Médecins Sans Frontières - FILM: Alongside an MSF team in Bria, CAR (ENG)

Unique Identifier Code / URN MSF208822

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) External Media

Formal Consent Copy available no

Editor's rating ★★★★★ (C)

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

Duration 13m16s

Maximum Size 1920px × 1080px 1.32 GB

Additional Information / Shotlist SCRIPT - Alongside an an MSF team in Bria
13 min
Directed by Benoit Finck.

(OFF) This is the entrance to PK3 camp, just here at the MINUSCA checkpoint
(OFF) Water runs down from the latrines and along here. Living conditions here are not good.
(OFF) The suffering is appalling.

ONSCREEN TEXT
Bria hospital (Central African Republic)
30 August 2017, 7 am

Alongside an an MSF team in Bria (Central African Republic)

Bria is in the middle of Central African Republic. The town has been hard hit by the resurgence of violence that has the country.

Six days a week,
an MSF team sets off from the hospital
to provide medical care to people unable to reach healthcare services.

Every morning, they prepare their equipment and supplies of drugs.

MSF STAFF MEMBER (in French)
All this belongs to the displaced people who've sought refuge at the hospital. They sleep here at night, these are all their belongings. When they wake up, they move their things out of the way so we have enough room to work.

ONSCREEN TEXT
The hospital where MSF works is also a safe haven for over 2,000 of Bria’s inhabitants who have fled their neighbourhoods because of the insecurity.

They sleep in makeshift shelters or consulting rooms where medical care is provided during the day.

MSF STAFF
This is the emergency case with the emergency drug supply. And these are the registers and documents we need for our work.
Come on, we’re off.

ONSCREEN TEXT ONSCREEN TEXT
The team leaves the hospital and heads for the displaced persons camp, PK3, 3km from the town centre.

Brice XXX - Nurse, External activities manager
We’re about to reach Gbadou. It’s a neighbourhood where Christians and Muslims used to live together, side by side. But sadly, over the past four months, since May, there’s been a crisis situation, with Christians forced to leave their neighbourhood and go to PK3 camp. This is the entrance to PK3 camp, just here at the MINUSCA checkpoint (UN forces). It’s a big camp, about 23,000 people live here, mostly Christians from several of the town’s neighbourhoods. The camp is supposed to be kept safe by MINUSCA but, unfortunately, every now and again self-defence militias manage to get in.

ONSCREEN TEXT
Mobile clinic
PK3 camp, 7.30 am

Brice XXX - Nurse, External activities manager
This is where we give medical consultations. The mothers know where to come and in the morning, they’re here waiting for us. As soon as we arrive, the team gets set up and begin the consultations. Emergency cases are taken to the hospital.

ONSCREEN TEXT
Triage area
Mobile clinic, PK3 camp 10 am
Delphine has brought her daughter for a consultation.

DIALOGUE 1st nurse – DELPHINE + PATIENT (local language)
- She’s not eating, she’s refusing her food.
- What’s her name?
- Chimène.
- How old is she?
- 14 months.
- Where do you live?
- Here, in PK3.
- No, I mean, which neighbourhood are you from in Bria?
- We’re from Gbadou.
- 8.5 kg.
- Have a seat.

ONSCREEN TEXT
Malaria screening test
Mobile clinic, PK3 camp

DIALOGUE 2nd nurse – DELPHINE + PATIENT (local language)
- How long has she been ill?
- A long time—since we were forced to flee.

ONSCREEN TEXT
Chimène’s tested negative for malaria.
Consulting room
Mobile clinic, PK3 camp

DIALOGUE Nurse 3 – DELPHINE + PATIENT (local language)
- Is she already taking any tretament?
- Yes, she’s taking what was prescribed here.
But she isn’t any better.

Nurse 3 (in French)
We already saw this child yesterday. My diagnosis is that she’s severely anaemic. We don’t have a haemoglobin meter here so we prefer to transfer her to the hospital and check her haemoglobin levels there.

ONSCREEN TEXT
Before going to Bria hospital, Delphine wants to get some clothes for her daughter.
Like 23,000 other displaced people, she fled the violence that devastated her neighbourhood and has sought refuge in PK3 camp.
The poor living conditions in the camp have a direct impact on people’s health.

DELPHINE
Look at our sleeping conditions.
Ten of us sleep here.
We put down mats, which some of us sleep on.
When it rains, water gets everywhere.
When it starts, we move everything off the ground and stay standing up.
We wait for the water to stop coming in, put the mats down and lie down again.
We’re not sleeping in good conditions, and my child’s not eating either.
She won’t take her food.
She’s not even breastfeeding properly. Sometimes she refuses to feed for a whole day.
Water runs down from the latrines and along here.
Right here.
When it rains, water flows down and into our shelter into our shelter.
We’re not living in good conditions.
Really not good.

ONSCREEN TEXT
An ambulance will take Delphine and her daughter to Bria hospital, 3 km away, where she’ll be admitted for treatment.

Mobile clinic
PK3 camp 2 pm

Yacinthe has brought his son for a consultation.
Doctor: What’s wrong with him?
Yacinthe: He’s got a fungal infection on his scalp, and on his nose, and lesions on his tongue. He’s got diarrhoea too. He couldn’t eat this morning. He’s been like this for three days.

(OFF) Come on, little one open your mouth. Don’t worry, it won’t hurt.

Doctor: Ok, go and get these drugs.

Drugs are provided free of charge.
The first dose is taken under medical supervision to make sure the child doesn’t vomit.
Doctor: One tablet at midday, and one in the evening. And you need to give him this three times a day. Give him this straight away.

Yacinthe, like Delphine, fled his neighbourhood and has found refuge in PK3 camp.
He’s made a shelter for himself and his family.

Yacinthe
Since we fled, I’ve been scared to go back to see what’s happening. I don’t know what state my house is in, but I know everything’s been looted. People I know gave me the clothes on my back. I left with absolutely nothing. You see men who go four, five days without eating It’s affecting the kids, they’re getting thinner. They were healthy before but they’ve all lost weight. They’re constantly ill and they’re not eating. It’s tough, really tough.

Mobile clinic
PK3 camp 3 pm

The last consultations are finishing up.

MSF STAFF
At the end of the day we put everything away and the staff in charge of the pharmacy tidy away the drugs. We’re here six days a week. All the supplies and equipment stay here and we’ll be back tomorrow to get down to work again. From 8 am to 3 pm we give consultations to mothers and their children. There’s a great need for the people here as there are no other other health centres. MSF is on hand to treat patients and children. Today we’ve given 58 consultations, and transferred 5 patients. Malaria and respiratory infections are what we see most. We’ve had one burn patient, who we referred. The transfers have gone smoothly, so the day is almost over.
Ok team, in you get.
Cédric! Let’s go.
That’s our day done. We can go back to the hospital now. Some of the team stay here. They work and sleep here. The rest of us go back to the hospital.

ONSCREEN TEXT

Some of MSF medical team live in PK3 camp because their homes were destroyed during recent attacks. MSF’s mobile clinic teams give an average of 1,200 consultations a month. Two weeks after this day at the clinic, the violence flared up again and the number of people in PK3 camp has increased from 23,000 to 30,000.