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PADISS 3: sustaining the resilience of the health system in North Kivu province

PADISS 3 is the 3rd phase of our PADISS project (Projet d’Appui au Développement Intégré duLogo Padiss3 Système de Santé), which aims to strengthen the healthcare system in the province of North Kivu as it moves towards UHC (Universal Health Coverage), while continuing to improve the quality and accessibility of care developed by the PADISS projects.

Financial partners

The project is funded by the European Union (EU) through the NDICI (Neighbourhood, Development and International Cooperation instrument).

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The project is also co-financed by the AFD:

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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.




Focused on improving the health and well-being of the population and strengthening education, the PADISS 3 project has a dual objective:

  1. To perpetuate access to quality healthcare and support the work of the Ministry of Health and related sectors in providing this healthcare at an affordable price.
  2. To improve birth registration and access to civil status documents for families.

Expected impacts

Building on the momentum generated by previous projects, PADISS 3 is fully in line with the strategy to implement universal health coverage in the DRCongo and aims to achieve the following objectives:

  • Access to quality healthcare has been improved in the beneficiary health zones.
  • Severe acute malnutrition is treated effectively in health facilities.
  • The pillars of the healthcare system are strengthened, particularly in terms of drug supply, human resources capacity and the management of healthcare facilities, to ensure greater resilience, particularly in the event of an epidemic.
  • The steering of the health system and the institutional capacities of the Ministry of Health have been strengthened in the decentralised provincial structures.
  • Birth registration is effective and systematic in integrated health facilities, and the possession of civil status documents has been improved for children in the 9 health zones covered by the action.

The actions carried out within this framework will contribute to the integration of essential quality health services according to the criteria defined by the provincial authorities.

Direct beneficiaries

  • Providers at the Manguredjipa, Vuhovi and Musienene hospitals will benefit from a better working environment thanks to the rehabilitation of infrastructure and the provision of equipment.
  • Providers in all NDICI-supported hospitals will receive technical support in drawing up six-monthly management plans.
  • Providers in existing urban medical centres (CSMU) will continue to receive support.
  • Providers in the province will have access to the training programmes offered by the North Kivu training centre.
  • Patients suffering from serious and acute illnesses among the 900,000 inhabitants of the city of Goma will benefit from the setting up of an Emergency Medical Service (SAMU).
  • The 25,000 children, pregnant women and breast-feeding mothers potentially suffering from severe or moderate acute malnutrition in the NDICI-supported health zones will be cared for directly by the project.
  • Community leaders and the populations of the Goma and Karisimbi health zones will be directly mobilised as part of the community actions.
  • The 75 managers of the Provincial Health Division and its branch will benefit from the resources and supportive technical supervision they need to carry out their tasks successfully.
  • The 45 members of the management teams from 9 health zones receiving NDICI support will receive regular coaching from DPS managers, clinicians from the provincial hospital and ULB-Coopération.

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.




18 months: 01.2024 – 06.2025

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