Bahr el Gazel Education Center

Certificate ceremony in Moussoro

Twelve people finished a level one computer class in Moussoro.

Over a period of 20 hours of instruction, students learned the basics of computing:

  • The physical components of the computer
  • The difference between the Operating System and software
  • How to use the keyboard, particularly the accents
  • How to open Microsoft Word and type up a document
  • Formatting a document with tab stops

The training finished with a ceremony at our training center.

Bahr el Gazel Health

Training in neonatal resuscitation and prevention and treatment of postpartum hemorrhage


Service au Sahel (SAS) organized training in Moussoro in coordination with the Representative of the Ministry of Health, Dr. Amboulmato Hormo. The training was led by two volunteer doctors who came to Moussoro from N’Djamena.

SAS previously organized neonatal resuscitation training at the hospital in Moussoro in November 2021 and dental extraction in October 2019.

Neonatal resuscitation at the Urban Health Center

According to the World Health Organization, “Sub-Saharan Africa had the highest neonatal mortality rate in 2020 at 27 (25–­­32) deaths per 1000 live births.” Chad’s neonatal mortality rate is 32.81 deaths per 1000 live births, which is the 10th highest in the world according to the World Health Organization’s Global Health Observatory.

The first part of the training was done on 15 June 2022 at the Urban Health Center in Moussoro. 

The morning began with a visit of the Health Center, including the admitting room, the labor room, the delivery room, as well as the laboratory. Then training on neonatal resuscitation was given to six nurses and midwives.

The goal of this part of the training was to prepare the nurses and midwives to better respond to a newborn who was having trouble breathing.

Instruction was given and then the participants were able to practice resuscitation using an inflatable simulator called NeoNatalie that resembles a newborn baby. 

Training at the Moussoro Provincial Hospital

Two days of training, 16-17 June 2022, were given at the Provincial Hospital in Moussoro. Sixteen participants, a combination of doctors, nurses, midwives, and health aides were trained on three subjects: prevention and treatment of postpartum hemorrhage, neonatal resuscitation, and improved charting using the partograph.

Module 1: Prevention and treatment of postpartum hemorrhage

The WHO says that “Most maternal deaths are preventable, as the health-care solutions to prevent or manage complications are well known.” The leading cause of maternal death is “Severe bleeding after birth also called postpartum haemorrhage”, which “can kill a healthy woman within hours if she is unattended.” 

Chad has a maternal mortality rate of 1140 deaths per 100,000 live births, which is the 2nd highest in the world. The World Health Organization has a Sustainable Development Goal to reduce the global maternal mortality rate to less than 70 deaths per 100,000 live births. 

The “Bleeding After Birth Complete 2.0” program from Helping Mothers Survive, a program of Jhpiego, was used for the training. 

The training showed healthcare providers how to identify the causes of heavy bleeding and manage each one correctly. Charts were used which helped identify the steps to take for routine care and advanced care. Focus was given to rapid response in emergencies, requiring the assistance of other staff members.

Module 2: Refresher course on neonatal resuscitation

A refresher module was given on neonatal resuscitation. Like the training at the Urban Health Center, the training helped the healthcare providers know how to respond to a newborn who was having trouble breathing.

Module 3: Improved charting using the partograph

Médecins sans Frontières defines the partograph as “a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.”

The provincial hospital wanted to improve their use of the partograph in the maternity. Trainees were shown how to chart labor and delivery. They were taught how to recognize the signs for alert and the signs for action. Using a hypothetical scenario, they practiced using the partograph for charting.


With an estimated population of 349,000 people in the Bahr el Gazel, the Provincial Hospital and Urban Health Center are two of the most used healthcare structures in the province.

The 16 healthcare providers who completed the training at the hospital received certificates at the end of the training. In addition, the two doctors who gave the training each received a certificate from the Health Representative recognizing their contribution.

The association Service au Sahel is proud to have helped organize this training to reduce neonatal and maternal mortality in Moussoro and the Bahr el Gazel. Additional training in Moussoro in 2022 will be discussed in collaboration with our local partners.

Bahr el Gazel Development

Pump repair in Lugudinga

On May 12, 2022, the association Service au Sahel received a visit from a delegation from the village of Lugudinga, situated 20km southeast of Moussoro.

The delegation explained that their hand pump wasn’t working any more. The village had been able to repair the pump several times, particularly closing the holes caused by rust in the pipes. They asked the association de help them repair the pump.

On May 17 the association, along with a team of repairmen based in Moussoro, were able to go visit the village. The removal of the pipes by the repair team showed clearly that all eight pipes were too rusted to be able to be used again. The association was able to offer eight new galvanized pipes.

