Sahel Crisis: 2011-2018Ongoing
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. In April 2017, the Humanitarian Response Plan for 2017 for $293 million was only 11.6% funded. OCHA warned of destabilizing consequences, as the humanitarian situation is quickly deteriorating as a direct result of the conflict. (OCHA, 28 Apr 2017)
For 2017, the humanitarian community will require US$ 2.66 billion to help 15 million people, across 8 countries. (OCHA, 7 Dec 2016)
As of 30 October 2017, the humanitarian response plan for West and Central Africa was 46% funded. (OCHA, 30 Oct 2017)
Appeals & Funding
- Sahel 2017 | Overview of humanitarian needs and requirements EN/FR
- Sahel 2016 | Rapport de suivi périodique (Octobre-Decembre)
- Sahel: 2014 - 2016 Regional Humanitarian Response Strategy Reviewed
Most read (last 30 days)
- Global Early Warning – Early Action Report on Food Security and Agriculture: January - March 2018
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- WHO helps Nigeria control cholera in Borno state
- The Southern Cameroon crisis: bridging the middle ground
- Nigeria Food Security Outlook Update, December 2017
In northern Nigeria, years of conflict between the military and armed opposition groups known as Boko Haram have taken a heavy toll on the population. According to the United Nations Office for the Coordination of Humanitarian Affairs more than 1.7 million people have been internally displaced by fighting in the northeastern states of Borno, Adamawa, and Yobe. Of these, 78 percent are in Borno.
The conflict between the Nigerian military and armed opposition groups known as Boko Haram has been ongoing for more than eight years, with serious humanitarian consequences. Aid needs to be sustained and increased, as hundreds of thousands of people remain heavily dependent on it for their survival.
Emergency surgery is one of MSF’s main activities in Cameroon. This is particularly the case at the Regional Hospital in Kousséri, where MSF supports the Ministry of Health (MoH) with free, high quality emergency surgery. Surgery requires having a large supply of healthy blood available and this is the challenge MSF has taken up in Kousséri. In collaboration with the MoH, MSF has set up a blood bank that is jointly managed by both entities to address the hospital’s difficulties regarding blood transfusion.
Au mois de septembre 2017, MSF a mis en service une banque de sang à l’Hôpital Régional Annexe de Kousseri (HRAK) pour y assurer une réserve de poches de sang suffisante. Dans les premières semaines, 345 poches de sang ont été données et la banque comprend permanemment environ 25 poches.
The flight of the Rohingya has caught the world’s attention. Since 25 August, more than half a million men, women and children fled from one country to another in search of safety and respite.
The conditions of those now living in Bangladesh, having crossed from Myanmar, are dire. Many have arrived with just the clothes they happened to be wearing; they arrive scarred, wounded, traumatised.
The spread of hepatitis E in Niger’s Diffa region has slowed since MSF began detecting and treating cases in early 2017, and the subsequent declaration of the outbreak by the Ministry of Health in mid-April 2017. The disease, which shares symptoms with other more common illnesses, doesn’t usually have serious consequences, but in pregnant women has a significantly higher fatality rate.
Without access to a wide range of essential nutrients, 9 children will continue to die every minute of causes related to malnutrition. MSF calls for food aid to change and for a nutrient rich diet to be made available to children to save millions of young lives.
What is the malnutrition crisis?
This February, I had the privilege to visit a new MSF pediatric program in Lebanon's Bekaa Valley, where hundreds of thousands of Syrians have sought refuge. The project, in the city of Zahle, occupies an entire floor of a government hospital that houses pediatric inpatients and provides general and intensive care for children.
The families served are primarily Syrian refugees. Many are marginalized and cut off from health care. Children, naturally, are the most vulnerable among them.
6 October 2017
During the annual peak of malnutrition and malaria, Médecins Sans Frontières (MSF) increases its teams in the Zinder, Tahoua and Maradi regions, in southern Niger. This year we are employing more than 1,430 people in health structures and villages to prevent, detect and treat the diseases that affect children under five. The focus is on prevention, and strategies to treat children as quickly, and as close to their communities, as possible.
Le mois de juin a marqué le premier anniversaire de la prise en charge chirurgicale d’urgence à l’Hôpital Régional de Maroua, en appui au Ministère de la santé publique (MINSANTE). En effet, c’est en juin 2015 que nous avons lancé nos activités chirurgicales et depuis, elles n’ont cessé d’aller en s’améliorant, bien que plusieurs défis restent d’actualité.
19 September 2017
As new cases of cholera emerge from Monguno, Dikwa and other parts of Maiduguri, the capital of Borno state, Nigeria, Médecins Sans Frontières (MSF) continues to scale up its response. The Borno state Ministry of Health has reported 2,627 cholera cases, with 48 deaths, since the start of the outbreak. Maiduguri alone has witnessed 1,425 cases, while 600 and 602 cases have so far been reported in Dikwa and Monguno respectively.
Maiduguri, Nigeria: Médecins Sans Frontières (MSF) is scaling up its ongoing efforts to prevent further deaths and the spread of cholera in Maiduguri, Nigeria. MSF is working in coordination with the Ministry of Health (MoH) and other organisations that are responding to the outbreak in the city.
Doctors Without Borders/Médecins Sans Frontières (MSF) is currently providing medical and mental health care to migrants and refugees in Tunisia—in Sfax and Zarzis. Many of these patients arrive after a perilous journey through Libya, where migrants are often kidnapped, tortured, and held for ransom. In Sfax, MSF mainly sees patients from sub-Saharan Africa, among them undocumented migrants, victims of human trafficking, and other vulnerable people.
In northeast Nigeria, hundreds of thousands of people have been displaced by the ongoing conflict between Boko Haram and the Nigerian Armed Forces. Some have lived in temporary homes for years while others have been continually on the move. Each of them recounts a life of hardship while searching for a glimmer of hope. These are stories from people settled in the towns of Banisheikh and Pulka, in Borno State.
A huge population dependent on assistance
Increasing provision of aid and the end of the harvest have brought some relief to the humanitarian situation in more accessible areas of Borno state, Nigeria but the emergency is not over. Hundreds of thousands of people remain almost entirely dependent on aid for their survival.
Teams from Médecins Sans Frontières (MSF) are scaling up assistance in anticipation of increasing humanitarian and medical needs in hard-to-reach areas of Borno state, Nigeria.
Hundreds of thousands of people have been displaced by the conflict between Boko Haram and the Nigerian armed forces in the northeast of the country. Some of them have already lived for years in temporary homes. Others are on the move from one place to another. All of them recount a life full of hardships in search of a glimmer of hope. These are some of their stories in the towns of Pulka and Banisheikh, Borno state, Nigeria.
After a third robbery of the Médecins Sans Frontières (MSF) compound in Kidal, Mali on the night of 26 June and an attempted break-in of MSF’s warehouse on Saturday 24 June, the organisation has suspended all its activities in the region. In Kidal, MSF has assisted people living in and around the town, by supporting several health centres with medicine and staff, undertaking mobile clinics in remote areas and supporting a referral system for severe cases.
La présence de MSF dans le camp de Minawao en chiffres :
Santé (mars 2015 – mai 2017)
- 1928 enfants malnutris admis et suivis dans le programme CNAS
- 33 588 consultations médicales réalisées pour les patients de moins de 5 ans
- 77 039 consultations médicales réalisées pour les patients de plus de 5 ans
- 3241 consultations en santé mentale
Eau et assainissement (février 2015 – août 2016)