Humanitarian Health Action

Chad - Humanitarian Response Plan 2016

Chad is facing four humanitarian crises – food insecurity and malnutrition; population movements (resulting from instability and conflict in Sudan, Central African Republic, Nigeria, and military operations in the Lake Chad region); health emergencies; and natural disasters. These crises are directly affecting 3.9 million people and leaving 2.3 million people in need of humanitarian assistance – more than half of these are women.

Food insecurity and malnutrition are affecting more than 3.4 million people, 1.6 million of which are in need of assistance for their nutritional needs. An estimated 400 000 children have moderate acute malnutrition and more than 320 000 children have severe acute malnutrition and require urgent nutritional treatment.

Natural disasters (floods, droughts, crop pests) are increasingly frequent and may affect up to 2.7 million people. Their negative impact on agricultural production and livelihoods limits affected communities’ access to basic services.

Despite these crises, Chad has opened its borders and doors to hundreds of thousands of refugees, returnees and internally displaced people (IDPs). Chad has the 7th largest number of refugees in the world. An estimated 638 000 displaced people are living in camps or with host communities who are also need of humanitarian assistance. Those displaced for less than a year show increased vulnerability and urgent multisectoral needs for shelter, food security, water and sanitation, education, protection, health and nutrition.

Humanitarian access is difficult in the Lake region due to insecurity and logistically limited in northern areas during the rainy season. Despite generous humanitarian assistance in recent years, Chad still faces difficulties from inadequate funding.

Health Sector Situation

The health situation is characterized by the prevalence of potentially epidemic diseases such as cholera and measles and other diseases like malaria – problems compounded by Chad’s weak health system. In the first half of 2015, nearly 390 000 people were suffering from malaria and measles. Low immunization coverage adds to vulnerability, especially for women, children, nomads and displaced populations. Reproductive health remains a major challenge.

The response to this health emergency will include the provision of emergency medical help for people (including refugees, returnees and IDPs) affected by epidemics (cholera, measles) and who end up in poor sanitary conditions. Special attention will be given to the provision of primary health care for the most vulnerable populations, providing maternal and child health care and treatment, and malaria prevention in areas of high impact. Advocacy will be undertaken to strengthen the epidemiological surveillance system and the integration of nutrition into the health system.

Health Cluster Objectives

Objective 1: Ensure medical support (including for reproductive health) for vulnerable people.

  • Planned outputs:

    100% of children admitted to hospital with severe acute malnutrition will be supported.

    Support 65 health centres with drugs and other supplies in locations where there are refugees, returnees, IDPs and host populations.

    600 000 outpatient consultations held in districts affected by population movements.

    44 000 births attended by skilled personnel in districts supported by cluster members.

Objective 2: Strengthen the prevention of epidemics in areas particularly prone to epidemics and other serious diseases.

  • Planned outputs:

    446 343 children under five years vaccinated against measles.

Objective 3: Strengthen community-based monitoring and early warning systems to improve the detection and response to outbreaks.

  • Planned outputs:

    1219 monthly epidemiological reports completed and received at national level.

Beneficiaries targeted by health partners in 2016

Health partners are targeting 845 000 people in 2016. These include:

  • 500 850 refugees
  • 100 546 returnees
  • 51 387 internally displaced people
  • 771 third country nationals
  • 191 400 people in host communities

Geographical areas targeted by health partners in 2016

The Sahel region is particularly affected by the food and nutrition crisis. The Lake region is affected by internal displacement and population movements from Nigeria into Chad. Chad’s southern regions are affected by displacement from the Central African Republic and eastern Chad.

Health Cluster funding requirements for 2016

US$ 34 366 614 (health partners including WHO)

WHO funding requirements for 2016

WHO is requesting a total of US$ 10 674 080