Central African Republic

Central African Republic

Since 2009, EMERGENCY has treated over 180,000 children in Central African Republic (as of June 30, 2015).

The Central African Republic (CAR) is one of the world’s least-developed nations. According to the United Nations Human Development Index, the CAR is ranked 187th out of 188 countries, with a life expectancy of only 50 years. The under-five mortality rate is extremely high: 139 children in every 1,000 live births die of easily preventable diseases.

EMERGENCY has been providing services in the CAR since March 2009, when EMERGENCY partnered with the European Union (EuropeAid) to open a Pediatric Center in the capital city of Bangui.

With the outbreak of war in 2012, the situation in the country rapidly deteriorated. The conflict resulted in thousands of deaths and approximately 1 million displaced people (out of a population of 5 million).

During the most critical stage of the conflict, after the coup d’état in March 2013, EMERGENCY’s Pediatric Center stayed open. Our staff intensified their work, visiting the refugee camps that had sprung up near the capital. EMERGENCY also expanded its activities in the country by sending a team specialized in war surgery to the Complexe Pédiatrique, the children's hospital in Bangui. Working closely with local staff, EMERGENCY’s team started operating to save the lives of wounded children.

While the situation is more stable today, riots, armed street fights and common crime keep the city in a tense state of alert.


Central African Republic Pediatric Center


Program Data

Location: Bangui
Start of clinical activities: March 2009
Activities: Inpatient and outpatient pediatrics, health education, prenatal screening, cardiac screening
Facilities:
Inpatient: Pediatric ward
Outpatient:3 pediatric outpatient departments, obstetrics outpatient department
Support Services: Radiology, laboratory, pharmacy
Bed capacity: 13
National staff: 82
Outpatients: 144,866
Inpatients: 10,560
Prenatal care program consultations: 31,667
Cardiac screenings: 1,009
(Data correct as of 31st December 2015)

More than 100 children are seen in the Center every day.

EMERGENCY’s Pediatric Center in Bangui is open 24 hours a day and offers medical care and health education for children up to the age of 14 years. The Center is located in front of the Parliament of the Central African Republic in a compound made available by local authorities.

EMERGENCY’s pediatricians and nurses provide free high-quality outpatient services to children up to 14 years of age, while the most serious cases are admitted to the inpatient ward. Common illnesses include malaria and typhoid fever. More than 100 children come to our Pediatric Center every day. The outpatient departments and wards are always full, as is the tent that was pitched in the hospital garden at the height of the civil war to provide extra beds.

Additional services offered at the Center include prenatal care and cardiac screening. A midwife is available 5 days a week to visit pregnant women and provide family planning counseling. International cardiologists carry out screening of heart patients for the Salam Center for Cardiac Surgery in Sudan, and provide the needed postoperative treatment to those who have already undergone surgery.


Central African Republic/ Surgery at Bangui's Complexe Pediatrique


Program Data

Location: Bangui
Start of clinical activities: April 2013
Activities: Pediatric war and emergency surgery
Facilities:
Inpatient:2 operating rooms, sub-intensive care unit, inpatient ward
Outpatient:Outpatient departments
Support Services: Radiology, pharmacy
Bed capacity: 28
National staff:63
Admissions: 2,902
Outpatient consultations: 15,648
Surgical operations: : 6,058
(Data correct as of 31st December 2015)

Surgery can give a child a second chance at life.

Immediately after the coup d’etat of late March 2013, EMERGENCY sent a specialized war surgery team to the Central African Republic (CAR) to provide surgery to children with war-related injuries and surgical emergencies. Working closely with local staff, our doctors and nurses quickly re-established two operating rooms in the Complexe Pédiatrique, the children's hospital located in the capital city of Bangui.

The following year, EMERGENCY renovated the inpatient wards. With security conditions improving, war surgery operations have become less frequent, with an increase in emergency surgery instead.

In 2016, EMERGENCY has plans to help strengthen the medical system in the CAR. In collaboration with the University of Bangui and the University Institute of Paramedical Training of the Central African Red Cross, EMERGENCY will provide medical doctors and nurses with specialized clinical training.