Chad

Last updated 28 July 2016

Last year and in the first months of 2016, violence by ISWAP generated a mass movement of people within the Lake Chad region as well as, on a smaller scale, an influx of refugees from neighbouring Nigeria. In addition, the Chadian government’s response to ISWAP attacks forced tens of thousands of residents of the Lake area to leave their villages. Even if some were not directly escaping military action, many left because they were asked to by the government.

Based on OCHA figures released in June this year, over 111,000 people are currently displaced in Chad’s Lake region. This includes around 7,000 refugees, over 5,000 of whom have been living in the Dar Es Salam camp since the beginning of last year.

Although violence has since decreased and major population movements have consequently slowed, many who have settled across the Lake region have now lost their sources of livelihood and their belongings. These people are still in dire need of support.

For more information, please read the latest Lake Chad crisis info

Activities  2015 International Activity Report

Conflict in neighbouring Nigeria spilled over into Chad in 2015, increasing the need for medical and humanitarian assistance.

By May, nearly 18,000 Nigerian refugees had arrived in Chad; meanwhile, Islamic State’s West Africa Province (ISWAP), formerly known as Boko Haram, started to launch attacks inside the country and clashed with government military forces, causing further waves of displacement. Thousands of people congregated in makeshift sites throughout the Lake Chad region, without adequate shelter, food or water. MSF began to provide assistance in March and scaled up its activities over the year in response to the urgent medical and humanitarian needs of these vulnerable people.

In Baga Sola, where 7,000 refugees had gathered at Dar es Salam camp, MSF offered healthcare to refugees, displaced people and the host community, carrying out over 33,400 medical consultations and nearly 900 mental health consultations, some for victims of sexual violence. Teams distributed more than 2,000 hygiene kits and 660 water-purifying kits. From September, mobile clinics served the host community and displaced people in Bol, providing over 2,700 consultations and distributing 350 kits of hygiene items and 264 water purifying kits. In November, a team started working at Bol regional hospital, offering maternal and neonatal care, nutritional support for children under the age of five and paediatric healthcare for children under 15.

Protecting the lives of women and children

MSF continued to fill some of the critical gaps in healthcare in Chad, primarily responding to disease outbreaks and implementing programmes for women and children. In Bokoro, Hadjer Lamis region, MSF runs a project for malnourished children through inpatient and mobile therapeutic feeding centres. The team also supports the government’s immunisation programme, treats patients for malaria, diarrhoea and acute respiratory tract infections, ensures access to safe water and runs community health promotion activities. This year, 4,400 children were treated for severe malnutrition at the inpatient feeding centre.

In Am Timan, Salamat region, MSF supports the public hospital’s paediatric and maternity wards, tuberculosis (TB) and HIV care, a nutrition programme and three mobile clinics. In 2015, teams carried out more than 24,400 outpatient and 4,400 antenatal consultations, treated 8,100 children for malaria and assisted 2,100 deliveries. Some 1,620 patients volunteered for HIV counselling and testing and 68 new patients were initiated on treatment for TB.

In Moissala, Mandoul region, MSF focuses on the health needs of pregnant women and children under the age of five and runs a prevention, detection and treatment programme for paediatric uncomplicated and severe malaria. Four rounds of seasonal malaria chemoprevention (SMC) were administered, reaching around 100,000 children each time. A malaria unit also admitted over 990 children. Oral polio vaccinations were administered to 28,800 children under the age of two, and 14,000 received pentavalent vaccines to protect them against the five most common and dangerous diseases. Over 48,000 children were vaccinated against measles.

In MSF’s surgical programme in Abéché, Ouaddaï region, the team performed 928 surgical interventions this year, mostly on people injured in road accidents or as a result of domestic violence.

Chad Emergency Response Unit (CERU)

MSF’s CERU responded to an outbreak of measles in April by vaccinating 80,000 children in Goz Beida, Dar Sila region. The team also put medical supplies in place and trained Ministry of Health staff on mass casualty management in two hospitals in N’Djamena and one in Abéché, helping them to improve their response in the case of an influx of severely wounded people.

Project closures and handovers

In February, a project providing healthcare to refugees from Central African Republic in Bitoye, Gore Sido region closed, as other healthcare providers were present. A basic and specialist healthcare programme was closed in Tissi, Dar Sila in May for the same reason, and a long-term paediatric and nutrition programme in Massakory, Hadjer Lamis region, was handed over to the Ministry of Health in November.

Year MSF first worked in the country: 1981.

2015 Key figures
Outpatient consultations 103,600
Patients treated for malaria 56,600
Measles vaccinations in response to an outbreak 22,200
Routine vaccinations 12,500
Patients treated in feeding centres 12,300
No. staff in 2015 754
2015 Expenditure €19.5 million

Figures from 2015 International Activity Report
and 2015 International Financial Report