Poverty and disease in Chad remain deeply intertwined, especially in rural and underserved regions. More than 40% of the population is currently living in extreme poverty with preventable diseases such as malaria, diarrheal infections and neglected tropical diseases (NTDs), including visceral leishmaniasis, continuing to spread, exacerbating an already fragile health conditions. These diseases not only harm public health but also reinforce poverty and entrench economic instability by reducing productivity, limiting education and overwhelming fragile health systems. 

According to 2022 data, 44.8% of the total population of Chad is living below the national poverty line, whilst 36.5% of the population is surviving on less than $2.15 per day. This dual burden of disease and deprivation underscores the importance of integrated, evidence-based solutions; an area where international health organizations are increasingly stepping up with promising, collaborative interventions.

Cross-Border Collaboration and DNDi

Chad is not fighting alone. Local health ministries, supported by international organizations, are taking significant steps to break this cycle. In partnership with the Drugs for Neglected Diseases initiative (DNDi) and the African Union, Chad has joined a cross-border collaboration with countries like Ethiopia and Sudan to eliminate visceral leishmaniasis, a deadly NTD affecting some of its poorest regions.

DNDi is a nonprofit research and development organization that works to discover, develop and deliver new treatments for these neglected diseases that primarily impact people in lower-income countries. DNDi operates on a needs-driven model focusing on affordability, accessibility and partnerships with local health systems. In Chad, DNDi has played a central role in strengthening surveillance systems, supporting local capacity to diagnose and treat leishmaniasis, as well as ensuring that life-saving medicines reach remote communities. 

Organizations Aiding Chad’s Development

Meanwhile, organizations like the END Fund are supporting large-scale treatment campaigns targeting soil-transmitted helminths and other parasitic diseases that affect school-age children. These programs also contribute to improved school attendance, nutrition and long-term development outcomes. Together, these collaborative efforts underpin a growing recognition that tackling NTDs in Chad requires both medical innovation and regional cooperation.

In addition to medical treatment, organizations such as the United Nations Children’s Fund (UNICEF) and WaterAid are investing in clean water and sanitation infrastructure, which are critical tools in the fight against waterborne diseases and hygiene-related poverty. Since the early 2000s, UNICEF has been actively working in Chad to combat poverty and disease by focusing on providing sanitary water, providing education for vulnerable children and allowing easier access to essential services, including nutrition, health and protection of vulnerable populations. Community health initiatives are also expanding, with trained health workers delivering care and education directly to families in rural areas, bridging the access gap.

Another organization who are helping to prevent the spread of the levels of poverty in Chad is the Sahel Adaptive Social Protection Programme (SASPP), World Bank. The SASPP aims to increase access to social safety nets for the poor and vulnerable population, including refugees. It focuses on building adaptive social protection systems, including cash transfers, productive inclusion and emergency support, all underpinned by digital targeting, payment and monitoring systems. The program in Chad is designed to benefit more than 780,000 people, including refugees and those in refugee-hosting communities, through various interventions like cash aid and productivity programs.

Looking Ahead

Coordinated efforts in Chad in combining disease treatment, health education, and basic services are not only saving lives but also creating a foundation for long-term economic resilience. With stronger investment and continued support, Chad has the potential to transform its health crisis into a model of community-driven recovery.

– Carise Wallbank

Carise is based in the United Kingdom and focuses on Global Health for The Borgen Project.

Photo: Flickr