Start of program: 2013


  • 4.7 million inhabitants (2018)
  • 2.6 million people in need of humanitarian assistance (2020)
  • For every 100,000 live births, more than 890 women lose their lives


  • 122,338 pediatric consultations
  • 4,007 children treated for acute malnutrition
  • 13,015 prenatal consultations
*Data from 2019

Areas of intervention

Maternal health
Rapid Response Mechanism

Country context

The Central African Republic faces a complex security situation. According to the Humanitarian Response Plan 2020, there are nearly 600,000 displaced persons in the territory, and over 605,000 Central African nationals who have taken refuge in neighboring countries as a result of numerous attacks by armed groups against civilian populations. This situation is aggravated by a weak national health system, with malfunctioning health infrastructures and low availability of medicines and medical equipment.

This humanitarian crisis particularly affects vulnerable populations living in extreme poverty, with limited access to health care, especially in rural areas. Maternal and infant mortality rates are the second and third highest in the world, respectively. According to data provided by UNICEF in 2018, for every 100,000 live births, more than 890 women die in childbirth, more than double the average maternal mortality rate in Africa.

© Nanna Kreutzmann / ALIMA

ALIMA’s Impact – Our fieldwork

Free medical care for pregnant women and children under 5 years of age

ALIMA focuses its efforts on responding to vital emergencies and providing medical care to pregnant and lactating women, children under five and victims of gender-based violence in all our areas of intervention.

Strengthening national health structures

Since the start of activities in 2013, ALIMA has been carrying out activities to strengthen the national health system, including the construction and refurbishing of several health facilities. In 2018, ALIMA notably contributed to the rehabilitation of the secondary hospital of Mbrès, in the prefecture of Nana-Gribizi.

ALIMA teams are also active in the south-east, in the health district of Obo. The absence of humanitarian actors in this landlocked area led ALIMA to organize an emergency intervention in Zémio in September 2019, in order to address the lack of medicines and medical-nutritional care for the populations, especially children under 5 years of age.

Subsequently, ALIMA operations were extended to the Obo Health District. This second phase aims to improve the supply of and access to primary and secondary health care for vulnerable populations, and to strengthen the national health system in a sustainable manner.

© Adrienne Surprenant / ALIMA
Mobile clinics for emergency response and better access to care

In 2013, ALIMA set up mobile clinics in the urban areas of Bimbo and Petevo, but also in some forested areas. These mobile clinics have facilitated access to health care, especially in areas with security issues and difficult access to health centers.

The Mbrès health district operations are also carried out with mobile clinics.

Finally, we set up a Rapid Response Mechanism (RRM) for emergencies project in the prefectures of Kémo and Nana-Gribizi. Thanks to RRM, when a crisis is alerted (population displacements, conflicts, floods, outbreaks, etc.), emergency teams are deployed within 72 hours, via mobile clinics, to assist the affected populations.

Focus on 2019

In 2019, ALIMA conducted 122,338 pediatric and 13,015 prenatal consultations in the Central African Republic. Our teams also treated 4,007 children suffering from malnutrition.

* Cover picture © Adrienne Surprenant / ALIMA

Related News

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France office
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+33 (0)1 40 33 95 19
USA office
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+1 (646) 619-9074
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