Five separate retrospective mortality surveys, carried out by Doctors Without Borders/Médecins Sans Frontières (MSF) and other researchers in prefectures accounting for the majority of the population, show excess mortality above what is considered to be the 'emergency threshold', says Doctors Without Borders/Médecins Sans Frontières (MSF) in a new report. 'And yet the commitment of the country’s government and of the international community is going in the wrong direction. The government has been decreasing its investments in health, as have international donors, while humanitarian assistance has failed to reduce the widespread medical crisis.'