Violent clashes between demonstrators and security forces in Burundi sent tens of thousands of people fleeing both inside and beyond the borders of the central African state. These displacements were only one consequence of the crisis in the capital that stretched the capacity of an already-strapped health system: demonstrating a need for flexibility in resourcing in so-called challenging operating environments.
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More than 700,000 people have fled their homes since conflict erupted in mid-December in South Sudan, which has compromised their safety and security and made them more exposed to the risk of illness and other public health challenges. But for the estimated 6,617 people living with HIV who are taking anti-retroviral treatment supported by the Global Fund, being far away from their home clinic has become a matter of life or death.
The introduction of the new funding model (NFM) has raised some concerns in the Middle East that it fails to consider the sweeping population movements and refugee crisis around the region and their impact on public health, particularly with respect to higher incidence of TB.