Democratic Republic of the Congo vs. Central African Republic

Despite a wealth of fertile soil, hydroelectric power potential, and mineral resources, the Democratic Republic of the Congo (DRC) struggles with many socioeconomic problems, including high infant and maternal mortality rates, malnutrition, poor vaccination coverage, lack of access to improved water sources and sanitation, and frequent and early fertility. Ongoing conflict, mismanagement of resources, and a lack of investment have resulted in food insecurity; almost 30 percent of children under the age of 5 are malnourished. The overall coverage of basic public services - education, health, sanitation, and potable water - is very limited and piecemeal, with substantial regional and rural/urban disparities. Fertility remains high at almost 5 children per woman and is likely to remain high because of the low use of contraception and the cultural preference for larger families.

The DRC is a source and host country for refugees. Between 2012 and 2014, more than 119,000 Congolese refugees returned from the Republic of Congo to the relative stability of northwest DRC, but more than 540,000 Congolese refugees remained abroad as of year-end 2015. In addition, an estimated 3.9 million Congolese were internally displaced as of October 2017, the vast majority fleeing violence between rebel group and Congolese armed forces. Thousands of refugees have come to the DRC from neighboring countries, including Rwanda, the Central African Republic, and Burundi.

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.