Uncategorized

DR Congo: Ebola in the DRC: How Goma’s Wellness Clinic Fights Distrust

Country: Democratic Republic of the Congo Source: Direct Relief Dr. Prince Mbuzukongira and Chantal Mandro of Jericho Road’s Wellness Clinic in Goma, DRC, discuss how the latest Ebola outbreak is impacting routine care, and why local trust is key. By Noah Smith The Ebola outbreak has changed daily care at the Wellness Clinic, Jericho Road’s clinic in Goma, Democratic Republic of the Congo, even though the clinic has not received a confirmed Ebola case. The clinic provides essential health services for patients in the region, including primary care, a surgery center, and a birthing ward. The effect of Ebola in the region has been indirect on the clinic, but damaging. Clinic staff reported a roughly 20% decline in patient visits early in the outbreak. Many patients, they said, were afraid to enter the health system because of widespread distrust. The outbreak, caused by Bundibugyo virus, has led to at least 721 deaths and 1984 cases, according to the DRC and Ugandan Ministries of Health. Cases have been concentrated in the DRC’s Ituri, North Kivu, and South Kivu provinces. The CDC reports this is the DRC’s 17th Ebola outbreak and the third-largest Ebola outbreak on record. In Goma, the capital of North Kivu province, the outbreak is unfolding in a city already battered by civil conflict and mass displacement. In this Q&A, Dr. Prince Mbuzukongira, a physician and public health specialist at the Wellness Clinic, and Chantal Mandro, a nurse and director at the clinic, spoke with Direct Relief about managing patient fears in order to keep infection-control measures in place, and why local trust may be as important to the Ebola response as masks, medicine, testing, and isolation beds. Their account shows how an outbreak can impact care even before a clinic sees a single suspected case. This interview has been edited for length and clarity. How did the outbreak affect patient visits at the clinic? Dr. Prince Mbuzukongira: At the beginning, patient visits dropped by about 20 percent. When someone was not extremely sick, they often preferred to stay home. Around mid-May, there was one Ebola case in Goma. The patient was isolated and survived. That had a positive impact in the community. After people heard that someone could survive, they began coming back. How has routine care been affected by the outbreak? Chantal Mandro: The biggest impact is on people with diseases that can become more dangerous if care is delayed. Malaria, respiratory infections, and typhoid can become more dangerous when people stay home. If someone has fever and headache, it can be malaria, or it can be Ebola. Chronic-disease patients continued to come, but when an outbreak happens, people with chronic diseases are at higher risk. We saw a similar problem during coronavirus. Many of the people who died had chronic diseases. Border closures also limited access to some essential medicines. We have enough in stock for everyday use, but not if there’s a local outbreak. The medicines we requested from Direct Relief are very useful for poor patients with chronic illnesses, who are numerous here and who are not able to regularly pay for their medicines. These medicines are a great relief for them. Why is trust among the population so low when it comes to seeking care during an outbreak? PM: The response has many branches, but communication with the population is not emphasized enough. When there is an outbreak, people often come from very far away to organize the response. They do not use enough local nurses, local doctors, and local people who have influence in the community. They often come from Kinshasa or other places, and they come with funding. That is a problem because some people do not trust medical personnel who come from far away. Communication is one of the biggest challenges in this outbreak. You have to use local people with influence to explain things clearly. For example, people need to understand that Ebola can come from contact with infected animals and that eating certain wild animals can be dangerous. But that is not easy to explain to the community. The same is true with burial ceremonies. Some family members became very angry and took their deceased relatives by force. CM: Some people think medical personnel are there because there is money in the outbreak. They worry they will be falsely told they have the disease, or that they will be used as an experiment for a new disease. PM: They are afraid of what may happen to them inside the health system. CM: At the beginning of an outbreak, there is often no organized response. The first cases die. People see that and think there is no help even if they go to the hospital. In Bunia, at the start of this outbreak, many of the people who went for care were dying. Later, a treatment center was organized with international NGOs. Beyond communication and trust, what has been missing from this response? CM: In this new outbreak around Bunia, many things were missing at the beginning: money, setup, medicine, testing, and protective equipment. There was nothing in place. There is no easy place to buy PPE in Congo. We need partners to send it to us. Testing was also a problem. In Bunia, tests had to be sent to Kinshasa, and they could not do more than a small number of tests per day. That is why an outbreak can spread quickly. It is also why many medical personnel died. In Goma, the response has been more organized than in some other places. There has been isolation, testing capacity, and a system to control cases. People exposed to cases can be placed in isolation for 21 days. CM & PM: At the entrance to our clinic, we established a temperature-screening point and several handwashing stations. We also restricted gatherings inside the facility. Whenever a suspected case is identified, an alert is immediately issued, and the patient is taken over by the official outbreak response team. To date,

