DRC: Urgent need for aid in the rural areas of Kasai

Marta Soszynska/MSF

After a year in hiding, destitute returnees are left to cope on their own

Kinshasa More aid is urgently needed in the rural areas of Kasai, central Democratic Republic of Congo (DRC), as people come out of hiding a year after conflict flared in the region, said international medical organisation Doctors Without Borders/Médecins Sans Frontières (MSF) today.

MSF teams have seen widespread malnutrition amongst children, with rates of 10% of severe acute malnutrition in several areas, particularly in towns and villages badly hit by the violence, which first erupted in August 2016. People have recently begun to return to their homes after hiding for months in the surrounding forests, exposed to disease and with little to eat.

Almost 1,000 children under five have been treated by MSF teams for severe acute malnutrition between June and September this year in nutritional centres in Tshikapa, the capital of Kasai province, and in the surrounding rural areas.

 



Malnourished 17-month-old twins brought to the Ditekemena health centre by their grandparents. They have been hiding in the bush for five months after armed militias attacked their village. Both of their parents were killed and the babies suffered knife wounds.
Malnourished 17-month-old twins brought to the Ditekemena health centre by their grandparents. They have been hiding in the bush for five months after armed militias attacked their village. Both of their parents were killed and the babies suffered knife wounds. Photo: Marta Soszynska/MSF

 

“The Kasai crisis has been completely neglected,” says MSF operational manager Gabriel Sánchez. “People returning to their villages and towns have been left on their own to rebuild destroyed homes and start cultivating crops again, often without proper tools and with their traditional sources of income severely affected.”

In the wake of the violence, many local health centres are barely functioning. “Half of the health centres we visited over the past three months had been looted, burnt or destroyed,” says Sánchez. “They are slowly resuming activities, but they are desperately short of skilled health staff, medicines and essential equipment.”

 



The former operating theatre in the Mayi Munene health centre. In April 2017 armed militiamen took over Mayi Munene, looted the health centre and later set fire to the building. Photo: Marta Soszynska/MSF
The former operating theatre in the Mayi Munene health centre. In April 2017 armed militiamen took over
Mayi Munene, looted the health centre and later set fire to the building. Photo: Marta Soszynska/MSF

 

While humanitarian aid has reached the main towns of Tshikapa and Kananga, almost zero assistance has arrived elsewhere in the region, despite the fact that insecurity has not been an issue for some months.

MSF mobile medical teams are travelling to villages across Kasai province to treat people in need of medical care, in particular malnourished children, and resupply local health centres with medicines and equipment. MSF is also supporting a hospital and three health centres in Tshikapa, and has helped set up 10 outpatient therapeutic feeding centres in the surrounding rural area.

“There are still vulnerable communities in the main towns, particularly displaced people who are not yet ready to go back to their villages, and need healthcare, shelter, food and support to help them cope with the traumatic experiences they have lived through,” said Sánchez. “But the most urgent need is for other aid organisations to deploy in rural areas across Kasai. The response has been far too slow and insignificant for a crisis of this magnitude.”


 

Between June and September 2017, MSF teams in Kasai province provided more than 5,000 paediatric consultations, carried out more than 200 surgeries, treated 155 people for violence-related injuries and provided care for 30 survivors of sexual violence.

In the Kasai Central province, MSF has been supporting Kananga Provincial Hospital since April 2017 and in June MSF started also to assist victims of sexual violence. ENDS



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