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The Health sector occupies the 2nd of those which have profited from the financings of the oil incomes after education and agriculture for one decade. But in spite of this attention particularly given to the sector, the future remains dark. The average distance between the medical households and structures is 14 km at the national level against 26 km in the rural mediums which concentrate 80% of the population living with a minimal vital below 250 Currency of the African Financial Community. Poverty and the inaccessibility are thus the first factors of morbidity and mortality in the Chadian rural areas. The sub-prefecture of Donon Manga is an example. This article proposes to analyze the accessibility to medical care and the catch of load of the rural world through the case of Donon Manga in connection with the plans and project of company for a decision-making. The study is carried out starting from the investigations and the direct observations. Investigations were made near the populations, the looking after personnel and the patients of whom people living with HIV in the hospital complex of the sub-prefecture. Results of the investments are not with the height of the place to which the sector has been hoisted for one decade. The perpetuation of the problems with which people are confronted opens the door to the emergence of new actors who daily cause damage.       Key words: Rural, population, health, accessibility.

Heath Care in the rural areas in Chad: Accessibility and catch of load (case study of the sub-prefecture of Donon Manga in East Tandjil)