In the Sahel, extreme poverty, climate change, armed conflict and insecurity continue to threaten the lives of millions already living on the brink. These interdependent drivers are behind the staggering levels of structural, chronic and acute vulnerability present in the region. Where the chronic seasonal cycle is broken, progress and success can be seen. Where conflict hits, hard-won gains are quickly lost and new challenges appear...Communities across the region remain highly vulnerable. In 2017, around 30 million people are expected to face food insecurity, and almost 12 million of them at crisis and emergency levels. Pockets of pasture deficits have been observed in certain areas of Chad, Mali, Mauritania and Niger, and risks of locusts have been identified in Mauritania and neighboring areas. The situation of people living in the conflict-affected regions of Mali and the Lake Chad Basin, is particularity critical...In 2017, in the more stable regions of the Sahel such as Burkina Faso, Mauritania and Senegal, where needs are driven by chronic vulnerability, humanitarian action has been fully aligned with resilience and development frameworks.
Lake Chad Basin: The scale of suffering remains huge and is expected to grow: around 11 million people will require assistance in 2017. Humanitarian partners have requested US$1.5 billion to provide aid to 8.2 million people. While the response strategy focuses us on providing emergency, life-saving assistance, humanitarian actors are also calling for a collaborative approach to help address the deeper causes of the Lake Chad Basin crisis that include abject poverty, the impact of climate change, rapid population growth and under-investment in social services. At the Oslo conference on 24 Feb 2017, 14 donors pledged $458 million for relief in 2017 and an additional $214 million was announced for 2018 and beyond. (OCHA, 24 Feb 2017)
Mali: Needs remain high with more than 3.5 million people being food insecure and some 852,000 people in need of nutrition assistance. More than 37,000 people remain internally displaced. The majority of those in need of assistance are in Mali’s northern region.
For 2017, the humanitarian community will require US$ 2.66 billion to help 15 million people, across 8 countries. (OCHA, 7 Dec 2016)
Appeals & Funding
DANS CE NUMERO
P1 A Am Timan, MSF a mis en place un réseau d’agents communautaires de santé pour combattre l’hépatite E
P2 Nos activités au Tchad Flashback: les premiers pas chez MSF de Alexi Makoulou Ngot MSF présente pour les urgences médicales au Tchad. Editorial de Rolland Kaya, Chef de Mission au Tchad
P3 Attaque militaire au Nigeria.
Témoignage d’Alfred Davies, coordinateur terrain pour MSF au Nigeria
P4 Lac Tchad: Le besoin d’assistance persiste
Friday, January 20, 2017 — London/Geneva, 20 January 2017: The death toll continues to rise following the horrific military attack on civilians in Rann, Nigeria, according to latest estimates by Médecins Sans Frontières (MSF).
Around 90 people were killed when a Nigerian airforce plane circled twice and dropped two bombs in the middle of the town of Rann, which hosts thousands of internally displaced people. At the time of the attack, an aid distribution was taking place. The majority of the victims were women and children.
By Alfred Davies, MSF Field Coordinator in Nigeria
Alfred Davies is an MSF Field Coordinator in Nigeria. He was in Rann when the aerial attack occurred, and in the hours that followed. Here is what he witnessed:
“The first bomb fell at 12.30pm and landed just a few metres away from the Red Cross office. The plane circled back around and it dropped a second bomb five minutes later.
After an initial helicopter recce and security assessment mission to Baga on 9 December, the first Multi-Sector Initial Rapid Humanitarian Needs Assessment took only place one month after that. Technical representatives of the health, nutrition, WASH, food security and protection sectors were part of the assessment team. The shelter and CCM sector team had travelled to Baga two days earlier but used the helicopter to assess 2 other towns in Kukawa LGA (Cross-Kauwa and Kukawa).
Over the past three months, our teams have distributed 810 tonnes of food in Maiduguri, northeastern Nigeria, which is enough to feed 26,000 families for two weeks.
“As a medical organisation, it’s not usually MSF’s role to provide people with food,” says Phillippe Le Vaillant, MSF head of mission. “But there are people in desperate need. Other organisations were not stepping in up until now, so MSF was obliged to fill this gap.”
