The insecurity and violence has forced the closure of 71 health centres, while services in 75 others have been impaired owing to the insecurity and armed attacks. Some 881,000 people have limited or no access to health care.
Patient referrals to bigger hospitals is has become complicated due to lack of ambulances. Armed groups have seized or torched several vehicles. A such patients are forced to pay for their own medical evacuation. The situation is worsened by movement restrictions due to curfews and other security measures by the authorities in Est and Sahel regions, leaving people in insecure areas with no access to medical assistance.