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a_chen- With the lack of medical centers, there is a lot of cost to invest into the help to these countries. But the main reason is the occurrence of war and instable activities.
“In 2015, MSF provided humanitarian assistance in 69 countries.
Around 54 per cent of activities were carried out in settings of instability. Some 57 per cent of programs were in Africa…MSF spent 1,283 million euros: 82 per cent was spent on humanitarian activities…” [http://www.msf.org/en/article/msf-international-activity-report-2015]
2. There is an urgently need of HIV/TB doctors in the field. [http://www.msf.org/en/work-msf/working-in-the-field]
“MSF provided care for 333,900 people living with HIV/AIDS and antiretroviral treatment for 240,100 people in 2015.” With the lack of appropriate medical educations, many people do not know they have infected with HIV. [MSF international_activity_report_2015_en_2nd_ed.pdf]
3. Close of Programs
“When a violent situation has stabilized sufficiently, and access to health services improves, MSF will close its program.”
“When local or national authorities and organizations have the capacity and motivation to restore and develop a medical system that meets the urgent needs of the population, MSF will withdraw.”
“MSF will close a program when a medical emergency ends.”