Tirah, Pakistan

Yousaf Ali – Medical activity manager, MSF

The community here was displaced [from 2009] and repatriated since 2022. When they returned and started settling, there weren’t any health facilities in the area.

After more than 10 years of conflict,

between several armed groups

and the Pakistan army,

people were allowed to come back

in the Tirah valley in 2022



Dost Muhammad

MSF Patient



Before our displacement, we had a booming trade with Afghanistan. Now, there is nothing left.

Our homes were destroyed, and we don’t have the means to rebuild. We have no income, and we haven't received the promised compensation yet. We live in tents.

Yousaf Ali

Before displacement, there were community health centres and a few dispensaries, but because these people were displaced for over ten to twelve years, there wasn’t anyone living here. It was a no-go area.

The challenges still exist as there are no health facilities here except MSF.

Dost Muhammad

We don’t have any other hospital or clinic in our area. Whenever someone gets sick or needs medical treatment, we bring them on a donkey or on our shoulders.



In 2024, 40,000 patients

were treated at MSF clinic in Tirah,

a 35% increase compared to 2023

Yousaf Ali

In summers, we see a lot of malaria, watery diarrhea, skin diseases, scabies. These are very common diseases which we see here.

Sajad Khan, Project coordinator assistant, MSF



Last week, on Saturday, an incident happened.

Around 8 pm, from a nearby village of Tangu, an injured person came who had a gunshot wound due to an internal land dispute.

If we hadn’t provided timely care and the bleeding hadn’t stopped, he might not have survived.