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Over 30 Years of Commitment and Devotion in the Central African Republic
News
Health care
Central African Republic
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The Central African Republic has struggled with violence and political instability for decades. Cordaid has been active in the country for over 30 years, supporting the population with humanitarian assistance, education, access to justice, and health care. Our programmes will be completed by the end of this year, and during the process of phasing out our activities, we look back at several highlights with a few crucial players.
With so many years of working on complex operations, overcoming mind-boggling challenges, and continuously learning and collecting unforgettable experiences, it would be impossible to give a complete and comprehensive overview of Cordaid’s presence in the Central African Republic. It was a tough call, but we had to make a selection.
In this story, we zoom in on three programmes that have made a significant impact, have supported millions of people and positioned Cordaid as an important actor in the region’s humanitarian assistance and international development.
Results and Figures between 2016 and 2023
Results & Indicators
69 projects
6.3 million people directly reached with our interventions
€41.5 million spent on healthcare programmes
Because the Central African Republic has been in a perpetual state of conflict during Cordaid’s tenure, emergency relief for the affected population has always played a pivotal part in the activities.
Ignacio Arteche started a humanitarian programme in 2013 at the height of a violent conflict between armed groups and the Central African government. “Cordaid just left the country because the office had been looted”, he remembers. “The circumstances were terrible, and the hostilities intensified day by day.”
Humanitarian assistance in the Central African Republic
The conflict in the Central African Republic became one of the biggest humanitarian crises in the world. Within Cordaid’s humanitarian department, a feeling of urgency grew by the hour. The worse it got, the more the team felt they had to be there.
“What happens in armed conflicts, is that organisations leave due to the insecurity. People who work for faith-based organisations, like Caritas, often stay, no matter what.”
“But it was far from easy. We were one the first organisations to respond, and we had to start our operations from scratch”, Arteche says. “There was no office, so we created one. We started with one expert who collaborated with our partners from Caritas Central African Republic. Because we were very well-rooted in civil society and thanks to our contacts at Caritas, we were able to make a quick start.”
“In some situations, being a faith-based organisation gives you an advantage”, Arteche continues. “What happens in armed conflicts is that organisations leave due to the insecurity. People who work for faith-based organisations, like Caritas, often stay, no matter what. They have that conviction. Thanks to those people, we could support the displaced population in hard-to-reach areas while the crisis continued.”
At the start of Cordaid’s response, the conflict was most intense in Bouzoum, close to the border with Cameroon and Chad. At that time, an Italian priest who was well-known for his zealous peace-building efforts in the country was present in the warzone.
Arteche: “He was highly respected and kind of our man there. He was the director of the Caritas Diocesan in a severely affected area. There was a lot of internal displacement, and many people found security within this parish because the priest had won the respect of the warring parties. They wouldn’t attack that area.”
Still, working in these conflict zones meant constant caution and pressure on the staff due to threats of violence and raids. On multiple occasions, a large evacuation operation was initiated to bring everyone to safety, after which the staff continued to do everything in their power to resume the activities.
In the most complicated settings and times, Arteche remembers the resourcefulness of the humanitarian team truly shone through. “We were planning a massive food distribution, and we realised our trucks wouldn’t be able to reach some crucial areas due to the terrible road conditions. That’s when we called in the help of a large group of motorcycle taxi drivers. We hired everyone we could find in the area, and with their bikes, they could cross the bridge and go over the narrow and bumpy roads. They would carry a couple of bags, 50 kilos each, on the back of those small motorbikes. The distribution was a success. It was absolutely remarkable and something to be proud of.”
Watch this video about the humanitarian programme and food distribution in the Central African Republic.
The humanitarian actions of Cordaid, Caritas, and the other partners have made a difference in the lives of millions. However, crises occur all over the world, and with limited resources, organisations sometimes need to make the tough decision to move their operations elsewhere.
The idea saddens Arteche. “The Central African Republic remains a country with a lot of needs. But at the same time, we need to prioritise. We cannot be everywhere at the same time. It’s the global limitation of our sector. Nevertheless, our ties with the country will remain through civil society and our partner network. I am happy and confident to know that our local Caritas colleagues will continue supporting the people of the Central African Republic. We are part of the Caritas family, so in a way, we will remain.”
