- The health situation in Central African Republic (CAR) is catastrophic, and conflict and displacement prevent people from obtaining the medical services they desperately need.
- In December 2014, some 430,000 people were internally displaced in the country and hundreds of thousands of others had crossed the border into Chad and Cameroon.
- Banditry and security incidents are common, and Médecins Sans Frontières has been directly affected by armed attacks, harassment and robberies. On 26 April, 19 unarmed civilians, including three Médecins Sans Frontières national staff members, were killed by armed men at the Médecins Sans Frontières hospital in Boguila.
- Médecins Sans Frontières remains the main healthcare provider in CAR.
Providing healthcare in Bangui
- In Bangui Médecins Sans Frontières provides emergency surgery at the general hospital for victims of violence and trauma such as road accidents.
- From December 2013 to March 2014, Médecins Sans Frontières supported maternal health activities and surgery in the Castor health centre until the situation improved and people could access other health centres in the city.
- A programme offering medical and psychological care for victims of sexual violence was opened in July.
- There were approximately 20,000 displaced people at the end of 2014 living in and around M’poko airport in makeshift camps with Médecins Sans Frontières offering services at the camps. People were treated for malaria, births were assisted and over 80 victims of sexual violence were helped.
Caring for the displaced
- In January, Médecins Sans Frontières began activities at Berbérati regional university hospital, responding to the needs of displaced people, victims of violence, pregnant women and children.
- Weekly mobile clinics visited some 350 people living in the Berbérati area.
- Malnutrition, malaria, diarrhoea, respiratory tract infections and measles were the main health concerns.
- From January to April, Médecins Sans Frontières responded to the health consequences of a spike in violence against enclaves of displaced people and the local population in Bouar, Nana-Mambéré, with mobile clinics and by supporting the emergency room and surgical activities at Bouar hospital.
- Following the attack in Boguila, Ouham prefecture, in April, Médecins Sans Frontières’ comprehensive healthcare services were reduced to a health centre with an outpatient unit, four health posts, maintenance of malaria testing and treatment sites (‘palu points’) and HIV treatment.
- The palu points were handed over to the NGO MENTOR Initiative in November.
- A series of security incidents resulted in a partial evacuation of the Médecins Sans Frontières team in February but the situation stabilised in the second half of the year.
- Médecins Sans Frontières also supported the 165-bed Batangafo hospital and five local health centres.
- Following outbreaks of violence and population displacement in Ouaka prefecture, Médecins Sans Frontières opened projects in Bambari and Grimari in April. Mobile clinics travelled to villages and found many people still living in fear in the bush.
- Médecins Sans Frontières supported palu points and health centres and vaccinated 4,000 children in the prefecture against polio and measles in August.
- The Grimari project closed in October, and the focus was concentrated on Bambari.
Access to general healthcare
- Médecins Sans Frontières opened a hospital-based project in Bozoum, Ouham-Pendé, in January but closed it in March, as people felt safer visiting the nearer health centres.
- In Bocaranga, Médecins Sans Frontières ran a project between May and September to treat children under five during the annual malaria peak, and mobile clinics visited the northwest of the country.
- In late February, Médecins Sans Frontières started working at the 80-bed referral hospital in Bangassou, the capital of Mbomou prefecture, where services had been severely disrupted.
- From May, Médecins Sans Frontières supported the 30-bed hospital in Ouango and rehabilitated its maternity, paediatric, internal medicine and surgery wards, as well as the operating theatre and the laboratory.
- The Ouango hospital was supported by Médecins Sans Frontières temporarily between May and October.
- Médecins Sans Frontières also provided comprehensive healthcare to children under 15 in the refurbished hospital in Bria, Haute-Kotto, where there are high rates of malaria and malnutrition.
- Médecins Sans Frontières remained the main healthcare provider for those living in the east of the country in Haut Mbomou.
For the latest news on where we work visit: http://activityreport.msf.org/
Médecins Sans Frontières first started working in the country in 1996 and at the end of 2014, Médecins Sans Frontières had 2,593 staff in the Central African Republic.