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SUMMARY OF CRISIS AND KEY FINDINGS
The Central African Republic (CAR) has been facing a humanitarian crisis for more than a decade following military-political conflicts associated with recurrent population displacement, natural disasters, attacks on health care and gender-based violence (GBV).
With approximately 6.4 million inhabitants, 2.4 million people in CAR need humanitarian assistance in 2025. Since mid-April 2023, following the violence that broke out in Sudan between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF), CAR has been hosting thousands of Sudanese refugees. As of February 2025, a total of 33,036 refugees have arrived from Sudan. A total of 86% of the refugees are women and children. Across the board, reduced access to food, scarcity of natural resources, limited access to essential services and livelihood opportunities as well as inflation have all contributed to health risks.
The country has been affected by conflict, with the ongoing presence of armed groups. Armed group activism and tensions in neighbouring countries are creating new vulnerabilities and urgent needs. The security situation in Sudanese refugee-hosting areas remained generally calm in mid-February 2025. However, the risk of deterioration persists due to the presence of armed groups, particularly along border areas with Sudan and Chad with cross-border transhumance movements which cause conflicts between armed breeders and the local population.
Floods increase vulnerability and cause the temporary displacement of thousands of people living in spontaneous gathering places, especially in the urban area of Bangui and Ombella-M’poko. From January to October 2024, humanitarian actors recorded 31,600 people affected by floods in 18 sub-prefectures, with four deaths, 44 people injured and nearly 3900 households displaced. As part of the 2025 HNRP, the Health Sector requires US$26.4 million. Currently, a total of 1.5 million people are in need of health services across the CAR, with the sector to target 666,000 people in 2025.
More broadly, in 2025, according to the INFORM assessment, the CAR is the third most high-risk country in the world, behind Somalia and South Sudan. In addition, the CAR occupies the penultimate place (186th) on the global index of vulnerabilities and adaptation to climate change.