MSF closed its projects in Paraguay in 2013.

Activities  2013 International Activity Report


In December, a three-year project helping to develop better awareness, diagnosis and treatment of Chagas disease came to an end.

Medical services for the potentially fatal Chagas disease, caused by a parasitic infection transmitted by the triatomine bug, are particularly lacking in remote, rural areas such as the Paraguayan Chaco.

In Boquerón, Médecins Sans Frontières (MSF), in collaboration with the Ministry of Health, piloted an intervention strategy to bring diagnosis and treatment closer to Chaco’s most isolated communities. Activities were integrated into Boquerón regional hospital, two smaller hospitals, and 15 health centres and health posts. Mobile teams also visited 120 remote communities that lacked a local health infrastructure.

The project was complemented by community education activities throughout the country and the training of medical staff (through workshops and academic meetings) and those undertaking entomological surveillance of the bug. A Chagas School Guide was created in collaboration with groups of teachers, and 196 people were trained to use it as a tool in health education.

In total, over the course of the project, 15,330 people were tested for Chagas and 1,632 received treatment.

MSF continues to support Paraguayan health authorities from a distance in the development of a national protocol for Chagas diagnosis and treatment. MSF advocates the delivery of Chagas care within the basic healthcare system, integrated with community education and entomological surveillance and control.

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No. staff in 2013: 55. MSF first worked in the country in 2010.

Finances  2013 International Financial Report

Activities in Bolivia and Paraguay are operated as a joint programme.

Concept In thousands of €
Programmes 1,646
Indirect supply costs 1
Field-related expenses 1,646
Locally hired staff 725
International staff 583
Operational running expenses 68
Medical and nutrition 41
Logistics and sanitation 13
Transport, freight and storage 142
Training and local support 31
Consultants and field support 41
Private and public institutional grants -
Others 1
Concept In thousands of €
Public institutional income 270
Funding of field-related costs 1,646
Private and other income 1,376
ECHO and EU institutions -
EU governments -
Municipalities and regional councils - Spain 270
Non-EU European governments 270
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 55
National staff 46
International staff 10