DR Congo: Ebola in the DRC: How Goma’s Wellness Clinic Fights Distrust Read More »

oPt: MAP aid worker injured and home destroyed as Israeli military attacks intensify across Gaza

Country: occupied Palestinian territory Source: MAP International A humanitarian worker with Medical Aid for Palestinians (MAP) has been injured and his home destroyed in an Israeli military airstrike impacting civilian homes in central Gaza. On the evening of Wednesday 15 July, the Israeli military issued a forced evacuation signal for a location within Al Bureij Camp in the Middle Area of Gaza. One of MAP’s staff members lives next to the targeted area, and so they and their family were forced to flee their home. Not long after, a large airstrike hit the neighbourhood, causing significant damage to their house and lightly injuring the MAP worker. The walls of their house were severely damaged and only one room was left standing. This staff member and their family are now displaced, with no home to return to. Despite the so-called “ceasefire” agreement last October, Israeli forces have intensified strikes and attacks across Gaza in recent weeks, killing and injuring Palestinians. This includes targeting densely populated areas where many thousands of people are sheltering in tents or bombed out buildings. In Al Bureij Camp attacks have also escalated, and just this week a nine-year-old girl was reportedly killed by Israeli gunfire into the camp Fikr Shalltoot, MAP’s Gaza Director, said: “Once again we see that nowhere in Gaza is safe for our staff to live and work. Our colleague and their family have lost their home in terrifying circumstances and have been forced to flee in the middle of the night. “This is a ceasefire in name only – Israeli forces are still killing Palestinians almost every day and recovery is nowhere in sight. How much longer can these indiscriminate attacks go on? When will the world actually take action to protect Palestinians from harm?” Since the ceasefire agreement on 11 October 2025, more than 1,100 Palestinians have been killed and over 3,600 injured in Israeli military attacks, according to the Palestinian Ministry of Health. The total number of Palestinians killed since October 2023 is now more than 73,000, including more than 1,700 healthcare workers and 595 aid workers. According to the UN, around 1.4 million people — roughly 70% of the population — currently require shelter support, as their homes have been destroyed or cannot be accessed. Israeli military airstrikes and attacks are happening on both sides of the so-called “Yellow Line”, the demarcation of the deployment line to where Israeli forces withdrew in accordance with the ceasefire agreement. The “Yellow Line” continues to be moved further into Gaza by Israeli forces, with the Israeli military now controlling an estimated 70% of the territory. This is forcing Palestinians into ever smaller areas of land and raising serious concerns over de facto annexation of Gaza. MAP calls for urgent action to ensure the ceasefire is upheld and becomes permanent, and for civilians to be protected in line with international humanitarian law. Governments, including the UK, must maintain meaningful pressure on Israel to bring a permanent end to Israel’s genocide, including through halting arms transfers and ensuring accountability for violations of international law. ENDS To interview Fikr Shalltoot, who is currently in London until the 23 July, please contact: Email: press@map.org.uk Phone: +44 (0) 203 869 1310 About Medical Aid for Palestinians (MAP) Medical Aid for Palestinians (MAP) works for a future where every Palestinian has access to a comprehensive, effective and locally-led system of healthcare, and the full realisation of their rights to health and dignity. We have worked for more than 40 years in the occupied Palestinian territory and in Palestinian refugee camps in Lebanon. MAP’s local team in Gaza continues to deliver our largest humanitarian response in our history in order to meet critical health and humanitarian needs caused by more than two year’s of Israel’s genocide. For more information please visit: www.map.org.uk

oPt: MAP aid worker injured and home destroyed as Israeli military attacks intensify across Gaza Read More »

