(BANGUI, March 3, 2004) Cotton farmer Faustin Bagaza, 55,
wears the cloak of poverty around him even tighter these
days. Despite harvesting his crop for two successive years,
he has made no sales. The reason? A rebellion in
northwestern Central African Republic (CAR) that has
devastated the country's agriculture, health, education and
other services.
"I have kept the cotton I harvested in 2002 and 2003 in
my house and nobody has come to buy it," he told IRIN on 26
February. Bagaza lives in Sibut, Kemo Province, 185 km
northeast of the nation's capital, Bangui. He has been able
to keep his three children at Sibut Secondary School,
despite his meagre earnings and despite not having planted
cotton in 2004.
Bagaza's situation is not unique. Poverty seems to be the
experience of most people in the northwest, an area that
bore the brunt of a six-month rebellion waged by former army
chief of staff Francois Bozize against President Ange-Felix
Patasse. The rebellion ended on 15 March 2003 when Bozize
overthrew Patasse.
History of civil strife
The country has undergone several armed conflicts since
the mid-1990s that badly affected the population. But unlike
the 1996-7 mutinies and the May 2001 coup attempt by former
leader Andre Kolingba, which affected a section of Bangui
residents, Bozize's October 2002 to March 2003 rebellion
wrecked havoc in five provinces: Ouham, Ouham Pende, Nana
Grebizi, Kemo and parts of Ombella Mpoko. Thousands of
people abandoned their homes for the bush or for
neighbouring Chad.
As a result of the rebellion, most peasant farmers lost two
planting seasons and have had no buyers for their last
cotton harvest; health and educational facilities were
looted, exposing people to diseases and epidemics; and
insecurity increased in villages as armed robbers acquired
modern guns and ammunition.

Photo: IRIN
Homes destroyed during six months
rebellion.
So far, an estimated 41,000 refugees remain in southern
Chad, afraid to return home because of continued insecurity,
the collapse of infrastructure, and destruction of villages.
To assess the situation and to prick the conscience of the
international community to the plight of people living in
the northwest, a mission of the UN Office for the
Coordination of Humanitarian Affairs (OCHA) arrived in the
country on 22 February for a two-week evaluation tour.
Headed by Special Humanitarian Adviser Ramiro Lopes Da
Silva, the mission toured the provinces of Kemo, Nana
Grebizi and Ouham from 26 to 28 February. Besides other OCHA
officials, those from the UN Children's Fund, the UN
Development Program, the UN Food and Agriculture
Organization and the UN World Food Program (WFP) accompanied
Da Silva.
Plight of cotton farmers
The UN mission found that despite the adverse impact of the
rebellion on the cotton-rich northwest, farmers had been
picking their cotton - their major source of income - since
2002. Unfortunately, the cotton factory in Bossangoa, 305 km
north of Bangui, was looted during the rebellion and its
equipment taken to Chad by former rebels loyal to Bozize.
Consequently, the Société Centrafricaine de Developpement
des textiles (Socadetex), which was the only taker, was
unable to buy from the farmers.
"Together with Socadetex, we began in January a campaign
among farmers to encourage them to resume cotton farming,"
Jean de Dieu Sepokode, the deputy governor of Sibut, told
IRIN.
He said Socadetex would rehabilitate its factories and could
buy this year's cotton harvests.
On 3 February, CAR Prime Minister Celestin Gaombalet set up
a committee to coordinate the rehabilitation of cotton
factories in Bossangoa and Bambari, 385 km northeast of
Bangui.
In villages along the road from Sibut to Kabo, a town 260 km
north of Sibut in Ouham Province, farmers like Bruno Gona
dumped cotton on the road for lack of storage room in their
homes.
"The cotton I have in my house is worth up to 300,000 francs
CFA [US $580]," Bruno Gona, a 25 year-old cotton farmer from
the village of Patcho, 60 km south of Kabo in Nana Grebizi
Province, told IRIN on 27 February.
In 2003, when an oil and soap firm, the Huilerie, Savonnerie
de Centrafrique (Husaca) learnt of the cotton farmers'
plight, it urged them to switch to maize and pledged to buy
their crops. However, when the maize was harvested, the firm
failed to keep its promise.
"We have stored our maize harvests in one of the village
chief's houses as we wait for a buyer," Gona added.
Health care beyond the reach of many
Due to the extreme and widespread poverty resulting from the
destruction of cotton factories, people in the northwest
have opted for traditional medicines when ill, given that
they are cheaper and more readily available than modern
medicines in hospitals and pharmacies.
Since the end of an emergency medical aid programme in
December 2003, implemented by the Roman Catholic Association
des Ouevres Medicales des Eglises en Centrafrique (Assomesca),
drug prices have soared beyond the reach of the average
citizen.
Paul Nganda, a medical assistant in Sibut Hospital, one of
those previously covered by the Assomesca's program, told
IRIN on 26 February that the number of patients reporting to
the hospital had decreased 50 percent since January.
He said that during Assomesca's program, an adult paid 600
francs CFA (US $1.17) and a child 250 francs (49 US cents)
for consultation, medication and hospitalization where
necessary.
"Now all depends on the type of treatment the patients needs
or on the duration of his hospitalization," Nganda said.
He added that the cost could increase from 3,000 to 5,000
francs ($5.89 to $9.83). Most patients in the hospital
complained of malaria, parasites, respiratory infections and
tuberculosis (TB).
A laboratory technician at Sibut Hospital, Raul Abrou, told
IRIN six patients had tested positive for TB in February and
that they were being treated free of charge.
Cheap and dangerous drugs
The increase of health care costs has pushed people to rely
on unauthorized street-side drug sellers. These drugs,
though cheaper than those sold in hospital, pose a danger to
consumers.
Felicite Kodromoundjou, a mother of five selling cassava in
Sibut market, said she could not afford modern medicines and
her children's schooling from the 300 to 600 francs CFA that
she earned from daily sales.
Gona said in order to seek medication at the Patcho health
center, 50 meters from his house, he had to sell a basket of
cassava or maize.
"If nobody buys it, as it is usually the case, then I take
the traditional medicine made out of a mixture of roots and
leaves," he said.
Moreover, several villagers have returned home with tropical
ulcers after spending months hidden in the forests. The
disease starts with bacteria and then other parasites
entering the body, causing a painful and itchy pimple on the
skin that, once scratched, erupts to expose a grotesque
sore.

