The health and well-being of women of reproductive age are central to sexual and reproductive health concerns in the Democratic Republic of Congo (DRC), especially in the South Ubangi province. Despite the 2018 ratification of the Maputo Protocol, which advocates for comprehensive abortion care centered on women (SCACF), its implementation remains limited, contributing to high maternal morbidity and mortality rates. The World Health Organization estimates that over 200,000 women die annually in developing countries due to unsafe abortions, a particularly severe issue in areas like Gemena, where maternal deaths, especially among adolescents, are frequent. The high mortality is partly due to social stigma, which views abortion as a criminal act, preventing access to appropriate healthcare services. A study conducted in the Kivu health area revealed significant gaps in the implementation of the Maputo Protocol. Of 21 healthcare providers surveyed, only 2 (9.1%) had received SCACF training, far below WHO standards. Additionally, the necessary infrastructure and equipment to provide quality care were lacking. The study shows that the Maputo Protocol is largely non-functional in the Kivu health area and throughout the Gemena health zone. To address these issues, it is crucial for health sector actors, particularly the government, to ensure the proper application of the protocol. This would not only improve women's health but also contribute to the overall development of the province and the country.

Human reproduction remains the key to offspring and the sustainability of the human species. While becoming pregnant is seen as a happy event, several corollaries accompany its evolution, development and outcome. The involvement of the male partner from conception to childbirth remains a source of joy and fulfillment for the pregnant woman, for the product of conception, for the family and for society. The observation remains bitter in the province of Sud Ubangi in particular and in the Salongo II health area in the ZSUR of Gemena. Barely 7% of married men accompany their female partners to CPN sessions even if the importance of supporting the latter is no longer in doubt. Lack of interest and low income are the factors behind this low involvement. Increasing awareness among men and providing decent wages would be ideal solutions to resolve this thorny issue that impacts on sexual and reproductive health as well as the health of the population in general.

Far from being a reality in the daily life of populations, access to quality health care is more like a propagandist leitmotif in the head of the decision-making bodies of our country's health system. Are there not, however, means to facilitate this access? this is the question that lurks in the heads of those who suffer in search of such quality care. Several solutions can be proposed to gain access to care and achieve the goal of universal health coverage. And for poor or developing countries, the appropriate solution remains the pooling of available resources despite their limitations. Academic institutions, places of training and melting pot for the youth and future of the country can serve as laboratories to develop these experiences before considering their extension within the wider community. Mutual health insurance is a system of solidarity between the members of a professional group of mutual assistance, this organization brings together people of the same category or tendency to belong to.

Still and still poorly understood, misdiagnosed, underreported or simply ignored, urogenital schistosomiasis remains widespread in sub-Saharan Africa, the DRC and the province of Nord-Ubangi. Its early recognition, even if asymptomatic, is essential because of the multiple complications it causes; the high risk of HIV transmission and, if left untreated, the risk of infertility and the development of bladder cancer and many more. The geo-climatological data from the northwest of the Bosobolo health zone in the Province of Health Division (DPS) of Nord-Ubangi, more specifically, the health areas of Bomanza, Bubanda and Bokada-Pombo are characteristic for the development. of this disease. The treatment is based on Praziquantel, 40 mg / kg as a single dose to be repeated after one month. The only means of the most effective control these days remain the prophylaxis (mass and individual) which passes by the knowledge of the disease and its signs as well as the appropriate means of which the prevention, without which, the fight against the schistosomiasis uro -Genital risks being a losing battle in advance.