MSF works inside South Ossetia and Abkhasia, and on the Georgian side of the border with Abkhasia. The economic blockade imposed by Russia on the two would-be republics has impoverished their health services. A similar programme runs for vulnerable groups in Ossetia. In Tchalendija, on the Georgian border with Abkhasia, a project to improve access to health services throughout the district includes health education, management training, pharmacy management, health structure renovations and maintenance, the quality of care and the health information system. The team also gives technical assistance and assists with vaccination programmes.
Support focuses on two hospitals, a polyclinic and eight health centres.
This includes specialised workshops and a teaching video. Efforts are also being made to improve and rationalise the drugs distribution system outside the main towns in this region.