Mme. Gaby Kasongo
Directrice de Santé Maternelle et Infantile
M. Albert Chikuru
Directeur de Santé Reproductive
Adresse: 4630 Avenue de la Science, Immeuble USCT Bloc C Kinshasa Gombé Kinshasa, RDC
(+243) 990 030 029
(+243) 995 902 059
ASF is a non-profit organization, established in 1987, with a mission to improve the health of the Congolese people by providing contraceptives and other health products using a social marketing approach. Through their FP Project (FPP), ASF has developed a network called "Confiance", which includes 133 clinics, 421 pharmacies/drug stores, and 100 mobile educators throughout 9 of DRC’s 11 provinces; Kinshasa, Katanga, Bas Congo, Province Orientale, Kasaï Occidental, Kasaï Oriental, Equateur, Sud Kivu, and Nord Kivu. FPP socially markets hormonal, non-hormonal, and natural contraceptive methods (combined oral contraceptive pills, progestin-only contraceptive pills, Prudence male and female condoms, implants, injectables, IUDs, Cyclebeads®) under the Confiance brand. In addition, it has developed and produced an array of family planning media and promotional materials (billboards, posters, banners, short films, radio and TV spots), as well as a high volume free hotline called " Ligne Verte" to increase knowledge of family planning and respond to interest in and questions about modern contraceptive methods. PSI/ASF conducts interpersonal communication and increases awareness among truck driver drivers and commercial sex workers in addition to the social marketing of condoms in Kinshasa, Sud Kivu, and Katanga. The "Advancing Social Marketing for Health in the DRC" Project, funded by USAID, began in 2009 and was set to finish in September 2013. It was implemented in 10 provinces (Kinshasa, Katanga, Bas Congo, Sud Kivu, Nord Kivu, Province Orientale, Equateur, Kasai Oriental, Kasai Occidental, and Maniema).
Chef d'Équipe du Projet SAF-PAC
Chargée de Programme
Directeur du Programme SAF-PAC
Avenue Colonel Mondjiba, No. 149A
Commune de Ngaliema
Kinshasa, Democratic Republic of Congo (RDC)
The UNFPA funded Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAF-PAC) initiative aims to reduce both unintended pregnancies and deaths from unsafe abortion during emergencies by: 1) increasing CARE’s organizational leadership and capacity to support and sustain family planning, post-abortion care, and reproductive health services, with a focus on the MISP, in emergency response efforts; and, 2) improving coverage, quality, and utilization of these services in acute and protracted emergencies. Through SAF-PAC, CARE will integrate these essential services into its emergency response efforts, with an initial focus on three countries with critical needs: the Democratic Republic of the Congo (DRC), Chad, and Pakistan.
In the DRC, SAF PAC began in July 2011 and builds on the RAISE Initiative, also known as Uzazi Bora (safe delivery), which delivered comprehensive RH services, including Emergency Obstetric Care (EmOC), family planning (FP), and post-abortion care (PAC) services in Maniema and North Kivu provinces in the DRC from 2007-2011. Through SAF PAC, CARE DRC aims to increase the utilization of FP and PAC services in the zones of Kasongo in Maniema Province and Lubero and Kayna in North Kivu Province. To achieve this, CARE DRC is working to strengthen health service delivery while reducing social barriers to the utilization of quality reproductive health services. Health providers from 19 health facilities are receiving competency-based clinical training, supportive supervision and mentoring, and support for analyzing and utilizing program monitoring data. At the same time, Social Analysis and Analysis (SAA), Behavior Change Communication (BCC), and the Partnership Defined Quality (PDQ) approach is being employed to remove barriers to the uptake of FP and PAC services. SAF-PAC provides a wide-range of contraceptives (OCPs and female and male condoms) with a special emphasis on long lasting methods that have proven to be highly efficacious in preventing pregnancy, such as IUDs, implants, and injectables.
