In 2001, a Ministerial Ordinance created the Programme National de Santé de la Reproduction with a mandate to establish norms for family planning service delivery in the DRC and to conduct activities that promote family planning (as well as other aspects of reproductive health, such as safe motherhood). A few of its divisions include: family planning, training, behavior change communication, and evaluation/monitoring. The strategy of PNSR is to develop health activities, provide institutional support at central provincial levels, advocate for resource mobilization, supply drugs and consumables, and strengthen partnerships and inter and intra collaboration. PNSR also encourages community participation and ensures the sexual and reproductive health for refugees and people in special situations as well as the general population. PNSR is housed in the offices of its predecessor project, PSND (Projet des Services des Naissances Desirables). The PNSR collaborates with almost all other organizations working in family planning in DRC, given its mandate for coordination. Unfortunately, the PNSR lacks the financial and material resources required for its implementation, as is the case with most specialized programs of the Ministry of Health. PNSR offers the implant, injectables, IUDs, male condoms, and oral contraceptive pills.
The Programme National de Santé de l’Adolescent (PNSA) is a specialized program of the Ministry of Public Health established by ministerial decree in March 2003 and whose mission is to ensure the promotion of adolescent health by managing health issues and adolescent development. The function of the program is to (1) develop guidelines, standards, and strategies for the promotion and development of adolescent health, (2) integrate adolescent health into the National Health System, (3) develop a diagnosis system for the control and management of health problems of adolescents, (4) ensure the development of research that promote adolescent health, and (5) coordinate interventions for the health of adolescents. PNSA’s activities currently cover seven of the 11 provinces in the country and are conducted mainly in five youth centers and 60 health centers. Services offered are concentrated on preventing unwanted pregnancies, fighting HIV/AIDS, and STI management. In order to promote responsible sexual behavior among teenagers, the youth centers and health centers organize activities for IEC / BCC through awareness campaigns (Forum Theatre, disco forum, focus groups, educational talks). PNSA is financially supported by UNICEF, WHO, and UNFPA. Youth centers and health centers offer the pill, female and male condoms, and Cyclebeads® to young people.
M. MWANDA Mbadu
Avenue des cliniques n° 43/cliniques kinoises
Commune de la Gombe, Kinshasa, RDC
(+243) 089 89 40 247
The MOH is responsible for health policy and system regulation, national programs, and tertiary hospitals. The SRSS (Strátegie de Renforcement du Système de Santé) outlines the broad range of health areas under its mandate (although it does not specifically mention family planning). The delivery of health services is organized through 515 health zones that operate in decentralized fashion; they are governed by the norms of the MOH. Each health zone offers a “paquet minimum d'activites” (PMA), which covers a number of primary health care interventions including family planning. It executes its role through the Programme National de Santé de la Reproduction (PNSR).
This Ministry is responsible for defining policy for the socio-economic development of the country. It establishes government priorities and mobilizes resources (both governmental and donor resources). In 2011, through the Document of the Strategy for Growth and Poverty Reduction (DSCRP 2; Document de la Stratégie de Croissance et Réduction de la Pauvreté, 2e génération), it publicly recognized the demographic challenge, which has recast family planning from only a health issue to a tool for socio-economic development. The 7 milliards d’actions (7 billion actions) UNFPA campaign was initiated in the country during the World Population Day on July 11, 2011 in Kinshasa to discuss rapid population growth in the country. During the event, the UNFPA representative in the DRC, Richard Dackam, said, "the campaign will remind everyone of what it means to live in a world that consists of 7 billion people and will encourage everyone to act on problems that affect us all."
This Ministry chairs a Steering Committee, which consists of delegates from 11 ministries, MPs, and 15 women’s organizations. The Ministry works to ensure equal rights for women throughout the country. Two priority topics in sexual and gender based violence and the reduction of maternal mortality in the DRC. In this context, the Ministry also promotes family planning and works towards creating a more favorable socio-cultural environment for contraceptive use. Due to the increased focus on women, the gender component will be a consideration in the Poverty Reduction Strategy Paper (PRSP), which coordinates interventions developed to address the Millennium Development Goals. The policy advocates for the adequate supply of financial resources for reproductive health and family planning and family planning promotion to avoid all unwanted pregnancies.
This Ministry has overseen the development of family life education programs in collaboration with SCEV (Service Central de l’Education à la Vie) for school-aged children from level 5 primary to level 6 secondary. (It is unknown how widespread this program is in the schools.)