Democratic Republic of Congo
Activities International Activity Report 2016
Poor infrastructure and inadequate health services continue to restrict access to medical care in the Democratic Republic of Congo (DRC). The eastern provinces remain insecure, as the Congolese army and several armed groups fight for control of resource-rich territory.
An outbreak of yellow fever hit all the provinces bordering Angola in 2016. MSF supported the Ministry of Health in a massive emergency response and vaccinated more than a million people in Kinshasa and Matadi city, Kongo Central. In Haut-Uélé province, eastern DRC, MSF also collaborated with the Ministry of Health to treat more than 84,000 patients in an exceptional outbreak of malaria. The Pool d’Urgence Congo responded to 26 emergencies relating to cholera, measles, typhoid fever and displaced people, reaching 330,000 people across the country.
In Walikale, Mweso, Masisi and Rutshuru, MSF continued its comprehensive medical programmes supporting the main reference hospital and peripheral health centres to provide both basic and secondary care to people affected by recurrent violence who would otherwise have little access to medical services. Almost 35,000 children suffering from malnutrition and/or other diseases were admitted to MSF-supported hospitals; over 270,000 outpatient consultations were provided in the Mweso area alone, nearly half of which were for malaria; and more than 7,500 surgical interventions were performed in Rutshuru hospital.
Between March and June, MSF responded to a nutrition emergency in three health zones in Lubero, treating over 600 severely malnourished children.
MSF continued to support five health facilities in Goma, offering screening and treatment for HIV/AIDS. In 2016, the team provided care for over 2,600 patients living with HIV/AIDS. MSF also responded to a cholera outbreak, treating more than 700 patients.
MSF supports two hospitals, several peripheral health centres and different community points for decentralised identification and management of malaria and malnutrition in Lulingu and Kalehe, with a particular focus on malaria and malnutrition, for children and pregnant women. Over 284,000 outpatient consultations were carried out, 10,800 people were admitted to the hospitals, more than 10,700 malnourished children were treated and more than 10,000 deliveries assisted. MSF also continued to support Shabunda and Matili hospitals.
MSF has seen a huge increase in malaria cases in recent years and the hospital it supports in Baraka is struggling to cope. A 100-bed facility built by MSF was in full use again, and more community-based sites were set up to treat 200,000 children for malaria, pneumonia and diarrhoea. Staff carried out over 450,000 outpatient consultations and admitted more than 17,000 patients to the hospital.
MSF teams continue to support health centres in Lulimba, Misisi and Lubondja. This year they opened further community-based sites and carried out nearly 200,000 outpatient consultations, including 131,322 for patients with malaria. Staff also treated 396 patients for tuberculosis (TB) and 384 patients for HIV.
Year MSF first worked in the country: 1981.
|Patients treated for malaria||1,002,400|
|Patients admitted to hospital||137,200|
|Individual and group mental health consultations||33,300|
|patients treated in feeding centres||48,600|
|Patients received first-line ARV||5,700|
|No. staff in 2016||3,509|
|Expenditure 2016||€109.8 million|