Depuis 1996 le Comité International de Secours a collaboré avec le Ministère de la Santé de RDC dans les domaines de l'intervention d'urgence, la reconstruction communautaire, l'éducation, la lutte contre les violences faites aux femmes et la santé, avec un engagement organisationnel grandissant pour la planification familiale et les soins post avortement dans des contextes humanitaires. Le programme de santé du Comité est développé avec des partenaires nationaux et internationaux dans 39 zones de santé situées dans cinq provinces, dont 70 hôpitaux et 800 centres de soins. Le travail du Comité dans 36 de ces zones de santé est mené en partenariat avec l'organisation Management Sciences for Health, mettant en œuvre le Programme de Santé Intégré (PROSANI), financé par USAID. Grâce à des financements d'autres donateurs, le Comité International de Secours travaille également avec le Ministère de la Santé dans 13 zones de santé où il fournit des services de santé reproductive, de planification familiale et des soins post avortement . Les activités du Comité dans le domaine de la planification familiale soutiennent le Ministère de la Santé afin de lui permettre d'offrir dans toutes les zones de santé une gamme complète de services de santé. L'approche du Comité se concentre sur trois thèmes clés : la formation des prestataires de services et du personnel de santé, l'équipement et l'approvisionnement des installations sanitaires, et la création de la demande à travers une stratégie adaptée de sensibilisation communautaire. En collaboration avec le Programme National de Santé de la Reproduction, le Comité a crée un Centre de Formation en Santé de la Reproduction à Kinshasa, offrant des opportunités de formation dans le domaine de la planification familiale et de la santé reproductive en général pour le pays.
Cordaid initiated a Results Based Financing (RBF) project in 2006 in South Kivu that has been active in 5 health zones, Shabunda, Lulingu, Katana, Miti Murhesa and Idjwi. The project offers health systems strengthening and family planning is a small component. The project has worked to improve the quality of health centers and health services, particularly for the most vulnerable populations, in the poor rural areas. The essence of RBF is a direct link between funding and results: healthcare providers are only paid when they can demonstrate that either their medical services have been improved or they have effectively treated more patients with the allocated funds. Although Cordaid does not procure, distribute, or provide contraceptives, project staff subsidizes health care services to increase their affordability and ensure that health centers have adequate supply.
In 2012, Cordaid planned to focus more on family planning in Idwiji, pairing implementation of RBF with demand creation and behavior change communication. Cordaid just started a new project in January 2013 which will run until December 31, 2015 called Innovation for Promotion of SRH and for Quality SRH Service. The project is being implemented in Burundi, South Kivu, and Rwanda. The organization will work to improve and increase sexual and reproductive health services and increase access to safe commodities for sexual and reproductive health in Burundi, Rwanda, and DRC.
DKT RD Congo is affiliated with DKT International and works to increase access to family planning methods through a reproductive health social marketing program. Active in 17 countries, DKT established its office in the DRC in 2010 and launched the sale of its brand “OK Condoms” in July of the same year. In May 2011, the organization launched on the market a contraceptive pill, an IUD, and additional condoms. Soon after, DKT RD Congo launched products under its own brand name in early 2012, and added additional contraceptive products to its portfolio. DKT RD Congo began its first activities in Kinshasa, and established extensions within two other provinces, the formely Bas-Congo (Kongo Central) and Bandundu, with plans to further expansion to other provinces of the DRC over the next two years.
DKT RD Congo also organizes and conducts family planning training programs for doctors and nurses, with a focus on long-term contraceptive methods as well as training programs for pharmacists and community mobilizers. In July 2016, DKT RD Congo launched its youth pilot project “Batela Lobi Na Yo” in order to rethink contraception as a tool for emancipation of the Congolese youth, girls as well as boys, and inspire a generation of young people in Kinshasa to protect and build their future through contraceptive methods. This program, an initiative of DKT International in partnership with the Bill & Melinda Gates Foundation, is implemented at first in the neighborhoods of Masina, Kimbanseke, and Bumbu in Kinshasa.
EngenderHealth is a leading global women’s health organization committed to ensuring that every pregnancy is planned, every child is wanted, and every mother has the best chance at survival. We train health care professionals and partner with governments, nonprofits, and communities in nearly 20 countries around the world.
