Centre de santé

PADISS 2: Strengthening the resilience of the health system in North Kivu province

PADISS 2 is the follow-up to our PADISS project (Projet d’Appui au Développement Intégré du Système de Santé), which aims to strengthen the resilience of the healthcare system in the province of North Kivu in a context of progress towards UHC (Universal Health Coverage), while continuing to improve the quality and accessibility of care developed by the PADISS project.

Partenaires financiers

The project is funded by the European Union (EU). It is part of the Programme to Strengthen the Supply of and Develop Access to Healthcare (PRO-DS) financed by the EU as part of the 11th European Development Fund (EDF).

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The project is also co-financed by the Belgian Cooperation.

belgique partenaire du développement



There are many changes facing the North Kivu healthcare system and its stakeholders. They occur occasionally and regularly, as in the case of epidemics or natural disasters. Others occur more slowly, but irremediably, such as climate change, demographic change and urbanisation.

Improving the quality of a healthcare system must take these changes into account and ensure that the system’s resilience is strengthened, making it capable of absorbing internal and external shocks while preserving its identity and functioning.



Focusing on the resilience of the system, the objectives can be broken down into 4 areas:

  1. Strengthening institutional resilience: the DPS has the organisation, skills and resources needed to coordinate actions and mobilise the resources needed to set up a functional, high-quality and resilient provincial health system
  2. Strengthening the resilience of the healthcare environment: the healthcare system’s working environment has been improved in the 9 health zones supported by PRODS in the construction, rehabilitation and equipping of health facilities and the supply of essential inputs.
  3. Strengthening the individual and collective resilience of staff: healthcare staff have acquired new technical and non-technical skills, enabling them to constantly strive for quality and greater individual and collective resilience by basing their work on a multidisciplinary and humanistic approach to care, centred on the individual.
  4. Strengthening community resilience: the participation of local people in the organisation of the healthcare system is strengthened and recognised. The introduction of the “patient-partner” concept strengthens the quality of care and the resilience of the healthcare system.

In addition, the experience and know-how accumulated by the various stakeholders in the project are being capitalised on and disseminated in the province of North Kivu.

Direct beneficiaries

  1. The 75 managers of the DPS and its branch, who benefit from the resources and supportive technical supervision they need to carry out their tasks successfully
  2. The 45 members of the management teams in 9 health zones receiving PRODS support, who receive regular coaching from DPS managers, clinicians from the provincial hospital and ULB-Coopération.
  3. Providers in hospitals and health centres, including those with medical facilities, who benefit from the rehabilitation of infrastructure and equipment.
  4. Providers in hospitals and health centres benefiting from medicines and inputs, including nutritional inputs, and from the strategy to combat malnutrition.
  5. The populations of the Goma health zones directly mobilised as part of the community actions, as well as the community leaders in the PRODS zones.
  6. The 25,000 children potentially suffering from severe acute malnutrition in the PRODS-supported health zones who are directly cared for by the project.

Situation in July 2023 (in french)

Situation in December 2022 (in french)

Expected impact

Improving the quality and accessibility of care and strengthening the resilience of the healthcare system, by ensuring that :

  • The available supply is organised rationally
  • Healthcare in hospitals and health centres complies with the quality and management criteria required to be eligible for subsidies (via the Fonds d’Achat de Services de Santé du Nord-Kivu (FASS))
  • Staff work in improved conditions
  • The population plays an effective and positive role in the organisation of its health system

All of the actions undertaken are part of an accreditation process and the prospect of universal health cover in North Kivu, two essential aspects for consolidating and expanding the systems that have been set up.

Operational partners

The DPS NK (Division provinciale de la santé du Nord-Kivu), a decentralised structure of the DRCongo Ministry of Public Health.

The health zones of Goma, Karisimbi, Rutshuru, Masereka, Kyondo, Vuhovi, Biena, Musienene, Manguredjipa and the health facilities in these zones (North Kivu Provincial Hospital, general referral hospitals, health centres and urban medicalised health centres).

The project is also working with all the structures active in the province’s healthcare system.




24 months: 01.2022 – 12.2023

Monitoring developments

PADISS 2 sheet: Situation December 2022 (in french)

PADISS 2 sheet: Situation June 2022 (in french)

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