Chad

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Activities  2013 International Activity Report

country_map_2013

Key medical figures:

  • 183,350 outpatient consultations
  • 113,900 patients treated for malaria
  • 20,850 patients treated in feeding centres

Although the Chadian government has promised to increase investment in healthcare, the quality of care and health indicators are still poor, particularly for rural communities, children and refugees. The mortality rate for children under five is high, and routine vaccination coverage is low. People often die from malnutrition and preventable diseases such as malaria and cholera, and disease epidemics are recurrent. Instability in the surrounding countries also means Chad is host to a high number of refugees. In 2013, some 60,000 new refugees arrived in the country, with urgent needs for basic and specialist medical care.

Focusing on malaria
Malaria, a mosquito-borne disease, is one of the main causes of death for children under five, but deaths can be prevented with simple measures such as the use of mosquito nets, preventive medicine and early detection and treatment.

For the past few years, teams from Médecins Sans Frontières (MSF) have worked on preventing and treating malaria in the Moissala and Bouna districts, Mandoul region. Teams focused on children with severe and complicated cases of the illness in Moissala hospital‘s malaria unit. MSF also supported health centres and community health workers in rural areas with drug supplies and staff. Seasonal Malaria Chemoprevention – the distribution of antimalarials as a prevention strategy – was organised for children under five and pregnant women during the high season (July to October). The strategy had previously proven effective in reducing the number of people developing severe malaria. In 2013, prophylaxis was distributed to 53,000 children and teams recorded an overall reduction in malaria of 60 per cent in Moissala when compared to the previous year.
 
At Massakory hospital, Hadjer Lamis region, where MSF provided support in paediatric care, teams treated 36,600 patients during an acute peak in malaria cases between July and December. Children also received treatment for malnutrition in the hospital and surrounding health zones. A large water sanitation campaign for people’s homes was launched to help prevent outbreaks of diarrhoea. This activity currently reaches 900 families in 20 villages.

From August to October there was an emergency intervention in response to high levels of malaria in the Salamat region. Based at Am Timan hospital, outreach activities expanded to ensure people in remote areas of the district could get the medical care they needed. An MSF team in Am Timan hospital also continued to provide basic and specialist care with a focus on women and children. Reproductive healthcare, emergency obstetric care and treatment for tuberculosis and  HIV, including prevention of mother-to-child transmission of the virus, was offered. Teams carried out 5,280 outpatient consultations, assisted 1,895 births and tested 2,050 people for HIV. A paediatric nutrition programme based at the hospital and in nine outreach sites admitted 9,990 children for treatment. Six of these outreach sites were handed over to the Ministry of Health at the end of the year.

Providing assistance to Sudanese refugees
Renewed clashes in Darfur, Sudan, led to an influx of refugees in the Tissi area of Chad early in the year. MSF launched activities in Tissi town, establishing an emergency room to treat victims of violence, a health centre in Ab Gadam camp, and a health post in Um Doukhum. 

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No. staff in 2013: 1,039. MSF first worked in the country in 1981.

Finances  2013 International Financial Report

Expenses
Concept In thousands of €
Programmes 20048
Indirect supply costs 338
Field-related expenses 20387
Locally hired staff 5337
International staff 5413
Operational running expenses 1069
Medical and nutrition 2424
Logistics and sanitation 1565
Transport, freight and storage 4011
Training and local support 48
Consultants and field support 166
Private and public institutional grants -
Others 15
Funding
Concept In thousands of €
Public institutional income 4542
Funding of field-related costs 20387
Private and other income 15844
Humanitarian Aid Office of the European Commission (ECHO) 1081
ECHO and EU institutions 1081
Danish Agency for Development Assistance (DANIDA) 510
Ministry of Foreign Affairs (MFA) - Germany 300
Irish Aid (DCI) - Ireland 465
Swedish International Development Cooperation Agency (SIDA) 1360
EU governments 2635
Swiss Agency for Development and Cooperation (SDC) 731
Municipalities and regional councils - Switzerland 96
Non-EU European governments 827
North American governments -
Other governments -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 1039
National staff 949
International staff 90