DRC

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Since the 1980s, we’ve supported quality health care for Congolese families.

  • Jhpiego introduced a new capacity-building approach with low-dose, high-frequency, on-site training at 16 facilities, resulting in improved management of normal and complicated deliveries and uptake of immediate postpartum family planning (FP). Among improvements, an average of 40% of postpartum women and 50% of postabortion women accept an FP method prior to leaving the facility. Timely and correct management of pre-eclampsia and eclampsia improved from 30% to 100% and successful resuscitation of newborns improved from 60% to 95%. At the Ministry of Health’s request, this training approach is being used by other large-scale health projects in DRC with technical assistance from Jhpiego.
  • Through the Jhpiego-led TIPTOP project, community implementation of intermittent preventive treatment of malaria in pregnancy (IPTp) helped increase IPTp coverage among pregnant women receiving antenatal care, thereby giving these women more opportunities to receive malaria protection and comprehensive care in pregnancy. From 2018 to 2020, more than 174,000 pregnant women received IPTp under direct observation.
  • Jhpiego collaborated with the National Program for Reproductive Health to train 34 provincial trainers and health care workers, culminating in the availability of FP services, including postpartum FP, at 40 health centers and eight hospitals in Tshopo and Bas-Uele provinces. Provincial trainers ensured training of 96 providers and 120 community health workers. Prior to this intervention, FP services were virtually nonexistent in these provinces.
  • Due to Jhpiego’s capacity-building efforts, the national associations of midwives, nurses, pediatricians and obstetricians now have in-house capability to provide and train others to provide essential services in postpartum FP and maternal and newborn health. There is also a model training center in Kinshasa that provides competency-based in-service and pre-service training to providers and medical students

Our Work in DRC

Jhpiego is leading this five-year project, funded by the U.S. Centers for Disease Control and Prevention, to support Global Health Security in DRC in partnership with the Ministry of Health, other governmental institutions and Global Health Security implementing partners. This project is supporting the establishment of a public health emergency management program, including permanent staff, to establish national policies, regulatory/legislative frameworks and guidance documents. It is also assisting in the development and establishment of a National Public Health Institute that will integrate core public health functions including surveillance, public health emergency management, workforce development and the national laboratory system. In addition, the project supports national efforts to prevent, detect and respond to outbreaks of COVID-19 and Ebola. Jhpiego is leading the project consortium with partners the JHU Applied Physics Laboratory, the Kinshasa School of Public Health and DRC’s National Biomedical Research Institute.

This four-year project, funded by the Bill & Melinda Gates Foundation, builds on the PMA2020 project, which used innovative mobile technology to support low-cost, rapid-turnaround surveys monitoring key health and development indicators. PMA is enhancing this survey platform to generate high-quality data and ensure that governments, donors, managers and advocates use this data to make decisions regarding family planning programs. In addition to scaling up the survey platform for more widespread use, this project supports expanding it to include additional technical areas. Co-led by Jhpiego and the Bill & Melinda Gates Institute for Population and Reproductive Health, this project is operational in several African and Asian countries, including the Democratic Republic of Congo.

The Bill & Melinda Gates Foundation is supporting this two-year project for Jhpiego to incorporate its low-dose, high-frequency (LDHF) training and mentorship approach for reproductive, maternal and newborn health and family planning into at least three large-scale projects in DRC funded by other donors. In close collaboration these large-scale project partners, Jhpiego is also building the capacity of provincial health departments to integrate the LDHF approach and adapt the model to local needs and priorities. Jhpiego works to create a pool of experts within the provincial health departments to improve supervisor and provider skills and quality of care, while building departments’ capacity to scale up the package of prioritized health interventions across health zones.

With funding from the DRC Government through its World Bank-funded Health System Strengthening for Better Maternal and Child Health Results Project (Projet de développement du système de santé, or PDSS), Jhpiego is building local capacity to implement low-dose, high-frequency training and mentorship in maternal and newborn care. The objective of this work is to impart skills building approaches for high-impact, high-quality interventions from the day of birth through post-pregnancy in facilities implementing a performance-based financing model. This initiative complements the work under the Bill & Melinda Gates Foundation-funded project described above.

Jhpiego provides technical assistance to strengthen quality improvement and leadership and management. This initiative is designed to test and evaluate evidence-based approaches for improving health care provider performance. Under this award, Jhpiego is delivering context-specific technical assistance to support quality improvement and leadership and management strengthening to reinforce national disease responses and strengthened health systems. Jhpiego implements an innovative approach for integrated supportive supervision that includes collaborative improvement, training, a web-enabled supervision checklist and supervision of supervisors to improve integrated health services for underserved populations. Jhpiego also strengthens leadership and management skills among ministry of health staff for quality improvement and improved integrated service delivery in health facilities and communities. The project is being implemented in several African countries, including DRC.