In August 2015 UNICEF and its technical partner, the CMN, organised a qualitative research in the Sahel region of Chad to better understand positive and negative factors which may have an impact on the access of nomadic populations to CMAM services in Chad. DSC_0356   This study was annexed to a recent SLEAC assessment (August 2015) and allowed for a realisation of 48 semi-structured interviews or group discussions with a total of 304 people, out of which 146 were women and 158 men. The qualitative sampling frame included representatives of all major ethnic groups (Arabs, Daza and Fulani) spread across the states of Bahr-El-Ghazal, Batha, Guéra, Kanem and Wadi Fira, where they were most likely to be found at that time of the year. Chad transhumance The extremely challenging environment (climate change, loss of pastures, conflicts with sedentary populations during the transhumance) impacts the entire social functioning of transhumant populations as well as their individual and collective management of health. In these communities where the delicacy of the body is considered an asset rather than a handicap and where all is adapted to ensure the absolute mobility, the malnutrition is seldom recognised as an illness. If a child is malnourished, his state is linked without hesitation to that of animals, which are hungry and thus unable to feed the breeders. With very limited or non-existent screening or sensitisation activities, the CMAM programme has not yet achieved general awareness among nomadic populations, some believing that the service is reserved for sedentary communities only. Conventional outreach strategies through community health workers, or advanced strategies through mobile teams, rely little on community organisation of nomadic populations and their predictable pace of life to integrate them into CMAM programming.   [Click here to read the full Research Report in French]