Chad: ALIMA’s Actions on the Ground
📍 ALIMA presence since: 2012
🛡️ Mission status: ongoing
🏥 Beneficiaries in 2024: 314,503
🔹 Key areas of expertise: Epidemics and emerging diseases | Malnutrition | Women’s health | Pediatrics | Health system strengthening
Humanitarian situation in Chad
Chad is facing a major humanitarian crisis, exacerbated by armed conflicts, large-scale population displacement, and alarming food insecurity.
Tensions in the Lake Chad area and along the border with Sudan have led to an influx of thousands of Sudanese refugees, placing enormous pressure on an already fragile and under-resourced healthcare system.
📌 Key figures of the crisis in Chad
- 🌍 Population: 19.4 million (OCHA, 2024)
- 🚨 People in need of humanitarian aid: 7 million (OCHA, 2024)
- 🏠 Internally displaced persons and refugees: 1.5 million (UNHCR, 2024)
- 🍽️ People facing severe food insecurity: 2.1 million (UN, 2023)
To address these challenges, ALIMA is working alongside its local partner Alerte Santé to improve access to healthcare and strengthen the capacities of medical facilities.
Medical aid and humanitarian response in Chad
👩⚕️ Women’s health and maternal care
Across several regions, ALIMA is providing prenatal consultations, follow-up of high-risk deliveries, and management of obstetric complications to ensure safe births.
📊 In 2024, ALIMA supported 4,145 births in its health facilities.
🥣 Fight against malnutrition and nutritional reinforcement
ALIMA has trained over 50,000 mothers in using the MUAC for Mothers bracelet, a simple and effective tool for the early detection of malnutrition in children, enabling quicker access to treatment.
📊 In 2024, ALIMA treated 32,633 children suffering from severe acute malnutrition.
🦠 Epidemic response and care for displaced populations
In the Ouaddaï and Silat provinces, ALIMA set up health posts in the Zabout and Kerfi refugee camps, as well as mobile clinics to treat Sudanese refugees and Chadian returnees. Teams delivered emergency medical care and conducted vaccination campaigns against epidemic diseases.
📊 In 2024, ALIMA vaccinated 12,113 people against measles.
👶 Pediatrics: access to care for children
The teams are diagnosing and treating children suffering from malaria, respiratory infections, and diarrhea, the main causes of child mortality in Chad.
📊 In 2024, ALIMA carried out 83,251 medical consultations for children under five.
🏥 Strengthening health systems and training medical staff
The UNT-École project, launched in 2017, aims to train local health professionals in the management of severe acute malnutrition among children.
📊 In 2024, ALIMA trained 5,771 healthcare professionals.
Highlight project: responding to the Sudanese refugee emergency
🎯 Strengthening healthcare access for refugees in eastern Chad
Since 2023, ALIMA and its partner Alerte Santé have been working to ensure access to healthcare for Sudanese refugees and Chadian returnees in the Ouaddaï and Silat provinces, near the Sudanese border.
📌 Why this project matters
- A massive influx of Sudanese refugees living in precarious conditions.
- Overburdened and under-resourced local health structures.
📌 Project goals
- Deploy mobile clinics to provide care to displaced populations.
- Support the Adré hospital in managing chronic illnesses and surgical emergencies.
- Assist the Goz Beida Hospital in handling obstetric complications (caesarean sections and other surgical procedures).
- Provide healthcare and nutritional support in Zabout and Kerfi refugee camps in Silat Province.
- Offer mental health services and care for survivors of gender-based violence.
- Train local health workers to improve the quality of health services.
Through this project, ALIMA has improved access to healthcare for both refugees and host communities, while strengthening the resilience of the local health system to cope with future crises.
Testimony from the field: the impact of ALIMA's actions
Since the attack, I’ve lost my appetite and can’t sleep. I have pain and vomit whenever I try to eat, so I just don’t anymore.
This testimony comes from a 15-year-old Sudanese girl who received mental health support through ALIMA’s program after being referred by community relays. She received appropriate medical and psychological care to help her recover from the post-traumatic stress caused by the violence she suffered.
Thanks to ALIMA’s comprehensive approach, she received essential support to rebuild herself and regain emotional stability.
On the ground
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