In Adré, in the eastern part of Chad, MSF teams are treating war-wounded people fleeing Sudan at Adré hospital, where we have 200 surgical beds and 30 beds in the maternity unit. In addition to providing surgical care for the war-wounded (the most severe cases are referred to hospitals in Abéché, which are supported by the ICRC), we also support the pediatric and nutrition wards, where we have 250 beds. In addition, we support four health centers around Adré.
In response to high levels of malaria, measles, and malnutrition in the region, we provided vaccination for tens of thousands of children aged five months to 15 years old, run mobile clinics, and provide malnutrition screenings, referrals, and other activities in temporary refugee camps in Ouaddaï province. We are opening a second project to provide medical care in the newly built refugee camp in Arkoum.
MSF has started an emergency project in cooperation with health authorities in Sila, near the Chad-Sudan border. Since June 12, MSF teams have not been able to access communities in the two previous mobile clinic sites of Andressa and Mogororo, on the border with Sudan, due to the onset of the rainy season and consequent floods. Since then, MSF has adapted its medical response in Sila.
At least 7,000 Chadian returnees live in the Daguessa returnee site with minimal access to basic services including shelter, food, and water. Through mobile clinics, our teams are providing primary health care to Chadian returnees and host communities in Daguessa. Services include the screening and treatment of acute malnutrition in children, sexual and reproductive health care, and referrals to the MSF-supported Daguessa health center or Koukou hospital for secondary health care.
MSF has also started measles vaccination in the Daguessa returnee site and at Goz Amir refugee camp for new arrivals. This vaccination campaign takes place concurrently with the Ministry of Health’s vaccination campaign for the host population and refugees that have been settled in Chad for many years. MSF will also extend vaccination efforts to Djabal and Zabout refugee camps.
In addition to providing health care to refugees and returnees, we have responded to several other emergencies, including in the capital, N’Djamena, and other parts of the country.
In 2022, in the southwest, we provided medical consultations and hospital referrals for people who had fled intercommunal clashes in northern Cameroon. As a separate intercommunal conflict in the Chadian region of Mayo-Kebbi Est pushed more people to flee, we provided medical assistance in Kélo and responded to a measles outbreak in Bongor.
Further east, in Adré district, we scaled up activities to assist a new influx of refugees following an upsurge in conflict in Sudan’s Darfur region. We also helped improve access to medical care, safe water, and hygiene and sanitation services in refugee camps in Guereda district between March and December.
After N’Djamena was hit by floods in September, we responded to the urgent needs of people left with minimal access to services and exposed to heightened risks of diseases. Our teams offered medical care, nutrition support, essential relief items, and water and sanitation services in several displacement sites.
In Am Timan, we responded to an alarming malnutrition crisis by treating severely malnourished children in six health facilities and the hospital. Meanwhile, we maintained our pediatric and nutrition services in the capital, and in Moïssala and Massakory.
In the Mandoul region, we also supported vaccinations and treatment in response to an outbreak of yellow fever in Moïssala and Goundi districts, and worked in partnership with the Ministry of Health to improve obstetric and maternal health care at Moïssala hospital.
In Dar Sila, we continued to run our community-based health program, putting community members at the heart of all strategic decision making, with the aim of preventing diseases and safeguarding maternal health.