migration governance indicators | profile 2024 | republic of trinidad and tobago

Migration Governance Indicators | Profile 2024 | Republic of Trinidad and Tobago

Country: Trinidad and Tobago Source: International Organization for Migration Please refer to the attached file. This Migration Governance Indicators (MGIs) profile presents a summary of well-developed areas of migration governance in Republic of Trinidad and Tobago as well as areas with potential for further development, as assessed through the MGI process. The MGIs are a standard set of almost 100 indicators to help countries assess the comprehensiveness of their migration governance structures. The incorporation of Sustainable Development Goal target 10.7 into the 2030 Agenda for Sustainable Development created the need to define “planned and well-managed migration policies”. In 2015, the International Organization for Migration (IOM) developed the Migration Governance Framework (MiGOF). The Framework offers a concise view of an ideal approach that allows a State to determine what it might need to govern migration well and in a way that suits its circumstances. In an effort to operationalize the MiGOF, IOM worked with Economist Impact to develop the MGIs. The MGIs aim to help governments, upon request, take stock of their migration policies and strategies to identify good practices and areas with potential for further development. The MGIs open dialogues with governments and other relevant stakeholders to identify priorities on the way forward. With a focus on government ownership of the process, the MGIs offer support at the national and local levels to gradually improve migration management systems.

Migration Governance Indicators | Profile 2024 | Republic of Trinidad and Tobago Read More »

IMAWG Haiti : Registre des évaluations – Juillet 2026

Country: Haiti Sources: IMPACT Initiatives, UN Office for the Coordination of Humanitarian Affairs Please refer to the attached files. L’IMAWG est un forum dans lequel les évaluations et collectes de données prévues sont considérées, discutées et confirmées, éventuellement avec approbation de l’ICCG voire du HCT. L’IMAWG a préparé un registre compilant récoltes de données, évaluations, et analyses menées en Haïti en appui à la réponse humanitaire (à noter que certaines récoltes de données peuvent nourrir plusieurs évaluations ou analyses tandis que certaines évaluations intègrent des données provenant de multiples sources). A ce jour il n’y a pas de préoccupation particulière de l’IMAWG concernant les évaluations à visée humanitaire menées en Haïti sur ce point. Les membres sont encouragés à partager leurs plans de façon proactive et à ajuster les évaluations et collectes, durant l’IMAWG ou en bilatéral, afin de s’assurer de ne pas dupliquer les études et favoriser les collaborations aux différentes étapes.

IMAWG Haiti : Registre des évaluations – Juillet 2026 Read More »