EXPAND FAMILY PLANNING PROJECT
Through the Expand Family Planning Project (ExpandFP), EngenderHealth supports the Ministry of Health of the Democratic Republic of the Congo (DRC) to build capacity at zonal health facilities by training providers in family planning, including the harder to deliver long-acting reversible contraceptive methods—i.e., hormonal implants and intrauterine devices (IUDs). The approach is to increase contraceptive access and options by making family planning services available daily at nine clinics in the greater Kinshasa area, as well as hosting special periodic family planning events that offer services free of charge. These events include free services at the nine facilities once a month and mobile outreach services, which often serve more than 1,000 clients per week. In the first two years of the project, nearly 33,000 clients received family planning services in Kinshasa, and approximately 89% of Year 2 clients voluntarily adopted implants. Anecdotal evidence points to several reasons for this high uptake of implants: substantial latent demand for this highly effective method; the fact that it is a newer option for women; and recent training and quality improvement activities by multiple donors. In 2015, ExpandFP conducted a client study in the DRC, Uganda, and Tanzania to better understand women’s perceptions of quality and method choice. The study revealed that clients at all service sites overwhelmingly came to the service with a method in mind, the majority citing contraceptive hormonal implants. In all three countries, surveyed clients stated that they were satisfied with the quality of services provided and were able to receive their method of choice.
ExpandFP launched a new study to investigate ways to improve the integration of family planning throughout various health care services, especially for postpartum women attending services at hospitals in Kinshasa. An additional area of inquiry looks at the impact of cost on potential clients in choosing contraception, since these services carry a significant cost to clients. The study results are expected in late 2017.
FISTULA CARE PLUS
Since 2008, EngenderHealth has worked to improve the quality of and access to genital fistula prevention and treatment services in the Democratic Republic of the Congo (DRC). From 2008 to 2013, EngenderHealth partnered with health facilities to train providers in fistula counseling, surgical repair, and follow-up care, as well as improve access to and quality of emergency obstetric care and family planning services. Today, EngenderHealth continues working to eradicate fistula in the DRC through the Fistula Care Plus project, the largest U.S. government–funded effort to date to focus on treatment and prevention of obstetric, traumatic, and iatrogenic fistula. With support from the U.S. Agency for International Development (USAID), Fistula Care Plus conducts a full range of efforts to restore the dignity of women suffering from fistula and to address root causes so that new cases may be prevented. Integration of family planning services with both fistula and maternal health services is a key component of the project. Fistula Care Plus currently supports fistula repair services and prevention activities, including access to family planning and/or emergency obstetric care, at five facilities in DRC:
The C-Change project, funded by USAID (2007-12), provides support for a broad range of communication and capacity-building activities in the DRC. C-Change is working primarily with government and NGO partners to reposition family planning (FP) in the DRC. It has provided technical assistance and facilitation support to a large national meeting in December 2009. This activity led to the creation of a cross-sectoral forum of government, donor agencies, and civil society groups, which worked to elevate FP as a development priority for the country. In addition, C-Change has provided technical assistance in the design of materials (e.g., dialogue guide, radio dramas) to promote FP, which have been used by other organizations. Through collaboration with other partners (e.g., PROSANI), this work by C-Change is achieving broad reach throughout the DRC.
Heal Africa's Safe Motherhood Prenatal Care and Micro-Insurance Program is a health initiative being implemented in rural villages of Goma that increases access to health care and encourages reproductive health for birthing mothers and women of reproductive age. The women pay to be a member of maternity micro-insurance groups so that they can receive proper support, education, and medical care through pregnancy, delivery, and neo-natal care. The group receives a small grant and has an opportunity for income generation to manage their childbirth costs. They also receive training from a training team on all forms of contraception, including the Standard Days Method®, which is the most commonly used form of contraception in these areas due to insufficient supply of other contraceptives. The program involves men, community leaders, and faith community leaders to ensure their understanding of family planning, maternal, and infant health and participation in the childbirth process. Midwives, nurses, and doctors are trained to work together and midwives are equipped and trained to provide safe deliveries for mothers. The project offers IUD, implant, injectable, various oral contraceptive pills, emergency contraception, condoms, and the Standard Days Method® (Cyclebeads®).
The International Medical Corps (IMC) has a program called Strengthening Reproductive and Maternal Health Care Services in the Chambucha health sector, North Kivu, DRC that began in May 2011 and will conclude on June 15, 2012. Through this program, the IMC works to build the capacity of health providers through training on the use of contraceptive methods, organizes for workshops community leaders, opinion leaders, and community health workers on the importance of family planning and birth spacing, and conducts a community education campaign on the advantages of family planning methods and birth spacing. The Hickey Family Foundation, Jewish World Watch, and UNFPA, in regards to contraceptive procurement, are the primary donors of this program. The program offers condoms, pills, such as microgynon and microlut, Depo-provera, and implants to clients in the IMC clinics in North Kivu.