Cette étude de cas de la réponse du « système humanitaire » aux crises de déplacement entraînées par des conflits dans la région de Diffa, au Niger, a pour but de déterminer si le système est adapté aux objectifs, ou si, en d’autres termes, il y a un « écart en situation d’urgence ».
L’écart en situation d’urgence fait référence ici à l’incapacité d’atteindre un niveau de réponse pouvant être raisonnablement attendu, autrement dit, de formuler une réponse que le système humanitaire international devrait être en mesure de livrer.
Insufficient humanitarian response to crisis in Diffa
Despite having saved thousands of lives, the humanitarian system’s internal dynamics and security restrictions have undermined the deployment of a timely, flexible and sufficient response for the hundreds of thousands of people affected by the conflict in Diffa.
Epidemic outbreaks, population displacements and floods are just some of the situations to which EMUSA (MSF’s rapid emergency response team in Niger and Mali) has responded during the 15 months Adolphe Masudi has worked as EMUSA coordinator. Here, Adolphe tells us about his experience.
What was the first emergency you had to face with EMUSA?
Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation.
DANS CE NUMERO
P1 MSF répond en urgence aux cas suspects d’Hépatite E à Am Timam dans la région de Salamat
Qui sont les Médecins Sans Frontières?
P2 Nos activités au Tchad
Interview: Une psychologue panaméenne dans la zone du Lac
Les enfants de Dr. Uli
P3 Les déplacés du Lac
P4 Lutter contre la malnutrition à Bokoro
P5 Interview Dr Rony Brauman: On soignait tout le monde, civils comme combattants
P6 MSF au Tchad en chiffres
The conflict in Borno State started in 2009 when Boko Haram (BH) launched attacks in northeastern Nigeria. By 2014, BH controlled large swathes of territory in Borno State and caused large-scale population displacement. In 2015, Nigeria elected a new President who vowed to take back control of all Nigerian territory from BH. Since then, the Nigerian army escalated their operations and have been engaged in active fighting with BH across Borno, including launching airstrikes in areas under BH control.
The ongoing conflict between Boko Haram and the Nigerian military has had a devastating impact on the people on northeasterm Nigeria's Borno State. In several locations, people seeking safety from the violence are entirely dependent on outside aid, which is not reaching them. Doctors Without Borders/Médecins Sans Frontières (MSF) program coordinator Helle Poulsen-Dobbyns recently returned from Maiduguri, the capital of Borno State. Here, she explains MSF's response to malnutrition in the region.
What is the situation in Maiduguri?
Interview with Helle Poulsen-Dobbyns, MSF programme coordinator in Maiduguri
Helle Poulsen-Dobbyns has just returned from Maiduguri – the capital of Borno State in northeastern Nigeria – where she was programme coordinator for Médecins Sans Frontières (MSF). She explains how malnourished children were flooding into MSFmedical facilities in a region affected by the conflict between Boko Haram and the Nigerian army.
What is the situation in Maiduguri?
The conflict in Borno State started in 2009 when Boko Haram launched attacks in Bauchi, Borno, Yobe and Kano. By 2014, Boko Haram controlled large swathes of territory in Borno State.
London/Abuja, Nigeria, 28 September 2016 – The humanitarian emergency in northeastern Nigeria is reaching catastrophic levels. A massive relief effort is needed immediately in remote areas as well as in the state capital, the international medical humanitarian organisation Médecins Sans Frontières/Doctors Without Borders (MSF) said today.
On September 19, United Nations (UN) member states came together to formulate a more “coordinated and humane approach to address large movements of refugees and migrants," according to the New York Declaration that was ratified today at the UN's Global Summit on Refugees and Migrants.
Hawa Hamad, a small child from a small village near Gambir
Hawa Hamad arrived at the public health centre in Gambir with her parents on a Monday night. She received an injection to stop the diarrhoea and vomiting that she was suffering from.
The family spent the night at the home of some relatives who lived nearby. They knew that the next day MSF staff would be running a mobile clinic in the village and they wanted the team to check on Hawa first thing.
“It’s serious for children here,” says Bernadette Ammaji, an MSF cook, as she prepares food for malnourished children and their mothers at MSF’s therapeutic feeding centre in Bokoro town, central Chad. “Some mums don’t have the means to be able to feed their children. Others do, but they fail to take proper care of them due to a lack of education about hygiene and nutrition. You need to be strong and brave to care for a child here. It’s not easy.”