Central African Republic Safety Guide
Health, security, and travel safety information
Emergency Numbers
Save these numbers before your trip.
Healthcare
What to know about medical care in Central African Republic.
Healthcare System
The healthcare system in CAR is among the most underdeveloped in the world, severely impacted by years of conflict and instability. Medical facilities are extremely limited, even in Bangui, with most hospitals lacking basic supplies, equipment, and qualified staff. Outside the capital, medical care is virtually non-existent.
Hospitals
The main facilities in Bangui include Hôpital de l'Amitié (Chinese-built hospital with slightly better resources) and Hôpital Communautaire. However, even these facilities are severely under-resourced. International NGOs like Médecins Sans Frontières operate clinics that may provide better care. Private clinics exist but are still extremely limited.
Pharmacies
Pharmacies in Bangui have very limited stock, often lacking basic medications. Counterfeit and expired medications are common. Bring all necessary medications from home in original packaging with prescriptions. The pharmaceutical supply chain is unreliable.
Healthcare Tips
- Arrange medical evacuation insurance before travel with a reputable provider experienced in high-risk destinations
- Bring a comprehensive medical kit including prescription medications, antibiotics, antimalarials, water purification tablets, and first aid supplies
- Identify the nearest medical facility and evacuation route upon arrival
- Register with your embassy immediately upon arrival so they can assist in medical emergencies
- Consider traveling with a medical professional if part of an organizational mission
- Maintain up-to-date vaccination records and bring copies
- Have blood type documentation and any critical medical information easily accessible
Common Risks
Be aware of these potential issues.
Armed groups control significant portions of the country, with frequent clashes between factions, attacks on civilians, and banditry. Violence can erupt suddenly and unpredictably, including in Bangui.
Armed robbery, carjacking, home invasions, and violent assault are common. Criminals are often armed and willing to use violence. Kidnapping for ransom targets foreigners, aid workers, and business people.
Pickpocketing, bag snatching, and opportunistic theft are common in Bangui, particularly in markets, crowds, and near hotels frequented by foreigners.
Numerous official and unofficial checkpoints exist throughout the country, operated by various armed groups, military, and police. Harassment, extortion, and detention at checkpoints are common.
Roads are in extremely poor condition with potholes, lack of signage, and minimal lighting. Many roads become impassable during rainy season. Traffic accidents are common, and medical response is non-existent.
Malaria is endemic throughout CAR year-round, with high transmission rates. Other diseases include dengue fever, yellow fever, typhoid, cholera, meningitis, and sleeping sickness. HIV/AIDS prevalence is high.
Years of conflict have left landmines and unexploded ordnance in various areas, particularly in former conflict zones and along roads in rural areas.
Political demonstrations, strikes, and civil unrest can occur with little warning and may turn violent quickly. Security forces may use excessive force to disperse crowds.
Scams to Avoid
Watch out for these common tourist scams.
Officials at checkpoints demand payment for fabricated violations or 'processing fees.' This can range from police and military to armed group members manning illegal checkpoints.
Criminals pose as police, military, or government officials to extort money, gain access to compounds, or rob victims. They may have uniforms and fake credentials.
Hotels and service providers significantly overcharge foreigners, particularly for basic services. Prices may be inflated 5-10 times normal rates with little recourse.
Unofficial money changers offer better rates but provide counterfeit bills, short-change customers, or work with accomplices to rob victims after transactions.
Fraudulent business opportunities, particularly in mining and natural resources, target foreign investors with promises of high returns. These often involve fake permits, non-existent resources, or partnership fraud.
Safety Tips
Practical advice to stay safe.
