© MSF

In 2010, the heaviest rains for 40 years destroyed crops, flooded wells and cut off entire villages in Chad. These floods followed a long drought in 2009, which had already resulted in a significant drop in farm production.

© Minh-Ly Pham-Minh / MSF

Hundreds of thousands of people were affected by conflict, violence and displacement in Chad in 2009. Health services were restricted because of a lack of funding and qualified staff, and the situation was particularly severe in the east, where banditry, criminality and insecurity were widespread. More than 170,000 Chadians are still displaced in the east, having fled from the insecure regions near the Sudanese border which is also home to more than 256,000 Sudanese refugees and 67,000 refugees from the Central African Republic. MSF has been providing health services where the authorities have been unable to, paying special attention to displaced people and refugees.

© Hu O Reilly