Sahel Crisis: 2011-2017Ongoing
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 29 September 2017, the humanitarian response plan for West and Central Africa was 43% funded. (OCHA, 29 Sep 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
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)
Response to the outbreak has lagged due to insufficient resources and coordination between humanitarian actors.
The hepatitis E outbreak declared two months ago in southeastern Niger is particularly affecting pregnant women. Of the 186 women admitted to the main maternal and paediatric health centre in the town of Diffa, 34 have died of severe complications related to the disease. According to the authorities, of the 876 cases of hepatitis E reported by 11 June, the majority of the sick are displaced people (nearly 248,000), and refugees.
For yet another year, Nigeria and Niger are facing severe outbreaks of meningitis C. Both countries are part of the ‘meningitis belt’, a region that stretches across the continent from Senegal to Ethiopia, and is particularly affected by the disease during the dry season. From 13 December 2016 to 14 May 2017, a total of 13,943 suspected cases, and 1,112 deaths, of meningitis have been reported from 24 states in Nigeria, according to the World Health Organization (WHO).
For those observing the month of Ramadan, there will be few occasions when we feel the needs of others more keenly. The act of fasting will for many serve as a reminder that there are those who have known hunger throughout their lives – lives that will change little without a broader shift in circumstances.
That people suffer from malnutrition, in our world of plenty, is difficult to comprehend. That nine children die from it every minute, is difficult to express, because even one is unacceptable.
NEW YORK/NIAMEY, NIGER, MAY, 19 2017—Doctors Without Borders/Médecins Sans Frontières (MSF) has deployed several emergency teams to Niger to contain a meningitis outbreak that has killed 179 people since the beginning of the year. Working closely with Niger’s Ministry of Public Health, MSF teams have vaccinated more than 358,800 people in the most affected areas while continuing to monitor at-risk areas and provide medical care to those affected by the disease.
For more than three years, ongoing conflict between Boko Haram and the armies in the Lake Chad region has taken a heavy toll on civilian populations. Many have fled their homes and left everything behind to find refuge in other villages and eventually across borders. Authorities report that there are now more than 240,000 displaced people in southeastern Niger’s Diffa region, bordered by Chad and Nigeria. The majority of them were driven from home by violence.
The Consequences of an Ongoing Conflict
By Mari Carmen Viñoles, MSF Program Manager for the Sahel
For years, the Diffa region in southeastern Niger, which borders Nigeria and Chad, has suffered the consequences of the armed conflict between Boko Haram and armies of the area. According to Nigerien authorities, there are now more than 240,000 internally displaced people and refugees in the region. More than a third of them have been displaced twice or more due to the violence.