Micah Albert | D.C. - California

Reportage: Chad and Africa In Crisis

If there is a single nation in Africa that has gone most abruptly from the most brilliant of prospects for the next quarter century to the darkest in the shortest period of time, it is Chad. Despite the start of oil production in 2003, an investment of $3.7 billion by a consortium of foreign oil companies headed by Exxon/Mobil and the construction of an oil pipeline bankrolled, in large part, by the World Bank, Chad remains the world’s fifth poorest country. Some 80 percent of the population is below the global poverty line, while the nation’s per capita income is less than $1,500 a year.

But perhaps most disturbing in a nations that could be an anchor of West Africa over the next quarter century is the rampant corruption that has stymied every effort at development. Tied with Guinea and Sudan as the world’s sixth most corrupt nation by Transparency International, the World Bank actually froze its funding of the oil pipeline project when the government reneged on its pledges to devote 80 percent of the revenue to development projects. Instead, vast amounts of funds have been poured into the arm trade that fuels the on-again, off-again civil war which periodically sweeps the country.

Malaria is still thought to kill a million people each year, though in Chad the death rate may be far higher than most since so many deaths go unrecorded in rural areas. Moreover, this figure is rising, not falling. Maternal mortality rates are the world’s third highest in Chad, more than 80 percent of the women face female circumcision. And each year, as the rainy season ends, rebels are on the move from the east, where tens of thousands of refugees from the even more beleaguered Darfur region of Sudan and the Central African Republic languish in overcrowded refugee camps.

Iriba, Chad – Makeshift towns like this one in eastern Chad have sprung up along its boarder with Sudan. International aid groups working among the refugee camps have set up shop in an otherwise arid very inhospitable location. With the promise of work, people from all over Chad try to make their way to these newly sprung up towns to be the next driver, guard, or cook for one of the many NGO’s. “It’s making our long-term exit strategy even more difficult,” says a worker for UNHCR “we are providing these little mini-economies to a region that wouldn’t otherwise have people.”
  
IRIBA, CHAD  -Massive numbers of refugees from Sudan's Darfur region and Central African Republic lead a harsh existence in camps in eastern and southern Chad. The presence of refugees has put added pressure on scarce water and food resources in the semi-desert east.Armed Sudanese and Chadian groups roam freely across the border, targeting aid agencies as well as villagers. The insecurity makes it hard for agencies to operate in the area, and violence has escalated since the collapse of a short-lived October 2007 peace deal between the government and four rebel groups.Some experts say Chad's conflict is part of a competition for regional dominance in which Central African Republic, Democratic Republic of Congo, Eritrea, Libya, Rwanda and Uganda are all vying for influence.
  
N’DJAMENA,CHAD – Coming from the remote desert village, Liliene Naima was not able to take advantage of the state-run HIV program – highlighting the need for home based care and training of lay midwives in the village. Liliene is just one of over 30 woman dying of HIV/AIDS in this clinic, some seem just minutes away from succumbing to the virus.
     
  
Koukou, Chad - Displaced Chadians also face shortages of food, water, shelter and adequate sanitation. Their situation gets worse during the annual "hunger gap" before the September harvest. They have been attacked when trying to return home to plant crops or collect food. Here, internally displaced children from the Koukou IDP site (25,000 people) play in the waning days of the rainy season.
  
N’DJAMENA, CHAD – While pregnant mothers wait in line for pre-natal counseling, they watch a video on forced marriage and female circumcision – a major problem in Chad where more than 80% of woman face female circumcision.
  
N’DJAMENA,CHAD – Holima Brohim and Naiam Mohamat, ages 13 and 14, from the extreme eastern part of Chad, recover from fistula surgery at a nationally run clinic. Obstetric fistula is such a common problem due to a culture that marries girls at such a young age, the UNFPA and the government of Chad are in the works to develop a clinic specific to perform this surgery.
     
  
IRIBA, CHAD – Wanting to expand the group to more men in the Touloum camp, UNFPA supports weekly meetings for other members of the Zaghawa tribe to come and learn about the importance of education against gender based violence.
  
IRIBA, CHAD – “The only good that has come from this genocide is that we’ve learned from the violence. We feel that we have come out of the dark and learned a new way. After this violence ends in our region we will be able to go back home and it will be a better place.”
  
IRIBA, CHAD – Having been in the Touloum refugee camp since 2004 Solomon has “seen a positive impact the training has provided” and the community is “stronger because of it.”
     
  
IRIBA, CHAD – Abraham Solomon (right) and Ahrmad Baraka (left) are part of a group of over 40 men inside the Touloum refugee camp dedicated to antiviolence specifically to gender based violence within the family.
  
N’DJAMENA,CHAD – As a result of obstetric fistula young girls are so ostracized from their families and communities they cannot go back even after their much needed surgery. The only way they can go back is if they prove they have a skill or simply earn their way back. Here girls take part in a UNFPA skills for life center where they learn basic sewing skills with hopes to earn enough money to travel back to their home village or to prove they will not be an economic ‘burden’.
  
N’DJAMENA,CHAD – Uncertain of her future, Tomo Ali looks at her newborn baby.  Ali, HIV positive was only tested when she came in to deliver. Due to a national AIDS program in Chad that provides 100% of ARV’s (Anti-retroviral), Ali did not transmit HIV to her baby because of PMTCT (prevention of mother to child transmission. However, with her husband dead of HIV she looks at her baby with an uncertain future.
     
  
  
BONGOR, CHAD - Youth-run HIV/AIDS ceter provides voluntary counseling and testing (VCT) to a population with a realitivly unknown HIV prevelance rate. Sigma runs high and early WHO esitmates are indicating raising rates in the South of Chad.
  
     
  
  
ABECHE, CHAD – Preventable disease in Sub-Sahara Africa, such as malaria is thought to kill at least one million people a year.  But the true figure may be much higher because scores of deaths go unrecorded in rural areas. Some 80 percent of deaths from the disease are in sub-Saharan Africa. The death rate is rising and malaria is spreading to new, non-tropical countries. Although there are great hopes for the new treatment, artemisinin combination therapy, malaria is renowned for acquiring resistance to drugs so prevention is seen as the key to combating the disease in the long-term.This woman traveled 2 days from a remote village in the flooded south east of Chad to Abeche to receive basic medical assistance for malaria.
  
     
  
ABECHE, CHAD – Khakeidja Hamat just arrived in Abeche for another fistula surgery attempt. At 24 years old, Hamat has suffered 11 years of pain and humiliation. In Chad and neighboring sub-Saharan nations, early marriage is ingrained into culture and remains the source of tramatic fistula problem throughout the region for young girls. At only 13 years of age, Hamat suffered through 3 days of labor in a remote village near the Sudan boarder with the baby stuck for a day and a half; eventually the baby died and Hamat fell into a coma. Because here family heard about at clinic that could help with her coma and fistula, they took her by camel 6 days to reach it, only to have an unsuccessful surgery attempt. A year later her husband took her to Libya for another attempt. When that surgery failed, Hamat’s husband left her and she went back to Chad. 11 years and 6 surgeries later, Hamat has high hopes in the new fistula clinic in Abeche and is looking “to healing and getting back to her village with respect.”
  
  
Koukou, Chad - Gender based violence (GBV) remains an ongoing problem in both the refugee camps and IDP sites. As woman need to travel further and further into the outlining areas to gather firewood, the face greater risk of being raped.