Grave concerns persist for some 20 million people in the Sahel. Recurrent conflict, erratic weather patterns, epidemics and other shocks continue to weaken the resilience of households across a region still suffering chronic levels of food insecurity and malnutrition.
An estimated 20.4 million people remain food insecure at the start of 2015. At least 2.6 million people have already crossed the crisis threshold, 70 percent of whom are in Niger, Nigeria, Mali and Chad where insecurity and poverty compound food insecurity.
Epidemics continue to demand urgent attention in 2015. Besides cholera, meningitis, Lassa and yellow fever, more recently, Ebola has been posing a serious threat to the Sahel region and has already impacted Mali, Nigeria, and Mali directly.
Beyond the chronic threats of food insecurity, malnutrition and epidemics, violent conflict in and around the Sahel region has led to a surge in population displacement. The region begins 2015 with some 2.8 million people displaced; over a million more than in early 2014. With escalating conflict in northeast Nigeria, an estimated one million people have been internally displaced. Some 150,000 Nigerian refugees have fled to neighbouring Niger, Chad and Cameroon. The volatile security situation in northern Mali continues to have a devastating impact on civilians, hampering the return of refugees, affecting markets and preventing the full restoration of basic services. Some 133,000 Malian refugees remain in Mauritania, Niger and Burkina Faso and more than 80,000 Malians remain internally displaced. As in Nigeria, high levels of insecurity in northern Mali also greatly impact the ability of humanitarians to access those in need. (Sahel: A call for humanitarian aid, 12 Feb 2015)
Due to the ongoing crisis in the Lake Chad Basin, Chad is now the seventh largest refugee-hosting country in the world with over 750,000 displaced persons, the majority of whom are refugees or Chadian returnees who fled from the Central African Republic, Libya, Nigeria, and Sudan. At the end of August, the Regional Humanitarian Coordinator for the Sahel called on the international community to ramp up its support in response to the multi-faceted humanitarian challenges affecting the country. (OCHA, 27 Aug 2015)
On 9 December 2015, United Nations agencies and partners launched the Sahel humanitarian appeal for 2016. The regional plan calls for US$1.98 billion to provide vital assistance to millions of people affected by crises in nine countries across Africa’s Sahel region. (OCHA, 9 Dec 2015)
As of 5 Jan 2016, the Strategic Response Plan for the Sahel was 44% funded. (OCHA, 15 Jan 2016)
Appeals & Funding
- Sahel Humanitarian Response Plan (HRP) 2016 EN/FR
- Humanitarian Needs Overview EN/FR
- 2014-2016 Strategic Response Plans: Sahel Region EN/FR; Burkina Faso; Cameroon; Chad; Gambia; Mali; Mauritania; Niger; Nigeria; Senegal
Paris/New York—The routine use of antibiotics in the treatment of severe acute malnutrition has minimal impact on the likelihood of recovery, according to a major study of more than 2,000 children by the medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) and its research arm Epicentre, published today in _The New England Journal of Medicine_.
February 03, 2016
In northeast Nigeria's Borno State, the fight between the Nigerian government and the Islamic State’s West-African Province (ISWAP), formerly known as Boko-Haram, is having drastic consequences for public health, causing widespread displacement and limiting access to medical care._
Nos opérations en bref:
January 06, 2016
In 2005, an innovative strategy consisting of moving the treatment of severe acute malnutrition out of hospitals was expanded massively for the first time, and reached a record number of children.Ten years later, strategies to tackle other deadly diseases in Niger are combining with the fight against malnutrition in a public health approach.
Elyse Aichatou is a nurse. Having just left midwifery school in 2005, she was recruited by MSF to take care of malnourished children when the country was hit by an extremely serious nutritional crisis. For 10 years, Elyse has continued her work at MSF’s nutritional centres in southern Niger. Here she talks about her experience and the problem of malnutrition in the Zinder region from 2005 until today. “I was born in Zinder, Niger’s second largest city, situated in the south of the country. In 2005, with my midwifery degree in hand, I was recruited by MSF.
Chad: Deadly attack in Koulfa Island, Lake Chad
MSF teams providing support to the Chadian Ministry of Health
London, 7 December 2015 – A triple suicide attack that took place on the island of Koulfa in the Lake Chad area in Chad on Saturday morning has reportedly killed 30 people and wounded up to 200. Médecins Sans Frontières/Doctors Without Borders (MSF) teams present in the area immediately mobilised to provide support to the Chadian Ministry of Health.