central african republic: situation report no. 76, as of 14 july, 2026

Central African Republic: Situation Report No. 76, as of 14 July, 2026

Country: Central African Republic Source: UN Office for the Coordination of Humanitarian Affairs Please refer to the attached file. HIGHLIGHTS The United Nations Emergency Fund allocates US$1 million to support the cholera response More than 500 people were preventively displaced in Zémio Nana-Gribizi: 3,000 returnee households receive seeds to help restore their livelihoods. GENERAL CONTEXT Haut-Mbomou and Mbomou Prefectures – South-East On 11 July, an estimated 210 households, 531 people, were preventively displaced, as a preventive measure, from Guinikoumba village, located 70 km from Zemio, to Dembia, 65 km from Rafaï, across the Ouara river. The movement was driven by fears of a possible attack by armed elements. While some displaced people are being hosted by local families, others are sheltering in makeshift structures, exposing them to harsh weather conditions. Initial assessments indicate humanitarian needs across multiple sectors, including emergency shelter, non-food items, food, health, and water, sanitation and hygiene. Efforts are ongoing to mobilize resources and provide emergency assistance to affected people. HUMANITARIAN NEEDS AND RESPONSE Multi-sector Vakaga Prefecture – North-East The humanitarian response in Am-Dafock is ongoing following the armed violence that occurred in late June, including through the deployment of mobile clinics and the provision of safe drinking water. However, the delivery of humanitarian assistance remains severely constrained. Due to the impassability of the road linking Birao and Am-Dafock during the rainy season, air transport is currently the only viable option. More than 20 tons of humanitarian supplies remain in Birao awaiting transport to Am-Dafock. With MINUSCA support, the first helicopter rotation transporting humanitarian cargo was conducted on 4 July. However, the helicopter’s limited capacity, estimated at two tons per rotation, means that moving the required volumes will take time and may slow the delivery of assistance. Health Countrywide The Central Emergency Response Fund (CERF) has allocated US$1 million to support urgent efforts to contain the cholera outbreak in the Central African Republic (CAR). This funding will support rapid interventions for 88,700 people in affected and high-risk areas. It will strengthen epidemiological surveillance, case management, risk communication, and community engagement, while improving access to safe drinking water, sanitation services, and hygiene measures to reduce mortality and curb the spread of the disease. Between 7 and 9 July, 17 new suspected cholera cases, including two deaths, were reported. Since the outbreak was declared on 26 June, a total of 436 suspected cases and 36 deaths have been recorded, including nine deaths in health facilities and 27 deaths in communities. Children under the age of 10 remain the most affected age group, accounting for 44 per cent of all reported cases. As of 9 July, the outbreak affected three health districts, Bangui 2, Bimbo and Mbaïki, with the peak of transmission observed on 24 June. The most affected localities are Mongo, Ngbango, Mondoli, Sédalé, Bobassa 2, Mokélo, Mozan, Bouka, Modalé and Zinga. Bimbo health district has recorded the highest case fatality rate among the affected areas. With limited resources, the Government, in partnership with the World Health Organization (WHO), has strengthened epidemiological surveillance in health facilities and communities, enhanced clinical case management through cholera treatment units, and scaled up risk communication and community engagement activities. Daily coordination meetings are being held to monitor the evolution of the outbreak and the implementation of response activities, while resource mobilization efforts continue. UNICEF teams are disinfecting households affected by cholera while continuing water treatment activities to ensure communities have access to safe drinking water. At the same time, handwashing kits are being distributed to vulnerable populations to promote hygiene practices at the community level. UNICEF is also continuing the construction of emergency latrines, contributing to improved sanitation conditions and reducing the risk of disease transmission. The response continues to face several major challenges, including low adoption of basic hygiene practices by communities, inadequate access to safe water sources, the continued practice of open defecation in riverside villages, and difficult access to affected localities, all of which hamper the effective implementation of disease prevention and control measures.

Central African Republic: Situation Report No. 76, as of 14 July, 2026 Read More »