Photo: IRIN
A man with a tropical ulcer
"If not treated on time, it provokes gangrene and
necessitates amputation," Dr. Joseph Foumbi, a UNICEF
representative, told IRIN on 27 February.
He added that malnutrition offered a fertile breeding ground
for the disease. In Nana Outa village, 480 km northeast of
Bangui in Nana Grebizi Province, the disease appeared in
early January and affected mostly children. One parent told
IRIN that 42 of 269 children in the village's primary school
had been sent home for treatment and to avoid risks of
contaminating others.
"The only treatment we offer is to wash the wound with eau
d'Aquin [a disinfectant]," Clement Kakodamba, a nurse
running the village's health center, told IRIN.
Serious cases are referred to the larger health center at
Ouandago village, 12 km to the north. The only medical
assistant at the Ouandago health center, Desire Badapou,
said he received an average of 10 to 12 patients daily with
the ulcer but was able to heal them with a combination of
antibiotics. However, he said, his drug stock was almost
depleted while the number of patients continued to increase.
Schools lack stationery
On the education front, school activities in the northwest
resumed in June 2003, three months after the end of the
rebellion. The school year 2003-2004 began in December 2003
with children and teachers starting classes without
notebooks and pens.

Photo: IRIN
Patcho Primary School, where
students and teachers have no pencils or notebooks.
One of the two teachers at Patcho Primary School,
Appolinaire Assana, said that UNICEF had donated three
notebooks and a pen to each of the 302 pupils in October
2003 but that the school had since run out of stationery.
The school was among those that had been receiving food from
the WFP since December 2003, under the agency's school
feeding program in four war-affected provinces. This, Assana
said, had encouraged children to attend class and prompted
those still in hiding to come home.
Insecurity persists
However, despite the gains in education and agriculture,
insecurity has persisted in the country. The phenomenon of
armed highwaymen roaming the country on horseback has
existed since the early 1980s but has intensified more
recently with modern arms and more ammunition in circulation
due to war. The most affected provinces are Nana Grebizi,
Ouham and Ouham Pende and others in the east, where roads
are impassable or non-existent.
On 23 February, six highwaymen on horseback armed with AK-47
assault rifles raided the village of Donzi, 255 km north of
Bangui in Ouham Province, and wounded two villagers after
stealing their property. In response, the village youth have
formed a self-defense vigilante group of 27 volunteers,
armed with hunting rifles.
One of the volunteers patrolling the village round the
clock is, Jean Mamadou. He told IRIN on 28 February that
during the Donzi attack there had been a battle of a few
hours before the robbers overwhelmed the villagers. It was
the fourth on the village since November 2003, he said.

Photo: IRIN
Donzi self-defense volunteers
"All the activities have ceased and nobody can go to his
farm or to other villages' markets," Mamadou said.
He added that the volunteers only had three bullets
remaining. Following the attack, seven government soldiers
were sent to the village to support the volunteers.
In Kabo, 446 km north of Bangui and 60 km from the Chadian
border, cattle herders returning from exile in Chad are
reportedly armed with modern guns and were letting their
cattle invade villagers' farms.
A former rebel waiting for integration into the army and now
on duty in Kabo, Desire Jassara, told IRIN on 27 February
that security forces had recently arrested a cattle herder
with an AK-47.
The insecurity is an extra burden to the villagers as
their homes were burnt during the war in Kabo District. In
fact, increased insecurity is one of the reasons why
refugees are still reluctant to return home. Before the
rebellion Kabo District had an estimated 22,700 residents.
The district's secretary, Come Sama, told IRIN that now
there were 18,000 people in the district, the rest having
fled to refugee in camps in southern Chad.
Nearly a year after Bozize's coup, the populations in the
northwest are still grappling with the impact of the
rebellion. With time, they hope normalcy will return to
their lives once again
IRIN is a
United Nations humanitarian information unit. This article
may not necessarily reflect the views of the United Nations
or its agencies. All materials in this article copyright by
the UN Office for the Coordination of Humanitarian Affairs
2004. This article first appeared on IRIN at
http://www.irinnews.org/report.asp?ReportID=39802
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