This is a plea for the Central African Republic. The Central African Republic (CAR) today finds itself in a state of chronic medical emergency. Five separate retrospective mortality surveys, carried out by MSF and other researchers, in prefectures accounting for the majority of the population, show excess mortality above what is considered to be the “emergency threshold.”
And yet the commitment by the country’s government and by the international community is going in the wrong direction. The government has been decreasing its investments in health, as have international donors, while humanitarian assistance has failed to reduce the widespread medical crisis.
The risk is high that the Central African Republic will become trapped: not considered urgent enough for significant emergency aid; not considered trustworthy enough for meaningful development assistance.
For the sake of CAR’s 4.4 million people, this cannot be allowed to happen. Existing levels of medical assistance are plainly insufficient to the scale of the needs. The country needs more actors conducting larger medical operations that reach more of the population.
In this paper, we outline the experiences, analyses and concerns of Médecins Sans Frontières (MSF) after 14 years working in the country. The report opens with a summary of the published evidence on CAR’s mortality over the past 18 months by MSF and other researchers. We then analyse the various causes for this before summarising the inadequate existing levels of assistance provided by all the various actors, including firstly the government of CAR, but also the international community including ourselves. We conclude with a call for greater medical assistance to the country.
Read the report from the inter-organisation mission to Sikikédé, in the Vakaga province of north-eastern CAR, which took place on Friday 25 November 2011. This was the first joint mission since September 2010. Download the report here (125kb) >>
The Common Humanitarian Fund (CHF) in the Central African Republic (CAR) was critical in 2010 to cover the most immediate assessed needs of about 1.6 million people in the North West, North East and South East of the country. Sustained generous contributions from the Netherlands, the United Kingdom, Ireland and Sweden have allowed further predictability and flexibility, hence relevance of the overall humanitarian response in country. Whether UN agencies or Non governmental organisations, recipient partners have demonstrated strong commitment to address critical needs in most often trying circumstances. The standard allocation process has involved a wide range of stakeholders through the CHF Advisory Board, the Humanitarian Country Team and within the respective clusters.
Central African Republic: Humanitarian presence in the field (October 2011)
This map shows humanitarian actor’s sub-office and base locations in the field in the CAR. The map was produced by the OCHA office in Bangui with the generous support of the humanitarian community. Download the map in PDF (126KB) here: English version | Version française
Central African Republic: Areas of intervention per cluster (October 2011)
These maps show the areas of intervention of humanitarian projects in the CAR by cluster. The maps were produced by the cluster leads and co-leads with the generous support of the humanitarian community. Download the maps in PDF (655KB) here: English version | Version française
Find all map products for CAR from the HDPT community on the Maps pages of the HDPT CAR website http://hdptcar.net/blog/maps/. We hope that these products will be useful to your work.
The Humanitarian and Development Partnership Team (HDPT) unites all organizations working to alleviate the humanitarian and development crisis in the Central African Republic: United Nations agencies, the Red Cross Movement, NGOs and other organizations. For more information, visit About HDPT CAR or email us at info[at]hdptcar.net
Interviews with Dr Ione
Dr Ione describes her incredible experiences in the Central African Republic. A thrilling eye-witness account of the country’s history.
