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For a resilient and quality health system in the land of Toumai - SiSaTou




Aid type

Project-type interventions




€ 1,540,301
€ 924,181


Covid19 pandemic has shown that the health sector in Chad, already structurally fragile, is not able to cope with systemic pandemics: health facilities are insufficient and not always functional, the quality of services is not satisfying, health workers are not sufficiently trained and motivated. The institution of the Central Drug Purchasing Agency (CPA) has improved supply of essential and generic drugs. However, medicines remain expensive compared to the purchasing power of many Chadians. The population lives in an environment that is often unhealthy: in cities, pollution is increasingly significant, hygiene and environmental sanitation raise many problems (polluted water, sewage collection, household waste collection, latrinization and evacuation of human and animal feces), domestic food is not very varied. The direct and full payment of health care is detrimental: the individual rejects treatment so as not to be dragged into catastrophic expenses for him and the whole family. Insurance mechanisms are almost non-existent and insurance companies cover only a very small percentage of the Chadian population. Significant efforts have been made by the government and its partners to improve access to care but have not produced the expected effects. Contributing to reduce this structural fragility through a multi-year intervention (36 months), is the objective of the initiative that intends to contribute to the reduction of premature mortality caused by communicable and non-communicable diseases in Chad, through access to healthcare of quality and struggle against child malnutrition (GO), and in particular through actions that impact the population living in the urban and peri urban area of NDjamena and in the region of Mandoul (SO). The initiative has positively met and networked international and Chadian expertise in health and development cooperation. It aims to contribute to the achievement of SDG 3 Ensure healthy lives and promote well-being for all at all ages and SDG 2 End hunger, achieve food security and improved nutrition and promote sustainable agriculture, to integrate Chads National Plans and Programs in the health sector by strengthening Italys commitment in the sector established in the AICS Triennial Programming and Policy Document 2019-2021 and the Performance Plan 2021-2023, through: 1) the increase of information for 2,321,773 people (population of NDjamena and Mandoul, INSEED data 2018) on the possibilities of prevention, treatment and care of the main communicable and non-communicable diseases present in the area (including access to Covid 19/program COVAX vaccination), OECD/DAC Sector 12261; 2) the improvement of the professional capacities of the staff (n. 417) and of the diagnostic platform in the health facilities of the University Complex - Hospital Le Bon Samaritain in NDjamena, the Hospital Notre Dame des Apotres in NDjamena, the Hospital Le Bon Samaritain in Goundi and in the n.12 Rural Health Centers able to increase the demand for health care, OECD/DAC Sector 12181; 3) the regular nutritional assistance guaranteed to vulnerable and malnourished children afferent to n.3 Nutrition Centers (two in NDjamena, one in Goundi), OECD/DAC Sector 12240. A large part of the initiatives commitment is addressed to the implementation of information and awareness campaigns for the population on prevention in the struggle against the main communicable and non communicable diseases that affect the target population between 15 and 70 years old. read more close
Year Committed Used
2022 € 1,540,301 € 924,181


Type Name Channel code
Government AICS - Italian Agency for Cooperation and Development 11000

Channel reported

Type Name Channel code

Project data

  • IATI IdentifierXM-DAC-6-4-012590-09-8
  • AID012590/09/8
  • CRS Activity identifier2022000334
  • Planned start 2022/07/01
  • Planned End 2025/06/30
  • Actual start 2022/11/28
  • Actual end -
  • Bi/Multilateral Bilateral
  • Status Implementation
  • Tied status Tied


  • 12181 - Medical education/training 16.0%
  • 12220 - Basic health care 13.0%
  • 12230 - Basic health infrastructure 28.0%
  • 12240 - Basic nutrition 4.0%
  • 12261 - Health education 12.0%
  • 12350 - Other prevention and treatment of NCDs 14.0%
  • 13040 - STD control including HIV/AIDS 13.0%

Policy markers

  • Gender Equality significant objective
  • Disaster Risk Reduction(DRR) not targeted
  • Disability not targeted
  • Nutrition principal objective
  • Aid to Environment not targeted
  • Participatory Development/Good Governance significant objective
  • Trade Development not targeted
  • Aid Targeting the Objectives of the Convention on Biological Diversity not targeted
  • Aid Targeting the Objectives of the Framework Convention on Climate Change - Mitigation not targeted
  • Aid Targeting the Objectives of the Framework Convention on Climate Change - Adaptation not targeted
  • Aid Targeting the Objectives of the Convention to Combat Desertification not targeted
  • Reproductive, Maternal, Newborn and Child Health (RMNCH) significant objective


  • 2.2 - By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5¬†years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons
  • 3.2 - By 2030, end preventable deaths of newborns and children under 5¬†years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
  • 3.3 - By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
  • 3.4 - By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
  • 3.8 - Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
  • 3.c - Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States