The Jane Goodall Institute (JGI) launched their Community Centered Conservation (DRC-CCC) Family Planning Project in 2004. The DRC-CCC Family Planning Project’s objective is to provide primary health care and family planning for an underserved population of more than 580,000 people across three health zones in the rural Maiko-Tanya-Kahuzi Biega Landscape. The project has increased access to reproductive health services by restoring health clinics and training service providers and Community-Based Distribution Agents who provide family planning information and resources within communities. This is part of a larger initiative to protect the surrounding wildlife and ecosystem. The project provides contraceptive methods to the health zones and trains service providers so they are able to dispense the contraceptives. The methods include Depo-Provera, pills, IUDs, the Standard Days Method® (Cyclebeads®), and condoms.
The Integrated Health Project (IHP) (2010-2015) or PROjet de SANté Intégré (PROSANI) is a USAID-funded project implemented by Management Sciences for Health, the International Rescue Committee, and Overseas Strategic Consulting, Ltd., designed to create better conditions for, and increase the availability and use of, high-impact health services, products, and practices. PROSANI works in 80 health zones (of the 515 total) in four provinces of the DRC: Kasai Occidental, Kasai Oriental, Katanga, and Sud Kivu. Family planning is one of 12 health topics covered. The program was designed to support the government’s National Heath Development Plan, and the mission of the program is to strengthen the capacity for leadership and governance among health personnel in the DRC to improve accessibility, availability, and quality of health services. MSH conducts workshops to train health leaders, works to increase quality services and care, provides medicine, commodities, and products, makes health infrastructure improvements, encourages good performance through results-based rewards to institutions for achievements, and enables communities to take the lead in development. MSH provides health facilities with a combination of traditional and modern contraceptive methods including IUD, implants, condoms, combined oral contraceptives, injections, Standard Days Method® (CycleBeads®), and LAM. The program has established 4 relais communautaires (community health workers) per zone that act as community-based distributors for non-medical contraceptives: male and female condoms, CycleBeads®, and spermicides; they refer those interested in other methods to local FP services. IHP donates bicycles to distribution agents throughout all 80 health zones in order to increase the number of people reached by their services each month.
MSH has also initiated the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program (2011-2016) funded by USAID, which will build on the achievements of the its predecessor the Strengthening Pharmaceutical Systems (SPS) Program by working to assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health outcomes.
Pascale BARNICH MUNGWA
DRC Mission Representative
Kinshasa Program Coordinator
Patrick LUNZAYILADIO LUSALA
Kinshasa Medical Coordinator
Avenue Panzi, n° 4
Commune de Ngaliema
Ville de Kinshasa
Médecins du Monde France (MdM-F) has worked since 1999 with Congolese authorities and civil society organizations in health promotion programs for the most vulnerable, in Kinshasa and elsewhere in the country.
In 2009, to respond to the needs of young girls living in the streets of Kinshasa and allow them to prevent unintended pregnancy, MdM-F and its partners (l’Aide à l’Enfance Défavorisée and the community of Chemin Neuf) proposed access to contraception. A KAP study undertaken in 2014 shows than in the four years of the program (2009 to 2014), contraceptive use increased from 3% to 43% while the total number of voluntary interruptions of pregnancy decreased from 40% to 23%.
Strengthened from this experience, in 2014 MdM-F opened a program based on rights and access to sexual and reproductive health (SRH) for young people and adolescents in Kinshasa. This population is the most vulnerable to geographic, financial and social barriers which limit access to SRH services. Unraveling of the social fabric, due to very rapid urbanization, has accentuated the lack of communcation and education around SRH. It contributes to inexact knowledge and to risky practices.
