MSF is present in Bossangoa, Ouham region, Central African Republic (CAR) since the beginning of the 2013 - 2014 political and security crisis, when the town (the second one in terms of population in CAR) has been the theatre of violent attacks of different armed groups against the local population, who were forced to seek refuge in churches and makeshift camps to flee from violence. MSF started then with an emergency medical and humanitarian response to help civilians and later, since 2015, the project turned into a more stable intervention to continue providing healthcare to a population still lacking basic services.

MSF currently manages the paediatric, nutrition, intensive care unit and emergency departments of Bossangoa Regional Hospital (200 beds), and is in charge of the hospital logistics and of the laboratory. Mental health consultations are also offered to the patients and recently, MSF opened a small unit to provide medical and psychological support to victims of sexual violence (Clinique Tongolo).

In addition, MSF supports the health care in the remote areas in the north of Ouham. Access to healthcare remains a huge challenge for rural populations living in the most far-off villages. Over there, people are still suffering the consequences of years of violence, instability and displacements, resulting now in extremely poor infrastructure, and a lack of available medications and medical staff.