Democratic Republic of Congo

The Impact of COVID-19 on Women in Democratic Republic of Congo

Evidence worldwide indicates that women are disproportionately affected by the health and socio-economic impacts of intervention
measures applied for the control of COVID-19. Women make up the majority of the informal labour sector and are more likely to suffer job losses or reduced income as a result of closed borders, markets and shops, and restricted movement. Sexual and reproductive health services are often the first to face restrictions in terms of availability and access. School closures place an additional burden on women, who take on childcare responsibilities, including ensuring adequate nutrition. Girls who cannot go to school are at increased risk of sexual violence, pregnancy, and early marriage - a trend that was widely observed in areas affected by Ebola during the 2014-2016 epidemic in West Africa. Risks are exacerbated for women and girls living in the poorest households in remote rural areas.
Since the beginning of the COVID-19 outbreak in the Democratic Republic of Congo (DRC) in March 2020, mixed methods data produced by the Social Sciences Analytics Cell (CASS) and its partners presents a dynamic where pre-existing disparities between men and women in terms of health, social protection and economic status are being exacerbated by the outbreak and its response. This report presents an integrated multidisciplinary analysis of the impact of COVID-19 and its response on women and girls in the DRC, highlighting changes that have occurred since the beginning of the outbreak. The objective of this report is to provide evidence to support decision-making for strategies to respond to the outbreak to ensure that the health, protection and economic security of women and girls is prioritised. Read More...

COVID-19 Rapid Gender Analysis DR Congo

Depuis le début de l’épidémie déclarée le 10 mars 2020 jusqu’en date du 26 Aout 2020, le cumul des cas est de 9.915, dont 9.914 cas confirmés et 1 cas probable. Au total, il y a eu 255 décès (254 cas confirmés et 1 cas probable) et 9.020 personnes guéries.i
En RDC, la prévention et la réponse à la pandémie COVID 19 sont guidées au niveau National par un « Plan de préparation et de riposte à l’épidémie de COVID 19 » publié en début Mars 2020. Ce plan comprend 9 objectifs bien définis mais les aspects spécifiques aux questions de protection transversale et de genre sont faiblement développés.
Quoi que les données nationales qui renseignent sur la situation épidémiologique en RDC ne soient pas désagrégées par âge et par sexe, il est évident que les hommes, femmes, filles et garçons des différents âges, situations sociales confondues ne sont pas touchées de la même manière par la pandémie à COVID 19 surtout que déjà traditionnellement, il s’observe un déséquilibre entre les hommes, les femmes, les filles et les garçons au niveau des rôles, responsabilités, accès et contrôle, participation et prise de décision et au niveau des aspects de protection.
Dans le souci d’améliorer sa mise en oeuvre pendant la période de la pandémie, CARE I DRC a fait une analyse genre rapide période du 15 Avril jusqu’en fin Mai 2020. Une mise à jour a été faite sur base des informations recueillies le 18 Juillet 2020. Cette analyse qualitative vise à renseigner sur les problèmes spécifiques des femmes, hommes, filles et garçons pendant cette période de pandémie à COVID 19. Les éléments issus des données secondaires appuieront la triangulation des informations. Les thématiques d’analyse sont : rôles et responsabilités, accès aux ressources, services et l’information, prise des décisions, influence des croyances, sécurité, et sante / bien être. Les informations ont été recueillies dans les villes urbaines et cités rurales dans lesquelles CARE I mène des activités et a des bureaux et au moins 1 staff. Les provinces concernées sont le Nord Kivu (Beni, Butembo, Goma et territoire de Nyiragongo), Sud Kivu (Bukavu et Uvira) et la ville province de Kinshasa. Read More...

GEWEP II: Gender Equality and Women’s Empowerment Programme II Final Report

GEWEP II works with and for poor and vulnerable women and girls. More than 8 160 000 women and girls live in our programme areas, and the end programme target is to directly work with 1 022 200.
The main impact is through Village Savings and Loan Associations (VSLAs). The VSLA model came out of a pilot in Niger in the early 90s. Nearly 30 years later, there are more than 6.7 million VSLA members across the globe. Other organisations and governments have adopted CARE’s model, thereby multiplying impact. GEWEP continued to scale up VSLAs, and advocated for governments to recognize the model. The Governments of Burundi, DRC, Niger and Rwanda all recognize the important contribution of VSLAs to women’s economic empowerment, manifested within national strategies, policies and funds.
Women’s economic empowerment opens up for women’s participation. GEWEP supported women to come together and find confidence and common cause through VSLAs. We find VSLA women who actively participate in decision-making in formal structures, and who manage to stay there despite resistance from some men. This is the main success for women’s participation, across countries.
The shrinking space for civil society remains the most difficult challenge. In all countries, CARE’s main approach was to maintain good relations with those that are directly engaging with the field of women’s rights or who control the implementing areas or relevant political processes. This approach was successful in terms of preserving enough working space for CARE, GEWEP partners and other civil society actors working in the same field. Read More...

