Central African Republic: Abandoned to its fate?

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MSF calls on the international community to respond to urgent medical and humanitarian needs
ALT Ton KoeneWomen and children waiting for treatment at a mobile clinic near Bossangoa, in the northwest region of the Central African Republic.

Download the report: Central African Republic: Abandoned to its fate? (PDF) 

9 July 2013 – Three months after Seleka forces seized power in Central African Republic, the country is in the grip of a humanitarian emergency while the international community looks on with indifference, warned the international medical organisation Médecins Sans Frontières (MSF) today. Central African Republic was plunged into chaos by the coup, and the country remains politically unstable. Citing lack of security, UN agencies and many non-governmental organisations have withdrawn to the capital, leaving the majority of the country without aid. According to a report by MSF, released today, the people of the country have effectively been abandoned just when they most need help.

During the Seleka offensive, hospitals and health centres were ransacked and medical staff fled. Without doctors, medicines or medical supplies, the majority of people in Central African Republic have no access to healthcare. Even before the coup, the country was in crisis, with mortality rates well above the emergency threshold in several regions. Malnutrition and preventable diseases are rife, while malaria is the leading cause of death. MSF teams are seeing alarming numbers of malaria cases, which are 33 per cent higher than the same period last year. “We are facing one of the worst years in terms of the impact of the disease,” said Ellen van der Velden, MSF’s head of mission in Central African Republic.

The lack of security is one issue for those providing medical and humanitarian aid. Along with a number of UN agencies and non-governmental organisations, MSF has been the victim of robberies and looting over recent months. Despite this, it has continued to run nine medical programmes in the country throughout the recent crisis, while expanding medical services to other areas. However, the scale of people’s needs is so great that more help is urgently needed.

Funding is also an issue. Of the total funds requested in March 2013 by UN agencies and non-governmental organisations to face the current crisis in Central African Republic, so far just 31 per cent has been disbursed.

MSF calls on the international community – including the UN, the European Union and the African Union – to keep Central African Republic at the top of their agendas and to support this fragile country. MSF also calls on the humanitarian community to maintain its commitment to the country, in spite of the current political and security situation, and allocate adequate resources to respond to the medical and humanitarian crisis gripping the country.

Finally, MSF calls on the transitional Central African Republic government to commit to meeting the urgent needs of the population, and to guarantee security conditions that will allow humanitarian organisations to provide assistance to people throughout the country.

MSF’s report, Central African Republic: Abandoned to its fate?, is released today.


MSF has been working in Central African Republic since 1996 and currently runs projects in Batangafo, Boguila, Bossangoa, Bria, Carnot, Kabo, Ndélé, Paoua and Zémio.