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=== Middle East and North Africa === ====Libya==== The [[2011 Libyan civil war]] has prompted efforts by MSF to set up a hospital and mental health services to help locals affected by the conflict. The fighting created a backlog of patients that needed surgery. With parts of the country slowly returning to livable, MSF has started working with local health personnel to address the needs. The need for psychological counseling has increased and MSF has set up mental health services to address the fears and stress of people living in tents without water and electricity. Currently MSF is the only International Aid organisation with actual presence in the country. ====Search and Rescue in the Mediterranean Sea==== MSF is providing Maritime Search And Rescue (SAR) services on the Mediterranean Sea to save the lives of migrants attempting to cross with unseaworthy boats. The Mission started in 2015 after the EU ended its major SAR [[operation Mare Nostrum]] severely diminishing much needed SAR capacities in the Mediterranean.<ref>{{Cite web |url=http://www.doctorswithoutborders.org/country-region/mediterranean-sea |title=Mediterranean Sea: Latest MSF Updates October 4, 2017 |access-date=17 February 2018 |archive-url=https://web.archive.org/web/20180218090835/http://www.doctorswithoutborders.org/country-region/mediterranean-sea |archive-date=18 February 2018 |url-status=dead }}</ref> Throughout the mission MSF has operated its own vessels like the ''[[Bourbon Argos]]'' (2015–2016), ''[[Sea-Watch 3#Dignity I|Dignity 1]]'' (2015–2016) and ''[[VOS Prudence]]'' (2016–2017). MSF has also provided medical teams to support other NGOs and their ships like the [[Migrant Offshore Aid Station|MOAS]] ''[[Phoenix (1973)|Phoenix]]'' (2015) or the ''[[Aquarius (NGO ship)|Aquarius]]'' (2017–2018) and ''[[Ocean Viking]]'' (2019–2020) with [[SOS Méditerranée]]<ref>{{Cite web | url=http://searchandrescue.msf.org/ |title = Search and Rescue – MSF}}</ref> and [[Mediterranea Saving Humans]]. In August 2017 MSF decided to suspend the activities of the ''VOS Prudence'' protesting restrictions and threats by the Libyan "Coast Guard".<ref>{{Cite web | url=http://www.msf.org/en/article/hindrance-humanitarian-assistance-will-create-deadly-gap-mediterranean-sea |title = Hindrance of humanitarian assistance will create a deadly gap in the Mediterranean Sea}}</ref> In December 2018 MSF and SOS Méditerranée were forced to end operations of the ''[[Aquarius (NGO ship)|Aquarius]]'', at that date the last remaining vessel supported by MSF. This came after attacks by EU states that stripped the vessel of its registration and produced criminal accusations against MSF. Up to then 80,000 people had been rescued or assisted since the beginning of the mission.<ref>{{Cite web|url=https://www.msf.org/aquarius-forced-end-operations-europe-condemns-people-drown|title=Aquarius forced to end operations as Europe condemns people to drown|website=Médecins Sans Frontières (MSF) International|access-date=2018-12-06}}</ref> Operations resumed with ''Ocean Viking'' in July 2019, but the ship was seized in Sicily in July 2020.<ref name=FRA_update_21Jun/> In May 2021, MSF returned to refugee rescue operations in the Mediterranean with a new vessel, the ''[[Geo Barents]]''.<ref name=MSFGeoB>{{cite web |url=https://www.msf.org/msf-returns-saving-lives-sea-central-mediterranean |title=MSF returns to saving lives at sea in central Mediterranean |date=13 May 2021 |work=msf.org |access-date=20 June 2021 }}</ref><ref name=FRA_update_21Jun>{{cite web |url=https://fra.europa.eu/en/publication/2021/june-2021-update-ngo-ships-sar-activities#TabPubTable-NGOshipsinvolvedinSARoperations1 |title=June 2021 Update – Search and Rescue (SAR) operations in the Mediterranean and fundamental rights |date=18 June 2021 |work=European Union Agency for Fundamental Rights, fra.europa.eu |access-date=20 June 2021 }}</ref> Within a month this resulted in the rescue of some 400 people.<ref>{{cite news |url=https://uk.news.yahoo.com/hundreds-migrants-rescued-msf-charity-112839834.html |title=Hundreds of migrants rescued by MSF charity land in Sicily |date=18 June 2021 |agency=Reuters|work=uk.news.yahoo.com |access-date=20 June 2021 }}</ref> In December 2024 MSF announced the suspension of further operations of the vessel. During the last two years, due to bureaucratic blockages by the Italian government, it had spent some 160 days in port.<ref>{{cite web |title="Ärzte ohne Grenzen" stellt Rettungseinsätze für Migranten im Mittelmeer ein |trans-title=Doctors Without Borders (MSF) stops rescue operations for migrants in the Mediterranean |url=https://www.deutschlandfunk.de/aerzte-ohne-grenzen-stellt-rettungseinsaetze-fuer-migranten-im-mittelmeer-ein-100.html |website=deutschlandfunk.de |access-date=30 December 2024 |language=de |date=15 December 2024}}</ref><ref>{{cite news |title=Medecins Sans Frontieres says it will stop using rescue boat in Mediterranean Sea due to Italy law changes |url=https://news.sky.com/story/medecins-sans-frontieres-says-it-will-stop-using-rescue-boat-in-mediterranean-sea-due-to-italy-law-changes-13272770 |access-date=3 January 2025 |work=Sky News |date=13 December 2024 |language=en}}</ref><ref>{{cite web |title=Italy's Counter-Migration Laws Force MSF to End Rescue Vessel Ops |url=https://maritime-executive.com/article/italy-s-counter-migration-laws-force-msf-to-end-rescue-vessel-ops |website=The Maritime Executive |access-date=3 January 2025 |language=en}}</ref> ====Yemen==== {{See also|Airstrikes on hospitals in Yemen}} MSF is involved in trying to help with the humanitarian crisis caused by the [[Yemeni Civil War (2015–present)|Yemeni Civil War]]. The organisation operates eleven hospitals and health centres in Yemen and provides support to another 18 hospitals or health centres.<ref name="msf.org.uk">{{Cite web |date=15 August 2016 |title=Yemen: Staff and patients killed after airstrike hits Abs Hospital |url=https://www.msf.org.uk/article/yemen-staff-and-patients-killed-after-airstrike-hits-abs-hospital |access-date= |website=www.msf.org.uk}}</ref> According to MSF, since October 2015, four of its hospitals and one ambulance have been destroyed by Saudi-led coalition airstrikes.<ref>{{Cite web |date=11 September 2016 |title=Yemen briefing |url=https://www.msf.org.uk/country/yemen |access-date=2025-01-03 |website=www.msf.org.uk}}</ref> In August 2016, an airstrike on Abs hospital killed 19 people, including one MSF staff member, and wounded 24.<ref name="msf.org.uk" /> According to MSF, the GPS coordinates of the hospital were repeatedly shared with all parties to the conflict, including the Saudi-led coalition, and its location was well-known.
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