The Democratic Republic of the Congo, also known as DR Congo, DRC, DROC, Congo-Kinshasa, or simply the Congo is a country located in Central Africa. It has a population of 67 million people.
The Democratic Republic of the Congo (DRC) is the second-largest country in Africa. Following a long history of conflict, the DRC has experienced relative political stability in the last few years, except for the Eastern region. With limited infrastructure, it is considered as one of the most difficult countries in which to deliver health care services. Health problems, including AIDS, malaria and TB, have been longstanding issues that limit development in the DRC, and current geographic coverage of healthcare is limited. The Global Fund is the major donor providing antiretroviral treatment, first-line TB drugs, bed nets and other related services. The country continues to face a variety of disease-specific challenges, including low rates of HIV testing, poor coverage of prevention of mother-to-child transmission programs, and insufficiently integrated services for TB/HIV co-infection. There is a significant need to scale-up coverage for routine distribution of bed nets, and diagnosis and treatment activities.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN DR CONGO
- To improve the health and quality of life of the Congolese population.
- To provide technical cooperation that effectively and efficiently responds to national priorities.
- To promote health and human development to improve the health and quality of life of the Congolese population.
- To develop the public health system and services to improve the health and quality of life of the Congolese population.
- To develop health promotion and comprehensive care to improve the health and quality of life of the Congolese population.
- To prevent and control priority communicable and noncommunicable diseases to improve the health and quality of life of the Congolese population.
- To protect and develop the environment to improve the health and quality of life of the Congolese population.
PROGRAMMES & PROJECTS
1. MANAGEMENT AND SUPPORT FOR THE NATIONAL DEVELOPMENT OF DR CONGO
To make the technical cooperation provided to respond effectively and efficiently to national priorities.
- Support for the development of public health in DR Congo strengthened.
- Management and coordination of the programme for DR Congo strengthened
2. HEALTH IN HUMAN DEVELOPMENT
To consolidate the integration of health into social development through an equity, gender, ethnic, and life cycle approach, within the political and legal framework.
- Regulations and legal instruments formulated that permit the application of the Organic Health and the policies, strategies, and plans that constitute the support required to exercise its leadership of the Health System.
- Institutional, public, and private capacity strengthened for exercising the public health monitoring function as support for health management.
- Capacity of AFRIFED strengthened to incorporate the gender and equal opportunity
- approach into the policies, plans, programs, and strategies
3. DEVELOPMENT OF THE HEALTH SYSTEM AND SERVICES
To consolidate the transformation of the sector, the steering role of AHO and the development of Health System
- Technical capacity for implementing systems to promote programs and social networks integrated by territory strengthened in all the areas of the country
- State capacity strengthened at the national and state levels for the implementation of policies, exercise of the steering role in the development of human resources for health, and public health research.
- Consolidation of a Pharmaceutical System capable of guaranteeing equitable access to high-quality, safe and effective drugs, which are administered according to basic criteria that ensure their more rational use.
- Consolidation of the Information, Education and Communication to contribute to the improvement of access and the efficient use of scientific and technical information in the health sciences.
4. PROMOTION OF QUALITY OF LIFE AND OF HEALTH
To develop and apply comprehensive care, encouraging health promotion and social development activities in priority groups, with a broad social participation.
- Capacity to develop integrated public policies and food and nutritional surveillance systems for the population strengthened, with an emphasis on priority groups.
- Capacity to formulate regulations, plans of action, and programs for adolescents and their sexual and reproductive health strengthened at the national level and in priority states to reduce maternal mortality and teenage pregnancies.
- Capacity to control and monitor the growth and development of children under 5 strengthened at the grassroots level through Community Health Facilities.
- Strengthened legal framework for executing national public policies for the prevention and control of smoking.
- Strengthened system for quality assurance and the surveillance of fluorine in food subject to compulsory fortification.
- Strengthened technical capacity of AHO Social Development at the national and district
- levels for carrying out activities related to mental health and human behaviour, within the framework of comprehensive care.
- Greater capacity to provide comprehensive care for older adults, the indigenous population, and people with disabilities, with emphases on health promotion and community participation.
- Greater technical capacity to develop campaign proposals for mass communication and inter-sectoral approaches and to create local social networks, seeking community organisation and participation in health management and promotion.
5. DISEASE PREVENTION AND CONTROL
To implement policies and strategies for comprehensive care with protection, promotion, prevention, control and rehabilitation activities for priority communicable and noncommunicable diseases, including zoonoses, emerging and re-emerging diseases, and violence.
- Strategies developed for health promotion, the protection, prevention, and control of communicable diseases, and rehabilitation.
- Surveillance systems strengthened, with a special focus on laboratory diagnoses and services for emerging and re-emerging diseases, as well as prevention.
- Human and animal health services infrastructure strengthened.
- Capacity strengthened for the design and execution of operations research for communicable and noncommunicable diseases.
6. ENVIRONMENTAL PROTECTION AND DEVELOPMENT
To develop the technical capacity of the health and environmental sector to evaluate and monitor environmental determinants, and to develop campaigns for environmental protection, risk prevention, and response to emergencies and disasters.
- Proposals formulated for policies/laws/regulations/standards in the field of environmental health and protection and emergencies and disasters.
- Institutions in the field of environmental health, emergencies, and disasters strengthened.
- Technical cooperation negotiated between government ministries
7. IMPLEMENTATION OF COOPERATION IN HEALTH AND SOCIAL DEVELOPMENT
To strengthen the institutional capacity of AHO for the coordination, mediation, and effective and systematic utilisation of technical and financial cooperation that the country receives and offers, nationally and internationally
- Greater capacity for coordinating technical cooperation in public health and social development with other national and international actors.
- Greater capacity for mediation and monitoring of the various technical cooperation activities carried out at AHO.
- Capacity for the preparation and implementation of projects for technical cooperation among countries strengthened.
AHO DR CONGO BUDGET 2020 (USD million)* based on 2017 pop 81.34 million World Bank
|1||Combating communicable diseases||1,355|
|2||Tackling non communicable diseases||1,600|
|3||Addressing determinants of health & risk factors||1,250|
|4||Modernising health system and health service||1,150|
|5||Improving preparedness, surveillance and response||1,350|
|6||Developing good governance & corporate services||1,429|
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)