Since 2006, MSF is working in Sukma district of Southern Chhattisgarh in India, place of a longstanding low-intensity conflict between Indian security forces and Left Wing Extremist group. The MSF team works to provide primary health care services to the population affected by the conflict.
MSF’s presence is highly crucial to the target population as MSF is the sole international actor in the area providing medical services. In a region where access to health facility is cumbered by insecurity, patients are forced to walk miles to reach our mobile clinics.
Through mobile clinics, MSF provides medical services with a focus on maternal and child health care and, through health-promotion trainings and sit-in forums, encourages the community in health seeking behavior. Mobile Clinics offers quality primary health care services which includes treatment of malaria, tuberculosis, respiratory infections, ante-natal care, post-natal care and immunization of children. Secondly and with the aim to ensure sustainability after our exit, we organize community approach activities which includes Behavior Change Communication in Sexual and Reproductive Health aspects.
But the main objective is the recruitment and training on minimal services to community health workers (CHW) enabling them to diagnose and treat malaria and to identify the danger signs during pregnancy and delivery so that they can refer the pregnant women to the nearest heath care centers. Community driven referral is very crucial as most of the deliveries happens at home.
Mobile Clinics provide patients with the opportunity to be examined by medical staff and receive treatment for illnesses, injuries and other medical needs. These clinics also allow staff to identify and begin treatment for patients showing symptoms of TB.
After diagnosis the treatment journey begins, an already difficult
journey made all the more challenging by the
distance between health workers and patients
and the risk of patients failing to return to
the clinic after being diagnosed.
Samples of saliva & mucus taken from suspected TB patients , known as Sputum samples, are tested at the Bhadrachalam area hospital using a GeneXpert testing machine. Patients with confirmed cases of TB receive their medication through the mobile clinics allowing clinic staff to ensure patients are adherent to their treatment. Patients are also encouraged to take part in group sessions where they are educated on TB prevention and care as well as given the opportunity to share their experiences during their TB treatment.
“Since I started working with the community, I feel good because I see I’m supporting and helping them adhere to medication such as for TB. Once I travel in the community, I can also refer patients whether ANC or PNC to decentralized health centres”
Adherence to treatment is key to successfully treating TB and preventing its spread in homes communities. When patients are unable to reach the clinics it is then the responsibility of the community approach teams with the help of the community health worker to go into the communities and trace the patient.
These TB tracing programmes consist of checking that the patient has been taking their medication, issuing them with more medication and conducting checks on the patients general health and speaking to them to see that they understand their treatment regimen and the importance of being adherent to their treatment.
© 2026 MSF
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