What we do

Discover how UNICEF builds a better future for every child in Chad

On 22 June 2025 in Adré, UNICEF Executive Director Catherine Russell visits the integrated multi-sectoral services centre, set up by UNICEF at Adré district hospital to provide support for victims of gender-based violence.   UNICEF Executive Director Catherine Russell visited Chad from 21 to 23 June 2025. During her mission to Adré, she met with government officials of the Ouaddaï province, visited the border crossing point and refugee pre-registration facilities, met with survivors of gender-based violence

UNICEF in Chad

UNICEF works in Chad and around the world to help the most vulnerable children, including access to quality health services, food, water and education, and to ensure that they grow up protected from violence and exploitation, from wherever they are and wherever they live.

Situation of children in Chad  

Chad is a landlocked Sahelian country in Central Africa of about 19.3 million inhabitants, with a population growth of 3.6%. Spanning 1.28 million km², it is surrounded by Cameroon, Central African Republic, Libya, Niger, Nigeria and Sudan. About 3 in 5 people (57%) are aged under 18. About 3 in 4 people (76%) live in rural areas. 

The country faces recurring multidimensional and complex rapid-onset and protracted humanitarian crises, including food insecurity, sociopolitical tensions, health emergencies and natural disasters exacerbated by climate change, presence of non-state armed groups in the Lake Chad Basin as well as the refugee crisis in Eastern Chad due to the conflict in Sudan (see box). Ranking 189 out of 193 on the Human Development Index, Chad’s poverty rate increased from 42.3% in 2018 to 44.8% in 20221, affecting 7.8 million people, including 5.1 million children.  

Despite progress in accessing basic social services, children in Chad continue to face severe child rights deprivations. Budgetary allocations underscore the government’s focus on security over social sectors: in the 2025 financial act, 26% of the national budget was directed to security and defense, compared to 22.5% for education, health, and social affairs combined. 

Although the under-five mortality rate decreased from 129 in 2015 to 101 per thousand live births in 20232, Chad remains the fourth highest in infant and child mortality globally. The 2024 food and nutrition crisis left more than 1.5 million under-five children stunted, with chronic malnutrition rates exceeding the very high threshold of 30% set by WHO and over half a million children suffering from severe acute malnutrition, surpassing the humanitarian emergency threshold of 2%3.  

Education has seen improvements, with gross enrollment rates over 91% in primary schools and around 31% in lower secondary schools4. However, gender disparities persist with significant gaps between girls' and boys' education rates. Less than one child out of two (48%) completes their primary education. Over 3 million children are out of school. 

Child protection remains a significant challenge, with only a quarter of births of under-five children (25%) registered and high rates of early marriage. Nearly one in five girls (24%) marry before the age of 15, about 60% before the age of 185. Almost one in five girls (19%) has a child before 18. 

Chad is highly vulnerable to climate change, ranking second globally on UNICEF's Children's Climate Risk Index. This results in major challenges such as frequent food security crises, droughts and floods that worsen already precarious living conditions and increase the vulnerability of populations, especially children. In 2024, severe flooding across the country affected more than 1.9 million people and killed 576. Access to basic drinking water and sanitation services is limited, with less than 46% of households having access, and more than 62% practicing open defecation. Social services, including schools and health facilities, have limited access to water and sanitation.  

The Sudanese refugee crisis in Eastern Chad

Following the most recent clashes in North Darfur, about 70,500 new refugees have crossed into two Chadian provinces (Wadi Fira and Ennedi East) between mid-April and the end of May 2025. In total since the beginning of the conflict in Sudan on 15 April 2023 and by June 2025, over 850,000 Sudanese refugees and more than 273,600 Chadian returnees from Sudan have arrived in the four border provinces of Ouaddai, Sila, Wadi Fira and Ennedi Est6. These provinces are amongst the most deprived areas of Chad and already struggling to host an existing population of some 400,000 Sudanese refugees living in camps since the 2003 Darfur war. About 61% of the refugees and 68% of the returnees are children under 18. 

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UNICEF’s work in Chad 

  1. Country Programme Document 2024-2026 

Every child and adolescent survive and thrive 

Aligned with Chad’s National Health Development Plan 2022–2030, efforts focus on improving child survival by enhancing key health services, prioritizing newborn care, increasing investment in maternal health, supporting community health strategies, promoting behavior change, and addressing adolescent health data gaps through national surveys.  

