- Access to basic healthcare is limited in Chad, where malnutrition, malaria and outbreaks of disease are common. An influx of refugees from Central African Republic (CAR) in 2014 increased the need for medical aid.
- Chad is home to the third largest number of refugees in Africa, and with ongoing violence in neighbouring Nigeria, CAR and Sudan, the refugee population is likely to increase.
Refugees from CAR
- In January, Médecins Sans Frontières started providing health assistance, with projects in Bitoye until April, Goré until October and in Sido, which hosted the largest concentration of refugees (17,000).
- Teams also supported the health ministry with a measles vaccination campaign for children aged six months to 10 years in Goré and surrounding areas, immunising around 7,000 children.
- From May to October, Médecins Sans Frontières ran mobile clinics in three villages near Goré on the CAR border and provided seasonal malaria chemoprevention (SMC) for children under five, as 60 per cent of consultations were for malaria.
Responding to violence in Darfur
- Violence in neighbouring Darfur, Sudan, has caused large numbers of Sudanese refugees and Chadian returnees to cross the border.
- Médecins Sans Frontières ran a fixed clinic in Tissi, mobile clinics in Biere and Amsisi, and health posts at Um Doukhum and Ab Gadam.
- Increased stability in the region and the ensuing decrease in patient numbers as people travelled back to Darfur meant that Médecins Sans Frontières was able to hand over the Ab Gadam health post to the NGO Agence de Développement Economique et Social in June.
Malaria and Malnutrition
- Médecins Sans Frontières teams focus on the treatment of the most severely affected children in Moissala hospital’s malaria unit in Mandoul region and provide support to health centres and community health workers in the districts of Moissala and Bouna.
- Médecins Sans Frontières also provides emergency paediatric care to children up to the age of 15 and specialised treatment for child malnutrition at the hospital in Massakory, the capital of Hadjer Lamis region, as well as basic healthcare in four surrounding health centres and a referral system for complicated cases.
- Between June and December, Médecins Sans Frontières ran an emergency care programme for acutely malnourished children in Bokoro, Hadjer Lamis.
- Médecins Sans Frontières continued to support the government hospital in Am Timan and health centres in Salamat region.
- The focus was on specialist care for children up to the age of 15, including treatment for severe malnutrition, and reproductive healthcare for women.
- The team also offered treatment for HIV and tuberculosis and implemented an emergency malaria response for the general population.
- Médecins Sans Frontières supported the hospital infrastructure by upgrading water and sanitation services.
- Médecins Sans Frontières started supporting emergency services at Abeché hospital in Ouddaï region in June.
- Teams provided lifesaving care to all emergency surgical cases coming from Abeché or referred from Tissi.
- In response to a measles outbreak early in the year, Médecins Sans Frontières collaborated with the health ministry at Liberty and Union hospitals in N’Djamena and seven basic health centres.
- More than 4,500 patients were treated in March and April. Teams also vaccinated over 69,600 children for measles in Massakory during the outbreak.
For the latest news on where we work visit: http://activityreport.msf.org/
Médecins Sans Frontièreshas worked in the country since 1981 and at the end of 2014, Médecins Sans Frontières had 1,032 staff in Chad.