Strengthening the health system in the Central African Republic
Besides the obvious need for emergency relief, for too long, Central Africans have been deprived of access to quality health care. Decades of professional experience and expertise in setting up efficient healthcare facilities in remote and conflict-affected settings allowed Cordaid to impact the healthcare infrastructure greatly.
Central African doctor and programme manager Francis Mandazou played a crucial role in these activities. Cordaid started a healthcare project with co-financing from the European Union in January 2010. In close collaboration with the Central African Ministry of Public Health and its decentralised health prefectures, Mandazou and his team managed to increase the quality of the public health system while keeping it affordable for the population.
“We have to keep working to develop the community health programme. Maternal and neonatal mortality is still too high.”
Mandazou ruminates over the poor state of health care in his region more than thirteen years ago. “There was a lack of qualified personnel, no medicines available, the security situation was unstable, and the infrastructure was broken.”
Mandazou says that in the areas where Cordaid has left a mark, things look different now. “I am very proud of our achievements. We have strengthened staff capacities and made them more competent and autonomous. Financial procedures are much clearer, functions and tasks are better divided, more tools and equipment are available, and important safety rules are applied much more strictly.”
Facts and figures: Cordaid programmes in the Central African Republic
Results & Indicators
1.15 million people reached with humanitarian assistance (2018 – 2021)
3.85 million people reached through healthcare programmes (2016 – 2021)
1.03 million people supported with access to justice (2018 – 2020)
252,000 people reached with education programmes (2018 – 2021)
Despite all these accomplishments, the Central African Republic still has a long way to go to ensure all its citizens have equal access to quality health care. Though his contract with Cordaid has ended, Mandazou continues his mission through other organisations. “We have to keep working to develop the community health programme. Maternal and neonatal mortality is still too high. We need to reduce those numbers. We need to bring in the right medicines and continue building the capacity of healthcare institutions and providers.”
Jeune S3: sexual and reproductive health and rights in fragile contexts
The Central African Republic is full of youth, literally. Almost 40% of the population is younger than 14. Teenage pregnancies are common, and this impedes girls to work on their future and escape the cycle of poverty.
Marietta Merveille and Neil-Audrey Samafou met while participating in the Jeune S3 programme. Jeune S3 was a multi-country programme for education on sexual and reproductive health and rights for youth between 10 and 24 years old. The programme was implemented in Benin, Cameroon, the Democratic Republic of the Congo and the Central African Republic from 2016 to 2020.
“When I think about my time with Cordaid and JeuneS3, I have a feeling of pride to have contributed to advancing an important cause”, Neil-Audrey says. “We have always put young people at the centre. Today, when I see the effects of the training, how it contributed to the development of young people and how it makes them flourish, it tears my eyes. Tears of joy.”
“I really hope that the Central African Republic will start to see the potential of its youth.”
Marietta fondly remembers how the programme connected her to youth in other countries in the region with whom she could share her experiences. “In Cameroon, we held a meeting with all the participating countries. There, I learnt that we all have the same problems concerning our rights as young people. It’s just the contexts linked to the cultures that are different.”
Watch this short documentary about Marietta and the Jeune S3 programme.
“For myself, Jeune S3 allowed me to assert myself, to be more enlightened and to develop my skills in advocacy and communication”, Marietta continues. “Today, I represent the young people of the Central African Republic in FP2030, a global partnership centred on family planning. Jeune S3 brought me there. For the first time, I contributed to high-level advocacy, which resulted in the state disbursement of contraceptive products.”
Neil-Audrey: “The programme supported many young people in defending their rights and being responsible at the same time. This means many young people who participated are advancing in their studies, while others have become journalists and are working for the media. I’m sure some of them would have become mothers very young if it weren’t for the programme. Jeune S3 allowed me to sharpen my potential and grow my self-confidence. Now, I work in the field of protection and defence of children’s rights. I hope that the Central African Republic will start seeing its youth’s potential.”
Written by Mickael Franci, Editor at Cordaid’s Corporate Communication team.