Thus, initially, two health zones (Kingabwa and Selembao) will be supported in developing an operational model based on three axes : (1) reinforcement of services to be offered based on a approach and the improvement of links between young people and health centers ; (2) community mobilization to increase the demand for services and promote effective and lasting change ; and (3) advocacy, working closely with civil society, to promote legal frameworks that respond to young peoples’ realities. Access to contraception, which is at the heart of this program, will be addressed in connection with issues of sexual violence, STIs including HIV, and the consequences of unsafe and illegal abortions.
MSF has worked in DRC since 1981 and currently has projects in regions of Équateur, Province Orientale, North Kivu, South Kivu, Maniema, Katanga and Kinshasa. The staff, about 2,766 employees in the DRC as of 2010, offers free medical care and family planning services. MSF supports hospitals, health centers and mobile clinics in several provinces, to reach people living in remote areas, including in the health zones of the war-torn east. Along with implementing immunization campaigns and nutrition programs, MSF provides emergency surgical care, mental health care, maternal care, family planning, and pediatric care. MSF offers family planning counseling and male condoms, OCP, emergency contraception, and implants at health centers and hospitals. MSF also provides medical, psychological, and social support to victims of sexual violence through mobile clinics, health centers, and hospitals and provides training to female counselors. Mobile clinics provide condoms or the morning after pill, and provide referral services for further consultation when necessary
Merlin is a leading charity in the UK specializing in international health. Merlin has been active in the DRC since 1997, working in Nord Kivu and Maniema provinces in partnership with the Ministry of Health to bring emergency and transitional support to the health system.
In Nord Kivu, Merlin is working with the Ministry of Health, local associations, and communities to improve access to safe sexual and reproductive health services at community, primary, and secondary level. This Family Planning (FP) program is working to strengthen and support health facilities in providing a range of family planning services, covering short term, long term, and permanent methods and safe post abortion care (PAC).
At the heart of the program is a comprehensive training package covering sensitization, theory, prescribing, and technical skills. National staff provides training and trainers are thoroughly educated in FP and PAC to ensure that good quality services are provided wherever possible. Merlin and the MoH conduct follow-up sessions to ensure ongoing implementation of new skills. All necessary supplies, equipment, and management tools are provided.
Community sensitization is included to raise awareness in men and women of the availability of FP and PAC services at their health facilities and the benefits of such practices. Merlin works with local associations, community health workers, and community and religious leaders in sensitization activities – including training individuals on conducting effective FP sensitization in their communities.
PATH received funding from USAID and the President’s Emergency Plan for AIDS Relief to initiate the DRC Integrated HIV/AIDS Project (ProVIC), a five year $45 million dollar project, which began in October 2009 and is scheduled to conclude in September 2014. While collaborating with several private and public partners at many levels in the DRC, the project operates in four HIV “hotspots” or provinces (Kinshasa, Bas-Congo, Katanga, and Sud Kivu) and works to reduce the incidence and prevalence of HIV as well as mitigate its impact on people living with and affected by HIV/AIDS. ProVIC’s implementation strategy is the Champion Community approach, encouraging communities affected by HIV/AIDS to self-organize, self-assess, and self-plan their own community driven responses to improve health outcomes for vulnerable populations. PATH’s ProVIC promotes universal access to HIV counseling and testing (HCT), especially to vulnerable high-risk populations, and therefore offers nightly mobile testing for sex workers, miners, and truckers. ProVIC is presently supporting PMTCT (Preventing Mother-to-Child Transmission) services to pregnant mothers and their children in 22 health facilities in the DRC, and will soon expand to 45 sites, offering ART according to new WHO guidelines. The project also works to improve service quality through hospital staff training and increased access to diagnostic supplies. PATH offers Cyclebeads®, LAM, OCP, male and female condoms, implants, IUD, and injectables.
Country Representative for the Democratic Republic of the Congo
1, Avenue du Paradis, Q/Basoko
Commune de Ngaliema, En face de Jewels School
In April 2013, Pathfinder International began implementing a subcontract for IMA World Health’s Access to Primary Healthcare project funded by the United Kingdom’s Department for International Development (DfID).
The project aims to strengthen health systems and provide technical assistance in order to increase population access to the Ministry of Health’s Minimum Package of Activities for primary health care. Pathfinder is strengthening the capacity of the MOH at the central and provincial level in partnership with the four implementing partners and leading the reproductive health component of the project, with emphasis on contraception and gender strategies.
