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That is why, at the end of 2011, we similarly documented our work in the Horn of Africa—in Somalia, Ethiopia, and Kenya—during the malnutrition crisis that contributed to the death of tens of thousands of Somalis and the displacement of hundreds of thousands more.

It means that we ground our decisions in our medical and humanitarian ethics, and that experienced MSF teams conduct independent assessments of the needs on the ground before we open a project.

is a geographic coordinate that specifies the east-west position of a point on the Earth's surface.

What does accountability mean, in practice and principle, for Doctors Without Borders/Médecins Sans Frontières (MSF)?

It’s something that’s at the core of our conduct and identity, and something we’d like to discuss further in this year’s annual report.

But we must answer certain questions when gauging the efficacy of our programs: First and foremost, is what we are doing medically relevant and medically effective—are we saving or improving lives?

Additionally, because we are aware that aid can, at times, do more harm than good, we make sure that our presence, especially in conflict zones, is providing comfort to the tormented, not the tormentors.

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