DRC: High numbers of children under five at risk of acute malnutrition in parts of Greater Kasai region

Urgent aid needed in the rural areas of Kasai

Wednesday, November 1, 2017 — More aid is urgently needed in the rural areas of Kasai, central Democratic Republic of Congo (DRC), as people come out of hiding a year after conflict flared in the region, said international medical organisation Doctors Without Borders (MSF) today.

MSF teams have seen widespread malnutrition amongst children, with rates of 10% of severe acute malnutrition in several areas, particularly in towns and villages badly hit by the violence, which first erupted in August 2016. People have recently begun to return to their homes after hiding for months in the surrounding forests, exposed to disease and with little to eat.

Almost 1,000 children under five have been treated by MSF teams for severe acute malnutrition between June and September this year in nutritional centres in Tshikapa, the capital of Kasai province, and in the surrounding rural areas.

“The Kasai crisis has been completely neglected,” says MSF operational manager Gabriel Sánchez. “People returning to their villages and towns have been left on their own to rebuild destroyed homes and start cultivating crops again, often without proper tools and with their traditional sources of income severely affected.”

In the wake of the violence, many local health centres are barely functioning. “Half of the health centres we visited over the past three months had been looted, burnt or destroyed,” says Sánchez. “They are slowly resuming activities, but they are desperately short of skilled health staff, medicines and essential equipment.”

While humanitarian aid has reached the main towns of Tshikapa and Kananga, almost zero assistance has arrived elsewhere in the region, despite the fact that insecurity has not been an issue for some months.

MSF mobile medical teams are travelling to villages across Kasai province to treat people in need of medical care, in particular malnourished children, and resupply local health centres with medicines and equipment. MSF is also supporting a hospital and three health centres in Tshikapa, and has helped set up 10 outpatient therapeutic feeding centres in the surrounding rural area.

“There are still vulnerable communities in the main towns, particularly displaced people who are not yet ready to go back to their villages, and need healthcare, shelter, food and support to help them cope with the traumatic experiences they have lived through,” said Sánchez. “But  the most urgent need is for other aid organisations to deploy in rural areas across Kasai. The response has been far too slow and insignificant for a crisis of this magnitude.”

Between June and September 2017, MSF teams in Kasai province provided more than 5,000 paediatric consultations, carried out more than 200 surgeries, treated 155 people for violence-related injuries and provided care for 30 survivors of sexual violence.

In the Kasai Central province, MSF has been supporting Kananga Provincial Hospital since April 2017 and in June MSF started also to assist victims of sexual violence.

Mana 2,5 years-old is Mwake´s older daughter. Severe skin damage on her hands and legs is due to the malnutrition. Her younger brother Lukayi is also receiving treatment for malnutrition in Kansala hospital. Photographer: Marta Soszynska
Many other local premises and houses have also been targeted and burned during the looting. Photographer: Marta Soszynska
Mother and daughter admitted for treatment of malnutrition at the Mukendi health centre in Kasai, DRC. Photographer: Marta Soszynska
Ntumba Kasomba, 31, is sitting on a hospital bed in Ditekemena health centre. Ntumba arrived at the centre after spending half a year hiding in the bush. Her village Senge has been attacked by the militias. She was brutally beaten and received machete wounds on her head, her arm and her back. All but her youngest child were killed in the attack. <br/>In the bush Ntumba’s arm developed a serious infection and will have to be amputated. She could not make it to the hospital sooner out of fear of another attack. She also suffered injuries in her leg, which prevented her from walking the far distance to the hospital. Photographer: Marta Soszynska
The local health center in Masanga Anai village has been completely burned and looted by the militias. Photographer: Marta Soszynska
The local school in Masanga Anai, which hosts pupils during the day and people who lost their homes at night. Photographer: Marta Soszynska
View of the completely destroyed operating bloc. Photographer: Marta Soszynska/