In May 2003, MSF France took over the management of health services in Maygoma orphanage,
rapidly increasing the number of professional staff available, and supporting a marked improvement
in the quality of care. Prior to MSF’s arrival at Maygoma, nursing staff ratios were approximately
one nurse for every 20 children; after 2003, this ratio improved to one nurse for every 3-5
infants. Mortality rates amongst children in Maygoma fell from 75 per cent in 2004 to around 35 per