Çad pistinde MSF için 60 yataklı genişleyebilir saha hastanesi

MSF was responding to a cross-border displacement crisis in eastern Chad. Over 140,000 people had arrived at a remote site with no hospital within 400 km. MSF needed a 60-bed field facility — inpatient ward, operating theatre, outpatient, pharmacy, laboratory, maternal health — deployable by air freight into a dirt airstrip rated only for C-130 and smaller aircraft.

Brifaj şunları belirtti: her modül C-130 kargo ambarına (2,7 × 2,8 × 10 m zarf) sığmalı, vinsiz konuşlandırılmalı, güneş-dizel hibrit ile özerk çalışmalı ve hava atışından 10 gün içinde operasyonel olmalı. Teslim süresi: sözleşmeden itibaren 9 hafta.

Six expandable units, each built to C-130 envelope, with pop-out sides that fold down manually (no crane required). Each unit carries its own solar panels on the roof, a generator in an insulated pod under the chassis, and fuel for 21 days in a cross-braced bund under the floor. The envelope is 100 mm PIR with a sand-colour external skin; the interior is MSF-standard clinical finish, EI-30 compartmentation between clinical and technical spaces.

Medical equipment was procured, installed and FAT-tested by MSF's biomedical team in Ankara before shipment — our factory floor hosted a full MSF acceptance week. Air freight went via Addis Ababa to N'Djamena to the field site; the final hop was a C-130 with three sorties. On-site deployment was done by MSF logistics with two of our technicians embedded: unpack, fold out, connect utility spine, commission, hand over. Nine days from wheels-down to first patient.

• Week 0Contract signed with MSF logistics (Amsterdam).
• Week 1–2Rapid design freeze against MSF clinical standard.
• Week 2–7Production, factory MSF acceptance, biomedical fit-out.
• Week 7Air freight via Addis → N'Djamena, C-130 to site.
• Week 8Sahada konuşlandırma, ambalajdan teslimata 9 gün.
• Week 9First patients received.

Ünite 11 aydır sürekli operasyonda, günde yaklaşık 180 hastayı ayakta tedavi ediyor, 7/24 doğum servisi yürütüyor ve haftalık 14 sezaryen gerçekleştiriyor. MSF bu platformu 2026'da planlanan üç ek konuşlandırma için standart haline getirdi.

İlk yılda tedavi edilen hasta başına toplam maliyet, kuruluşun bize gizli tutmamızı istediği bir marjla MSF'nin acil cerrahi bakım için yayınlanmış eşiğinin altında — ancak bu takip sözleşmelerini güvence altına aldı.