Overview

The Central African Republic (CAR) continues to face a protracted humanitarian crisis characterized by armed conflicts, large-scale population displacements, natural disasters, attacks on healthcare facilities, and widespread gender-based violence.

Twelve years of conflict have exacerbated long-standing structural vulnerabilities and pushed 2.4 million people (38% of the population), including 1.1 million children, into crisis conditions.

Between September 2025 and March 2026 around 1.92 million people are experiencing high levels of acute food insecurity, including 269 000 people classified in IPC Phase 4 (Emergency). CAR remains heavily dependent on international humanitarian assistance, rendering it particularly vulnerable, in a context of significant reductions in aid.

As of 30 September 2025, the Central African Republic hosted 62 602 refugees and asylum seekers, primarily from Sudan, the Democratic Republic of Congo, Chad, South Sudan, and Rwanda. While internal displacement has decreased compared to the previous year, with currently 442 320 internally displaced people (IDPs), during the first semester of 2025, internal displacement trends show a steady increase related to conflicts between armed groups in the South-East, sporadic persistent violence in the Nord-West and recurrent floodings.

Since April 2023, violence in Sudan between the armed forces (SAF) and the Rapid Support Forces (RSF) has led to a growing influx of refugees into CAR. As of 30 September 2025, more than 45 481 people have arrived from Sudan, the majority (84%) are women and children. Although security conditions remain relatively stable in host areas, there is a heightened risk of destabilization due to the presence of armed groups and tensions related to cross-border transhumance movements, which have at times resulted in clashes with local communities.

The epidemiological profile of the Central African Republic is dominated by vaccine-preventable and other communicable diseases, including several with epidemic potential, alongside a growing burden of non-communicable diseases. Since the beginning of 2025, outbreaks of measles, pertussis, meningitis, rabies, Mpox, and vaccine-derived poliomyelitis have been reported. Although the last cholera outbreak in CAR occurred in 2016-2017, the risk of re-introduction remains high, all six neighbouring countries are currently experiencing cholera epidemics. Ongoing trade activities and population movements further increase the likelihood of cross-border transmission. In 2025, CAR has a total of 1014 health facilities, with only 39.8% fully operational (according to HeRAMS). As a result, affected populations face increased competition for access to already fragile and overstretched healthcare services.

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