Central African Republic Special Information Brief 9 Months after L3 Declaration - 15 September 2014


  • The crisis in the Central African Republic has been graded at Level 3 since 11 December 2014. Health partners have scaled up their interventions but have not reached all the population in need due to security and financial challenges.

  • The security situation in the Central African Republic remains volatile and unpredictable, which continues to hinder humanitarian access. Since January, more than 890 security incidents have been recorded.

  • 45% of health facilities, mainly outside of Bangui, are still not functional to provide basic health services according to WHO’s Health Resource Availability Mapping System (HeRAMS) completed in May 2014.

  • WHO is working with the Ministry of Health to develop a transition plan for early restoration of health facilities and services to fill critical gaps identified by the HeRAMS.

  • In addition to the security challenges, the low funding level of the health sector (only 36% of the US$ 64 million required has been funded so far) is hampering scale up of health services outside the capital city. The coming transition plan would require more resources to help scaling up essential health services.

  • There is a need for continued advocacy for more protection of health facilities and workers, which is the main prerequisite to restore the health system.

  • Strengthening disease surveillance including polio outside of Bangui is essential with the on-going rainy season that increases risks for water and vector borne diseases (malaria, diarrhoeas) with poor living conditions of IDPs.

  • Getting prepared for an eventual Ebola outbreak is a very high priority for health partners.