Once the installation was done, the pump was quickly put into service by the children who live in the village. The residents of the village expressed their thanks for the repair.

The village has around 100 households according to its residents.

Bahr el Gazel Board of Directors Development Education Center Hadjer Hadid Health Markas al Nour N'Djamena Ouaddai

2021 Year-End Report


This year-end report is a combination of updates from each of our projects. Together, they show the diversity of our activities as well as our desire to achieve our common vision:

“Reaching and transforming communities using education and development.”

The slogan of our association

We would like to thank all those who contributed during the past year to our common objectives.

Map of the primary locations where we work

Map showing the primary locations of the year-end report
The places where we worked in 2021

Report sections

The different sections of the year-end report can be downloaded below.


“There is a time for everything and a season for every activity under the heavens.” Ecclesiastes 3:1

2021 saw a new start for Markas al Nour in N’Djamena with the appointment of a new director in August. Classes and other activities were less in the Bahr el Gazel in 2021 compared to 2020. Water and community-led total sanitation continued in the Ouaddai with the same rhythm as before.

The transformation we would like to see in coming, but has not yet been achieved, so we will continue to work hard in the coming years. In the meantime, we hope that you appreciate reading the report about what we’ve accomplished in 2021.

N’Djamena, the 27th of March 2022

The Secretary General of SAS

Bahr el Gazel Health

Training in neonatal resuscitation

Service au Sahel held a two-day training in neonatal resuscitation at the Provincial Hospital in Moussoro. The course was held on November 12 and 13 and 16 medical staff from the hospital were trained.

The program teaches skills in caring for neonates with a focus on those babies who have difficulties in breathing after birth. The participants improved their practical skills in basic life support, working on clinical scenarios in small groups. Implementation of a set of simple measures like bag and mask ventilation has been shown to reduce early neonatal mortality up to 50% in the low resource setting.

The entrance to the hospital in Moussoro

Of the 16 medical staff trained, five were from the Maternity department of the hospital.

The training on neonatal resuscitation is the second collaboration Service au Sahel has had at the hospital in Moussoro. The first was a dental training in November 2019.

Bahr el Gazel Board of Directors Development Education Center Hadjer Hadid Markas al Nour N'Djamena Ouaddai

2020 Annual Report

This report gives details about the work our association did in 2020. All the reports are in French.

Table of Contents


2020 had plenty of success and challenges. The biggest challenge was the financial crisis which forced the closure of our Markas al Nour education center. Nonetheless, the center reopened its doors in order to keep offering high quality instruction. Our activities in Moussoro and Hadjer Hadid were slowed down by covid-19, but were still able to adapt and continue. We will continue working together on our common objectives in education and development in 2021.

Here are the number of beneficiaries from our activities in 2020:

Markas al Nour – N’Djamena288
Education classes – Moussoro203
Animal health videos – Moussoro120
Water, health, and mapping – Hadjer Hadid3800
Sewing and distributing masks – Hadjer Hadid800
Health and cultural videos – Hadjer Hadid100

We would like to thank all those who helped us continue advancing our goals.

The Secretary General for Service au Sahel


22 April 2021

Bahr el Gazel Education Center

Big demand for computer classes during school vacation

A record 26 students signed up got the latest computer training course, most of the youth on their summer holiday from school.

Bahr el Gazel Education Center

Opening ceremony for a computer training in the Bahr el Gazel

Service au Sahel Tchad, working with the Provincial representative of the Ministry of Youth and Sport in the Bahr el Gazel, launched a one-week computer training class for the young people involved in different associations.

The ceremony took place at the House of Culture in Moussoro. This video was taken by the National Office of Audiovisual Media (ONAMA) et published during the evening news on 20 July 2020.

Abeche Bahr el Gazel Board of Directors Development Education Center Hadjer Hadid Health Markas al Nour N'Djamena Ouaddai

2019 Annual Report

This report summarizes all the work that the association has done in 2019. All the reports are in French.

Table of Contents


2019 was a difficult year for the association. Even with many successes, the general financial climate in Chad slowed down several of our projects. Nonetheless, our work in education and development impacted thousands of people:

Markas al Nour818
Cours décentralisés49
Markaz Attafahum13
Projets de Développement – Hadjer Hadid516
Projets de Développement – Moussoro1075

We would like to thank all those who helped us continue advancing our goals.

The Secretary General for Service au Sahel


11 July, 2020

Bahr el Gazel Development

Animal Health Videos

In January 2020 the association, in partnership with the regional federation of animal farmers from the Bahr el Gazel, and with the technical support of the Ministry of Animal Husbandry, gave a training on animal health.

The videos are available on the following Youtube playlist:

The videos were done in the local language, Dazaga, also called Goran.