Emergency Health Response in Uélé District, Congo
Conflict in north eastern D.R. Congo has displaced 300,000 people. Many, including victims of sexual violence, need medical care. We’ll provide free treatment and improve the quality of care in government health centres. We’ll do this by training clinic staff and providing good quality medicines.
May 2011 - March 2012
Repeated ‘Lord’s Resistance Army’ (LRA) attacks against civilian populations in the north of Province Orientale have forced 300,000 people to flee their homes and land. They’re now living precariously in camps or host communities. They’ve lost their livelihoods, so cannot pay for health care. A few government health centres exist, but the quality of care is poor and the supply of medicines unreliable (the result of chronic under-development and the LRA crisis). We will improve both.
> We will provide free medical treatment for victims of sexual violence.
> We will provide medicines to 10 health centres, and train their staff to improve the quality of care.
> We will promote the importance of seeking treatment early as a preventative measure of HIV.
Increase access to essential health care for vulnerable populations by providing free health care.
Activities» Support 10 health centres by providing drugs and paying staff and operating costs.
» Improve preventative activities by distributing clean delivery kits for pregnant women.
» Conduct training of health centre staff on diagnosis and prescribing practice, and good management of the health centre.
» Ensure all health centres are adequately equipped with essential equipment.
Success will be... Number of displaced people, returnees, and in some areas, members of the host population who receive free medical treatment.
Strengthen essential maternal and child health care services.
Activities» Encourage prompt referral of emergency obstetric cases to referral centres for caesarean sections.
» Conduct training on management of maternal health.
» Conduct training on the management of childhood illnesses.
» Conduct training on the management of disease outbreaks and respond to disease outbreaks within 72 hours.
Success will be... Number of pregnant women and sick children treated according to international treatment protocols.
Strengthen access to medical assistance for survivors of sexual violence.
Activities» Train staff in six health centres on the medical management of victims of sexual violence.
» Provide medicines for the treatment of victims of sexual violence.
» Train community health workers and volunteers on the psychological care and support of victims of sexual violence.
» Educate communities on the need to bring victims of sexual violence for medical treatment within 72 hours.
Success will be... Number of victims of sexual violence seeking early treatment and the number of victims receiving psychological support.
Our aim is to reduce morbidity and mortality rates. These cannot be measured directly, so we'll use the following indicators to measure progress towards them:
> number of patients receiving free care
> number of referrals for caesarean sections
> ante-natal clinic attendance
> number of <1 year olds vaccinated
> number of rapid responses to disease outbreaks
> number of centres equipped and trained care for victims of sexual violence
> number of victims receiving pyschological support.
INSECURITY: > Risk of restricted access to certain areas if security deteriorates. Some health centres may not be safely accessible by road, so will be visited only when security allows. > Risk of large population movements due to insecurity. The project will follow the beneficiaries to other health centres if necessary and new health centres can be added to the project if new needs develop.
GEOGRAPHY: > Some health centres are accessible only by air, but humanitarian air services are available
We will email / write to thank and update donors in January 2012 with photos, progress reports, beneficiaries' feedback etc. We will also invite donors to attend one of our Open Evenings where they can ask questions and hear and see directly from field staff.
Budget - Project Cost: £200,000Loading graph....
Amount Heading Description £100,000 Beneficiaries supplies . £35,000 Equipment . £45,000 Staff . £20,000 Transport .
Current Funding / Pledges
Source Amount European Commission £900,000 Guaranteed
The Uélé region is in northeastern D.R. Congo. The people are mostly subsistence farmers and hunters living in extreme poverty. There’s very little infrastructure - no tarmac roads exist. Transport is mainly by motorcycles and small aircraft operating from dirt airstrips. Years of civil conflict have resulted in a weak health system. LRA attacks began in October 2008 and involve massacres and kidnappings of civilians. Consequently, over 300,000 people are displaced in the Uélé regions.
95,085 people will benefit from this project.
We’ve been working in Province Orientale since 1997. Medair responded to the crisis caused by the LRA attacks in early 2009 and opened a base in Dungu, the centre of an LRA massacre in December 2008. We continue to provide emergency health care for displaced people in Haut Uélé. Dungu is the humanitarian coordination centre for Haut Uélé so Medair is able to co-ordinate well with other NGOs and UN agencies. In the UK, Medair remains Intelligent Giving’s no. 1 ranked international charity.
Read more about the Charity running this project.
Country Director - with many years' experience leading relief and rehabilitation programmes in Africa.
Deputy Country Director, Programmes - with many years' experience leading relief and rehabilitation programmes in Afghanistan and Africa.
...will pay for 1 medical kit for a health centre
The population has really benefited. If it was not for Medair we would have had many deaths as sick people would have just stayed home to die.