Since late September, several armed clashes between government forces and militia Nsilulu, also known as Ninja, have occurred in Pool Department. According to the government, more than 60 fatal attacks have been carried out. According to the latest census in 2007, more than 126,000 people are living in these areas and have been affected by the conflict. At least 23,000 people have been displaced since March 2016. Internally displaced people are in dire need of shelter, food, and clean water. People are living with families, on church grounds, in public buildings or in overcrowded makeshift sites. Following significant sustained fighting early 2017, thousands more people were estimated to be displaced. However, due to security issues and limited access given by the government, no independent confirmation has been possible, leaving uncertainty around the total number of displaced people.