Humanitarian context

Although considered an island of stability in the region, in 2020 Chad is still heavily impacted by the fragilities of its border countries: attacks by armed groups, conflicts in Lake Chad in the west and conflicts between herders and farmers in the east. As a result of global warming, the country is facing regular droughts and floods, which maintain the shortage of natural resources. The health situation is aggravated by the weakness of the health care network, both in quality and quantity, and by the limited access to drinking water and sanitation. According to the Office for the Coordination of Humanitarian Affairs (OCHA), 2 million people are affected by health emergencies and there were 4,000 cases of COVID-19 at the end of 2020.

These interconnected crises are pushing the country into food insecurity, malnutrition, and health emergencies, while increasing population movements. According to OCHA, 298,803 people are displaced in the Lake province. 4,3 million people, 51% of whom are women, need emergency humanitarian assistance and livelihood support, and half a million children are malnourished.

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, where it has been working with Sudanese refugees fleeing Darfur as well as with the Chadian host populations.
Since then, the NGO has developed responses in food security and economic recovery. However, since 2016, health and nutrition have been at the heart of Première Urgence Internationale’s interventions in Chad. The NGO is deployed in the departments of Assoungha and Ouara in the east of the country (Ouaddaï region). Since 2020, it has been supporting the health district of Abéché in the prevention and fight against malnutrition.

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 and long-term. All these projects aim to strengthen the health system, to train communities in the detection of malnutrition and to promote good hygiene practices.

In 2020, in consortium with Care, it led a project to improve the health of women, children and teenagers in Assoungha and Ouara. In the latter department, Première Urgence Internationale has contributed to improving nutritional indicators in consortium with the NGO BASE (Bureau d’Appui Santé et Environnement). Finally, in the city of Abeche, the NGO has implemented a project to reduce the impact of COVID-19 through prevention, protection and community resilience building measures.

Photograph credits: Frédéric Noy

The Chad mission in pictures

Our partners

Centre de Crise et de Soutien
Expertise France

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