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Central African Republic


As of 18 July, 4,485 people have tested positive for COVID-19. We are committed to continuing care for all our patients and staff in our 13 projects around the country, ensuring that all needed supplies and medications are available.

In the capital, Bangui, MSF is building a treatment centre to aid in the treatment of patients with severe COVID-19 symptoms. The new centre will treat severe and critical patients through oxygen therapy and palliative care, in collaboration with the Ministry of Health.

We have launched preventative measures to help protect 7,500 people living with HIV in four outpatient treatment centres in Bangui. Our teams are distributing soap and masks, providing basic food supplies, and hosting awareness sessions to help patients protect themselves against COVID-19 transmission. We are also collaborating with UNICEF and the World Food Programme on a similar project to help protect an additional 4,000 patients and their families.

We are supporting and reinforcing infection prevention and control measures, staff training, and other preventive measures in our existing projects. Our staff are adapting the way we care for people who are the most at risk of developing severe forms of COVID-19, if infected, such as malnourished children and people living with HIV and tuberculosis.       

We are also scaling up our engagement with the communities to explain what COVID-19 is and work together to promote and adapt prevention measures to the realities of daily life.          

We are building more handwashing points in the facilities where we work and helping local authorities set up additional ones in towns. 


Can you make a donation to support our COVID-19 response?

Right now, Médecins Sans Frontières is providing much needed support and medical care in over 30 countries to counter the COVID-19 pandemic.
Our teams are also gearing up to confront potential outbreaks in the hundreds of areas we were already working before the pandemic struck. We are deploying medical staff, sending supplies and applying nearly 50 years of experience fighting epidemics to protect the most vulnerable and save lives.
Can you help increase our capacity to respond by making a donation to our COVID-19 Crisis Appeal?






In the Central African Republic (CAR), renewed conflict and extreme levels of violence against civilians have led to mass displacement and acute humanitarian needs.

Since its independence from France in 1960, Central African Republic (CAR) has been subjected to numerous coups and a lack of stability. Médecins Sans Frontières first began work in CAR in 1997.

Ongoing Violence 

After the deadly civil war that took place in 2013-2014, the Central African Republic enjoyed a period of relative calm. However, tensions between numerous armed groups escalated again at the end of 2016, throwing the country into a renewed spiral of violence, and resulted in thousands being killed or wounded. 

Ongoing violence in several locations aggravated the already dire health needs of the population, 15% of whom (close to 700,000 people) are displaced. Armed groups control 70 per cent of the country; banditry and security incidents are common, and MSF has been directly affected by armed attacks, harassment and robberies. 

Despite its considerable mineral deposits and natural resources, CAR remains one of the top 10 poorest countries in the world.

People cut off from healthcare 

The health system in CAR is barely functioning, due to a severe shortage of skilled health workers and medical supplies. The basic lack of access to healthcare has serious repercussions. Large numbers of wounded have few options for treatment. Some are referred to the capital, Bangui, for want of specialist facilities elsewhere in the country. Many cannot access the care they need.
Even those not injured in the conflict are restricted in their access to medical care, food, water, shelter and education. It is not possible to reach many areas caught in the conflict, leaving people cut off from even basic services.
Batangafo Hospital : the last place to hide
CAR experiences a broad spectrum of health concerns, ranging from malnutritionmalaria, polio, diarrhea, respiratory tract infections and measles. Limited access to vaccination means that easily preventable diseases continue to take a toll.
Malaria is the leading cause of death among children under five years of age, and the single most common treated disease in CAR. The risk of malaria increases exponentially as people flee from their homes and are forced to sleep out in the open. Forced displacement contributes to vulnerability, as people lose access to any available health facilities. 

What MSF is doing to help 

Millions of people are dependent on humanitarian assistance. MSF remains the primary healthcare provider in many regions, and its health structures are often the only place for people to seek treatment free of charge. We operate mobile clinics, and support emergency and surgical activities at regional hospitals. 
Our teams provide consultations and hospital care in 10 provinces, including maternity care, paediatric services, medical assistance and psychological care for victims of sexual violence, basic emergency care, vaccinations, and malaria treatment. Special emphasis has been put on ensuring continuity of care for HIV/AIDS patients in Carnot and Paoua.  

Find out more about Central African Republic