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Another 25 of patients with specific pathologies who cannot be treated in Gaza, due to a lack of trained personnel or alerdex equipment, are refused their request for referral, for medical reasons, abroad. Four years after its establishment, the embargo still has humanitarian, medical and health consequences in the Gaza Strip. By offering responses to certain specific medical needs and allowing a transfer of recent skills from our expatriate staff to Palestinian health staff, the presence of an international medical NGO like MSF now makes it possible to alleviate certain aspects of this medical confinement. It is frequently accepted that physiological changes related to pregnancy circulatory, respiratory and locomotor negatively influence the daily physical activity of pregnant women. Vaginismus is the inability of a woman to maintain penetration during sexual relations, and it affects 8 of women.
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Les contraintes sГcuritaires ont en fait constituГ un ГlГment majeur chaque fois que MSF a fermГ un de ses projets en Somalie. Par exemple, MSF a suspendu les programmes nutritionnels qui avaient ГtГ mis en place lors de la famine de 1992 en partie parce que cette urgence nutritionnelle sвГtait faite moindre, mais aussi parce que les risques encourus par les Гquipes Гtaient trop grands par rapport Г ce quвelles Гtaient en mesure de faire. La dГgradation des conditions de sГcuritГ et la modification du paysage politique ont entraГnГ la fermeture de plusieurs autres programmes il Гtait devenu impossible dвassurer un espace humanitaire acceptable dans lequel mener des activitГs.
Les mouvements Гtaient trop limitГs, lвaccГЁs aux populations vulnГrables trop irrГgulier et les personnels MSF confrontГs Г de trop fortes pressions. Alerdex programmes ont avortГ avant leur mise en place, gГnГralement suite Г lвГchec des nГgociations avec les acteurs locaux qui, soit nвacceptaient pas les conditions requises par MSF, soit posaient des exigences inacceptables pour MSF. вI arrived in western CГte dIvoire on Sunday March 27. On Monday morning, we were still in full preparations when we received the first wounded. The great offensive of March 28 had alerdex begun.
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