The health responses, also initially slow, quickly ramped up. By mid-March, Médicins Sans Frontiéres (MSF) had opened a satellite clinic at the new Balukhali camp and IOM had opened one at Kutupalong. Fortuitously, a new 10-bed IOM hospital in Leda had been under construction and was able to open in November. The Leda clinic now sees 100-150 patients a day for general consultations. MSF’s monthly caseload in the month before RI’s visit had more than doubled from pre-October levels. Overall, the previous number of daily cases seen by the eight health facilities that existed before October 2016 spiked from 15,000 per month to 21,000 patients seen by the current 11 health facilities today. One of the most positive aspects of the emergency response has been the cooperation of the Government of Bangladesh and NGOs in carrying out immunization campaigns. Given the measles outbreak and the threat of cholera, the government worked closely and quickly to reach tens of thousands of people. The coordinated response stems from previous cooperation. The govern- ment has long allowed medical treatment to all people in the country whether documented or not and has worked closely with the UN and NGOs to allow immediate care and to establish a referral system for cases that require further attention. But as in other areas, much room for improvement remains in the area of health. Bureaucratic misunderstandings have led to temporary shut downs of clinics or barriers to necessary expansion of services. As one health worker said when asked about the working relationship with the government, “We are trying our best.” Sanitation infrastructure and practices also continue to be poor, increasing risks of disease outbreaks. Community visits by NGOs trying to foster hygiene awareness and sanitation infrastructure improvements continue but will need ongoing support. Moving from emergency to more sustained response needs, education is another gap often mentioned by the Rohingya during interviews with RI. For officially This Rohingya woman in Kutupalong Makeshift Settlement told RI her husband disappeared just before she left Myanmar and she still doesn’t know where he is. 10 www.refugeesinternational.org