Chad, like other countries from the Sahelian strip, is faced with a maternal, neonatal and infant mortality challenge. Maternal and reproductive health, a major developmental factor, is an absolute priority on the international agenda. The country made it a major focus of its national strategic plan.
In Chad, the indicators of maternal deaths associated with pregnancy or childbirth are 1 out of 11, against 1 out of 150 on average in emerging countries, and 1 in 3,800 in developed countries. The infant mortality rate remains one of the highest in the world: 150 deaths before the age of 5 years for 100,000 births.
Expertise France is supporting the implementation of a health sector support project in Chad (PASST2) until 2019. This 10 million euros project, funded by, aims at developing financial access to healthcare and at improving the quality of health services, in line with the reflections conducted by the Chad government on universal health coverage (UHC), especially on the issue of gratuity of healthcare for the most vulnerable. Part of this funding - 3 million euros - was allocated to Expertise France to conduct a project aimed at improving mothers’, newborns’ and children’s health. This pilot project is rolled out in two regions (N’Djamena and Moundou), and affects about 30 health centres. The aim is to capitalise on good practices and to propose a scaling-up of the project to a national level in the context of decentralisation process.
At the end of the project:
- Basic emergency neonatal obstetrical care will be available in 10 health centres of the capital city, N’Djamena, and comprehensive emergency neonatal obstetrical care will be available in the referral hospitals of the Northern districts;
- Use of family planning and modern contraceptive methods will be extended (goal: increase use from 3% to 20% in the project area);
- An integrated healthcare offer will be offered to improve the chances of survival for newborns and children from 0-5 years;
- An advocacy campaign will be initiated to improve knowledge on risks associated with pregnancy and childbirth.
The project mainly relies on the transfer of knowledge between French hospital partners and Chad medical institutions.
Expertise France is currently working on mobilising a wide network of public expertise including multi-disciplinary teams: pediatricians, gynecologists/obstetricians, midwives, children’s nurses and anaesthetists.
© The Global Fund - John Rae