In Dadu district, Sindh, MSF provided healthcare to flood-hit communities, including treatment for malnutrition, malaria, and cutaneous leishmaniasis. These activities were carried out until November, when they were successfully handed over to the health authorities.

In north Sindh and east Balochistan, MSF operated mobile clinics, offering healthcare to children and pregnant and lactating women until June. Services included treatment for malaria and malnutrition, as well as the distribution of therapeutic food and mosquito nets. MSF also worked to improve water and sanitation in these areas. Throughout the year, MSF provided reproductive, neonatal, and paediatric care at three locations in Balochistan, serving both local communities and Afghan refugees. This included emergency obstetric services, nutrition programmes, and patient referrals.

MSF’s cutaneous leishmaniasis programme saw a sharp increase in patient numbers across all five clinics in Balochistan and Khyber Pakhtunkhwa provinces in 2024. The programme focused on diagnosis, treatment, mental health support, and ongoing clinical research to develop better treatment options.

In Khyber Pakhtunkhwa, MSF continued to provide general healthcare consultations in Tirah Valley, Khyber district, for both local residents and people who had resettled in the area.

MSF has successfully concluded its one-year intervention at the Baldia rural health centre in Karachi, Sindh. The project, which ended in July, aimed to pilot a hepatitis C care model that could be implemented at the general healthcare level. Following the project’s conclusion, the centre was designated as a ‘sentinel site’ for hepatitis C, ensuring ongoing monitoring and research for the disease. MSF also strengthened hepatitis C screening efforts in Machar Colony, providing diagnosis and treatment to the predominantly undocumented residents through its clinic.

In Gujranwala, Punjab, MSF focused on diagnosing and treating drug-resistant tuberculosis (DR-TB). In 2024, MSF implemented shorter treatment regimens, which improved patient outcomes and adherence. MSF also reinforced its patient-centred approach by establishing support groups, conducting home visits, and providing follow-up consultations to ensure continuity of care.