Violent clashes between armed groups and the military force people to flee inland

A woman and her child during a consultation at the MSF mobile clinic in Yakoua, Chad.
CHAD 2017 © Sara Creta/MSF
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This information is excerpted from MSF’s 2017 International Activity Report.

In 2017, violent clashes between armed opposition groups and military forces in the Lake Chad region, near the border with Nigeria and Niger, forced people to flee inland.

Providing healthcare in the Lake Chad region

Doctors Without Borders/Médecins Sans Frontières (MSF) has been running mobile clinics serving both displaced people and local communities in the departments of Baga Sola, Bol, and Liwa since 2015. Services include basic health care, screening for malnutrition, and antenatal care, as well as mental health support. MSF also launched a preventive malaria treatment campaign for children under the age of five.

On the islands of Fitine and Bougourmi, MSF runs mobile clinics for remote communities with no access to health care. In Bol, MSF works alongside Ministry of Public Health staff in the regional hospital to provide pediatric and maternal care, nutrition services, and surgery. Near Bol, MSF supported reproductive health care services in Sawa district by raising awareness among traditional midwives of the importance of encouraging pregnant women to give birth at local health facilities.


consultations in 2017
treated for malaria
treated in feeding centers

Tackling epidemics in eastern Chad

MSF responded to hepatitis E and cholera epidemics in Salamat region. By the time it closed its emergency hepatitis E project in April 2017, the team had documented more than 1,222 suspected cases in the town of Am Timan. As part of its prevention campaign, MSF distributed 10,567 hygiene kits to people at risk.

In August 2017, a cholera epidemic broke out in Dar Sila region near the Sudanese border and spread southwards to Am Timan. MSF moved its initial response team from Dar Sila to Salamat, setting up a cholera treatment center, as well as small treatment units, in and around Am Timan. According to the authorities, there were 817 cases—including 29 deaths—in Salamat between September 11 and  November 30.

Reinforcing maternal and child health in Am Timan

MSF launched its activities in Am Timan in 2006 in response to a nutrition crisis. Since then, the team has been supporting the regional hospital’s pediatric, maternity, and laboratory services. MSF also runs a nutrition program and, until the end of 2017, provided care for tuberculosis and HIV/AIDS patients. In addition, the teams ran general medical, antenatal, and nutrition clinics in two health centers.

MSF is progressively handing over its activities in Bol and Am Timan to the health authorities.

Fighting malaria in Moissala

Since 2010, MSF work in the health district of Moissala, in southern Chad, has focused on the prevention and treatment of malaria in children under the age of five and pregnant women. In 2017, four preventive treatment campaigns (seasonal malaria chemoprevention) reached a total of 111,757 children. MSF also manages complicated cases in the anti-malarial unit at Moissala hospital and supports 22 surrounding health centers by managing simple cases and referrals.