General Security
- Register with your embassy immediately upon arrival and maintain regular contact
- Employ professional security services with armed escorts for all movement
- Stay in secure, fortified accommodations with 24-hour armed security
- Maintain multiple communication methods including satellite phone
- Keep a low profile and avoid discussing travel plans or activities publicly
- Vary your routes and schedules to avoid predictability
- Have evacuation plans prepared and rehearsed with multiple exit routes
- Maintain situational awareness at all times and trust your instincts
- Keep emergency supplies including food, water, and fuel for at least 72 hours
- Never travel alone under any circumstances
Document Security
- Carry certified copies of passport and keep originals in secure location
- Have multiple copies of all important documents stored in different locations
- Keep digital copies of documents accessible offline and in secure cloud storage
- Carry passport-style photos for potential documentation needs
- Maintain vaccination records and medical information in accessible format
- Have embassy contact information memorized and written in multiple places
- Keep proof of travel insurance and evacuation coverage readily available
Communication
- Invest in satellite phone or communication device as cellular coverage is unreliable
- Establish regular check-in protocols with your organization or family
- Learn basic French phrases as it is the official language
- Download offline maps and security information before arrival
- Have emergency contact numbers programmed and written down
- Understand that internet is extremely limited and unreliable
- Use secure communication methods for sensitive information
Health Precautions
- Begin antimalarial medication before arrival and continue as prescribed
- Drink only bottled, boiled, or purified water
- Avoid ice, raw foods, and unpeeled fruits and vegetables
- Eat only thoroughly cooked hot foods from reliable sources
- Practice rigorous hand hygiene with soap or hand sanitizer
- Avoid contact with animals including dogs, monkeys, and bats (rabies risk)
- Use insect repellent containing DEET and sleep under treated mosquito nets
- Avoid swimming in freshwater due to schistosomiasis and other parasites
- Seek immediate medical evacuation for any serious illness or injury
Money and Valuables
- Bring sufficient hard currency (Euros preferred) as ATMs are unreliable and often non-functional
- Keep cash in multiple secure locations on your person and in accommodation
- Use hotel safes for valuables but understand security is not guaranteed
- Avoid displaying wealth including jewelry, expensive watches, or electronics
- Keep only small amounts of cash accessible for checkpoint 'fees'
- Notify your bank of travel plans but understand card usage is extremely limited
- Have emergency funds accessible through multiple means
Transportation
- Never use public transportation or shared taxis
- Only travel in well-maintained 4x4 vehicles with security features
- Avoid all travel after dark without exception
- Travel in convoys with multiple vehicles when possible
- Ensure vehicles have adequate fuel, spare parts, and communication equipment
- Use drivers with local knowledge and security training
- Plan routes carefully and have contingency routes prepared
- Avoid the airport road at night and be vigilant even during daytime travel
Information for Specific Travelers
Safety considerations for different traveler groups.
Women Travelers
Women travelers face significant additional risks in CAR beyond the already severe general security situation. Sexual violence is widespread and has been used as a weapon of war. Gender-based violence is common, and women face harassment and discrimination. Women should not travel to CAR without robust security arrangements and preferably as part of an organizational mission with established security protocols.
- Never travel alone under any circumstances; always have security escorts
- Stay in secure accommodations with trusted security personnel
- Avoid all non-essential interaction with strangers
- Travel as part of established organizational missions with security protocols
- Maintain conservative dress and behavior to minimize unwanted attention
- Have emergency contacts including embassy and security team immediately accessible
- Be aware that sexual violence is used as a weapon in conflict areas
- Understand that reporting sexual assault may be difficult with limited police capacity
- Consider traveling with female colleagues when possible for mutual support
- Have access to emergency contraception and post-exposure prophylaxis if needed
- Maintain communication protocols with trusted contacts
- Avoid areas known for high rates of gender-based violence
LGBTQ+ Travelers
Homosexuality is not explicitly criminalized in CAR, but there are no legal protections for LGBTQ+ individuals. Same-sex relationships are not recognized, and there is no anti-discrimination legislation.
- Exercise extreme discretion regarding sexual orientation or gender identity
- Avoid any public displays of affection with same-sex partners
- Do not discuss LGBTQ+ topics openly or publicly
- Understand that LGBTQ+ rights are not recognized or protected
- Be aware that discrimination and harassment are likely if orientation is known
- Have secure communication with LGBTQ+-friendly support networks outside the country
- Consider whether travel to CAR is necessary given the risks
- Ensure your embassy is aware of your presence and can provide consular support
- Maintain low profile regarding personal relationships and identity
- Be prepared for hostile reactions if sexual orientation becomes known
Travel Insurance
Travel insurance with guaranteed medical evacuation coverage is absolutely mandatory for travel to CAR and should be considered a non-negotiable requirement. The complete absence of adequate medical facilities means that any serious illness or injury requires immediate evacuation to another country for treatment. Insurance should be from a reputable provider with proven experience in high-risk evacuations and 24/7 emergency response capability.
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