Central African Republic

Between January and June 2016, MSF managed 17 projects across the country. MSF also runs projects assisting Central African refugees in Cameroon, Chad and the Democratic Republic of Congo.  

Our projects focus particularly on malaria, vaccinations, and maternal and child health.

For more information on MSF projects in CAR, read the latest activity update.


Activities  2015 International Activity Report

There were hopes for peace in Central African Republic (CAR) following reconciliation talks in May, but sporadic violence persisted throughout the country and escalated in September in Bangui. This increased the need for urgent humanitarian assistance.

The political crisis that sparked the violent conflict in 2013 has still not been resolved and has exacerbated a pre-existing humanitarian and health emergency. Armed groups have remained active and an estimated 447,000 people are internally displaced, with tens of thousands living in overcrowded, improvised shelters such as schools and churches without adequate food, water, sanitation or healthcare. Over 70 per cent of health facilities have been damaged or destroyed and there is a shortage of trained healthcare workers. Many people are afraid to travel to the few health centres that remain, or cannot afford to pay for treatment.

MSF and other NGOs provide the majority of the health services, but their work is repeatedly obstructed by armed groups and organised crime. This year, mobile clinics, support activities and vaccination campaigns had to cease operating several times in the areas of Kabo, Bambari and Boguila, and MSF and other NGO facilities were robbed, attacked and looted. In this atmosphere of insecurity, it was difficult to maintain the supply of medical materials. In Batangafo – located on the frontline between areas controlled by different militias and one of the most insecure areas in CAR – MSF continued to provide basic and specialist healthcare at the referral facility and five health posts, and this included outpatient consultations, surgical interventions and maternal and child health. Batangafo is also the location of one of the country’s largest camps for internally displaced people, with a population of over 30,000. More than 10,000 people sought protection in the hospital compound after violent clashes erupted in the town in October.

Despite such incidents, MSF continued to run a substantial programme of basic and emergency healthcare for communities with urgent needs across 13 prefectures and 15 localities, in both MSF hospitals and public health facilities. Teams carried out vaccination campaigns, operated mobile clinics and provided emergency surgery, maternity services, specialised care for victims of sexual violence and treatment for malnutrition, HIV and tuberculosis (TB).

Read more about MSF's activities in Central African Republic in 2015.

Download the current Activity Update: January-June 2016
Previous updates: August 2015, May 2015
, December 2014, September 2014, June 2014 (PDF)
See all coverage of MSF's response to the CAR crisis

Year MSF first worked in the country: 1997.

2015 Key figures
Outpatient consultations 1,016,100
Patients treated for malaria 585,100
Patients admitted to hospital 71,800
Routine vaccinations 51,500
Patients treated in feeding centres 10,800
Surgical interventions 9,500
No. staff in 2015 2,629
2015 Expenditure €52.9 million

Figures from 2015 International Activity Report
and 2015 International Financial Report


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