CAR case management

Patient care services within the health system are generally delivered by the public and faith-based sector (87.2%), followed by the private sector (12.8%).

65% of the population has access to health services within 5 km. Quinine is used in numerous locations to treat severe malaria.


Unité de Cession des Médicaments (Drug Supply Unit - UCM) is responsible for the procurement of drugs and consumables.


  • Reports of stock-outs in 50% of health care facilities due to:
    • Limited logistical resources for distribution
    • Limited access to certain areas
    • Insufficient quantities of drugs to cover all health care facilities
    • Lack of reliable consumption data to quantify needs
    • Quantities of supplies and drugs that the country receives vary from year to year due to the security situation.
  • Ensuring health services continue despite the difficult security situation.
  • Extending service provision to all health care facilities in the country, as well as in the community.
  • A shortage of qualified staff throughout the country.
  • Periods of crisis that lead to:
    • Closure of health care facilities
    • Difficulties transporting supplies and people to health care facilities
    • Limited access to prevention and cure services
  • Financial barriers to care
  • Cultural barriers (limited decision-making power for women, beliefs)