MSF Emergency Team Finishes Intervention in Kouango, CAR


After three months, Doctors Without Borders/Médecins Sans Frontières (MSF) has ended its emergency intervention for displaced people in Kouango, in southern Central African Republic. During that time, the MSF emergency team carried out more than 1,100 medical examinations in its mobile clinics and cared for 362 patients in Kouango hospital.

Although the needs of the people remain high and access to health care remains a concern, MSF has observed an increase in the presence and mobilization of other humanitarian agencies in Kouango. As a result, the MSF emergency team, Eureca, used for short-term interventions and temporary targeted measures, will pull out in order to respond to other crisis situations elsewhere in the country. Local stakeholders and the community had already been made aware of the temporary nature of the intervention.

Encouraging Signs

Medical indicators collected by MSF from the results of a survey on nutrition and mortality revealed that further emergency intervention was not currently warranted. “The indicators are below emergency thresholds and do not suggest an acute medical crisis,” said Isaac Alcalde, MSF emergency team coordinator. Furthermore, some people who had fled into the scrubland are returning, which is an encouraging sign for Kouango. The MSF teams will, however, continue to monitor how the situation develops.

At the end of 2014, thousands of people living in the Kouango area, in the south of the Central African Republic (CAR), began to cross the Ubangi River to seek refuge in neighboring Democratic Republic of the Congo (DRC) after armed clashes between rival militias in the area. Thousands of people fled to DRC, while more still escaped to the nearby towns of Bambari and Grimari, north of Kouango. They were all looking for safety after enduring months of violence and killings, as well as robberies, looting, and seeing their homes burned to the ground.

A Rapid Response

The MSF emergency team in CAR responded by opening a support center to look after women, children, and victims of violence in Kouango and the surrounding areas. With access to health care either limited or almost non-existent, MSF launched mobile clinics on the routes to Bianga, Grimari, Ndoro, Pende, and Zouhougou as a means of providing basic health care services. The MSF team also provided support for the emergency department and patients hospitalized in Kouango hospital to help care for the most serious cases.

In just three months, the MSF team carried out more than 1,100 medical examinations in its mobile clinics. The vast majority—some 81 percent—of patients seen were children under five years of age. Women also benefited from antenatal care and reproductive and sexual health advice.

MSF referred 362 patients to Kouango hospital, mainly to the pediatric department (55 percent) and the maternity ward (26 percent). The team helped 47 women to give birth and carried out five emergency Caesarean sections. Logistical support was also provided to the hospital, including the installation of water points. FInally, MSF donated medical supplies and drugs and gave health center workers a bonus to ensure free health care for a month.

MSF has been working in Central African Republic since 1997 and currently has more than 300 international staff and more than 2,000 Central African staff in the country. From December 2013, MSF doubled its medical projects in response to the current crisis, and now runs some 20 projects, including several for Central African refugees living in neighboring countries such as Chad, Cameroon, and the Democratic Republic of the Congo.

Since 2014, MSF teams have also maintained a presence in Bambari which, like Kouango, is in the Oauka Prefecture. There, they manage mobile clinics as well as support a health clinic in the town.

Central African Republic's Kouango region, where MSF has ended its emergency intervention for displaced people.