Chad

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Since the early 1990s, keeping families healthy and free from malaria and HIV.

  • From 2011 to 2020, more than 535,000 cases of malaria were confirmed by testing and then treated using artemisinin-based combination therapy, as recommended by the World Health Organization.
  • From 2012 to 2020, more than 266,000 pregnant women received intermittent preventive treatment (IPT) for malaria under direct observation, with rates of IPT in pregnancy increasing from 37% in 2012 to 89% in 2020 for first dose, and 28% to 75% for second dose. In 2018, Jhpiego began tracking third and fourth IPT doses, as integrated into the Chadian national policies; rates improved from 26% at baseline to 36% for third dose, and from 7.5% to 17% for fourth dose.
  • In project-targeted district hospitals, the percentage of deaths due to malaria decreased from 61% (in six district hospitals) in 2013 to 49% (in 11 district hospitals) in 2020.
  • Under a project conducted with the Chadian army, 1,108 clients (both military and civilian) were on antiretroviral therapy as of December 2020. In addition, from October to December 2020, 2,006 people were reached through educational outreach, of which 1,734 (84%) were tested for HIV.

Our Technical Areas in Chad

Our Work in Chad

The U.S. Department of Defense HIV/AIDS Prevention Program is supporting Jhpiego to implement a four-year program to ensure that HIV prevention, diagnosis, care, treatment and support services are accessible and of highest quality for members of Chad’s national army (Armée Nationale Tchadienne, or ANT), their families and the civilian communities that are served by 14 ANT health facilities and providers. In collaboration with the Ministry of Health and the ANT, Jhpiego is strengthening ANT technical capacity in the following areas: 1) HIV prevention; 2) HIV testing services; 3) prevention of mother-to-child transmission; 4) HIV/AIDS care and treatment; 5) clinical laboratory support; 6) HIV clinical monitoring systems; and 7) military health system strengthening. Jhpiego collaborates with military leadership and personnel at all levels, working to ensure that program implementation transition to ANT by the end of the program.

Malaria is the leading cause of morbidity and mortality in Chad and Cameroon, and is particularly dangerous for children and pregnant women. With support from ExxonMobil, Jhpiego is strengthening the capacity of the Chadian and Cameroonian Ministries of Health, the National Malaria Control Programs, health care providers and community health volunteers to provide high-quality malaria prevention and treatment for nearly 1,180,000 people living in 11 malaria-endemic districts along ExxonMobil’s 1,070-kilometer pipeline. The 11 districts are Doba, Bodo, Béboto, Bébédjia, Goré, Bessao, Baibokoum, Laramanaye, Donia, Kara (in Chad), and Kribi (in Cameroon). In addition to leading the development of national-level malaria guidelines, training manuals and reference materials, Jhpiego has trained health care providers, supervisors and community health volunteers to provide health services and/or health messages. These interventions have resulted in provision of lifesaving treatment to people with confirmed cases of malaria and improved coverage for intermittent preventive treatment of malaria among pregnant women.

Jhpiego provides technical assistance to strengthen quality improvement and leadership and management. This initiative is designed to test and evaluate evidence-based approaches for improving health care provider performance. Under this award, Jhpiego is delivering context-specific technical assistance to support quality improvement and leadership and management strengthening to reinforce national disease responses and strengthened health systems. Jhpiego implements an innovative approach for integrated supportive supervision that includes collaborative improvement, training, a web-enabled supervision checklist and supervision of supervisors to improve integrated health services for underserved populations. Jhpiego also strengthens leadership and management skills among ministry of health staff for quality improvement and improved integrated service delivery in health facilities and communities. The project is being implemented in several African countries, including Chad.