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CAR : A Forgotten Health Emergency

Central African Republic

Thousands of people have been killed or wounded and millions displaced during years of bloody – but largely neglected – conflict in the Central African Republic.

Since the civil war of 2013, CAR has been marked by cycles of intensive violence. Fighting between the government and non-state armed groups, spurred by an election process, escalated in early 2021.

MSF sees the direct consequences of violence on the health of individuals and entire communities. There is a severe lack of access to healthcare; trained health workers are scarce, health services are poorly resourced and often targeted by the conflict; and patients need to travel hundreds of kilometres on dangerous roads to reach medical structures.

In CAR, we focus on treating victims and survivors of sexual violence; provide sexual and reproductive healthcare, including maternal healthcare; and provide treatment to people living with HIV.

Our activities in 2023 in Central African Republic

Data and information from the International Activity Report 2023.

MSF in Central African Republic in 2023 Médecins Sans Frontières (MSF) remains a key healthcare provider in Central African Republic (CAR), offering vital medical services to hard-to-reach communities and people fleeing violence in Sudan and Chad.
Central African Republic IAR map 2023

While there was a slight decrease in armed clashes between government forces and opposition armed groups in 2023, violence continued unabated in some regions of the country, leading to extreme poverty and massive displacement, and exacerbating the decades-long healthcare crisis. CAR has one of the lowest access rates to healthcare in the world: less than half of the country's health facilities were considered functional in 2023, and there is a severe lack of medical professionals.

In this fragile context, MSF's teams in the rural areas of Bambari, Bangassou, Batangafo, Bossangoa, Bria and Carnot delivered basic and specialist care for hundreds of thousands of patients. Throughout the year, we maintained support to referral hospitals, with services including emergency surgery, intensive care, paediatrics, neonatology, intensive nutrition, and sexual and reproductive healthcare.

In addition, we provided smaller health facilities and community health workers with training and medical supplies to treat malaria, respiratory infections and water-borne diseases, which are leading causes of death among children. We also facilitated access to care for HIV, sexual violence, and non-communicable diseases such as diabetes and sickle cell. Meanwhile, we handed over to the Ministry of Health our healthcare initiatives and HIV-related activities in Zemio, in Haut-Mbomou prefecture, and Boguila, in Ouham prefecture, where we had successfully introduced a community-based, patient-centred model of care.

Unfortunately, once again this year, humanitarian workers and patients were not spared from violence. The UN recorded 169 violent incidents, involving threats and attacks. This included assaults against medical care, and in September we were left with no choice but to suspend outreach support in the periphery of Batangafo for several months following a series of grave security incidents.

MSF also assisted people affected by violence in neighbouring countries who had sought refuge in CAR. In Vakaga and Mbomou prefectures, we provided emergency support to refugees from the conflict in Sudan, and in Ouham-Pendé prefecture, to people fleeing violence between herders and farmers in Chad. Other emergency activities included vaccination campaigns to curb measles outbreaks in Mbomou and Haute-Kotto prefectures.

In the capital, Bangui, our teams continued to run trauma surgery and post-surgical services at SICA hospital, the primary facility for surgical emergencies in the city. At CHUC hospital, our support ensured the only free access to lifesaving care for women with obstetric complications and newborns, as well as for people living with advanced HIV. Our teams also strengthened the provision of sexual and reproductive care, and HIV testing and treatment in smaller health facilities.

Tongolo clinic, located next to CHUC, remained a lifeline for victims and survivors of sexual violence, offering essential medical and mental health support, alongside guidance for legal recourse and protection.

In October, the release of a five-year report, which compiles figures from five years of MSF’s care and commitment to addressing sexual violence in CAR, shed light on this invisible emergency, and on the urgent need for comprehensive care and support for victims and survivors.

 

in 2023
 
Corine, whose two daughters are being treated for malaria
Central African Republic

“It is painful to see my children suffer like this”

Project Update 25 Sep 2014
 
Bambari
Central African Republic

A day in the bush

Project Update 17 Sep 2014
 
Batangafo MSF facility
Central African Republic

MSF denounces violence against teams

Project Update 9 Sep 2014
 
Bangui, General Hospital, VVS
Photo Story

MSF treats victims of sexual violence in Bangui

28 Aug 2014
Photo Story
 
Central African Republic

"The population does not buy the idea that this is a religious conflict”

Voices from the Field 25 Aug 2014
 
Central African Republic

MSF receives 31 new wounded at the General Hospital

Project Update 20 Aug 2014
 
Batangafo hospital
Central African Republic

Thousands of people fearing violence look for refuge at the hospital and military compound in Batangafo

Press Release 14 Aug 2014
 
Zenaba Testimony IDP Kabo - CAR
Central African Republic

"I do not know what to do with my life or those of my children"

Voices from the Field 12 Aug 2014
 
ABDEL Testimony IDP Kabo - CAR
Central African Republic

"I feel neither Chadian nor Central African and I do not know where to go"

Voices from the Field 12 Aug 2014

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1 December 2020