MSF staff change France’s wound dressing on 25 January 2021 at MSF’s SICA Hospital. France Beldo, 31, was wounded on 13 January 2021 attack in the outskirts of Bangui, Central African Republic. © Adrienne Surprenant / Collectif ITEM/MSF

CAR: Women, children wounded and medical centre hit by violent clashes in Bambari

Violent clashes in the city of Bambari on February 15th and 16th wounded civilians and hit a medical centre supported by Doctors Without Borders/Médecins Sans Frontières (MSF) with bullets and explosives, as such further compromising the already very precarious access to healthcare.

The MSF surgical team in Bambari hospital and colleagues in the Ministry of Health treated a total of 36 war-wounded patients at Bambari Regional Hospital. The majority of the wounded arrived on Tuesday, as soon as the fighting subsided, allowing ambulances and patients to access the hospital. Among the injured were eight women and nine minors aged between 17 months and 17 years old.

“The current humanitarian crisis in Bambari and across the country is dreadful and violence affecting civilians has to stop. The Central African population has already suffered so much, and what we saw last week was yet another example of the toll of violence on the population, including women and children with bullet and shrapnel wounds.” says Marcella Kraay, MSF Deputy Head of Mission. “Constant tensions and fighting deeply impact an already vulnerable and traumatized population hard-hit by years of civil war, a chronic medical crisis, and therefore extremely limited access to healthcare.”

Violence affecting medical clinic

The Elevage Centre de Santé in Bambari, where MSF supports the Ministry of Health in the provision of primary healthcare serving a community of about thousand people, was found severely damaged by the fighting. The MSF team inspecting the grounds after the violence came to an end, discovered that an explosion and gunshots had damaged the MSF medical tent, including the patient consultation rooms. Bullet casings could be seen littered on the floor throughout the medical compound. As the fighting came closer and closer to the clinic, they were told, the medical team present during the fighting fled the scene.

A medical centre is a neutral space protected under International Humanitarian Law (IHL) and must never be targeted or used for fighting or any military purposes. Marcella Kraay: “In this time of crisis, we are calling on all parties to the conflict to respect medical facilities, ambulances, medical staff, as well as patients and their caretakers at all times. Unhindered and sustained access to the civilian population affected by the violence must be ensured in order to allow the delivery of much-needed medical care.”   

In the past two months, fighting has erupted between a coalition of non-state armed groups and government forces supported by international military allies, plunging the country into a new cycle of violence. The city of Bambari, in the Ouaka prefecture, has been the theatre of clashes since mid-December. So far MSF has treated 111 war-wounded patients in Bambari since December 2020. The impact of the fighting on the Elevage Centre de Santé further compounds the populations’ suffering, limiting people from access to healthcare for a full week, until damage has been repaired and medical activities have resumed again.

Beyond the direct victims of this violence, the population of the Central African Republic in general is left with very limited access to essential medical services due to growing violence and insecurity. Over 200,000 people have already been displaced either inside or outside of the country and live in very precarious conditions.




MSF is working to ensure continuity of care in all its projects and has increased its surgical capacity to respond to the influx of casualties and is providing assistance to displaced populations in the areas where the organization is present. MSF teams stand ready to support the Ministry of Health in coping with a potential surge in the number of war-wounded and to assist the displaced populations across the country.

MSF has been working in the Central African Republic since 1997. Independent of any political or military parties, MSF manages 13 projects in 7 of the country’s 16 prefectures. MSF teams provide care to all those most in need during conflicts, population displacement or epidemics, regardless of race, religion or ideology.

Since the electoral crisis started in mid-December, MSF, in support of the Ministry of Health, has treated over 300 war-wounded across the country and intervened in conflict-affected areas outside its regular projects, including Bouar, Grimari, Bossembele, Mbaiki, Boali, Damara, Dékoa, Liton and Ippy.