CONSULTATIONS FOR CHILDREN AGED FIVE AND UNDER
Since December 2012, the Central African Republic (CAR) has suffered from political, military, and intercommunal conflicts, all of which have worsened the humanitarian situation. Nearly one million people were still displaced in 2016, both inside and outside the country. Thousands have been killed, injured or raped.
Despite the return of ruling parties and the deployment of international forces, large-scale security incidents continue to occur in the northwest, central and eastern parts of the country. In 2016, armed groups controlled 12 of the country’s 16 regions.
The ongoing insecurity has made access to functioning public services and health care extremely difficult and 34% of health structures have been destroyed with 18% of those still standing non-functional. At the same time, the ongoing security situation makes it hard for humanitarian actors to reach areas where people are most in need of aid and medical care.
An estimated 6.6% of children suffer from global acute malnutrition. In 2016, CAR experienced a number of outbreaks, including monkey pox, meningitis, measles and cholera.
ALIMA has been active in CAR since 2013, and currently provides medical and nutritional care at five health centers on the outskirts of the capital, Bangui, and in the Bimbo health district, to local communities and displaced populations, and to displaced populations at seven sites in Boda health district. Health care for children under the age of five and pregnant women is free. In 2016, there were 54,510 general consultations and 6,041 emergency consultations. Nearly 75,000 children were treated for malaria, which continues to be a leading cause of childhood mortality in CAR.
In addition to primary health care services, ALIMA also runs a ninebed maternity unit and has an operating room near an IDP camp in Boda. In 2016, 960 surgical procedures were carried out and nearly 4,250 patients were hospitalized for care. Health staff helped 4,920 women deliver their babies safely and gave pre-natal consultations to more than 17,320 pregnant women. Medical teams also helped to reinforce the capacity of national health staff, supplied medicines to health facilities, refurbished three health centers and operated a mobile health clinic to reach people in the forest who are unable to reach a health center.