In 2023, it is estimated that nearly 1.8 million children under the age of five will likely be acutely malnourished, including around 1.65 million children in the resident population, 70,000 children from internally displaced households and 60,000 refugee children. Of these, around 414,000 will likely be severely malnourished. Around 270,000 pregnant and lactating women are also expected to suffer from acute malnutrition, including around 16,000 among the displaced and refugee population. A slight increase in these figures compared to the 2021 IPC Acute Malnutrition (AMN) analysis and a general trend of deterioration in the nutritional situation can be noted. For the purposes of this analysis, nine provinces and 35 departments of Chad and the city of Ndjamena were analysed.

Provide humanitarian assistance: As a first priority, deliver treatment for all children under five and pregnant and lactating women suffering from acute malnutrition to reduce the infant and maternal mortality rate.

Take actions for early prevention: Strengthen measles vaccination coverage and vitamin A supplementation. Ensure access to quality health care for vulnerable populations and strengthen the overall health system.

Promote good caring and feeding practices: Strengthen the implementation of community activities to promote good infant and young child feeding practices.

Increase access to safe water and adequate sanitation: Improve food utilisation and its impact on nutrition by facilitating people’s access to safe water sources, while intensifying hygiene and sanitation awareness and services, especially among households in hard-to-reach areas.

Monitor risk factors: Monitor displacement of populations and concentration in urban areas, state of health infrastructure, civil insecurity, flooding, food security, diseases, coverage of preventive and curative care (AMN, measles, malaria and ARI), impact of the Russia-Ukraine crisis on the cost of food and financing; pockets of drought, spread of COVID-19 and restrictive measures by the government.