car: république centrafricaine : rapport de situation n°76, au 14 juillet 2026

CAR: République centrafricaine : Rapport de situation N°76, au 14 juillet 2026

Country: Central African Republic Source: UN Office for the Coordination of Humanitarian Affairs Please refer to the attached file. FAITS SAILLANTS Le Fonds d’urgence des Nations Unies alloue 1 million de dollars à la réponse choléra Plus de 500 personnes déplacées préventivement de Zémio Nana-Gribizi: 3 000 ménages retournés reçoivent des semences pour relancer leurs moyens d’existence CONTEXTE GENERAL Préfectures du Haut-Mbomou et Mbomou – Sud-Est Environ 210 ménages, soit 531 personnes, se sont déplacés le 11 juillet de manière préventive du village de Guinikoumba, situé à 70 km de Zemio, vers Dembia, à 65 km de Rafaï, de l’autre côté de la rivière Ouara. Ce mouvement de population a été motivé par la crainte d’une possible attaque par des éléments armés. Une partie de personnes déplacées est hébergée au sein de familles d’accueil, tandis que d’autres vivent sous des abris de fortune, les exposant aux intempéries. Les premières évaluations font état de besoins humanitaires dans plusieurs secteurs, notamment en abris d’urgence, articles ménagers essentiels, assistance alimentaire, santé et eau, hygiène et assainissement. Des efforts de mobilisation sont en cours afin de fournir une assistance d’urgence aux personnes affectées. BESOINS ET REPONSE HUMANITAIRE Préfecture de la Vakaga – Nord-Est La réponse humanitaire se poursuit à Am-Dafock à la suite des violences armées survenues fin juin, notamment à travers le déploiement de cliniques mobiles et l’approvisionnement en eau potable. Toutefois, l’acheminement de l’aide reste fortement contraint. En raison de l’impraticabilité de la route reliant Birao à Am-Dafock pendant la saison des pluies, le transport aérien constitue actuellement la seule option viable. À ce jour, plus de 20 tonnes d’assistance humanitaire demeurent à Birao en attente d’acheminement vers Am-Dafock. Avec l’appui de la MINUSCA, une première rotation héliportée de cargo humanitaire a été organisée le 4 juillet. Toutefois, la capacité limitée de l’hélicoptère, estimée à deux tonnes par rotation, prendra du temps pour couvrir rapidement les volumes à acheminer. Santé A l’échelle nationale Le Fonds central pour les interventions d’urgence (CERF) a alloué 1 millions de dollars pour soutenir les efforts urgents visant à contenir l’épidémie de choléra en RCA. Ce financement soutiendra des interventions rapides en faveur de 88 700 personnes dans les zones touchées et à haut risque. Ce financement permettra de renforcer la surveillance épidémiologique, la prise en charge des cas, la communication sur les risques et l’engagement communautaire, tout en améliorant l’accès à l’eau potable, aux services d’assainissement et aux mesures d’hygiène afin de réduire la mortalité et de freiner la propagation de la maladie. Entre le 7 et le 9 juillet, 17 nouveaux cas suspects de choléra ont été enregistrés dont deux décès. Depuis la déclaration de l’épidémie le 26 juin, 436 cas suspects et 36 décès ont été rapportés, dont neuf dans les structures de santé et 27 au sein des communautés. Les enfants de moins de 10 ans constituent le groupe d’âge le plus affecté (44%). Au 9 juillet, l’épidémie affectait trois districts sanitaires, Bangui 2, Bimbo et Mbaïki, avec un pic de transmission observé le 24 juin. Les localités les plus touchées sont Mongo, Ngbango, Mondoli, Sédalé, Bobassa 2, Mokélo, Mozan, Bouka, Modalé et Zinga. Le district sanitaire de Bimbo enregistre le taux de létalité le plus élevé parmi les zones affectées. Avec des moyens limités, le ministère de la Santé, avec l’appui de l’Organisation mondiale de la santé (OMS), a renforcé la surveillance épidémiologique dans les structures sanitaires et dans la communauté, la prise en charge clinique des cas dans les unités de traitement choléra, ainsi que la communication sur les risques et l’engagement communautaire. Des réunions de coordination se tiennent quotidiennement afin de suivre l’évolution de la situation et la mise en œuvre de la réponse. Les équipes de l’UNICEF assurent la décontamination des ménages ayant enregistré des cas de choléra, tout en poursuivant le traitement des sources d’approvisionnement en eau potable afin de garantir un accès à une eau sûre. En parallèle, des kits de lavage des mains sont distribués aux populations vulnérables pour renforcer les pratiques d’hygiène au niveau communautaire. L’UNICEF poursuit également la construction de latrines d’urgence, contribuant ainsi à l’amélioration des conditions d’assainissement et à la réduction des risques de transmission de la maladie. La réponse à l’épidémie demeure confrontée à plusieurs défis majeurs, notamment la faible adoption des mesures d’hygiène de base par les communautés, l’insuffisance des sources d’eau potable, la persistance de la défécation à l’air libre dans les villages riverains et les difficultés d’accès à ces localités, qui limitent la mise en œuvre efficace des interventions de prévention et de contrôle de la maladie.

CAR: République centrafricaine : Rapport de situation N°76, au 14 juillet 2026 Read More »

tchad bulletin humanitaire de mai juin 2026

Tchad – Bulletin humanitaire de mai-juin 2026

Country: Chad Source: UN Office for the Coordination of Humanitarian Affairs Please refer to the attached file. FAITS SAILLANTS En 2026, le Tchad est menacé à la fois par des risques d’inondation et de sécheresse. Plus de 60 000 personnes ont été forcées de quitter leurs domiciles au Lac en raison des opérations militaires décrétées par le gouvernement. Les résultats de l’analyse du Cadre harmonisé de mai estiment à plus de 3,18 millions le nombre de personnes en insécurité alimentaire entre juin et septembre 2026.

