CAR

Central African Republic: Situation Report, 23 June 2021

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HIGHLIGHTS

  • The Central African Republic in May launched its COVID-19 vaccination campaign and announced a public health emergency to scale up efforts in the fight against the second wave.

  • Explosive devices killed 11 people while hindering access to people in need.

  • The number of beneficiaries of cash transfer programmes increased by 67 per cent in the first quarter of 2021 compared to the same period in 2020.

  • Humanitarian partners supported hospitals in Bangui to cope with the lack of electricity and drinking water following torrential rains.

  • To meet the most urgent needs in 2021, humanitarian partners plan to assist 1.84 million people, for what they will require US$ 444.7 million.

FEATURE

COVID-19 vaccination campaign launch

The Central African Government on 20 May 2021 officially launched the COVID-19 vaccination campaign with the support of partners, notably WHO, UNICEF and GAVI. The campaign began with the symbolic vaccination of members of the government and health workers. The first lot of 60,000 doses was initially reserved for frontline health personnel and vulnerable people aged 50 and above, and later extended to religious leaders, traders, community liasion volunteers, transporters and journalists in greater Bangui, the epidemic’s hotspot, and will extend until 23 June. It will progressively expand to priority health districts of Bossembele,
Carnot, Berberati, Gamboula, Bouar-Baoro, Baboua-Abba, Bossangoa,
Paoua, Batangafo, Bambari, Bria and Bangassou in the provinces as more doses become available. The country benefits from the global roll-out of vaccines through the COVAX facility with at least 372,000 doses, according to the latest distribution forecast, in additional to bilateral donations that have been announced. As of 21 June, the country has vaccinated 78,137 people.

The United Nations on 21 April 2021 started a vaccination campaign for its personnel and staff from eligible partner INGOs in the Central African Republic (CAR) as part of its duty of care. As of 21 June, 10,640 staff have already received at least their first dose of the vaccine.

Response to the second wave

On the vigil of the campaign launch, President Touadéra on 19 May announced that a public health emergency will be declared and a number of measures taken to intensify efforts to contain the second COVID-19 wave, that has hit the country since mid-March. Stricter barrier measures at gathering places such as restaurants, bars, places of worship, weddings and funerals, and public transport would been announced, as well as their more rigorous reinforcement.

As of 21 June 2021, the Ministry of Health has recorded 11,048* COVID-19 cases, including 98 deaths. In the first four months of 2021, six times as many cases were confirmed as in the last four months of 2020 – 1,571 cases compared to 259 – and the death toll has risen by 44 per cent from 63 to 91. The worsening of the epidemic concerns the entire country. Several towns that were previously spared have also reported cases, including Kabo (Ouham Prefecture), Kouango (Ouaka), Bangassou (Mbomou), Ndélé (Bamingui-Bangoran), Birao (Vakaga) and Obo (Haut-Mbomou). Beyond the urban areas, COVID-19 is spreading deep into the villages.

Conducive environment

A recent survey conducted by the NGO Ground Truth Solutions indicated that Central Africans are ready to be vaccinated against COVID-19 and believe that the vaccine will help to eradicate the virus, despite some scepticism and misinformation that persist. Humanitarian and development partners have been supporting the Ministry of Health in elaborating a communication campaign to inform and encourage people to get vaccinated and to counter the spread of false information about the vaccine.

Challenges on all fronts

The Central African Republic looks back at a year during which humanitarian needs soared. Never in the past five years have there been so many people in acute need as today. COVID-19 hit a country already ravaged by decades of armed conflict and underdevelopment. According to the WHO, CAR was among the least prepared to face the pandemic. A series of aggravating factors render the country both vulnerable and the response to the pandemic difficult:

The health system is barely functioning, due to a chronic shortage of skilled health workers, medical equipment and basic medicines. Seventy per cent of health services are provided by humanitarian organizations and over 2.5 million people, half of the population, need health assistance. One in four Central Africans walks for over an hour to reach the nearest clinic and for many, the bills for consultations and medications are unaffordable. Only one in three Central Africans has access to clean water and for many, soap is a luxury good. Access to water and sanitation is particularly problematic at the many sites where 207,000 internally displaced people (IDPs) live, often in crowded makeshift shelters where physical distancing is not practicable.

The provision of protective equipment and medical devices to diagnose and treat COVID-19 patients posed a serious challenge, particularly at the onset of the pandemic. Poor road infrastructure and the six-month rainy season disrupt supply chains to large parts of the country. Insecurity further hinders access to services and the possibility of humanitarians to reach people in need of assistance. A severe lack in cold chain infrastructure further impedes the safe supply of medicines across the country.

UN Office for the Coordination of Humanitarian Affairs
To learn more about OCHA's activities, please visit https://www.unocha.org/.