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The SANRU Program of ECC & IMA World Health

Learn about SANRU's evolution from USAID-funded projects to Project AXxes, addressing challenges such as poverty, infrastructure constraints, and resurging epidemics in DRC's health zones. Explore strategies to enhance future health zone development.

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The SANRU Program of ECC & IMA World Health

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  1. The SANRU Program of ECC & IMA World Health

  2. SANRU is currently assisting 115 health zones in DRC with support from various agencies and partners.

  3. Origins of the SANRU Program were the well known USAID funded SANRU Projects SANRU I 1980-86 50 health zones 10 Million SANRU II 1986-1991 100 health zones 40 Million SANRU III 2000-2006 56 health zones 28 Million

  4. SANRU III Project was built on partnerships with U.S. faith-based partners (Catholic and Protestant) during a time of conflict and division in the DRC SANRU III Assistance to 56 HZs (2000-2006) 5 year 28 Million USD 56 Health Zones

  5. In 2006 following the release of the ‘Fragile States Policy’ Project AXxes replaced the SANRU III project 3 year 42 Million USD 57 Health zones 5 year 28 Million USD 56 Health Zones

  6. Three Components of Project AXxes for HZ Development: A: Increaseaccessto… integrated PHC B: Increase capacity of Health Zones & referral system  C:Reinforce nationalprograms& provincial/district offices

  7. AXxes Progress for Key Indicators

  8. Family Planning

  9. Reproductive Health & Newborn

  10. Immunizations

  11. Malaria & TB

  12. Challenges forProject AXxes andthe SANRU Program

  13. 1. Povertyand (in)access to care Photo: Lodja.June 2008/Mulongo

  14. 2. Infrastructure (or lack of) Photo: ECC/AXxes 2008

  15. Photo: Equateur Province.Mar 08/ Mulongo

  16. Photo: National Highway #1 BDD/Mar 07/Clemmer

  17. 3. Decreasing means of commercial transport Photo Goma Apr 08/cnn.com

  18. 4. Constraints of importing goods Photo: Route de Matadi Apr.08/Clemmer

  19. 5. Weak Government Support to Health Zones Photo: General Hospital, South Kivu 2004/Clemmer

  20. Photo: Yakusu Health Zone. February 2002/ Clemmer

  21. 6. Chronic Insecurity Photo Mission Hospital Occupied by armed elements:. South Kivu. Apr 02/Cemmer

  22. 7. Uncoordinated donor coordination Photo: Moanza Health Zone: Apr 06/Clemmer

  23. 8. Resurging Epidemics Photo: Ebola.Outbreak.Ground Zero. Mweka.Oct 07/Clemmer

  24. 9. Retention of trained personnel Photo: ITM Sona Bata. 2004/Clemmer

  25. Vision for FutureHealth Zone Development

  26. Trends Observed • Geographic shift of USAID assistance (from 8 provinces to 4 with focus on south + eastern DRC) • Decrease in support to co-managed HZ partnerships (33% in AXxes vs. 70% for SANRU II) • Decreased leveraging with US-based partners historically linked to some health zones. • Possible fragmentation of Appui Global with vertical projects and multiple funding streams.

  27. Suggested Strategies

  28. 1) Continue Appui Global to 57 AXxes-assisted Health Zones

  29. 2) Re-establish assistance to 30 former SANRU III HZs currently without a development partner

  30. 3) Expand to 20 (or more) additional HZs with US-based partners to leverage and coordinate additional aid. 4) Support Geographic Equity in Appui Global & Integrated Projects

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