Dennis Kimathi Mbae is a seasoned humanitarian with over two decades of experience working with Doctors Without Borders (MSF). Currently serving as a project coordinator in Nigeria, Dennis leads emergency humanitarian response across northern Nigeria, tackling complex challenges posed by crises.
His work spans multiple countries across Africa, including managing cholera outbreaks in Kenya, responding to the Ebola epidemic in Uganda, and addressing severe malnutrition and preventable disease outbreaks in northwest Nigeria. His deep commitment to humanitarian aid has allowed him to witness and respond to some of the continent's most pressing health crises.
A Lifelong Commitment to Humanitarian Work
My name is Dennis Kimathi Mbae, and I have spent the last two decades working with Doctors Without Borders (MSF). I’m currently working in Nigeria as a project coordinator responsible for emergency responses across northern Nigeria. My role has involved coordinating emergency responses in various countries, navigating complex landscapes, and witnessing firsthand crises' impact on communities.
My humanitarian work has taken me across the continent. I’ve responded to cholera outbreaks in Kenya and the Ebola epidemic in Uganda and addressed severe malnutrition alongside recurrent outbreaks of preventable diseases in northwest Nigeria.
Responding to Crises Across Africa
Emergencies like cholera and Ebola outbreaks, while primarily medical concerns, can become highly politicised. But as a humanitarian organisation, our focus is always on helping the people affected, advocating for the necessary interventions while maintaining our neutrality and impartiality.
We carefully assess the situation, identifying where our intervention can have the most significant impact. Whether it's a region affected by conflict, a health crisis, or a natural disaster, we strive to be present where our expertise can save the most lives. By identifying these critical need areas, we can allocate our resources effectively.
We can often avert large-scale suffering by anticipating potential crises and implementing proactive measures. Technology has played a pivotal role in enhancing our emergency response capabilities. Mobile phones have become indispensable tools for tracking patients, reporting cases, and collecting data. This real-time information allows us to analyse situations swiftly and implement effective strategies. Moreover, technology has revolutionised communication, enabling us to coordinate efforts more efficiently, disseminate vital information promptly, raise awareness, mobilize resources, and advocate for timely action. Also, this technology empowers communities to participate actively in the response efforts and facilitates faster decision-making.
Working in emergency response is both challenging and rewarding. I have witnessed firsthand the devastating impact of emergencies on vulnerable populations. The sight of malnourished children, injured civilians, and families torn apart by conflict is a constant reminder of the human cost of these crises.Dennis Kimathi Mbae, Project Coordinator in Nigeria
One of the biggest challenges we face is balancing the need for rapid response with ensuring the safety and well-being of our staff. In epidemics like Ebola, where the disease is highly contagious, it’s the job of our medical teams to assess the risks and implement protective measures, such as using Personal Protective Equipment (PPE) kits. When it comes to security risks, especially in conflict zones, our rule is clear: the safety of our operational staff is paramount. MSF cannot exist without its people, so if an area is deemed too dangerous, we may choose not to respond. However, we communicate these decisions transparently to ensure everyone understands the risks involved.
The success of an emergency response often hinges on several key factors: timing, coordination, and the team's skills. MSF’s ability to mobilise resources quickly is one of our greatest strengths. From the moment an emergency is declared, we aim to respond as swiftly as possible. Coordination is also critical; even when resources are scarce, effective coordination can make a significant difference among humanitarian organisations, government agencies, and local communities is essential. Skilled human resources are equally important—having a knowledgeable and experienced team can mean the difference between life and death in a crisis.
Cross-border emergencies, such as the Ebola outbreak in Uganda or mpox in the Democratic Republic of Congo (DRC), present unique challenges. These situations require close coordination between MSF, local health authorities, and other humanitarian organisations. For example, during the Ebola outbreak in Uganda, MSF worked alongside government agencies – most notably the Ministry of Health - and other international teams to manage the response. Our role often involves caring for patients, while governments typically handle surveillance and tracking. This collaborative approach is essential for managing such complex emergencies effectively.
From Despair to Hope: The Humanitarian Reward of Saving Lives in Crisis
Working in emergency response is both challenging and rewarding. I have witnessed firsthand the devastating impact of emergencies on vulnerable populations. The sight of malnourished children, injured civilians, and families torn apart by conflict is a constant reminder of the human cost of these crises. Yet, amidst the despair, there is also hope. When we provide timely assistance, save lives, and alleviate suffering, which is a deeply rewarding experience.
The problems we face are immediate, and the results of our actions are often visible almost instantly. These moments make the work so fulfilling when you can see the direct impact of your efforts.
Seeing people wounded and bleeding, with limited resources to help them all, is difficult. The psychological impact is profound; it’s a reminder that even though we are trained and experienced humanitarian workers, we are still human.Dennis Kimathi Mbae, Project Coordinator in Nigeria
Coping with the Emotional Toll
However, the job also comes with its share of emotional tolls. The most challenging situations involve mass casualties, where you’re confronted with the stark reality of conflict or natural disasters. Seeing people wounded and bleeding, with limited resources to help them all, is difficult. The psychological impact is profound; it’s a reminder that even though we are trained and experienced humanitarian workers, we are still human.
Despite the challenges, I remain committed to the humanitarian cause. Every day, I am inspired by the resilience of the people we serve and the dedication of my colleagues. I am grateful for the opportunity to make a difference in the lives of those affected by crises.
A Call to Future Humanitarians
To anyone considering a career in humanitarian work, I would say: Join us. MSF offers a unique and fulfilling path where you can make a tangible difference in the world. Check out our website, learn more about what we do, and join our team if you feel called to this challenging but rewarding work. Our work is demanding but incredibly satisfying. In the heart of every crisis lies an opportunity to make a difference, and in the face of every challenge, a chance to redefine humanity and contribute to building a more just and equitable future. Together, we can continue to bring hope and healing to those who need it most.
