Thousands of South Sudanese refugees living in deplorable conditions in Eastern Central African Republic

MSF Emergency Team performed an intervention in Bambouti, south-east of Central African Republic.


The South Sudanese refugees have been completely cut off from any assistance for several months, and have not had access to health care and clean water. Most of them live in tiny make-shift dwellings made out of palm leaves that don’t offer any protection from the elements.
Many refugees explained to the MSF teams how after being harassed by armed men, they ran away from their villages in South Sudan. Many of them lost track of relatives during the way out. Atenina Koubaka, 38, ran away from Source Youbu – South Sudan- last November and she finally made it to Bambouti with her three children and her husband after travelling for months. “Our main problems here are lack of food, water and medicines, that is at least until MSF arrived here”, she said. “We will not leave until the conflict stops”, she added. Some families lost members due to the harsh conditions in which they live. A few weeks after arriving in Bambouti, Martine Barifue, 28, lost her husband due to an illness that could not be treated. She now works in the orchard of a local family to get some food, mostly rice and cassava, to feed her only son.
During a five-day intervention at the end of April, MSF’s emergency team carried out preventative activities to increase the immunization of children and pregnant women against epidemic diseases. In all 449 children between 6 weeks and 5 years received pneumococcal and pentavalent vaccination, a combination of 5 vaccines in one. A further 589 children between 6 months and ten years were vaccinated against measles, and pregnant women received tetanus vaccinations. The intervention did not only target refugees but also the Central African population in Bambouti which has been without access to health care for several years.

MSF Emergency Team performed an intervention in Bambouti, south-east of Central African Republic, to assist thousands of South Sudanese refugees.
Photo: MSF

Bringing humanitarian assistance to Bambouti, which is located in a remote, inaccessible part of the Central African Republic, is extremely difficult. Several armed groups operate in the area and the developing situation is unpredictable.
« The logistical challenges for our emergency team have been enormous, » says Maria Simon, general coordinator of MSF in CAR. “With help from the local population we managed to rehabilitate the local landing strip which had not been operational for several years, to make sure our team and medical supplies arrive safely.”
Since March, MSF has supported the re-opening of the local health centre through the donation of medicines and the training of local health workers. More than half of the consultations at the centre are related to malaria. “We are expecting to see an increase in malaria cases as the rainy season starts soon, and the refugees don’t have proper shelter and mosquito nets,” says MSF emergency coordinator Juan Rodilla. Many patients also suffer from respiratory infections and diarrhea. 
MSF has left healthcare workers on the ground to prepare for the upcoming peak malaria season and will continue to monitor the situation in Bambouti. The organisation has made every effort to address the extreme vulnerability of the population and urges other organizations to use all possible means to provide much-needed humanitarian assistance.

MSF has been working in the Central African Republic since 1997, and currently has more than 300 international staff and over 2,000 locally hired staff in the country. Since December 2013, MSF has doubled its level of medical care in response to the crisis, with the number of projects increasing from 10 to 21, and has also carried out six interventions for Central African refugees in neighbouring Chad, Cameroon and the Democratic Republic of Congo.

Find out more about MSF in CAR