DR Congo

Start of program: 2011

COUNTRY KEY FIGURES*

  • 84 million inhabitants
  • 70 deaths per 1,000 births 1
  • 4.5 million internally displaced persons
  • 260, 000 children suffering from severe acute malnutrition in Kasai region 2

*Data from 2018
1 World Bank (2019)
2 UNICEF

ALIMA KEY FIGURES*

  • 28 CUBEs deployed for Ebola response
  • Opening of 3 Ebola Treatment centers in Beni, Katwa and Mambasa
  • 42,295 outpatient consultations
  • 2,216 assisted deliveries
*Data from 2019

Areas of intervention

Emergency response
Nutrition
Pediatrics
Maternal health
Research

Country context

The Democratic Republic of the Congo (DRC) has been the scene of conflict since the early 1990s. The DRC is experiencing a serious humanitarian and health crisis as a result of many years of instability. This situation has led to significant population displacements, but also to the destruction of many health facilities and public services.

Health needs are considerable. Malaria, as well as cholera and measles outbreaks occur often  in the country, and according to the World Bank, the child mortality rate is one of the highest in the world. In 2018, DRC was also affected by two Ebola outbreaks, one of which became the largest and deadliest in the country’s history and continues to claim victims today.

© Alexis Huguet / ALIMA

ALIMA’s Impact – Our fieldwork

Emergency Response

Between 2013 and 2017, our teams carried out various emergency projects in the  health, water, sanitation and hygiene sectors, in the former province of Katanga.

Between 2017 and 2018, ALIMA carried out interventions against cholera outbreaks in the context of population displacements, particularly in the provinces of Maniema, Tshopo, Mongala, Kasai, Lomami, Haut-Lomami and Kinshasa.

Finally, ALIMA has responded to Ebola outbreaks in the provinces of Bas-Uélé, Equateur and North Kivu.

Health assistance to populations

In 2018, ALIMA carried out several interventions in the province of Lomami. These included health and nutritional assistance and projects to prevent severe acute malnutrition, as well as medical and psychosocial care for victims of gender-based violence. 

Finally, in the province of Kasai, ALIMA has been implementing projects in response to the measles outbreak since 2018. Read our article

Research and nutrition

Since 2018, ALIMA has been conducting an innovative research project (OptiMa) to simplify the treatment of acute malnutrition. Read our article

© Caroline Thirion / ALIMA

Response to the Ebola outbreak

Since 2018, our teams have been participating in the response to the Ebola outbreak, in particular by caring for patients in the Ebola transit centers and treatment centers in Beni, Katwa and Mambasa in the provinces of North Kivu and Ituri, as well as in Equateur. In September 2019, ALIMA handed over the management of its Ebola Treatment Center in Beni to Doctors Without Borders/Médecins Sans Frontières. Read our article on the handover of the Ebola Treatment Center in Beni.

Participation in a randomized clinical trial

In 2019, ALIMA participated in a clinical trial that identified two effective treatments for the Ebola Virus Disease. REGN-EB3 and mAB114 are monoclonal antibodies that reduced mortality to 29% and 34%, compared to 67% in the absence of specific treatment. This major breakthrough was made possible thanks to the mobilization of all stakeholders: The World Health Organization, the National Institute of Biomedical Research (INRB), in collaboration with the US National Institute of Allergy and Infectious Diseases (NIAID/NIH) and three humanitarian organizations including ALIMA, which contributed 60% of total patient admissions at its Ebola Treatment Centers in Beni and Katwa.

Access to primary health care in Beni

A project to facilitate access to primary care was implemented in 7 health zones. Launched in October 2019, the project combines an integrated approach to health, nutrition and protection to reduce morbidity and mortality in the population. It combines providing primary health care to the general population and medical care for victims of sexual violence.

Focus on 2019

In 2019, ALIMA teams in the Democratic Republic of the Congo treated 27,982 children with malaria and 16,846 cases of measles. They also carried out 3,419 prenatal consultations and 1,033 blood transfusions.

COVID-19 Response

Drawing on our experience in the response to outbreaks in the field, ALIMA began, in April 2020, to support DRC’s Ministry of Health in the fight against COVID-19. With the end of the Ebola outbreak in North Kivu and Ituri provinces, the structures dedicated to the management of Ebola have become essential in the fight against the new virus.

In Beni (North Kivu), while continuing to support primary health care activities, our teams have mobilized to fight COVID-19 by installing 18 beds in the Beni Regional General Hospital.

Between the end of April and September 2020, ALIMA also intervened at the University Clinics in Kinshasa, the capital of the country, which alone accounts for 90% of COVID-19 cases. 50 beds were added to the existing system to provide care to suspected and confirmed patients in severe or critical condition. During these five months, ALIMA cared for more than 200 patients requiring intensive care and resuscitation. 

Healthcare providers, including nurses, doctors, pediatricians, midwives and experts specialized in water and sanitation, also benefited from training to strengthen their skills in the context of an outbreak. A total of 130 health workers received specialized training sessions in the management of this pandemic.

 

* Cover picture © Sylvain Cherkaoui / ALIMA

Related News

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