During the first year of the project, Pathfinder coordinated a competency-based training of trainers for ministry counterparts, and implementing partners, who in turn trained facility staff and community health workers in 56 health zones. Training topics included Family Planning, Post Abortion Care, Clinical management of Sexual and Gender Based Violence, Newborn Care, and Essential and Emergency Obstetric Care. In an effort to bolster sustainability, Pathfinder has also provided technical support to the MOH in reviewing and updating training manuals for competency-based training, and has developed facilitator guides and participant manuals on the above-mentioned topics. Once these documents were finalized, Pathfinder conducted orientation of 33 master trainers and 90 provincial trainers (67 male and 23 female) were oriented on selected RMNH topics. Pathfinder also participated in the finalization of the national family planning plan for 2014-2020.
Year two of the Access to Primary Healthcare project will see an acceleration of Pathfinder’s family planning and reproductive health activities, with an emphasis on increasing new users of family planning and couple years of protection. Advocacy and social mobilization activities at the community level will increase demand for contraception, while improvements in commodities management and establishment or improvement in services in 943 health facilities will make services better and more accessible to the population."
Since January 2015, Pathfinder International, partnered with the African Population and Health Research Center, ExpandNet, Intrahealth International, Management Sciences for Health and PATH, has implemented the project Evidence to Action (E2A) funded by USAID.
This project supports the government and contributes to efforts to reduce maternal and child mortality. It aims to enhance family planning services and reproductive health, based primarily on community based distribution (CBD) of contraceptives and products for preventing dehydration and diarrhea (ORS, zinc, and water purifiers)
This project supports 15 health zones, six in Lualaba, five in Lomami, and 4 in Kasai Central and has 4 objectives: (1) expand on a larger scale the provision of a range of quality family planning services and SMNE at the community level, (2) increase awareness and demand for family planning services in the community, (3) enhance community mobilization for gender equality and growing participation of men in family planning, reproductive health activities, and SMNE, (4) support the DPS and ECZS in the coordination and management of family planning activities.
Considering the period going from May 2015 to June 2016, the ADBC advised in family planning 241,410 people, of whom 89,745 were males, 151,660 were women, and 60,111 were under 20 years old. 84,190 new acceptors have taken one method of family planning. The advanced strategy (joint work of clinical practices and ADBC) has allowed access to clients in zones that are difficult to access and the administering of certain clinical methods in the community, of which there were 6,335 DMPA (including Sayana Press) and 4,685 implants (including Implanon NXT).
The community-based distributers will not administer, according to the standards of the DRC, IUDS, Jadelle, Implanon Classic, and emergency contraception.
Community leaders, members of CODESA, members of champion communities, and young educators contribute to increasing demand of services and behavior change of the population.
The ADBC has distributed 15,323 oral rehydration solution packets and 14,360 zinc supplements to fight against dehydration from diarrheal diseases.
Dr. Jean Bosco Muyisa
Chargé du Projet de Santé Reproductive
Bureau Save the Children,
Avenue du Port no. 31,
Quartier les Volcans,
Goma, North Kivu Province, DRC
+243 (0) 8106266873
Save the Children’s strength lies in its global presence and its commitment to children and women affected by conflict. Through this work, our experience has been that communities affected by conflict are in dire need of family planning (FP) and post-abortion care (PAC) services. However, significant gaps remain in the provision of these services, especially for internally displaced persons and refugees. As a result, the provision of FP and PAC services has become one of the key components of our emergency health program work. Save the Children has FP and PAC specialists who can deploy to an emergency to support the initiation and scale-up of quality services. Moreover, Save the Children has a network of over 1,000 health professionals worldwide, who specialize in FP, reproductive health and other elements of child survival.
Save the Children currently works in North Kivu, eastern DRC through a project entitled Uzazi Bora, meaning ‘better child-bearing/safe delivery’ in Swahili. This project aims to reach 559,651 people through ensuring quality FP and PAC services at 30 chosen health facilities. The majority of these beneficiaries have been displaced due to conflict and thus face specific vulnerabilities.