Every child has access to a nutritious diet 

We support the country’s National Food and Nutrition Policy by integrating health, nutrition, and social protection at the community level, improving child feeding, treating malnutrition, and promoting diverse diets through partnerships and local farming initiatives. 

Every child, including adolescents, lives in a safe and clean environment 

We work with partners to ensure sustainable, climate-resilient water and sanitation services by strengthening systems, promoting innovation, and supporting community-led solutions. The programme emphasizes women’s and adolescents’ roles, equitable access, and renewable energy use, while aligning with national goals to end open defecation and improve school WASH services. 

Every child, including adolescents, learns and acquires life skills 

We support equitable, inclusive education by improving climate-resilient infrastructure, reducing gender disparities, and promoting social cohesion. We advocate with partners for better governance, inclusive and modernized education, and multisectoral support in health, nutrition, and protection, while also enhancing teaching, preschool, and distance learning. 

Every child, including adolescents, is protected from violence and exploitation 

We support the National Child Protection Policy by strengthening child protection and justice systems to prevent violence, exploitation and harmful practices. We promote universal birth registration through digital tools, enhance civil registration services and build capacities of social and justice actors. We support case management, intergenerational dialogue and community-based protection networks. 

Every child has access to inclusive social protection and lives free from poverty 

We support the National Social Protection Strategy by expanding coverage for vulnerable children, strengthening systems like the social registry and transfer programmes, and promoting accountability. In partnership with global institutions, we build government capacities for child-sensitive budgeting, improve expenditure tracking, and encourage citizen participation in decentralized budget planning.

A baby receives a polio vaccine.
UNICEF/2026/Annadjib A baby receives a polio vaccine.
  1. Recalibration as part of the Future Focus Initiative 

Building on data evidence and the current funding context, the Country Office engaged in a recalibration exercise in 2025. Four cross-sectoral priorities were identified and agreed upon with the Government, aligned with Chad's national development plan and the UNICEF 2026-2029 Strategic Plan. A total of 46 districts of convergence were identified in the 13 most vulnerable provinces.  

Priority 1: The 1,000 Golden Days, significantly reducing child mortality and malnutrition in Chad, that threaten the survival, development, and learning abilities of young children. These factors also impact the quality of human capital, a key driver of socio-economic development. This priority aligns with Impact 1 of the Strategic Plan.  

Priority 2: Response to the Learning Crisis which aims to enhance access to education and retention of girls and boys in school, especially the most vulnerable, aligning with Impact 2 of the Strategic Plan.  

Priority 3: Resilience to Climate Change that aims to contribute to the strengthening of preparedness and response capacities and mechanisms to climate change consequences at national and local level. This priority is aligned with the Impact 5 of the 2026-2030 Strategic Plan.  

Priority 4: Sustainable emergency preparedness and response is a cross-cutting priority based on the recurring multidimensional and complex rapid-onset and protracted humanitarian crises which compromise and undermine the realization of children’s rights and its related principle to leave no child behind. This cross-cutting priority is aligned with the Impact 1, Impact 2, Impact 3, Impact 4 and Impact 5 of the Strategic Plan. 

Our key results for children

Immunization

A baby baby is being vaccinated at the health center of Bol,

During 2026, UNICEF continued to support the Government in improving the delivery of routine immunization services. With support from the Gavi-WHO-UNICEF partnership, the capacity of the vaccine cold chain network was strengthened, bringing the proportion of functional health facilities equipped with solar-powered cold chain equipment to 96 per cent by the end of the year.

In 2025, four rounds of national polio vaccination campaigns were conducted, two of which were integrated with vitamin A supplementation, deworming with Albendazole and measles vaccination. More than 6 million children under five were vaccinated with bivalent oral polio vaccine (bOPV) and novel oral polio vaccine type 2 (nOPV2), reaching 6,477,314 children in December 2025. This represented an immunization coverage rate of 114 per cent for each of the two antigens.

Furthermore, 4,487,095 children aged 9–59 months received the measles-containing vaccine (MCV), corresponding to an immunization coverage rate of 118.6 per cent.

