MSF has built field hospitals in Metché and Aboutengue camps, providing a wide range of services including emergency, pediatric, neonatal, and sexual and reproductive care, as well as an operating theater for emergency surgery in Metché.
Our teams also carry out extensive work to improve the drinking water supply in villages and refugee camps by constructing boreholes, latrines, and showers, and distributing water. MSF teams maintain support for hospitals, general health care centers, and community-based health systems. We also send teams to assist in emergencies, delivering lifesaving care and reinforcing local capacity in some of the most isolated communities.
Activities in 2025
Throughout 2025, MSF delivered general health care to refugees in Tiné and Ouré Cassoni, including prenatal consultations, treatment for sexual violence, routine immunizations, nutritional support, and mental health care. We also conducted health promotion activities and provided water, sanitation, and hygiene support. In August, MSF started running a fixed clinic and mobile clinics in Ouré Cassoni, and carried out water trucking and latrine construction to meet urgent needs in the densely populated camp.
In Adré, we maintained our integrated general and specialist health care at the health center and hospital. Our teams carried out pediatric and reproductive health consultations at our health center and vaccinated children as they arrived at the border. At the hospital, we assisted with deliveries, admitted children for severe acute malnutrition, and provided neonatal and pediatric inpatient care.
In Metché camp, we continued to run our hospital, which serves both refugees and host communities with emergency care, surgery, maternal and neonatal health services, mental health support, and treatment for malnutrition. To ensure adequate access to safe drinking water and to reduce the risk of epidemics, our teams rehabilitated boreholes and extended water distribution systems in the camp.
In Aboutengue camp, we offered both inpatient and outpatient care, and treated patients with moderate and severe cases of acute malnutrition. Our team also supported the treatment of chronic diseases and mental health conditions, and collaborated with the Ministry of Health to run vaccination campaigns.
Epidemic response
Tackling epidemics remained a key activity for MSF in 2025. Northeast of the capital, N’Djamena, we responded to a diphtheria outbreak affecting multiple districts in Bahr El-Gazel and Batha provinces by providing both inpatient and outpatient care. To contain further outbreaks, our teams, supported by community health workers, launched vaccination campaigns in Bahr El-Gazel and in Iridimi camp in Wadi Fira province.
MSF’s emergency response team in Chad supported surveillance and vaccination efforts in several provinces, including Batha, N’Djamena, and Salamat. We also assisted with an emergency response to malnutrition in Am Timan, treating severely malnourished children and boosting hospital capacity.
In N’Djamena’s 9th district, we responded to a measles outbreak by providing outpatient care and donating treatment kits to health centers.
During the rainy season, we launched activities in Ouaddaï, Sila, and Hadjer Lamis provinces to tackle cholera outbreaks. In Hadjer Hadid district, Ouaddaï, we set up cholera treatment units and oral rehydration points, and improved water distribution and infection prevention and control measures. We also supported the Ministry of Health’s response to a meningitis outbreak in five districts of Ouaddaï by administering vaccinations and treating severe cases at Abéché regional hospital. Through vaccination campaigns, strengthened surveillance, rapid response, and close collaboration with health authorities, we helped to contain multiple outbreaks.
Supporting chronic needs
In addition to our emergency responses, we maintained long-term projects focusing on malaria, malnutrition, and improving access to health care. In Moïssala, Moyen-Chari, MSF partnered with the Ministry of Health to conduct seasonal malaria chemoprevention across 37 health zones. Our teams also conducted pediatric consultations and assisted births in hospitals in Moïssala.
Food insecurity is a major problem in Chad, exacerbated by issues such as displacement, climate shocks, and the poor economic situation. In Massakory district, Hadjer Lamis, MSF supported 21 community sites offering treatment for malnutrition alongside other health services, such as sexual and reproductive health care, as well as the hospital’s malnutrition unit. Our teams helped run pediatric outpatient therapeutic feeding programs, while MSF-trained community health workers screened children for malnutrition and organized referrals when necessary. We also rehabilitated water distribution systems and conducted health promotion activities to address underlying drivers of malnutrition.
In Sila, we continued our community-based health care model across 91 villages, in which community members participate in decision-making regarding our activities. MSF teams conducted general health consultations and assisted with maternity referrals and vaccinations. This project seeks to reinforce existing health facilities, aiming to ensure the continuation of services beyond MSF’s presence in the province.
