MSH defines fragile states as those countries which are unstable and unable to deliver services effectively to a large part of the population. Currently, MSH is actively engaged in health projects in five fragile states—South Sudan, the Democratic Republic of the Congo, Haiti, Liberia, and Afghanistan.
MSH has successfully managed very large health projects over the past 40 years in a number of fragile states and has learned valuable lessons regarding how to achieve results under extremely difficult circumstances. One major lesson learned has been the critical role that community-based health interventions and well trained and supplied community health workers play in reducing mortality among women and children. Another important lesson has been the need to ensure strong leadership that enables health systems to function even amidst violence and chaos.
MSH remains committed to develop capacity in fragile states to effectively manage very limited resources under very adverse conditions.