The core component of this project is strengthening the capacity of the targeted health facilities to provide quality FP and PAC services. This includes providing key equipment and medicines and carrying out regular trainings for frontline FP and PAC healthcare providers to enhance their capacity, commitment, and expertise. At the same time Save the Children staff have worked to remove the barriers to the acceptance of family planning. For example, in Masisi, after identifying the need for a husband’s consent before a woman can use a family planning method, the team now supports a network of community health workers who perform home visits and counsel women and their husbands on family planning options.
The participation of children and adults in the design and delivery of the project is key. As a result, primary health workers carry out visits to boys and girls children’s clubs in schools already supported by Save the Children to sensitize youths on reproductive health, family planning and post-abortion care. The children then create and act out theatre and dance shows to adults and other community members on how family planning affects their lives - both enforcing their understanding of the key issues and empowering the youths to share their stories and educate their communities.
Director of FP Programs in DRC
+243 81 6868 642
Tulane International LLC - DRC
14 Avenue Sargent Moke
Quartier Socimat, Commune de Ngaliema
Kinshasa - DRC
Jane T. Bertrand, PhD
Endowed Chair, Department of Global Health Management and Policy (TB-46)
1440 Canal Street, Suite 1900,
New Orleans, LA 70112
David R. Hotchkiss, PhD
Technical Director, Operations Research and Impact Evaluation (ORIE)
Professor, Vice-chair, Department of Global Community Health and Behavioral Sciences at Tulane University
1440 Canal Street, Suite 1900,
New Orleans, LA 70112
Tulane School of Public Health and Tropical Medicine returned to the DRC to work in family planning in 2010, to resume work begun by Principal Investigator, Jane Bertrand, in the 1980s. Tulane - which operates in the DRC as Tulane International LLC (TILLC) – opened its office in the Safricas compound of Kinshasa in July 2013. The Tulane team is currently involved in multiple projects. Tulane is a prime contractor on the ACQUAL II project, co-funded by the Bill and Melinda Gates Foundation and the David and Lucile Packard Foundation - to increase modern contraceptive prevalence in the capital city of Kinshasa. The project involves the expansion of a city-wide community-based distribution (CBD) program, as well as demand creation activities. Subcontractors include ABEF, SANRU, the Center for Communication Programs/Johns Hopkins, the Association de Santé et Développement (ASD), and GESProsoft. Tulane is also a subcontractor on several other projects: Advance Family Planning (AFP), PMA2020, and Track20. On all these activities, Tulane works in close collaboration with the PNSR and the PNSA. In addition to promoting strong FP programming, Tulane has conducted and published multiple studies that support the main objective of increasing modern CPR.
Tulane also serves as subcontractor on several projects: (1) to IMA World Health on the Accès aux Soins de Sante Primaires (ASSP) Project funded by DFID, responsible for the operations research and impact evaluation (ORIE) component; (2) to the Advance Family Planning project, funded by the Gates Institute at the Johns Hopkins Bloomberg School of Public Health to support advocacy work for family planning; and (3) to the PMA2020 project, also funded by the Gates Institute at Hopkins, to conduct a population-based survey of contraceptive use in Kinshasa using innovative cell phone technology.
The World Wildlife Fund (WWF) has partnered with local and zonal government health authorities and the Institute for Reproductive Health to deliver family planning and reproductive health education and services in a remote, highly underserved area adjacent to Salonga National Park, in Democratic Republic of Congo. WWF Population-Health-Environment (PHE) project is supported by the United States Agency for International Development (USAID) and Johnson and Johnson (from 2008-2011), and the World Bank (2012), and received contraceptives from the USAID mission in Kinshasa. WWF works to protect natural resources in the Congo Basin in order to ensure that the forest and freshwater ecosystems will continue to provide for the region’s people. By integrating family planning and reproductive health into ongoing conservation efforts, through an integrated population-health-environment approach, WWF is able to meet unmet need for family planning, which stood at 46% of the adult population at project start. WWF facilitates access to contraceptives through building the capacity of facility-based government health practitioners and a network of community based distributors. The approach also empowers women to take part in conservation, and manage their natural resources and their families’ health. Finally, the approach engenders community goodwill towards WWF’s core conservation mission: communities are appreciative of WWF’s support for their basic health needs, and through integrated PHE education, communities are better able to perceive the links between their health and the health of their environment. WWF facilitates access to oral contraceptive pills, male and female condoms, and CycleBeads® (SDM®).