Construction and rehabilitation of health structures


Build, rehabilitate, and equip health infrastructure and the works of WATSAN to promote access to quality care.

Construction principles followed for each site:

  • Each construction site is preceded by an identification mission for the exploration of sites which makes it possible to specify the ideal location of the new building, to adapt the plans to the constraints of the environment, and to finalize the ToRs and the provisional budget
  • The community is involved in all these stages and those that follow from the identification of needs, the choice of solution, the evaluation of its cost, and the monitoring of work and training in maintenance (in collaboration with the CODESA ). It is also called upon to make its contribution, mainly in terms of local labor given the short deadlines for implementing the project.
  • The building plans are the subject of working sessions between the direct and indirect beneficiaries and the TA team. Then, they are validated by the “rehabilitation and construction” sub-working group of the DPS. They are based on the standard plan defined by this sub-group. CS buildings have an L or U shape depending on the space available and have a minimum of 350 m2 of built-up area. They include a site plan that takes into account water, waste, and environmental management issues. After the experiences of the Ebola Virus Disease and COVID-19 and on the basis of the evaluation made in the field, it is proposed to modify the standard plan that had been adopted by the sub-working group as follows: a pre-triage room added, the depot and the hangar reserved for preventive activities to be enlarged
  • The buildings benefit from arrangements for the management of rainwater adapted to the rainfall in the region. A rainwater collection and storage system is installed on each building to be used for the provision of healthcare. The buildings benefit from landscaping with the planting of fruit trees, mainly citrus shrubs. If electricity or water supply is not available, they are provided for in the work
  • Construction is carried out according to the necessary safety standards and taking into account the operating standards imposed by the Health System Strengthening Strategy (SRSS)
  • Contract files are awarded following a competitive negotiated procedure involving competition between at least three local bidders identified on the basis of the shortlist presented in the following point. This list was produced on the basis of the experience of PADISS and only presents contractors who have given total satisfaction. The award of each contract takes place in the presence of a representative of the Project Management Unit and Public Contracts of the province of North Kivu. It is done taking into account a criterion aimed at favoring local labor and in particular women.
  • For each construction site, a Buildings and Public Works engineer is appointed as a “Working Delegate” (DPO) for the daily monitoring and control of the quality of materials and work.
  • When a structure is handed over to the beneficiaries, a contract for the transfer and maintenance of the building is jointly signed by the person in charge of the structure and the project coordinator, with a visa from the Head of the Provincial Health Division. A maintenance manual is made available and is associated with a training session.

Completed Actions

Nearly thirty construction sites and renovations of health structures have been carried out, sometimes in complex conditions given the geographical remoteness and the very basic road network.


Access to quality health structures is facilitated for the rural populations of North Kivu.

Financial Partners

Logo Ue + Clause Non Resp

belgique partenaire du développement