This report by Paul McPhun and Elena Lucchi (2008) states that “there is now a growing international awareness that urbanization is becoming untenable, representing in some contexts a crisis that far outweighs the impact of ongoing conflict in remaining regions of a given country.” They therefore ask those questions; “how does violence in urban settings manifest itself and result in unmet medical needs? What are the obstacles to care facing people living in these environments? What are the challenges to accessing these communities and providing medical assistance?”
This paper reviews (through questionnaire with field, workshops, debate topics, discussion etc.) five countries where MSF OCA now works in urban settings – Nigeria, Colombia, Haiti, Somalia, Papua New Guinea.