Chad faces interconnected humanitarian crises in a context of chronic poverty and low economic and social development. The security situation in neighbouring countries continues to generate population movements, particularly from the Central African Republic (CAR) in the south, as well as internal displacement in the Lac region. In addition, the voluntary return of refugees continues, with 353 Sudanese refugees back in Darfur and approximately 4,000 Chadian refugees from Sudan in the Sila region. Millions of people suffer the consequences of food insecurity and malnutrition every year, particularly in the Sahel Belt and recently in previously spared areas, such as the Tandjilé region in the south.
This situation continues to deteriorate during the lean season, which was early in several regions this year. The health system remains weak, exposing the country to epidemic risks and persistent diseases such as measles (which has already caused approximately 2,255 cases including 77 deaths as of 24 August 2018), hepatitis E and malaria, having a direct impact on morbidity and mortality. Cholera is reported in the neighboring countries (Cameroon, Niger and Nigeria) and the situation is monitored by the health authorities.
All these factors expose already vulnerable populations to recurrent crises, affecting their resilience and making imperative to implement an integrated humanitarian and development approach to emerge from the cycle of chronic crises