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.
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
CHAD : TO PROTECT THE MOST VULNERABLE FROM COVID-19’S IMPACT IN THE SANITARY DISTRICT OF ABÉCHÉ
Chad, as every other country worldwide, has been facing COVID-19’s pandemia for several months now. Mid-January 2021, there was about 2895 cases of contamination and 111 deaths recorded*.
In Chad, Première Urgence Internationale is training mothers to detect malnutrition in children
In 2020, communities in Chad are still vulnerable to malnutrition. The challenging climate, limited access to water, poor crop production, and insufficient medical infrastructure have created a crisis situation to which the COVID-19 pandemic now also contributes. For two years, Première Urgence Internationale has been working in close cooperation with mothers and guardians to make diagnosis easier and to treat seriously ill children more quickly.