Kanem is one of the regions of Chad that is facing a structural deterioration of the health situation. In response to the resulting lack of access to health care for the population, donors via NGOs are supporting the local health system to fill the gap in state funding. The global geopolitical situation, which is changing the priorities of donors, casts doubt on the future of health funding in fragile countries. M?decins du Monde (MdM) is one of the...