Central African Republic
The Central African Republic (CAR) has been facing a politico-military crisis since 2013 that has gradually installed an atmosphere of instability and general violence. The December 2020 presidential elections have fostered an intensification of clashes in the country and potential consequences for the year 2021.
In 2020, CAR remains in second-to-last place in the global Human Development Index (HDI). Extreme poverty and underdevelopment aggravate the humanitarian consequences of successive security crises.
The first victims of this situation are still displaced populations: in August 2020, 659 000 people were considered internally displaced. In terms of priority sectors, protection, health and food security represent a major challenge. The COVID-19 pandemic that broke out in CAR in March 2020 is also impacting the population. 63% of the Central African population is in need of humanitarian assistance.
Description of the mission
Première Urgence Internationale has been present in Central African Republic since 2007.
Since 2011, the mission has had a coordination office based in Bangui, the capital. It has also intervened from four other bases:
- Paoua in the northwest
- Ndélé in the northeast
- Bangassou/Rafaï in the southeast
- Berbérati in the southwest
Over the years, the Paoua and Bangassou/Rafaï bases have closed in order to keep pace with the geographical shift in humanitarian needs or for safety reasons in the areas of intervention, as was the case in Paoua. Similarly, in 2018, Première Urgence Internationale closed its base in Berbérati, in the Mambéré-Kadeï prefecture.
In 2021, Première Urgence Internationale has a coordination base in Bangui as well as two operational bases, one in Bangui and the other in Ndélé, as well as an office within the Logistics Platform.
Premiere Urgence Internationale in action
In Bangui, in order to improve the efficiency and speed of the humanitarian response, Première Urgence Internationale is carrying out various logistical activities to make supplies available to humanitarian actors, including the management of a storage platform with space for medicines and the deployment of mobile storage units in emergency areas.
The teams are also tackling the structural problems of underdevelopment through a project aimed at strengthening the capacities of vulnerable economic actors affected by the crisis. A medical and nutritional assistance project has also been set up through a consortium with the French Red Cross and Action contre la Faim, led by Première Urgence Internationale and covering all public health centers. This program has allowed for the emergency deployment of protective equipment and public awareness regarding the COVID-19 epidemic in 2020.
In Ndélé, Première Urgence Internationale is working to strengthen the health system in all of the health centers in the health district and rural resilience, as well as to sustainably improve food security, nutrition and Water, Sanitation and Hygiene (WASH) in communities throughout the Bamingui Bangoran prefecture.
Photos : © Antoine Hoguet
“Here in Bamingui-Bangoran, Central African Republic, the medical systems are insufficient to ensure our health.”
This region in the northeast of the country is particularly isolated, and access to quality health care is often difficult. The chronic crises affecting the country has severely weakened the health system, and the geographic isolation of the prefecture, combined with a poor road network, exacerbates the difficulties of accessing the Ndélé District Hospital.
Restoring livelihoods for the most vulnerable households impacted by the conflicts in Bangui
Decades of cyclical crises have plunged Central African Republic into a deep state of vulnerability, the country ranking second to last in the 2020 Human Development Index. This protracted insecurity and instability has seriously impacted the economy of the country, with unemployment rising up to 24.2% in 2016(1).