Located in central Africa, Chad is a heavily indebted, poor country with nearly half of the population living below the poverty line. The country faces regular internal conflicts and suffers from the consequences of devastating seasonal droughts and flooding. Chad was further destabilized by violent conflict of the militant group Boko Haram that also lead to internally displacement of populations.

Chad hosts a high numbers of refugees

from Darfur, Sudan, Nigeria and Central African Republic

With little investment in the health system, Chad remains a fragile state with the highest rate of malnutrition in the Sahel and West African region as well as one of the highest maternal mortality ratios.

Three quarters of Chadian women give birth without medical supervision due to a lack of skilled health professionals, which ultimately increases their risk of birth and postpartum complications. Chad also faces elevated numbers of child marriage as women tend to be disempowered and vulnerable in the nation 11.8 million

Waha’s action

WAHA has been working in Chad since 2011, supporting the provision of obstetric care and treating hundreds of women suffering from obstetric fistula every year.


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N’Djaména, Chad Eng: 12.116660, 15.066660
Ouaddai Region, Chad: 13.500000, 21.250000

N’Djamena and the Ouaddaï region

Fistula treatment

We work in support of the main fistula treatment and referral hospital, in N’Djamena, the Center for Reproductive Health and Fistula Repair (CNSRF), ensuring that women have access to ongoing high quality fistula care services.

In Ouaddaï region in Eastern Chad, WAHA is supporting holistic fistula care at Abeche District Hospital.

Our close collaboration with local health facilities enables the identification and recruitment of patients. Additionally, these collaborations help to establish a referral system for complex cases, ensuring that women have access to the highest quality of care at our specialized centers, rather than being treated in facilities that may not have adequate capacity or treatment skills.

Improving local fistula care capacity

Our mission includes continuously improving local capacity to provide quality care through infrastructure development and investing in staff training. We provide on-the-job training opportunities for local fistula care teams, headed by our international expert surgeons. We have also supported the Chadian health authorities, in their “National Strategy to End Fistula” through the provision of adequate medical supplies and consumables to ensure treatment for all women.

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