Tchad – Bulletin humanitaire de mai-juin 2026 Read More »

CAR: Two weeks after the attack on Am – Dafock, MINUSCA continues its efforts to protect civilians, maintain state authority, and facilitate the delivery of humanitarian assistance

Country: Central African Republic Source: UN Multidimensional Integrated Stabilization Mission in the Central African Republic Bangui, 15 July 2026 – Two weeks after the armed attack of 30 June on Am-Dafock, in the Prefecture of Vakaga, the situation has gradually calmed down since 5 July, although it remains fragile and unpredictable. During its weekly press conference, MINUSCA reviewed the actions undertaken since the beginning of the crisis, emphasizing that they are centered on three priorities directly linked to the mandate entrusted to it by the United Nations Security Council: protection of civilians, support for maintaining and extending State authority, and facilitating the delivery of humanitarian assistance. “The question now is how these three priorities are translated into concrete action on the ground. That is precisely what we are witnessing today in Am-Dafock,” said MINUSCA Acting Spokesperson Joël Ndoli Pierre. Since 30 June, 17,585 displaced persons have continued to seek refuge near the MINUSCA Temporary Operating Base, where peacekeepers ensure their protection through a permanent presence and regular patrols. The Mission’s base has become a place of refuge for many families. “It is thanks to MINUSCA that we are still alive. They took us in and are protecting us here,” said a displaced woman. Another displaced person added: “We thank MINUSCA for its presence and hope that its capabilities will be strengthened so that it can continue to protect the population.” As the Acting Spokesperson recalled, “The first priority was, of course, to protect the population.” This protection remains the Mission’s foremost priority today, as it continues its patrols while remaining present alongside displaced persons without interruption. The Mission has also contributed to maintaining State authority by enabling the local administration to continue operating despite the destruction caused by the attackers. Following the destruction of the Sub-Prefecture offices, MINUSCA quickly set up a secure workspace near its base so that the Sub-Prefect could continue to perform his duties in service of the population. “Thanks to this support, I am able to continue performing my duties in service of the population,” emphasized the Sub-Prefect of Am-Dafock. This support is part of the Mission’s ongoing efforts over several years to sustainably strengthen the State’s presence in this border locality, notably through the construction of the Sub-Prefecture, the Gendarmerie station, and the Town Hall. “Beyond the emergency response, this action is part of the Mission’s ongoing commitment in Am-Dafock,” Joël Ndoli Pierre also emphasized, recalling the investments made by MINUSCA in recent years to support the return of the administration to this border area. At the same time, MINUSCA continues to support humanitarian partners in addressing the urgent needs of affected populations. Since the beginning of the crisis, the Mission has facilitated the transportation of humanitarian teams, ensured their safe movement, and enabled the delivery of more than three tons of medicines, medical supplies, emergency kits, water, sanitation and hygiene equipment, as well as other essential items for displaced persons. “No response to such a crisis would be complete without the efforts of humanitarian partners,” the Acting Spokesperson recalled. MINUSCA therefore continues to help create the security conditions necessary for humanitarian actors to assist affected communities and facilitate the delivery of emergency assistance. During the same press conference, the Mission also highlighted other activities being carried out as part of its mandate. In the western part of the country, new capacity-building sessions were organized for the Transhumance Working Groups in Paoua, Batangafo, and Bembéré to strengthen mechanisms for dialogue, mediation, and conflict prevention between herders and farmers. Lastly, MINUSCA provided an update on its Disarmament, Demobilization and Reintegration (DDR) and Community Violence Reduction (CVR) activities in the Prefecture of Nana-Mambéré. Following disarmament operations conducted in Ndongué-Douane, several dozen combatants voluntarily laid down their arms. To address the expectations expressed by local communities, the Mission is now supporting beneficiaries in Niem-Yelewa through a reintegration project centered on livestock farming, income-generating activities, and strengthening social cohesion. This initiative helps provide economic opportunities for young people while contributing to the sustainable consolidation of peace. Through these actions, MINUSCA reaffirms its commitment to continue implementing its mandate alongside the Central African authorities in order to protect populations, strengthen the presence of the State, and create the conditions conducive to a sustainable return to peace.

CAR: Two weeks after the attack on Am – Dafock, MINUSCA continues its efforts to protect civilians, maintain state authority, and facilitate the delivery of humanitarian assistance Read More »