Central African Republic
Central African Republic
Type of intervention
- Nutrition, health, mental health and Care practices
- Food security and livelihoods
- Water, Sanitation & Hygiene
Places of interventions
Central African Republic is a huge country spreading over 622,981 km² and with low population density (less than 5 million inhabitants per km²). It is a country that has known chronic vulnerability worsening over the years for more than 40 years now. Although in 2009 it reached the completion point of the Highly Indebted Poor Countries (HIPC) Initiative which resulted in the reduction of its debt, CAR governance indicators are below the average in sub-Saharan Africa.
The socio-political crisis that the country has experienced since mid-December 2012 has led to significant political changes and in particular the overthrow of Bozize régime together with the seizure of power by a coalition of rebels named Seleka. The security context is thus extremely tense and of great concern with identified risks of seeing the country collapsing.
From the socio-economic point of view, the economic growth is far too weak to have an impact on the reduction of poverty and on job creation. CAR remains a fragile and vulnerable state should any economic shock occur. The indicators for the education and health sectors are presently among the lowest in the sub region and the State's investment in these two sectors is very limited.
At national level, the results of nutrition surveys conducted in July 2012 show Global Acute Malnutrition rates at 8% and Severe Acute Malnutrition rates at 1.9%, comparable to the results of the 2010 survey. The chronic malnutrition rate reaches 38.7%. Recently several advocacy initiatives were launched to rally international policy makers and public opinion in order that the forgotten and neglected crisis in which infant mortality can locally be even worse than in Somalia (7/10000/day in the Urban Community of Carnot, as a reminder the emergency threshold is 2/10000/day).
ACF, UNICEF, ECHO, UNDP, HCR, CDC, EuropeAid, AFD, CIAA
Key figures of the country
- Number of beneficiaries: 82 366
- Population: 4,5 million inhabitant
- Life expectancy: 48,5 years old
- Human Development Index: 179/187
- GDP/inhabitant: 448 US$
Sources: UNDP, UN
Il n'y a pas de résultat
In 2012, ACF continued developing its operational and structural choices made in 2011 through its involvement in the dual aspects of Development and Emergency based on 4 main actions:
- Increase the resilience to shocks of the Central African populations by laying the foundations for local development
- Build the capacity of national partners for the future of its programs
- Develop integrated programs that include its different areas of activities
- Promote hygiene and sanitation
In nutrition and health, the year 2011 enabled ACF to strengthen its positioning with the displaced populations living in the Southwest through a multisector project (Nutrition, food security, water and sanitation in Sangha-Mbaéré Prefecture) in order to respond to the need of addressing the underlying causes that led to the 2009 nutrition crisis and the vulnerability of the poorest households. In the same way, all along this year particular attention was paid to the nutrition program implemented in Bangui since 2008. By developing its vital action, since the health system is weak and fragile, ACF contributed to capacity building about the detection and treatment of severe acute malnutrition with complications, through the training and the technical support provided to public and private health actors at local level (structures of the Ministry of Health or denominational structures) and community structures identified as volunteers within their community. At the same time ACF implemented activities for Care Practices and Mental Healthcare in Therapeutic Feeding Centres. In order to use research in the evaluations of nutritional impact, an action-research program on the efficacy of systematic antibiotherapy (amoxicillin) or contemplated in case of infectious syndrome for children aged 6 months to 5 years suffering from severe malnutrition but without severe infectious complications was also launched in Bangui.
In food security, at national level, in view of positioning itself in CAR as a major actor in the management of crises, a first step was taken in 2012 by the establishment of a monitoring system for food security, livelihoods and nutrition, in collaboration with other humanitarian actors and the United Nations. During that year 2012, ACF confirmed its presence in the medium term in Bossangoa sub-prefecture through two structuring projects relating to local development (in food security and easier access to drinking water). This year also saw the strengthening of our partnerships with the Agency ACDA and the Institute ICRA in food security and with DSC for the management of malnutrition and finally with our local partner (ACABEF).
In the WASH sector, increasing access to safe drinking water is part of a post-emergency approach focused primarily on the regions that are most populated and most affected by malnutrition and epidemics. The building of water infrastructures, more particularly in the areas of Boguila and in the south of Bangui, allowed for promoting coherent WASH coverage for local populations. In addition, given the weakness of the private sector, ACF worked towards strengthening the operational capacities of the National Water and Sanitation Agency (NWSA) regarding the creation of boreholes and geophysical exploration surveys.
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