Central African Republic vs. Chad

The Central African Republic's (CAR) humanitarian crisis has worsened since a coup in March 2013. CAR's high mortality rate and low life expectancy are attributed to elevated rates of preventable and treatable diseases (including malaria and malnutrition), an inadequate health care system, precarious food security, and armed conflict. Some of the worst mortality rates are in western CAR's diamond mining region, which is impoverished because of government attempts to control the diamond trade and the fall in industrial diamond prices. To make matters worse, the government and international donors have reduced health funding in recent years. The CAR's weak educational system and low literacy rate have also suffered as a result of the country's ongoing conflict. Schools are closed, qualified teachers are scarce, infrastructure, funding, and supplies are lacking and subject to looting, and many students and teachers are displaced by violence.

Rampant poverty, human rights violations, unemployment, poor infrastructure, and a lack of security and stability have led to forced displacement internally and externally. Since the political crisis that resulted in CAR's March 2013 coup began in December 2012, approximately 600,000 people have fled to Chad, the Democratic Republic of the Congo (DRC), and other neighboring countries, while another estimated 600,000 are displaced internally as of October 2019. The UN has urged countries to refrain from repatriating CAR refugees amid the heightened lawlessness.

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.