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BACKGROUND

In 2003, DoctorsWorldwide received an appeal from an NGO called RADEM based in Lubumbashi , the ?City of Peace '. Lubumbashi is the main city in Katanga region has a population of approximately 7.2 million, of which 1.5 million are children under five. The city itself has around 1.2 million population. There are also a large number of Internally Displaced People living in the area due to conflicts in the north-east of the country. RADEM has been running a clinic from the area of Gambela. DWW started to support RADEM from January 2004.

RADEM (Recherche et action pour un develoPpement multisectoriel) was established by Jibrill Kasongo and Dr Paul Mawaw joined later. They are now co-directors of RADEM. The people who work for RADEM are volunteers. DWW has been doing all of Congo projects with them. RADEM has very strong community support and very good relations with local health officials. For further information visit www.radem.org.

Urban Maternity Clinics

RADEM maternity clinic in Gambela / Lubumbashi :

This is the first clinic set up by RADEM a local businessman donated this building for one year to use free of charge as a maternity centre.. It is in an underserved area of Lubumbashi with no other government or NGO clinic around. So it is vital for the local community. DWW initially paid rent for the building from January 2004 to Jn 2005. Following this the clinic was built ourtright.. This clinic currently provides maternity as well as child health and inpatient services to a population of approximately 11000 . After the opening of our new 40 bed hospital in Hewa Bora we have now decided to move inpatient facilities to the new hospital. Gambela clinic will continue to serve as an outpatient women and child health clinic with liited in-patient beds. In 2005 more than 2300 patients have been treated and more than 500 babies were born at this clinic (see records below).

Kamina maternity:

Kamina town is 700 km north of Lubumbashi . It is very poor part of Katanga .The population is around 115,000. DWW opened a maternity clinic in November 2005 providing essential ante and post natal care.

Hewa Bora Hospital :

This nThis new hospital is in a new residential area (Hewa Bora) which is principally made up of poor family homes, (one or two rooms barracks). the hospital has two buildings, one is surgical the other is a maternity wing. There are 40 beds in total and it is was opened on 17 June 2006. A British charity funded the lab, surgical equipment, and maternity equipment for the hospital.. This hospital will strengthen current HIV and malaria related programs, in addition to addressing other health issues and training.

Rural Maternity Clinics:

Lumata maternity:


Lumata village is 54 Km south of Lubumbashi and has 15,000 population with its catchment area. There is no other health facility around. DWW opened Lumata maternity in April 2008.

Malemba nad Ngoy Mani maternities:

Ngoy Mani village located in MALEMBA-NKULU Territory , about  700 km from Lubumbashi via Bukama by train and by vehicle, there is also possibility of access by small aircraft. The local population estimated to 80.000, living in 32 small villages. It was a occupied region by local militias for more than 3 years. Houses and fields of crops were burned and destroyed, people were killed, and there is no clinic around. The nearest government hospital is located at 65 km in MALEMBA town and 90 km in KINKONDJA neighbouring territory of Bukama . DWW built maternity clinics in Ngoy Mani and Malemba to improve maternal and child health in the area. Both maternities opened in July 2008.

Lwalaba maternity:

It is between Likasi and Kolwezi. Rural village. It has been opened 18 September 2009. 
Circumcision:

DWW haDWW has done more than 140,000 circumcisions in Katanga region by the end of August 2009. Using the forceps-guided method DWW has offered this service free of charge as part of its wider HIV prevention strategy. People come from 5-7 miles away on foot for this service. It was done in Lubumbashi as well as other towns (Likasi, Kipushi, Kolwezi , Kamina, Luena). RADEM volunteers also provide HIV education programmes as well as economic help and support to those adults and orphan victims of HIV/AIDS.
Poverty Reduction Programme:

There are two aspects of this programme. DWW started nutritional help for children in rural areas. The children are identified by local liaison officers who provide the food and will help enrol the children into education programmes. Also a medical screening programme started for these children. Over 3600 children at 60 locations receive food and medical screening at the moment. DWW also distributed meat at Muslim`s Eid Al Adha festival (qurbani) annually. Funded by DWW-Turkey this project has provided meat for over 40,000 families so far. 
IDP health programme:

