Where We Work

Chad

International Medical Corps has provided emergency relief and healthcare in Chad since 2004, when hundreds of thousands of Sudanese refugees from Darfur poured into the eastern part of the country. Later, increased conflict in neighboring Central African Republic (CAR) caused thousands more refugees to flee to southern Chad.

To add to these challenges, the ongoing Boko Haram conflict in the Lake Chad Basin region (comprising Chad, Nigeria, Niger and Cameroon) has created internal displacement and an influx of still more refugees seeking safety from the violence. Emerging from decades of instability some five years ago, Chad is becoming an increasingly important stabilizing player in central Africa. But the country still struggles with drought and food insecurity that is affecting the entire Sahel region. In response, International Medical Corps is implementing health, nutrition and food security activities in the Lac, Wadi Fira and Ouaddaï regions of Chad.

Population

14,038,000 

Life expectancy

52/54 

male/female

Displaced people

624,000 

The Challenges

Weak Health Systems

Access to medical services is very limited and the Chadian health system chronically suffers from insufficient medical staff, medicines and equipment

Malnutrition and Food Insecurity

Rates of global acute malnutrition frequently exceed the WHO emergency threshold of 15%

Refugees and internal displacement

Chad is hosting more than 400,000 refugees from Sudan, Central African Republic, Nigeria and elsewhere, and nearly 120,000 Chadians are internally displaced

Our Response

Health

In the face of scare resources and regional instability, people in Chad struggle to protect and rebuild their lives. Since the start of our work in Chad in 2004, International Medical Corps’ services have reached an estimated 180,000 beneficiaries a year, including internally displaced people, Sudanese and Central African Republic refugees, and host community members. Through 23 health centers, one hospital and 5 mobile medical units in the Lake region, and 14 health Centers and 1 hospital in Abdi, we deliver essential services, including secondary and primary health care, nutritional support, and maternal and child health services. Throughout all of our programs, International Medical Corps partners with local communities and emphasizes training to develop the capacity needed for long-term recovery.

In addition to supporting the government in annual vaccination campaigns against polio, measles and meningitis, as part of its mandate, International Medical Corps has trained hundreds of health workers to ensure sustainability and handover to the local community when the level of emergency declines.

Nutrition and Food Security

Malnutrition remains the primary cause of morbidity and mortality for the most vulnerable populations of pregnant women, new mothers and children under five. The nutrition crisis is especially acute in eastern Chad, where in 2016 UNICEF estimated global acute malnutrition (GAM) in Ouaddaï Region at 16.9 percent, with severe acute malnutrition (SAM) at 3.6 percent. International Medical Corps integrates malnutrition screening and treatment services into its primary and secondary health care activities. Program activities also focus on prevention and early identification of malnutrition through community-based mechanisms, such as training local mothers in nutrition screening, and mother support groups for infant and young child feeding (IYCF) counseling.

In two regions of the country, International Medical Corps is assisting women’s agricultural groups in vegetable gardening through the provision of seeds, tools and training. The planting of vegetable crops is contributing to household food diversity, especially important for young children and pregnant and lactating women, and generate supplemental income to meet household needs.

International Medical Corps Calls for Increased Humanitarian Support in Chad

Already host to hundreds of thousands of refugees from Sudan’s Darfur region, Chad is moving center stage as armed militants drive large scale population displacements and instability throughout the region. Having operated for a decade in Chad, International Medical Corps is calling on the international community to expand its support to this oft forgotten humanitarian emergency where religious extremism, chronic malnutrition, high maternal mortality rates and extreme levels of poverty threaten to destabilize the country and the region.

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Our Impact

85,000
medical consultations provided from September 2016 to March 2017
8,000
malnourished children received outpatient care
600
severely malnourished children with medical complications were admitted to stabilization centers for round-the-clock treatment
39
health centers supported, two hospitals, nine mobile medical unit sites and two refugee camps across three regions of Chad

Resources

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