Central African Republic

Our work there at a glance:

  • Construction of hospital complex in Bossembélé and Yaloké
  • Optimization of infrastructure and expansion of the hospital
  • Further training of local staff
  • Provision of medication & equipment
  • Patient care, vaccinations
  • School construction

Our goals

In the Central African Republic, our long-term goal is to build an interdisciplinary hospital complex in Bossembélé and Yaloké. The goal is to provide a functioning center for health care for the entire region.

Construction and expansion of a hospital complex in Bossembélé and Yaloké.

Rebuilding the medical infrastructure.

Provision of medication & equipment, training of local staff

Physical and psychological support for street children.

Construction of schools, improvement of education system

School education and (re)integration in families and schools.

Latest news

Project reports

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Key health data

Life expectancy

53/51 years


Infant mortality


per 1,000 births



per 1,000 inhabitants

Cap Anamur engagement in the Central African Republic

2013 – today

The situation in the Central African Republic

Political situation

Since the independence from the colonial power France in 1960, violent changes of power have been the rule in the CAR. Since the last coup in 2013, there has been civil war. Fighting between rival militia and rebel groups has dominated people’s lives. The conflict is as much about religious motives as it is about political and economic power and the securing of territorial claims and valuable resources. The 2016 election of Faustin Archange Touadéra as president in February 2016, as well as numerous peace agreements between rebel groups and the government in Bangui, have not yet led to any lasting peaceful resolution of the situation. Nationwide armed clashes have continued since the December 2020 election. Rebel groups and militias control about 80 percent of the country; large areas are considered ungovernable.

Social situation.

The social situation is devastating. There are hundreds of thousands of refugees across the country. CAR is listed by the United Nations as the second poorest country in the world, with an annual per capita income of $476.85 (World Bank 2020). Medical care for the population is disastrous and completely inadequate.

An example of this is the district hospital in the town of Bossembélé, which was once in serious disrepair. It is located about 160 kilometers northwest of the capital Bangui, which could no longer adequately supply the approximately 130,000 people living in the region. Displaced professional staff, a lack of medications, and buildings ripe for demolition rendered the clinic virtually incapable of operating. Today, through the efforts of Cap Anamur and local efforts, it is the best hospital in the region.

Am frühen Morgen und auch am Abend sitzen viele Patienten/ Patientinnen draußen im Innenhof des Hospitals in Bossembélé.

Cap Anamur has been in the country continuously since 2013. The construction and expansion of the hospital complexes in Bossembélé and Yaloké are the main focus. To support the reconstruction of the education system, we are also building new schools around our Bossembélé project site.

Mobile clinic (Joelle Münger (Cap Anamur nurse) in Joncala – on the way to the health post in Lambi.

Our commitment in the Central African Republic

Medical care and further training of local staff

Medical care and further training of local staff

At our project site in Bossembélé, we look after the regional hospital. Here, Cap Anamur’s medical staff work directly with patients on a daily basis and provide professional training to local staff. This allows best practices and important knowledge to be shared. And our teams are also learning a lot, including how to accomplish as much as possible with minimal resources.

At our central location, we provide care to more than 45,000 patients annually, in addition to approximately 5,200 vaccinations.

Yaloké Clinic

We are also active in medicine and construction at our Yaloké site. There, we have drilled water wells, successively renovated the wards of the building, and laboratory equipment and medicines are provided.

Supply of medication and medical equipment

Supply of medication and medical equipment

By providing medication, supplies and medical equipment, we ensure the facility’s permanent ability to operate. The logistics infrastructure is in a state of disrepair due to the unstable political situation and the violence that accompanies it, as well as the lack of or dilapidated infrastructure.

Joelle Münger (Cap Anamur Krankenschwester) im Gespräch mit Müttern im Gesundheitsposten in Ndjoh.
Neu gebaute Schule Bondio 2 (gebaut von Cap Anamur und der Foundation Beurer).  Projektbesuch und Factfinding-Tour von Dr. Werner Höfner (Vorstandsmitglied von Cap Anamur).
Neu gebaute Schule Bondio 2 (gebaut von Cap Anamur und der Foundation Beurer). Projektbesuch und Factfinding-Tour von Dr. Werner Höfner (Vorstandsmitglied von Cap Anamur). Seit 2013 engagiert sich Cap Anamur in der Zentralafrikanischen Republik. Das Leben wird in einem der ärmsten Ländern der Welt von Kämpfen rivalisierender Milizengruppen überschattet. Religiöse Motive spielen hier eine ebenso große Rolle wie politische und wirtschaftliche Macht sowie die Sicherung von Gebietsansprüchen und wertvollen Ressourcen. Wir sind dabei, durch die Errichtung eines interdisziplinären Krankenhauskomplexes in Bossembélé, der langfristig angelegten Gesundheitsversorgung der gesamten Region ein funktionierendes Zentrum zu geben. Weiterhin unterstützen wir auch das Hospital in Yaloke. Bildung ist der 2. Stützpfeiler unserer Hilfe, und es wurden bereits Schulen gebaut bzw. werden gerade gebaut oder geplant.

Help for an ailing school system. Rebuilding schools.

In the Central African Republic, the illiteracy rate for the over-15s is around 60 %. The school system has suffered from the years of civil war; schools were destroyed and hardly any new ones were built. In rural regions in particular, many children do not even start school because they have to contribute to the family income by working from an early age.

In order to give children access to education, Cap Anamur has been supporting the reconstruction of schools for years. In addition, professional development opportunities are provided for teachers.

What happens next

In 2023, there is still a lot to do in the Central African Republic. We continue to send medical professionals to train local staff and work directly and collaboratively with them in patient care. In addition, we are planning to build a secondary school in Bossembélé Province.

Besprechung mit dem einheimischen Personal und Vertretern des Dorfes vor dem Gesundheitsposten in Lambi: Marius Akpe (rechts, Cap Anamur Projekt Koordinator), Dr. Werner Höfner (2.v. rechts, Vorstandsmitglied von Cap Anamur), Nicklause Mboufoungou (vorne rechts, , Distrikt Chef), Joelle Münger (Mitte, Cap Anamur Krankenschwester).