Nyonga mobile health clinics:

Doctors Worldwide has started a project to help internally displaced people in Katanga region in Congo (DRC). Mayi-mayi guerrillas started rebellion against central government in northern Katanga (Bukama and Malemba/Nkulu territories) three months ago.They burned the villages and killed hundreds of people. Many people have fled from them to safe parts of Bukama and Malemba/Nkulu territories. There are 15,343 displaced people in Nyonga village (local population 12,866) and 5130 displaced people in Kibondo village (local population 11,800) in Bukama territory. Their homes and livestock were burned by guerrillas. They need food medicine and shelter urgently. DWW with local partner NGO RADEM rented houses in two villages to set up clinics from which mobile teams are dispatched. DWW/RADEM teams started work in March 2006 for an initial six month period. This project has been completed at the end of August 2006 as all the IDP s returned to their homes.

Goma clinics:

Since August 2008 there has been heavy fighting between Government forces and ethnic Tutsi rebels led by Gen. Laurent Nkunda. Rebels have advanced to the west and seized parts of the provincial capital Goma. More than 250,000 people have become displaced and are living in temporary shelters or even in the open air in and around Goma. There are no adequate food, water and hygiene facilities for them.

Doctors Worldwide (DWW) has sent a team to Goma led by DWW country director Mr Jibrill Kasongo. According to the DWW team`s assessment, major health problems are diarrhea including cholera (27%), Malaria (19%), respiratory Infections, sexual transmitted diseases (as a result of mass rape of women by rebel militia) and intestinal worms. Increased malnutrition is detected among under 5 children and pregnant women.

DWW isDWW is co-ordinating its actions with OCHA, WHO and local health authorities. DWW started to set up 5 mobile clinics in Kasika, Ndosho, Mabanga, Kiziba and Hebron districts. DWW has been working with its long term local partner RADEM and has employed local staff to carrying out the project for 3 months initially. After the initial 3 months DWW continued its support and extended its activities to IDP camps outside Goma town. The IDP s are still fearful to go back to their villages as sporadic fighting is still continues in the province. 
Infectious disease programme

Measles outbreak in Malemba-Nkulu territory:

It was  affecting more than ten villages. Around  3500 cases recorded in last couple of weeks and more than 150 children died.Doctors Worldwide (DWW) sent 4 emergency medical teams to the area. DWW teams treated 981 children in the area. This project has been completed in July 2007.

Cholera outbreak in Katanga province.

There have been cholera outbreaks in some parts of Katanga province since September 2007. Local medical authorities and humanitarian organizations started to send medical teams in order to control the outbreak. DWW with its partner RADEM is working with the local authorities.   DWW donated 5000 litres of saline to help them. DWW team have arrived to Malemba Nkulu region with salines. They are treating patients at tent hospitals. DWW also building two maternities in this region to improve the healthcare infrastructure. This project has been completed in November 2007.
Anaemia project

Anaemia project:

DWW is going to set up an anaemia treatment programme at Sendwe hospital in Lubumbashi. Sendwe hospital is a big university hospital In Lubumbashi. Our aim is to provide iron and folic acid tablets for pregnant women. According to WHO Congo women have high rate of anaemia. The project will be designed for a year initially and results will be published by DWW.
 
News & Updates
22 September 2009
01 December 2008
13 August 2008
17 April 2008
16 October 2007
20 October 2007
22 May 2007
27 June 2006
29 March 2006
11 January 2006
05 January 2006
04 January 2006
   

Fact File

Total population

52,771,000

GDP per capita (Intl $, 2002)

352

Life expectancy at birth m/f (years)

42.0/ 47.0

Healthy life expectancy at birth m/f (years, 2002)

35.0/ 39.1

Child mortality m/f (per 1000)

217/ 192

Adult mortality m/f (per 1000)

578/ 452

Total health expenditure per capita (Intl $, 2002)

14

Total health expenditure as % of GDP (2002)

4.0

See More Facts...

(Source: WHO)


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