In what I would like to describe as the french connection, MSF decided to completely pull out of Somalia three months ago and it has kept true to its promise by immediately pulling out of Somalia in the last hour without giving the Somali's any sort of warning or notice to make preparations.
Unsurprising the pull out by MSF from Somalia hasn't caused the negative reactions anticipated or much difficulties for the Somali people, in fact their pull out hasn't even been noticed or caused any attention or concerns. I would explain this by pointing out to the obvious, that Somalia's civil war is pretty much over and since MSF mainly specializes in dealing with gunshot wounds, they've become jobless/useless in Somalia.
On the other hand Somalia has a very vibrant and low cost private health service, which specialize;s in what many people in post Somalia need, general medicine and health. And Turkey has begun building for Somalia a multi-million national professional healthcare service, where five state of the art modern Hospitals are now under construction in the capital Mogadishu, where one of the hospitals would be the largest hospital in east Africa. All hospitals will have state of the art equipment and Turkish healthcare specialist will run the institutions to be shadowed by Somali colleagues for a period of five years until the Somalis are ready to take over.
So many new hospitals now under construction in Somalia + the national hospitals to be renovated by Turkey.
Turkey has really stepped in to help Somalia.
Back to topic, this is the exact wording of the MSF President
I hope that Mr UNNI KARUNAKARA can understand that we Somali's are a proud people, in our 2, 000 year old rich history we have survived without MSF and inshallah in the future we will continue to survive and prosper with MSF. I hope that the message is out and that the message is loud and clear, Somalia is back and that international NGO's should take hint from MSF. That is Somalia ain't no Haiti backyard playground, so please pack up and go home, its time to leave, the party is OVER.By DR UNNI KARUNAKARA
Our announcement on August 14 that we were closing all our medical programmes in Somalia sent shockwaves through political and humanitarian communities.
It came at a time when world leaders, for the first time in decades, were beginning to make positive noises about a country on the road to recovery and with a stable government.
Timing
For them, the timing of our decision could not have been worse. In media interviews, we were asked to explain the discrepancy between the upbeat tone of governments and our own harsh judgement that led to one of the most painful decisions in MSF history.
Let me try to explain. To begin with, MSF is not an organisation that comments on political or economic progress. We focus first and foremost on the health of people and their ability to find medical care when they need it. From that perspective, and based on our extensive activities across the country, there simply is no good news. Large parts of the Somali population live with undernourishment, disease and injury. They have little chance of finding quality health care when they need it.
We struggled to provide medical services in almost all parts of the country, but not without compromise. We hired armed guards to protect our clinics and staff, something we do not do in any other conflict area. Despite this extreme measure, we have been greeted with a barrage of attacks, including abductions and the killing of 16 (!) of our staff. There has also been an unbearably high number of threats, thefts and other intimidating incidents. There is no other country in the world where security risks are so high.
The many commentators on Twitter who have remarked that MSF is known to stay and work under the most difficult circumstances are correct. But MSF, too, has its limits. And we have reached our limit in Somalia with the sequence of murders and abductions over the past five years.
Abducted
In December 2011, two of our colleagues were brutally murdered in Mogadishu. Their killer, who was tried, convicted and sentenced to 30 years in prison, was released after three months. Two other colleagues who were abducted from Dadaab two months earlier only found freedom a few weeks ago. They were captive for 21 long months in South Central Somalia. These two events were the final blows.
But security is not the reason we left, nor is the presence of criminal elements. What dashed our last bit of hope of working in the country was that the very parties with whom we had been negotiating minimum levels of security tolerated and accepted attacks against humanitarian workers. In some cases, they were actively supporting the criminal acts against our staff. In many other cases, these parties sustained an atmosphere that allowed attacks to take place. Nobody has stood up to say that it is unacceptable to threaten, abduct or kill doctors, nurses and other staff who simply try to bring health care to people who would otherwise have none.
Let’s be clear. “Parties in Somalia” does not only refer to Al-Shabaab, although they have much power and responsibility in many areas where we worked. We are also not pointing solely at the government in Mogadishu, which has shown indifference to the 2011 murder of our two colleagues, as the early release of the killer demonstrates.
Rather, MSF’s conclusion is that acceptance of violence against health workers has permeated Somali society and this acceptance is now shared by many armed groups and many levels of civilian government, from clan elders to district commissioners to the Federal Somali Government.
Misuse of aid
The eagerness to misuse and manipulate humanitarian aid was again demonstrated immediately after we announced our withdrawal from Somalia. Within one day, local Al-Shabaab representatives took control of our hospital compounds in Dinsor and Marere, confiscating equipment and supplies, and sending patients home without us being able to complete their treatment. And within one day, a spokesperson for the Somali Presidency commented that “MSF’s decision is exactly what Al-Shabaab and Al-Qaeda wanted, so that they can terrorise people further. We ask MSF to review its decision and cooperate with the people,” thus trying once again to force a political and military agenda on us, a humanitarian organisation.
Our decision to leave has been among the most painful in MSF’s history. Last year and in the first half of 2013, we treated around 50,000 people a month. That is almost 2,000 people every single day. Many will struggle to find the care that they need from now on. For an organisation of doctors, that is a heavy responsibility.
In Kenya, that leaves the hundreds of thousands of Somali refugees with even less possibility of an early return. MSF continues its medical care for the refugees in Kenya and Ethiopia, but in a security environment (for our patients and staff) that is scarcely better than it was in Somalia itself.
As long as those who have any kind of power or influence in Somalia do not demonstrate that they value medical care for the people in their various territories, as long as they do not respect those who take huge personal risks to deliver such care, MSF cannot return to Somalia.
The writer is International President of Médecins Sans Frontières (MSF)
