Central African Republic Humanitarian response plan 2016
After more than two years of instability, the magnitude and complexity of the humanitarian crisis in the Central African Republic are unprecedented. A large part of the population remains affected by the crisis, vulnerable and exposed to risks caused by serious human rights violations along with poverty and the lack of basic services.
Efforts to broker peace and meet humanitarian needs succeeded in reducing the level of violence in Central African Republic in 2015. However, occasional peaks of aggression broke the relative stability and cast doubts over hopes for a return to peace. The months of September and October 2015 in particular were marked by inter-community violence in Bangui, Dekoa, Bambari and Kaga Bandoro, leading to several thousand deaths and injuries, and displacing tens of thousands of people. These outbreaks of violence also involved deliberate attacks against humanitarian personnel and property, leading to the evacuation of more than 200 humanitarian workers. More than half of the population, approximately 2.3 million people, require humanitarian assistance.
Health Sector Situation
Despite the efforts of health partners, access to health care remains difficult in some areas including Ouaka, Vakaga health district, and in the southeastern part of the country; due to persistent clashes between various armed groups.
Nationally, 23% of health facilities are no longer fully operational, primarily due to a lack of health professionals and damage to facilities, equipment and supplies. In Ouaka district, approximately 35 000 displaced persons in Ngakobo site and Kouango sub-prefecture are without appropriate health care; the nearest functional hospital (Grimari) is 100 km away. In Vakaga, Nana Gribizi and Ouham districts, most of the hospitals and health centres are left without equipment due to looting, damage and/or obsolescence. Some communities are often unable to access to health care due to inter-communal conflicts.
With the persistence of inter-community conflict and clashes between various armed groups, the health sector is facing frequent movement of internally displaced populations to new sites. Health care services must be arranged for the displaced. At the same time, populations returning to their location of origin often find themselves without homes or adequate basic social services. An increase in cases of rape and of injuries are being registered in hospitals which are not prepared nor equipped to take care of these victims.
According to a Health Resources Availability Mapping System (HeRAMS) survey conducted in 2015, 347 health facilities (34%) are partially or totally destroyed out of 1008. Some 68% health facilities are functional and 50% of functional health facilities are supported by health humanitarian partners. The national health system has been heavily impacted by several crises.
In 2015, 693 cases of rape were registered (within health facilities) in the city of Bangui and its environs (Bimbo and Begoua) and in the city of Kaga Bandoro. These cases are mostly registered 72 hours after incidents and often do not receive proper psycho-social support.
Given the weak immunization coverage of routine Expanded Programme on Immunization (around 40%), the Central African Republic is facing frequent outbreaks of diseases preventable by vaccination, in particular among children under five years old. In 2015, three health regions out of seven have experienced measles outbreaks and 723 cases in total were reported by epidemiological surveillance.
Health Sector Objectives
Objective 1: Provide emergency health care (curative, preventative, promotional) to populations affected by acute humanitarian crisis, including the treatment of chronic diseases, mental health, emergency obstetric and neonatal care, and care for the wounded.
Objective 2: Increase access to basic health care services for the crisis-affected population and those facing prolonged displacement, including host populations.
Objective 3: Reduce the risk of epidemics in at-risk areas.
Beneficiaries targeted by health partners in 2016
Health partners are targeting 1 million people. These include:
- 200 000 internally displaced people
- 800 000 people in host communities
Geographical areas targeted by health partners in 2016
The following districts have been prioritized:
The 2nd, 3rd and 5th arrondissement of Bangui, Bimbo, Yaloké, Boda, Amadagaza, Gamboula, Bouar, Baboua, Ngaoundaye, Bocaranga, Koui, Paoua, Bosangoa, Nangha Bagoula, Markounda, Bouca, Batangafo, Kabo, Nana- Bakassa, KagaBandoro, Mbres, Dekoa, Mala, Ndjokou, Birao, Ouanda Djallhe, Bria, Bakouma, Ouango, Gambo, Kembe, Satema, Mobaye, Alindao, Zangba, Mingala, Kouango, Bambari, Ippy, and Bakala.
Health Cluster funding requirements for 2016
US$ 42 000 000 (health partners including WHO)
WHO funding requirements for 2016
WHO is requesting a total of US$ 15 851 400