27 November 2015 – An attack on a village in the Diffa region of Niger on 25 November has left 18 dead and 16 wounded, according to local authorities. The wounded were treated on site by local health staff, while six people with severe injuries have been transferred to Diffa hospital with the help of a team from MSF.
Interview with Dr Jean-Clément Cabrol, MSF Director of Operations
The Lake Chad region has become the epicentre of violence with continued attacks by the Islamic State’s West Africa Province (ISWAP) group, also known as Boko Haram. Government military operations in response are also contributing to mass displacement across the region. To date, over 2.5 million people have been made homeless as a result of violence in Nigeria, Cameroon, Chad and Niger. Médecins Sans Frontières (MSF) is scaling up its medical and humanitarian response in the four countries.
Aujourd'hui est la Journée mondiale de l'alimentation.
Doctors Without Borders/Médecins Sans Frontières (MSF) has been working at Umaru Shehu Hospital in Maiduguri, the capital of Nigeria’s Borno State, since September 28. The hospital, which treats patients referred from smaller health facilities, also provides care to people wounded during attacks.
At the hospital, an MSF doctor and nurse provide support and relief to Ministry of Health teams working night and day in the 11-bed emergency room. Between September 28 and October 3, 134 patients were admitted to the department for emergency medical and surgical care.
With international attention focused on the displacement crisis in the Lake Chad area of western Chad, where tens of thousands of people continue to seek refuge from Boko Haram violence, another chronic emergency also continues. Chad is in the grip of malnutrition crises – not just in the Lake region and not for the first time. There are estimates that some 3.4 million people lack reliable access to food, with 398,000 children across the country at risk of acute malnutrition.
Attacks perpetrated by Boko Haram in the Lake Chad region have increased over recent weeks, and military presence in the area has also expanded in response. The number of people who have been forced to flee their homes has more than doubled, bringing the total number of displaced in the area to 75,000. The fear that has been instilled in the population – consisting of refugees from Niger and Nigeria, and Chadians themselves – has only been exacerbated by the continuing violence which shows no sign of abating.
Interview with Ahmad Samro, MSF's Project Manager in Niger
Nearly 28,000 people have recently taken refuge in the Diffa region in Niger after fleeing attacks by Boko Haram. Médecins Sans Frontières (MSF) is expanding its medical activities and is taking measures to improve the health situation in the two newest settlements. Ahmad Samro, project manager for MSF, describes the situation in Diffa.
What are the living conditions like for those who have recently arrived in the Diffa region?
Tens of thousands of people in northern Cameroon are in need of humanitarian aid after fleeing attacks by Boko Haram in neighbouring Nigeria, says Médecins Sans Frontières (MSF) today. MSF teams are scaling up their assistance to the refugees and to local communities.
Since May 2013, violent insurgencies by Boko Haram have led to widespread displacement and an escalating humanitarian crisis in the Lake Chad region. According to UNHCR figures, nearly 1.4 million people have been internally displaced in north-east Nigeria alone, and approximately 170,000 people have fled to neighbouring Cameroon (56,000), Chad (14,000) and Niger (100,000). At least 1,300 people have died so far this year.
2014 was a year marked by growing insecurity in north Mali because of fighting between the army and rebel opposition groups. While the principal targets are military (MINUSMA, Barkhane and the Malian army), the last three months of the year saw a significant increase in the number of security incidents involving aid and other international organisations in the north of the country.
The already fragile condition of the population in Diffa has recently been aggravated by the escalation of the on-going armed conflict in southern Niger. The area bordering north Nigeria is facing new waves of displaced people and refugees escaping the violence raging around Lake Chad, especially since last February when the conflict spread to Niger. Living conditions are critical, with the displaced population having little access to healthcare and safe water.
Bassikounou/Nouakchott - The cancellation of monthly food rations in July for 49,500 Malian refugees in Mbera Camp is likely to cause a rise in global acute malnutrition levels, warns Médecins Sans Frontières (MSF), which provides medical care and malnutrition support in the camp. MSF calls on the international donor community to ensure that refugees in Mbera camp have reliable sources of food.
Due to the conflict between Boko Haram and the Nigerian army and recurrent insurgency attacks on civilians living in Borno State, north-east Nigeria, thousands of people are regularly fleeing their homes in search of safety.