Central African Republic: Situation Report No. 51 (as 1 April 2015)

Situation Report
Originally published



  • Delivery of humanitarian aid is expected to significantly decline as funding remains seriously low: only 11 per cent of the US$613 million required for 2015 has been funded.

  • The humanitarian community strongly condemned the killing of a medical worker at a health centre in Gbokolobo village, Ouaka Province.

  • A joint mission to Kouango, Ouaka Province, assessed humanitarian access in the region and reopened much-needed humanitarian space to reach affected people.

  • Protection actors have identified 439 children associated with anti-Balaka elements in Ouaka and Ouham provinces.

  • More than 540 people living with HIV in Bangui now have access to antiretroviral therapy through a joint project managed by UNAIDS and the Korea International Cooperation Agency.

436,300 IDPs in CAR, including 49,113 in 35 sites Bangui (as of 4 March)
11% Funding available US$68.2 million against the SRP 2015 requirements of $613 million)
4.6 million Population of CAR 2.7 million People who need assistance

Situation Overview

The situation remained volatile and unpredictable countrywide. Intercommunity conflicts, kidnapping of civilians and criminal activities persisted in regions including the Nana-Gribizi, Ouaka, Ouham and Ombella M’poko provinces.

Tension remained high at the Yaloké IDP site -where some 500 Fulanis are enclaved- following the looting of nonfood items and food assistance on 21 March by a crowd from the village. At a meeting held on 26 March between the Mayor, community leaders, IDP representatives, MINUSCA and humanitarian partners to identify concerns and identify possible solutions, IDPs highlighted the crucial need to strengthen security around the site. MINUSCA committed to learn lessons from the recent incident and, on 23 March, it deployed 30 additional .

On 25 March, the humanitarian community issued a statement strongly condemning the killing of Mr. Benoit Kette Ouabolo—a medical worker at a health centre in Gbokolobo village (Ouaka Province): “Humanitarian actors and the World Health Organization urge all armed forces to respect health facilities strictly, especially the inviolability of treatment areas, and to ensure the protection of health workers and their unhindered access to the population.

Access to health services and the free movement of ambulances must be ensured for everyone indiscriminately.” Mr. Kette Ouabolo, a qualified nurse and Head of the health centre in Gbokolobo, had fled violence from his region of origin and was seeking refuge at an IDP site in Gbokolobo village, where he continued to provide assistance as a medical worker.

On 21 March near Zemio (close to the border with DRC), at least 20 Congolese refugees, including several women and children, were abducted, apparently by Lord’s Resistance Army (LRA) elements. About half of these people were released three days later. They presented wounds of different degrees and reported cases of rape and torture. International Medical Corps (IMC) provided psychosocial assistance and PEP kits to the victims. Since the beginning of 2015, over 20 security incidents have been attributed to LRA.

More than 540 people living with HIV in Bangui now have access to antiretroviral therapy through a joint project managed by UNAIDS and the Korea International Cooperation Agency. UNAIDS aims to extend the project to other provinces to enable people to resume access to life-saving medication. The recent instability in the country has forced many people away from their homes to places where health services are limited. A total of 120,000 people were living with HIV in CAR in 2013, with about 16,500 on antiretroviral therapy. According to UNAIDS, the HIV/AIDS prevalence rate in CAR is 4.9 per cent. About 9,500 HIV-related death cases are registered annually, while about 7,700 new infections are also recorded. An estimated 110,000 AIDS orphans were registered. The Haut Mbomou Province has the highest HIV prevalence rate of 11.9 per cent, followed by the Haute Kotto Province, at 8.5 per cent. Nana Mambére Province and Bangui both have a 7.7 per cent prevalence rate.

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