambulance to our hospital.

MEDICATION – OBSERVATION – 28 PATIENTS REFERRED TO BRIA HOSPITAL IN JUNE 2017
39 REFERRED IN JULY 2017
77 REFFERED IN AUGUST 2017

THE INCREASING NUMBER OF PATIENTS REFLECTS THE DETERIORATING LIVING CONDITIONS IN THE CAMP.

O3 : 26 Ok, you have to take him right now.
Who’s going with the patient?
Quick, get in. Take the child in and get back. We’ve still got lots of patients here.

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