In 2010, MSF opened a project in Zemio, situated in the far southeast of CAR, a town with a population of around 17,000 people. The project was started in response to a large influx of Congolese refugees and internally displaced people who were forced out of their homes due to repeated violent attacks by the Lord’s Resistance Army (LRA). Most of these refugees are now integrated into the Zemio community, which has in turn put pressure on the local health system. As a result, MSF has partnered with the local Ministry of Health to support a 30-bed health center in Zemio, with inpatient, outpatient, maternity, laboratory, and HIV/TB services, as well as running an outreach program that supports two satellite health posts and malaria points in the surrounding communities. The HIV program has identified more than 1,400 patients since it began in 2011. The Zemio Health Center remains one of the only secondary care facilities in this rural region and receives patients from as far as 250 kilometres away.