CARE Rapid Gender Analysis for COVID 19 East, Central and Southern Africa

The impacts – direct and indirect – of public health emergencies fall disproportionally on the most vulnerable and marginalized groups in society. Interconnected social, economic, and political factors pose complex challenges for the ECSA region’s ability to respond to COVID-19. The region already faces significant health challenges that would exacerbate the severity of COVID-19, such as high levels of malnutrition, malaria, anemia, HIV/AIDS, and tuberculosis. Access to healthcare in the region is the lowest in the world, thus there is limited capacity to absorb the pandemic1. Gender-based inequality is extensive in the region. Women are at a higher risk for exposure to infection due to the fact that they are often the primary caregivers in the family and constitute 70% of frontline healthcare responders.2 Most women already face limited access to sexual and reproductive health and rights (SRHR) services, and the region struggles with high levels of maternal mortality. For example, mother mortality rates recorded in South Sudan were 1150 per 100 000 live births3. COVID-19 will only increase women’s safety risks and care burdens as health services become stretched and resources shift to COVID-19 responses.
Women and girls are at increased risk of violence during the COVID-19 period. Current rates of violence against women and girls combined with the prevalence of harmful traditional practices leads to increased vulnerability. Income loss and limited mobility, compounded with existing gender role expectations, may contribute to increases in intimate partner violence and other forms of gender-based violence. Read More...

Gender Analysis: Prevention and Response to Ebola Virus Disease in the Democratic Republic of Congo

The latest epidemic of Ebola Virus Disease (EVD) in the Democratic Republic of Congo (DRC) has rapidly evolved into the second largest outbreak in history. Deployed in an operational environment characterised by ongoing volatility, EVD prevention, treatment and containment efforts have faced multiple difficulties. Mistrust of EVD responders by local communities, coupled with targeted attacks on healthcare workers and facilities, have proved to be serious operational challenges. Despite a gressive efforts to stamp out the disease across three provinces, the virus has continued to spread and is responsible for the deaths of 3,303 people to date (as of 24th November 2019) with an overall fatality rate of 67%.

However, these casualty numbers hide the underlying characteristics of the EVD crisis. The reality is that the majority of fatalities consist of women (56%), and children (28%). Adult men constitute just 11% of EVD deaths. Yet fatalities alone do not fully demonstrate the differential ways in which men, women, boys and girls are exposed and experience the immediate risks and longer-term consequences of the disease. Socially prescribed cultural norms, attitudes and practices in relation to gender and age dictate how individual women, men, girls and boys are differentially impacted by the EVD crisis. It is therefore critical to better understand the socio-behavioural underpinnings to EVD aetiology. In light of the gendered dimensions of the EVD crisis, CARE International in DRC commissioned a Gender Analysis of the EVD crisis in North Kivu in order to provide information about the different needs, capacities and coping strategies of women, men, girls and boys during the EVD crisis. Read More...

Rapport d’evaluation Finale du Projet de Soins de Sante Primaire et Protection/VBG

Le projet soins de santé primaires et protection VBG est un projet qui vise à fournir des soins de santé primaires d'urgence et une réponse à la violence sexiste aux communautés déplacées et hôtes avec un meilleur accès aux soins de santé primaires, dans les zones de santé de BUTEMBO et LUBERO, il comprend un volet accès à la réponse à la violence basée sur le genre, ainsi qu'à des messages sur la prévention des IST et des grossesses non désirées, la prévention de la violence sexiste, l'information et la prévention en matière de Santé Sexuelle et Reproductive, maladies d'origine hydrique, y compris la prévention du choléra.

Tous les indicateurs tel que défini dans le projet ont fait l’objet d’une analyse triangulée qui a permis de mettre en exergue l’état actuel (final) de chaque indicateur dans la zone de mise en oeuvre du projet comparativement à l’état initial des indicateurs lors de l’évaluation de base.

