Cameroon vs. Chad

Cameroon has a large youth population, with more than 60% of the populace under the age of 25. Fertility is falling but remains at a high level, especially among poor, rural, and uneducated women, in part because of inadequate access to contraception. Life expectancy remains low at about 55 years due to the prevalence of HIV and AIDs and an elevated maternal mortality rate, which has remained high since 1990. Cameroon, particularly the northern region, is vulnerable to food insecurity largely because of government mismanagement, corruption, high production costs, inadequate infrastructure, and natural disasters. Despite economic growth in some regions, poverty is on the rise, and is most prevalent in rural areas, which are especially affected by a shortage of jobs, declining incomes, poor school and health care infrastructure, and a lack of clean water and sanitation. Underinvestment in social safety nets and ineffective public financial management also contribute to Cameroon's high rate of poverty.  The activities of Boko Haram, other armed groups, and counterinsurgency operations have worsened food insecurity in the Far North region.  

International migration has been driven by unemployment (including fewer government jobs), poverty, the search for educational opportunities, and corruption. The US and Europe are preferred destinations, but, with tighter immigration restrictions in these countries, young Cameroonians are increasingly turning to neighboring states, such as Gabon and Nigeria, South Africa, other parts of Africa, and the Near and Far East. Cameroon's limited resources make it dependent on UN support to host more than 420,000 refugees and asylum seekers as of September 2020. These refugees and asylum seekers are primarily from the Central African Republic and Nigeria.  Internal and external displacement have grown dramatically in recent years.  Boko Haram's attacks and counterattacks by government forces in the Far North since 2014 have increased the number of internally displaced people.  Armed conflict between separatists and Cameroon's military in the the Northwest and Southwest since 2016 have displaced hundreds of thousands of the country's Anglophone minority.

Despite the start of oil production in 2003, 40% of Chad's population lives below the poverty line. The population will continue to grow rapidly because of the country's very high fertility rate and large youth cohort - more than 65% of the populace is under the age of 25 - although the mortality rate is high and life expectancy is low. Chad has the world's third highest maternal mortality rate. Among the primary risk factors are poverty, anemia, rural habitation, high fertility, poor education, and a lack of access to family planning and obstetric care. Impoverished, uneducated adolescents living in rural areas are most affected. To improve women's reproductive health and reduce fertility, Chad will need to increase women's educational attainment, job participation, and knowledge of and access to family planning. Only about a quarter of women are literate, less than 5% use contraceptives, and more than 40% undergo genital cutting.

As of October 2017, more than 320,000 refugees from Sudan and more than 75,000 from the Central African Republic strain Chad's limited resources and create tensions in host communities. Thousands of new refugees fled to Chad in 2013 to escape worsening violence in the Darfur region of Sudan. The large refugee populations are hesitant to return to their home countries because of continued instability. Chad was relatively stable in 2012 in comparison to other states in the region, but past fighting between government forces and opposition groups and inter-communal violence have left nearly 60,000 of its citizens displaced in the eastern part of the country.