What is healthcare in Chad like?

Facilities and Health Information

Medical facilities in Chad are extremely limited. Medicines are in short supply or unavailable, including many over-the-counter preparations sold in the United States. Travelers should carry any needed, properly labeled, medicines with them. In the event of major injury or illness, visitors generally will require medical evacuation.

There are two medical clinics in the capital of N’Djamena which offer "international standard" medical care: International SOS and Europ-Assistance. These are not walk-in clinics and advance membership is required to access services. This information is provided for informational purposes only and in no way constitutes an endorsement, expressed or implied, by the United States Department of State

Malaria is a serious and sometimes fatal disease. Plasmodium falciparum malaria, the type that predominates in Chad, is resistant to the antimalarial drug chloroquine. Because travelers to Chad are at high risk for contracting malaria, the Centers for Disease Control and Prevention (CDC) advise that travelers should take one of the following antimalarial drugs: mefloquine (Lariam - TM), doxycycline, or atovaquone/proguanil (Malarone -TM). Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area, and up to one year after returning home, should seek prompt medical attention and tell the physician their travel history and what antimalarials they have been taking. For additional information on malaria, including protective measures, visit the CDC Travelers’ Health website.

Other widespread illnesses in Chad include diarrhea and upper respiratory infections. HIV/AIDS is becoming an increasingly serious problem as infection rates are at alarming levels (up to 25 percent in high-risk groups). Meningitis outbreaks usually occur annually and several other diseases (cholera, diphtheria, chicken pox, typhoid) periodically appear.

Drinking Water Source - % of rural population improved

44.8%

Drinking Water Source - % of total population unimproved

49.3%

Drinking Water Source - % of urban population improved

improved: urban: 90.2% of population

rural: 51.9% of population

total: 60.9% of population

unimproved: urban: 9.8% of population

rural: 48.1% of population

total: 39.1% of population

HIV/AIDS - adult prevalence rate

3.4%

Hospital Bed Density - beds/1,000 population

.43

People Living with HIV/AIDS

210,000

Physicians Density - physicians/1,000 population

.06

Sanitation Facility Access - % of total population unimproved

88.1%

Sanitation Facility Access - % of urban population improved

improved: urban: 57.5% of population

rural: 4.9% of population

total: 17.3% of population

unimproved: urban: 42.5% of population

rural: 95.1% of population

total: 82.7% of population

Sanitation Facility Access - % of rural population improved

6.5%

Infectious Diseases - degree of risk

degree of risk: very high

food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases: malaria, dengue fever, and sexually transmitted diseases: hepatitis B (2024)

water contact diseases: schistosomiasis

animal contact diseases: rabies

respiratory diseases: meningococcal meningitis

note: on 31 August 2023, the US Centers for Disease Control and Prevention (CDC) issued a Travel Alert for polio in Africa; Chad is currently considered a high risk to travelers for circulating vaccine-derived polioviruses (cVDPV); vaccine-derived poliovirus (VDPV) is a strain of the weakened poliovirus that was initially included in oral polio vaccine (OPV) and that has changed over time and behaves more like the wild or naturally occurring virus; this means it can be spread more easily to people who are unvaccinated against polio and who come in contact with the stool or respiratory secretions, such as from a sneeze, of an “infected” person who received oral polio vaccine; the CDC recommends that before any international travel, anyone unvaccinated, incompletely vaccinated, or with an unknown polio vaccination status should complete the routine polio vaccine series; before travel to any high-risk destination, the CDC recommends that adults who previously completed the full, routine polio vaccine series receive a single, lifetime booster dose of polio vaccine

Animal Contact Disease (s)

Rabies

Food or Waterborne Disease (s)

Bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

Respiratory disease (s)

Meningococcal meningitis

Vectorborne Disease (s)

Malaria and dengue fever

Water contact disease (s)

Schistosomiasis

Medical Insurance

Uninsured travelers who encounter medical emergencies overseas often face extreme difficulties. Most medical insurance plans do not include coverage outside one's country. Getting medical treatment and hospital care abroad can be very expensive, and, if you need it, a medical evacuation back to your country can cost more than $50,000!

Your local embassy may assist in locating appropriate medical services, informing family or friends, and may even assist in the transfer of funds from back home. But ultimately, payment of hospital and other expenses is entirely your responsibility.

Check the terms of your health insurance policy, whether it’s your own, under your parents' policy, or through your school. If you are not covered while out of the country, you may need to purchase additional coverage. Many travel agents and private companies offer plans that will cover health care expenses overseas including emergency services such as medical evacuations.

Mental Health

Traveling or studying overseas is not a cure for health conditions such as depression or attention deficit disorder. Sometimes going abroad may in fact amplify a condition. One may not have adequate access to prescription medication or mental health facilities. In addition, culture shock, language barriers, and homesickness can deepen isolation or depression.

Before traveling, create a workable plan for managing your mental health while abroad. The availability and quality of mental health services differ widely from country to country. In many countries, one will find it difficult — and sometimes impossible — to find treatment for mental health conditions. With your health services provider or your school, put together a workable mental health plan before you go overseas.

If you have a medical or psychological condition that may require treatment while you are abroad, discuss this ahead of time with your doctor. A vacation or study abroad is a great opportunity to try new things but this is not the time to experiment with not taking your medicine or mixing alcohol with medicine.

Research the social culture of your destination to learn about how mental illnesses are viewed. Attitudes toward mental health can greatly vary between countries.

If you are studying abroad through your university, talk to your university about access to mental health services at overseas programs. Your study abroad office can help you decide what program would be best for you.

If currently receiving mental health services — including prescription medication — find out if those services and/or medication are available at your destination.

Consider the support system you’ll have in place while abroad. If possible, know ahead of time who you can consult about your mental health.

Prescriptions

While you’re abroad is not the time to suddenly realize you ran out of your prescription!

If you have a condition that requires regular medication, bring an extra quantity with you and pack it in your carry-on, just in case your checked luggage gets lost. Just remember to keep it in its original container and clearly labeled — you don’t want to create the impression you’re carrying drugs that haven’t been prescribed to you. In fact, you should check with the local embassy to make sure that your medication is acceptable to carry into the country. Some countries may consider your prescription medication to be illegal. Bring a letter from your doctor listing your medications and explaining why you need them. Doing your research and having a letter can help prevent any misunderstandings along the way.

Bring extras of any medical necessities you need, like contact lenses or glasses. You might want to pack a pair in both your carry-on bag and your checked luggage, just to be safe.

If you have allergies to certain medications, foods, insect bites, or other unique medical problems, consider wearing one of those “medical alert” bracelets and carry a letter from your doctor explaining the required treatment if you become ill. It might not be the coolest piece of jewelry you wear, but it could save your life.

Vaccinations

How important is it to do your research about vaccinations? It might just save your life! Make yourself aware of the different types of vaccinations and which ones you may need to travel to your destination. Schedule an appointment with your doctor at least four to six weeks before you travel to ensure you receive all important shots.

Be sure that you and your family are up to date on your routine vaccinations.

Which vaccinations you need will depend on a number of factors including your destination, whether you will be spending time in rural areas, the season of the year you are traveling, your age, health status, and previous immunizations.