Ainsi dans le premier out come, soutient au système de santé, il a été constaté que toutes les structures ciblées par le projet ont été appuyées lors de la mise en oeuvre du projet, il s’est remarque une augmentation des consultations curatives à hauteur de 121667 grâce à l’appui accordé par le projet OFDA dans les différentes structures sous appuie, une réhabilitation de 6 structures et deux BCZS dans les deux zones de santé a été possible grâce à l’appui du projet, mais aussi une augmentation significative dans le rapportage des données épidémiologiques qui est passé de 83% lors de la Baseline à 93.1% après la mise en oeuvre du projet. Cette performance a été possible grâce à l’appui apporté par le projet à travers le renforcement des prestataires des soins de santé et des volontaires communautaires sur la surveillance et le rapportage des maladies communautaires.

Dans le deuxième out come, Santé de la reproduction, il a été constaté que toutes les structures ont connu une baisse de fréquentation de CPN, CPON et CPS suite à la situation de la MVE qui se vie dans les deux zones de santé, certaines structures ont été contraints à une fermeture temporaire suite au vandalismes des infrastructures sanitaires par la population de ces aires de santé ( environnement sanitaire dégradé, biens des FOSA saccagé , certaines structures brulés) résultats de la méfiance qu’à la population pour la riposte à la MVE, cela a fait que certaines femmes ne fréquentes plus le CPN et CPON et se fassent à coucher à la maison de la manière traditionnel au risque de mettre leur vie en péril.

Dans le troisième out come, maladies communicables, les structures ont rapporté une augmentation des cas des diarrhées, paludismes, IRA, cette augmentation est due au fait qu’à travers les sensibilisations faites à travers les activités du projet, et le renforcement des capacités des volontaires communautaires sur la surveillance communautaire (identification et rapportage des maladies communautaires courantes) plusieurs cas ont été rapporté et prise en charge dans les 22 structures appuyées dans les 2 zones de santé.

Dans le quatrième out come, (santé communautaire ; les résultats issus de cette enquête montrent que là plus part des RECOs identifiées ont été formé et sensibilisé sur la surveillance communautaire à travers plusieurs formations sur la prise en charge des maladies communautaires courantes, et à travers plusieurs dialogues communautaires Read More...

Meeting the demand of women affected by ongoing crisis: Increasing contraceptive prevalence in North and South Kivu, Democratic Republic of the Congo

Over 20 years of conflict in the DRC, North and South Kivu have experienced cycles of sta- bility and conflict, resulting in a compromised health system and poor sexual and reproduc- tive health outcomes. Modern contraceptive use is low (7.5%) and maternal mortality is high (846 deaths per 100,000 live births). Program partners have supported the Ministry of Health (MOH) in North and South Kivu to provide good quality contraceptive services in pub- lic health facilities since 2011.

This paper used cross-sectional population-based surveys in the program areas using a two- stage cluster sampling design to ensure representation in each of six rural health zones.

It found that modern contraceptive prevalence among women in union ranged from 8.4% to 26.7% in the six health zones; current use of long-acting or permanent method (LAPM) ranged from 2.5% to 19.8%. The majority of women (58.9% to 90.2%) reported receiving their current method for the first time at a health facility supported by the program partners. Over half of women in four health zones reported wanting to continue their method for five years or longer. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

In 2012, about 43 million women of reproductive age experienced the effects of conflict. Provision of basic sexual and reproductive health services, including family planning, is a recognized right and need of refugees and internally displaced people, but funding and services for family planning have been inadequate. This article describes lessons learned during the first 2.5 years of implementing the ongoing Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAFPAC) initiative, led by CARE, which supports government health systems to deliver family planning services in 5 crisis-affected settings (Chad, Democratic Republic of the Congo, Djibouti, Mali, and Pakistan). Read More...

Rapport d’Evaluation Multisectorielle dans les zones de santé de MIABI et Tshilundu au Kasaï Oriental; de Kamiji, Luputa à Lomami et Yangala au Kasaï Central

Le présent rapport fait état de la situation humanitaire des populations vivant dans les zones de santé de Kamiji et Luputa dans la province de Lomami, Cilundu et Miabi dans la province du Kasaï oriental puis Yangala dans la province du Kasaï Central. Pour parvenir à la collecte des informations attendues, nous avons fait recours à une méthodologie diversifiée utilisant les techniques d’enquêtes dans les ménages, les entretiens avec des informateurs clés, des focus groupes avec des groupes spécifiques dont les femmes, les commerçants, des autorités locales, ect ; des observations directes libres et/ou guidées ainsi que l’exploitation de documents existants. Read More...

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