Access has been deteriorating throughout CAR in October and November 2017. In particular, access constraints due to violence and restrictions on movement have been reported in Batangafo (Ouham), Bangassou and Pombolo (Mbomou), Kaga-Bandoro (Nana-Grebizi), Zemio (Haut-Mbomou), and Nouffou (Mambere- Kadei). As of early November, over 200 attacks have targeted humanitarian workers, with 13 workers killed since January.