September 16, 2026
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Healthcare reform: Massively expanding patient-centered care

Bangui, October 29, 2025 - An ambitious public-private partnership (PPP) project aims to modernize the healthcare system in the Central African Republic. It is part of the National Development Plan 2024–2028 and aims to improve access to high-quality healthcare services and significantly reduce mortality in the country, particularly among children under five and newborns.

The health situation in the country is tense. Long journeys to the few existing hospitals, a shortage of skilled workers, and inadequate infrastructure make access to medical care difficult. The government now wants to change this.

The project takes a holistic approach that integrates infrastructure, technology, and training. The plan is to establish a fully networked healthcare system that includes inpatient and mobile hospitals, air rescue services, and a telesanté platform. This will give even remote regions access to modern medical care.

Services include primary and acute emergency care (e.g., birth complications) as well as secondary and tertiary services such as echocardiography and surgery. A long-term improvement in children’s health is to be achieved through vaccinations against childhood diseases.

In addition, a comprehensive training program for medical staff will be set up, using state-of-the-art patient simulators. The introduction of tailor-made education and training programs for local health workers, especially nurses and midwives, will also strengthen local capacities.

The expected social and health effects are significant: lower maternal and child mortality, better vaccination rates, lower costs per patient, and sustainable capacity building among healthcare personnel. The project is thus intended to strengthen not only healthcare provision but also the population’s confidence in the national healthcare system.

The project, with a total volume of USD 61 million, is scheduled to start in 2026 and be completed in 2030. It is a collaboration between the Ministry of Health and the German company Elenxis Global Connectors GmbH, as well as IterMed, a healthcare systems integrator with teams in Germany, Canada, and Switzerland. The company specializes in modular solutions that combine mobile clinics, telemedicine, emergency logistics, and supply chain services.

The project is financed through a combination of donations, own funds, and public loans.

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