More than 5 million children aged 6–59 months benefited from vitamin A supplementation, achieving 100 per cent coverage. In addition, more than 5 million children aged 9–59 months received Albendazole deworming treatment, representing 99 per cent coverage.

During the first half of 2026, more than 7 million children were vaccinated against polio (7,082,943), while 6,176,116 children received vitamin A supplementation and 5,966,702 were dewormed.

Birth registration

A young boy is interested in the birth certificate of his new born brother in the health center of Gonzagueville, a suburban of Abidjan, the capital of Côte d'Ivoire.  In Côte d'Ivoire, more than 2 million children are without birth certificate. In addition to being the first legal acknowledgment of a child's existence, the registration of births helps to prevent child marriage and is fundamental to the realisation of every child's right to education and healthcare.

One of the key achievements in 2022 was UNICEF’s increased focus on strengthening the interoperability mechanism between health facilities/hospitals and civil registration centres, through a dual approach combining decentralization and digitalization of birth registration, in partnership with the National Civil Registration Agency and the Ministry of Public Health and Prevention.

This approach helped nearly triple the number of health facilities reporting births through the interoperability mechanism, from 511 in 2021 to 2,034 in 2025. The mechanism now covers all provinces and reaches 100 per cent of hospitals across Chad.

Open defecation free

Students are washing their hands after using the toilets of their school in Habbenna, a suburban of Ndjamena, the capital of Chad.   In Chad, one in 17 children wash their hands with soap and water. Simply washing hands with soap and water can reduce by one-third the spread of diseases related to dirty hands such as diarrhea. For every child, clean water and a clean environment.

Chad has made significant progress in addressing open defecation.

These achievements have been driven by the Community-Led Total Sanitation (CLTS) and School-Led Total Sanitation (SLTS) approaches, as well as behaviour change initiatives promoted by UNICEF.

Furthermore, with UNICEF's support, 58,780 people in 2022 (30,566 women and 28,214 men) gained access to emergency gender-separated latrines in the provinces of Lac, Logone Oriental, Mandoul and Moyen-Chari, as well as in the city of N’Djamena.

An additional 617,271 people (320,981 women and 296,290 men) now live in villages officially declared Open Defecation Free (ODF), representing 129 per cent of the annual target.

Education

Children in the Kanem Province, northern Chad.

In 2025, UNICEF supported access to quality education for 337,174 students, including 198,826 girls, through the distribution of learning materials and support to 301 teachers. In partnership with the Child Protection Section, 134,210 children also obtained birth certificates through the “Certified Village: No Child Without a Birth Certificate” initiative, helping them remain in the education system.

In addition, 20,374 students facing learning difficulties, including displaced children, benefited from remedial classes. UNICEF, in collaboration with UNHCR and the Ministry of Education, also enabled 4,823 Sudanese refugees to sit their secondary school leaving examinations in Chad.

Despite prolonged teachers’ strikes, UNICEF supported the continuity of education for nearly 86,000 children, including more than 38,000 girls, in Chad’s most vulnerable areas. This was achieved through the recruitment of teachers, the rehabilitation of school infrastructure and the establishment of temporary learning spaces.

Meet our different sections

Health

Child health, Community health, Emergency health, immunization and polio eradication

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Nutrition

The destructive wave of malnutrition in Chad needs to be halted.

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HIV/Aids

Chad is one of the countries in Africa that is the most affected by the AIDS epidemic with an overall prevalence of 1.6% according to DHS/MICS from 2014-15

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Water, sanitation and hygiene

Lack of access to adequate water, sanitation and hygiene services causes frequent diarrhoeal diseases and malabsorption phenomena.

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Education

Although education is a priority for Chad, the country remains faced with a real challenge to achieve goal 4 of the Sustainable Development Goals.

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Child protection

In Chad, we support child protection systems to prevent and respond to child violence, abuse and exploitation.

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Emergencies

Humanitarian Action for Children. In 2020, it is expected that 4,1 million people including 2,3 million children will be in need of humanitarian assistance.

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Social policy, planning, monitoring & evaluation

A recent study on the impact of oil price decreases on child poverty estimates that the crisis placed 628,427 children -18 below the poverty line in 2018.

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