Tchad-MSF Ensuring access to healthcare
This contribution aims to strengthen the emergency response for refugees and returnees fleeing the conflict in Sudan, as well as vulnerable host communities in Eastern Chad. By ensuring access to quality healthcare and providing essential water, sanitation, and hygiene services in Adré and Aboutengué/Ourang camps, it seeks to reduce disease and mortality while improving living conditions and resilience.
| Country/region | Topic | Period | Budget |
|---|---|---|---|
|
Chad |
Emergency Relief and Protection Disaster Risk Reduction Conflict & fragility
Material relief assistance
Conflict prevention |
01.01.2025
- 31.12.2025 |
CHF 625’000
|
- Doctors Without Borders
-
Sector according to the OECD Developement Assistance Commitiee categorisation EMERGENCY RESPONSE
DISASTER PREVENTION AND PREPAREDNESS
GOVERNMENT AND CIVIL SOCIETY
Sub-Sector according to the OECD Developement Assistance Commitiee categorisation Material relief assistance and services
Disaster prevention and preparedness
Civilian peace-building, conflict prevention and resolution
Aid Type Project and programme contribution
Project number 7F11960
| Background | The conflict that erupted in Sudan in 2023 has forced more than 880’000 refugees and roughly 330’000 Chadian returnees to flee into eastern Chad, further exacerbating an already fragile humanitarian situation (UNHCR Sudan Arrivals Update, 12 October 2025). Since 2003, the conflict in Sudan has driven repeated waves of displacement, leading to the establishment of refugee camps and the arrival of refugees in host villages across the region. In the Ouaddaï province, over 500’000 Sudanese refugees are living in extremely difficult conditions, with critical shortages of health, water, and sanitation services. This fragile context brings together long-term refugees, recent arrivals, internally displaced persons, and host communities - all facing compounded challenges of food insecurity, climatic shocks, and limited access to essential services. |
| Objectives | Reducing illness and mortality rates among the conflict-affected people in Eastern Chad. |
| Target groups |
Direct: Over 166’700 beneficiaries of which around 50’000 refugees still living in the temporary settlement in Adré, Chad, 46’500 refugees living in Aboutengué/Ourang camp and some 70’000 people from host community in the Djoroko area. |
| Medium-term outcomes | Ensure access to quality healthcare for refugees as well as host communities in Adré and at Aboutengué/Ourang camp, and improve their living conditions |
| Results |
Expected results: - Around 350 hospital admissions per month; - Up to 20 births attended per week; - Between 1’500 and 2’000 outpatient consultations each week at the MSF supported hospital; - An average of 1’000 consultations weekly by community workers; - 15 boreholes, 720 latrines and distribution of hygiene kits as part of the overall appeal. Results from previous phases: N/A |
| Directorate/federal office responsible |
SDC |
| Project partners |
Contract partner Swiss Non-profit Organisation |
| Coordination with other projects and actors |
MSF closely coordinates with humanitarian stakeholders present in Eastern Chad, including UN organisations and international non-governmental organisations. Local health authorities, such as the Ministry of Health are actively involved in planning and implementing activities. The project builds on and complements ongoing collaboration between SDC and MSF in Eastern Chad, in particular the deployment of experts of the Swiss Humanitarian Aid for the analysis of water resources as well as the supervision of a drilling campaign in Adré and Aboutengué camp. |
| Budget | Current phase Swiss budget CHF 625’000 Swiss disbursement to date CHF 500’000 Total project since first phase Swiss budget CHF 0 Budget inclusive project partner CHF 625’000 |
| Project phases |
Phase 1 01.01.2025 - 31.12.2025 (Active) |
