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FBOs and the Ministry of Health in DR Congo by Leon Kintaudi ECC-DOM

FBOs and the Ministry of Health in DR Congo by Leon Kintaudi ECC-DOM. Protestant Church of Congo (ECC). ECC includes 64 protestant communities ECC member communities own and manage more than 80 hospitals and 600 health centers ECC manages 59 of Congo’s 306 health zones

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FBOs and the Ministry of Health in DR Congo by Leon Kintaudi ECC-DOM

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  1. FBOs and the Ministry of Health in DR Congo by Leon Kintaudi ECC-DOM

  2. Protestant Church of Congo (ECC) • ECC includes 64 protestant communities • ECC member communities own and manage more than 80 hospitals and 600 health centers • ECC manages 59 of Congo’s 306 health zones (Catholics manage 89 health zones)

  3. Public vs. Private Sectors Public Sector Not-for-Profit Private Sector For-Profit Church-Managed Health Services ?? In many countries Church-managed health services are considered private sector competitors to the MOH.

  4. Public, Private & FBO Sectors FBO-Managed Private Sector Not-for-Profit Public Sector Not-for-Profit Private Sector For-Profit In Congo, the MOH delegates management of many health zones to Church-managed health services.

  5. Catholic Bishop, ECC Director with Governor of Bas Congo

  6. FBO Contributions in policy development for human resources Since the beginning of primary health care activities, ECC has played a major role in planning and implementing policies together with MOH.

  7. Examples of ECC & MOH Collaboration • Organization of a national “Alma Ata” workshop (1975) • Creation of pilot health zones between 1976-1982 • 70% of the first 100 HZs were created by churches (1992-84)

  8. 1975 National Workshoporganized by the Churches • Agreed on a strategy for co-management of health services from Government and Church reference hospitals. • Adopted concepts of decentralized Health Zones and integrated medicine (primary health care).

  9. The 400 Hospitals in Congo (c. 1960) In 1975 the MOH began transforming 400 scattered hospitals into decentralized Health Zones.

  10. Pilot Health Zones (1975-1981)

  11. Health Zones (1982)

  12. Health Zones (1984)before delimitation of Health Zones

  13. Health Zones (1984)after delimitation of Health Zones

  14. Typical Health Zone

  15. More Church Initiatives • ECC participated in the 1985 Mbanza Ngunguconference for new PHC orientations • ECC played a major role in the delimitation of 515 new zones through SANRU III (2002-03) • SANRU III organized a national conference and served as pilot program in adoption Community-Based IMCI (2003-05)

  16. 2003 SANRU National ColloquiumRebuilding PHC in DRC

  17. ECC, SANRU III & Policy Making • Organized two national conferences to introduce ITNs (2004) • Initiated a new technical tool for HIV patient which was adopted by PNLP in 2005 • Elaboration of new guide lines for nutrition activities (with UNICEF & PRONANUT)

  18. SANRU III project played a major role in assisting MOH with MAP (2002-2003) SANRU III & Advance Africa held a national conference (2004) to reposition Family Planning in DR Congo. HIV/AIDS & Family Planning

  19. Contributions in Human Resource Development • ECC was the first to train nurses on the job and has produced the best in the country • ECC runs many of DRC’s nursing schools • SANRU I/II sponsored doctors for MPHs. Many have played a major role in PHC. • ECC and SANRU III have trained 3,962 health personnel (nurses, doctors, administrators)

  20. Training of Nurses

  21. On the job training at Moanza hospital

  22. Nurses Training (Nsona Mpangu HZ)

  23. Training in Vanga HZ (2002-2003)

  24. Family physician training • ECC is pioneering training family physicians in with MEDUNSA (Medical University of S. Africa). • Doctors receive MFam –Med degree after 4 years of training.

  25. Surgery Rotation at Vanga hospital

  26. Public Health School in Kinshasa • ECC through SANRU helped create the school public health at UNIKIN (State University of Kinshasa) • To better equip Health Zone Medical Directors as primary health personnel, SANRU I, II and III supported over 100 doctors for this special training.

  27. ECC& Health Professionals Retention There is a big problem in DR Congo with: - Retention of well train personnel - SANRU III trained 27 MDs at the SPH, but only 17 returned to their HZs. - Most were lost to int’l organizations and other countries, e.g., South Africa

  28. Mechanisms for Retention by ECC • Primes to health workers • Housing • Specialty training for physicians • Means of transport if needed • Learning tools, Internet access, etc.

  29. Vanga Learning and Information Center

  30. Houses built for doctors in Vanga

  31. Rebuilding Health in Congo is an essential collaboration between FBOs and MOH

  32. Thank you very much for listening and for your patience!

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