Support for the establishment of a viable organization of health services in urban areas in Goma

 

 

The rapidly-growing urbanization and the size of certain cities in the DRC show the limits of a health system dating from a time when these agglomerations were of much less importance. Today, it is a question of bringing the care offer in line with this evolution, taking into account this urban context.

Objective Pursued

Support a viable organization of light, quality, private, secular, not-for-profit and accredited primary health care structures to meet the needs of the population, and which can be accredited in a subsidy system.

Completed Actions

  • Completion of 3 studies aimed at a better understanding of the therapeutic itinerary of patients and the profile of the healthcare offer in the city of Goma
  • Organization of 2 study trips on the organization of urban health services
  • Establishment of an urban health sub-working group, bringing together partners and actors from the health system at the provincial level and the city of Goma
  • Organization of construction workshops for the model of the first medical level to be tested
  • Development of a research protocol on the first urban medical level and submission to an ethics committee
  • Establishment of 2 medicalized urban health centers: construction, equipment, establishment of multidisciplinary teams, staff training, organization of patient care tools and research data collection tools
  • Organization of operational and analytical evaluations and an external thematic evaluation
  • Organization of meetings of the urban health sub-working group
  • Support for 2 medicalized urban health centers (CSMU) and other health centers benefiting from the FASS subsidy.

Impacts

  • 2 medicalized health centers, each with a multidisciplinary team (doctor, nurse, physiotherapist, clinical psychologist, social worker) are functional and attended by an increasingly large patient base
  • Health facilities are increasingly used by the population
  • Other healthcare structures in the city of Goma are integrating the model being tested

This project is one of the axes implemented in our PADISS project:

C

Complete Project Project to support the integrated development of the North Kivu health system (PADISS)
“Accreditation” axis Support for the establishment of an accreditation system in North Kivu
“Health Insurance” axis Support for the establishment of an appropriate health insurance system
“DPS” axis Support for the provincial health division of North Kivu 
“Education” axis Support for the establishment of an autonomous continuing training system in clinical practice and in the management of health services
“Urban Health” axis Construction and rehabilitaion of health structures 
“Nutrition” axis Support for the establishment of a viable organization of health services in urban areas
“Gender and Participation” axis Support for strengthening gender and community participation

Operational partners

DPS Nord Kivu, Direction d’études et planification/MSP RDC, CDR Asrames, Equipes cadres des zones de santé de Goma et Karisimbi, AFEMED, CBCE, EUP FASS.

Financial partners

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