[ Une expérience d’implantation des sites des soins communautaires en République Démocratique du Congo ]
Volume 20, Issue 1, April 2017, Pages 42–51
Hermès Karemere1, Félicien Malyra2, Liévin Bangali3, Pascal Ngoy4, and Lara Ho5
1 Ecole régionale de Santé Publique, Université catholique de Bukavu, Bukavu, Sud-Kivu, RD Congo
2 Département de la santé, International Rescue Committee, RD Congo
3 Département de la santé, International Rescue Committee, RD Congo
4 Département de la santé, International Rescue Committee, RD Congo
5 Département de la santé, International Rescue Committee, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Mortality under 5 in sub-Saharan Africa remains very high. Interventions implemented including community support through the establishment of community care sites aim to improve access to care. The study evaluates the implementation of community care management in the Kabare health zone that be fully supported by International Rescue Committee. Methodology: The study followed a framework based on standards of the DR Congo Health Ministry about the functioning of community care sites. It has used review literature, data analysis from the health information system and mothers interviews. Results: Community care management through care sites improves access to health care. Strict compliance with the Ministry of Health guidance during the implementation of the community care sites is observed. Two constraints facing these directions are identified: the abandonment of some health community workers with closure of their sites as a consequence and the limited funding of the sites; the process didn’t meet all the input requirements. Conclusion: The study identifies the health community worker as a key player in the implementation of community care and advocates strengthening the mechanism of his recruitment, his formation, his supervision, his estate and the maintenance of motivation. The study proposes actions to improve the operation and sustainability of community care sites.
Author Keywords: Access to care, community care sites, community participation, primary care, Kabare, South Kivu, Democratic Republic of Congo.
Volume 20, Issue 1, April 2017, Pages 42–51
Hermès Karemere1, Félicien Malyra2, Liévin Bangali3, Pascal Ngoy4, and Lara Ho5
1 Ecole régionale de Santé Publique, Université catholique de Bukavu, Bukavu, Sud-Kivu, RD Congo
2 Département de la santé, International Rescue Committee, RD Congo
3 Département de la santé, International Rescue Committee, RD Congo
4 Département de la santé, International Rescue Committee, RD Congo
5 Département de la santé, International Rescue Committee, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Mortality under 5 in sub-Saharan Africa remains very high. Interventions implemented including community support through the establishment of community care sites aim to improve access to care. The study evaluates the implementation of community care management in the Kabare health zone that be fully supported by International Rescue Committee. Methodology: The study followed a framework based on standards of the DR Congo Health Ministry about the functioning of community care sites. It has used review literature, data analysis from the health information system and mothers interviews. Results: Community care management through care sites improves access to health care. Strict compliance with the Ministry of Health guidance during the implementation of the community care sites is observed. Two constraints facing these directions are identified: the abandonment of some health community workers with closure of their sites as a consequence and the limited funding of the sites; the process didn’t meet all the input requirements. Conclusion: The study identifies the health community worker as a key player in the implementation of community care and advocates strengthening the mechanism of his recruitment, his formation, his supervision, his estate and the maintenance of motivation. The study proposes actions to improve the operation and sustainability of community care sites.
Author Keywords: Access to care, community care sites, community participation, primary care, Kabare, South Kivu, Democratic Republic of Congo.
Abstract: (french)
Introduction : La mortalité des moins de 5 ans en Afrique sub-saharienne demeure très élevée. Des interventions mises en place dont la prise en charge communautaire au travers l'implantation des sites des soins communautaires visent l’amélioration de l'accessibilité aux soins. L’étude évalue l’implantation de la prise en charge communautaire dans la Zone de santé de Kabare, une intervention entièrement appuyée par International Rescue Committee. Méthodologie : L’étude est basée sur un cadre de référence s’inspirant des normes du ministère de la santé sur le fonctionnement des sites des soins communautaires. Elle a recouru à la revue documentaire, à l’analyse des données du système d’information sanitaire et à des entrevues auprès des mères. Résultats: La prise en charge communautaire au travers les sites des soins améliore l'accessibilité aux soins de la population. Le respect rigoureux des orientations du ministère de la santé lors de l’implantation des sites des soins communautaires est observé. Deux contraintes face à ces orientations sont identifiées : l’abandon de certains relais des sites communautaires avec comme conséquence la fermeture de leurs sites et ensuite le financement limité des sites ne répondant pas à la totalité des besoins en intrants. Conclusion : L’étude identifie le relais du site des soins communautaires en tant qu’acteur clé dans l’implantation de la prise en charge communautaire et préconise de renforcer le mécanisme de son recrutement, de sa formation, de sa supervision, du maintien de sa motivation et de sa relève. L’étude propose des actions susceptibles d’améliorer le fonctionnement et la pérennité des sites des soins communautaires.
Author Keywords: Accès aux soins, Sites des soins communautaires, participation communautaire, première ligne des soins, Kabare, Sud-Kivu, République démocratique du Congo.
How to Cite this Article
Hermès Karemere, Félicien Malyra, Liévin Bangali, Pascal Ngoy, and Lara Ho, “Integrated community case management: An experience from the Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 20, no. 1, pp. 42–51, April 2017.
