mamba ma-disa-helene-briefing-2016
TRANSCRIPT
IMMUNIZATION AND THE FAITH
COMMUNITY IN DRC Dr Helene MAMBU-MA-DISU
Senior Program Officer, Sabin Vaccine Institute
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)
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.
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
Kabinda MBJ
MueneD
Boma Mbanza Ng
Matadi
Dépôt Central
Kinshasa
Making Vaccines Available At All the Levels
EPI AT PROVINCIAL LEVEL COORDINATION
ANTENNA 1 ANTENNA 2 ANTENNA 3 ANTENNA 4
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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)
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
FBO-managed Health Zones (2015) In 2915 40% of
DR Congo’s 516 health zones
are managed with FBOs/NGOs
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