Location: Tanganyika district – Katanga province

Situation:

Despite a wealth of natural resources, the economic, social and health systems in DRC have slowed down dramatically since the 1980s, followed by total collapse during two inter-African wars. During a long electoral process-supported by the international community-Joseph Kabila won the presidency, yet this has not brought any real political, economic or social stability to the country. Fighting started again in the East and on the Rwandan-Ugandan border in August 2008 and the regionalisation process was not implemented.

The vast province of Katanga is split into two parts: the southern region is rich, thanks to the cobalt mines, and the northern region (Tangamite) is poorer. Cholera is endemic in these lakeside and riverside regions, and has increased since the crisis.

Activities:

The activities are centred round the implementation of an action plan that includes training and enables improved access to health services for the population. It also enables greater involvement of
communities in health programmes and includes health education sessions and training health workers. Doctors of the World(DoW)also supports the local authorities (central health bureaux) in managing health zones and provides advice and support to management teams. Lobbying activities targeting donors-particularly in relation to access to free healthcare for the most vulnerable-are being prepared for 2010.

Outlook:

As part of the strategy to strengthen the health system, as requested by the national authorities, the programme will concentrate on providing support to boost two particular reference areas and helping health services to become more autonomous. A support plan for the central health bureaux will be maintained in nine other areas.