Humanitarian context

While Chad is considered an island of stability in the Sahel, it also faces persistent problems related to growing insecurity in some parts of the country and in neighboring countries, as well as entrenched inter-community conflicts and socio-economic and health challenges in a context of political transition. All of these crises are further exacerbated by climate change, which is increasing the scarcity of resources and means of subsistence, aggravating conflicts over control of the latter, and compromising the development of the country, which is one of the most exposed countries in the world.

In 2022, there will be more than six million people in need of humanitarian assistance, representing just under 40% of the population. Food insecurity and malnutrition are the two major concerns in Chad this year, in a context of large population movements. More than one million people are on the move, making Chad the fourth country with the most refugees relative to its population after Lebanon, Syria, and Jordan.

Key figures

Year of mission
National staff
Expatriate staff
270 966

Description of the mission

Première Urgence Internationale has been present in Chad since 2004 in the province of Ouaddaï, where it worked with Sudanese refugees fleeing Darfur, as well as with the Chadian host populations.

Since then, the NGO has developed responses in the areas of food security and economic recovery, and since 2016 more specifically in health and nutrition, two sectors that are now at the heart of Première Urgence Internationale’s interventions in Chad. The teams support the development of the health district of Abéché and its health personnel.

Since 2022, they have also been assisting Cameroonian refugees in the province of Ndjamena, in the west of the country.

Premiere Urgence Internationale in action

Première Urgence Internationale is the main humanitarian actor in the management of malnutrition in the Ouaddaï region. The NGO carries out multi-sectoral projects in health and nutrition in emergency situations, including one in consortium with the Chadian NGO BASE (Bureau d’Appui Santé et Environnement). All of these projects aim to strengthen the health system and its agents, as well as to train communities in the autonomous detection of malnutrition and the promotion of good hygiene practices. In the longer term, the teams can provide professional training to health school students, or help conduct a study on the socio-anthropological factors of malnutrition.

In 2020, in consortium with Care, they carried out a project to improve the health of women, children and teenagers in Assoungha and Ouara.

Reactive to disasters, Première Urgence Internationale immediately positioned itself to respond to health emergencies when Cameroonian refugees fleeing inter-community violence crossed the border to seek shelter in Ndjamena province. The “mobile clinic” approach allows teams to reach refugees scattered along the border and make primary health care accessible by distributing essential household items such as a mat, soap or a jerry can.

Photograph credits: Frédéric Noy

The Chad mission in pictures

Our partners

Centre de Crise et de Soutien
Agence Française du Développement
Expertise France

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Stats Each year, Première Urgence Internationale allocates most of its resources to the programs and activities and only 0.2% to fundraising. Your donations are crucial.

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