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Mamba ma-disa-helene-briefing-2016


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SANRU’s partnership with the Ministry of Health to mobilize faith-based networks and serving as a principal recipient of GAVI funds in DR Congo will showcase how faith-based organizations contribute to stronger health systems and supply chains for immunizations.

Published in: Healthcare
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Mamba ma-disa-helene-briefing-2016

  1. 1. IMMUNIZATION AND THE FAITH COMMUNITY IN DRC Dr Helene MAMBU-MA-DISU Senior Program Officer, Sabin Vaccine Institute
  2. 2. 1. Contexte de la RDC Plusieurs ZS d’accès difficile Area: 2 .345.000 Km2 Population: 70,000,000 inhabitants Difficult geographic Access infanto juvenile mortality rate: 104 per 1 000 LB (EDS 2013) Decentralized country with 26 provinces, 516 health zones (HZ) and 8830 health areas serviced by health centers No circulating wild polio virus since 4 years A total of 10 antigens being administered to children under five. Measles immunization coverage is 81% (2015)
  3. 3. EXPANDED PROGRAM ON IMMUNIZATION IN DRC  1978 after smallpox eradication  Fixed, outreach and mobile strategies from existing hospitals and health centers.  Mobile strategy in the rest of the national territory  Cold chain often provided by faith-based communities.  Since1980, all immunization activities are integrated in the basic health services except for the campaigns.
  4. 4. Buta Isiro Aru Lokutu Kisangani Bunia Butembo Goma Uvira Bukavu Kindu Kalemie Likasi Lubumbashi Kamina Kolwezi Gbadolite Gemena Bumba Lisala Mbandaka Boende Inongo Bandundu Kenge Kikwit Kananga Tshikapa Luiza Luiza Lodja KabindaMBJ MueneD Boma Mbanza Ng Matadi Dépôt Central Kinshasa Making Vaccines Available At All the Levels
  5. 5. EPI AT PROVINCIAL LEVEL COORDINATION ANTENNA 1 ANTENNA 2 ANTENNA 3 ANTENNA 4 Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé Zone de santé
  6. 6.  Primary Health Care  Decentralized Health Zones  Collaboration with churches in providing PHC and HZ management  Projects to implement the above Principles for Sustainable Health Systems Development in DR Congo (established in 1975)
  7. 7. NATIONAL HEALTH SYSTEM  DRC is one of first African countries to adopt health district {health zone (HZ)} as operational entity for planning, implementing and evaluating health activities.  National territory divided in HZs (516 at present)  HZ developed around existing hospitals, (many of which were faith-based) (medical officer, expatriate and or national)  Each HZ divided into health areas covered by existing health centers or to be developed (many of the existing health centers were faith-based) (qualified nurse)  Health promotion activities from the village up with strong participation of churches  Preventive and curative activities from health center up
  8. 8. FBO-managed Health Zones (2015) In 2915 40% of DR Congo’s 516 health zones are managed with FBOs/NGOs
  9. 9. Vaccinations GAVI PR SANRU GAVI in DR Congo with USAID Support
  10. 10. Contributions of Faith-Based Communities to the improvement of immunization coverage in DRC  Provision of cold chain equipment for good quality vaccine storage  Support to community health workers for social mobilization  Provision of immunizations free of charge  Social mobilization during church services  Training of health personnel  Provision of incentives to health personnel
  11. 11. Thank You!