The acute malnutrition situation in Chad remains similar to the situation last year (2023-2024) with slight variations. Approximately 2 million children aged 6 to 59 months are suffering or expected to suffer acute malnutrition between October 2024 and September 2025 with 537,000 cases of severe acute malnutrition (SAM). Over 300,000 pregnant or breastfeeding women (PBW) are expected to suffer acute malnutrition in the same period.

The first projected period (January – May 2025) will see a slight improvement in the acute malnutrition situation (compared to the current period) as a result of a slight decline in diseases and epidemics, the improvement in food consumption thanks to the availability of market garden products and the decrease in floods, resulting in better WASH conditions and access to basic services.

However, the situation will deteriorate in the second projected period (June – September 2025) which is in line with the peak of seasonal malnutrition in Chad and similar to previous years’ trends.

In provinces and departments classified in IPC AMN Phase 3 or above (Serious or worse), urgent and early interventions are needed to reverse acute malnutrition trends:

• Strengthen the surveillance and prevention system for epidemic-prone diseases.
• Establish malnutrition management units.
• Strengthen/intensify malnutrition prevention activities.
• Raise awareness about the correct use of LLINs in targeted households and ensure 95 percent SMC coverage among eligible children.
• Strengthen the implementation of community activities to promote good infant and young child feeding practices and hygiene and sanitation practices.
• Raise awareness about the use of health services.
• Increase the availability of drinking water sources.
• Intensify humanitarian assistance in areas prone to refugee influxes (resilience project).
• Capitalise on the achievements made in implementing emergency responses (minimum package system) and early prevention that have helped limit the deterioration of the nutritional situation.
• Encourage initiatives for Food, Nutritional Security, and Sustainable Agriculture (SANAD).
• Intensify and better coordinate resource mobilisation efforts to quickly and effectively increase the coverage of acute malnutrition prevention and treatment actions, while exploring their extension to the community level.
• Develop strategies to better serve populations in inaccessible areas, who experience difficulty accessing health facilities during the rainy season.
• Strengthen the security surveillance and disaster management system.
• Strengthen the pre-positioning of inputs, medicines, and consumables before the rainy season.