The SANRU Sant Rurale Program in DR Congo - PowerPoint PPT Presentation

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The SANRU Sant Rurale Program in DR Congo

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The SANRU (Sant Rurale) Program in DR Congo. by Leon Kintaudi and Franklin Baer ... FBOs co-developed and co-manage 1/3 of Congo's Health Zones ... – PowerPoint PPT presentation

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Title: The SANRU Sant Rurale Program in DR Congo


1
The SANRU (Santé Rurale) Program in DR Congo
Where We've Been and Where We're Going
by Leon Kintaudi and Franklin Baer

CCIH Annual Conference, May 30, 2005
2
Here is Congo
3
Here are the Paved Roads of Congo
4
One of those paved roads
5
and an unpaved road
6
Congo is rich in natural resources
Coffee
Col-Tan
Natural Resources
Crude Oil
Cobalt
Cadmium
Copper
7
Congo is also rich in decentralized health zones

(515 HZs)
FBOs co-developed and co-manage 1/3 of Congos
Health Zones
8
A Brief History of Health System Development in
DRC
  • 1875-1960 Health Infrastructure Development
  • - Belgian colonial investment in urban admin.
    centers
  • - Missionary initiatives in rural areas
  • - Post WWII investments (from copper revenues)
  • - Traditional health system with 120 territory
    districts

9
The Hospitals of DR Congo (c. 1960)
10
A Brief History of Health System Development in
DRC
  • 1900-1960 Health Infrastructure Development
  • 1960-1975 Pioneers in Health System
  • Sims Ngwete Lejeune Luvivila Fountain
    Pangu Courtejoie Ruppol Carlson
  • Galloway many more

11
A Brief History of Health System Development in
DRC
  • 1875-1960 Health Infrastructure Development
  • 1960-1975 Pioneers in Health System
  • 1975 National Seminar on Community Medicine
  • - Organized with Catholic and Protestant Medical
    Offices
  • - Established consensus and mandates for
  • integrated medicine (primary health care)
  • CEBEC (PHC integrated health centers)
  • decentralized health zones with co-management
    by FBOs
  • - No funding, but this encouraged pilot HZs to
    develop

12
Pilot Health Zones (1975-1981)
13
A Brief History of Health System Development in
DRC
  • 1875-1960 Health Infrastructure Development
  • 1960-1975 Pioneers in Health System
  • 1975 National Seminar on Community Medicine
  • 1982-1986 Five year health plan
  • - Delimitation/Creation of 306 Health Zones
  • - SANRU I/II and FBOs played leading roles

14
Pilot Health Zones (1975-1981)
15
Health Zones (1982)
16
Health Zones (1984)before delimitation of Health
Zones
17
Health Zones (1984)after delimitation of Health
Zones
18
Health Zones (1984)after delimitation of Health
Zones
19
Health Zones (1984)after delimitation of Health
Zones
20
A Brief History of Health System Development in
DRC
  • 1875-1960 Health Infrastructure Development
  • 1960-1975 Pioneers in Health System
  • 1975 National Seminar on Community Medicine
  • 1982-1986 Five year health plan
  • 1991-2001 The decade of HZ survival
  • - Economic instability, war, projects closed
  • - ECC FBOS struggle to continue support to
    HZs

The health zone system is possibly the only
system in the country still recognizable even
with critically little or no support it commands
allegiance and support from health workers (WHO
2001)
21
A Brief History of Health System Development in
DRC
  • 1875-1960 Health Infrastructure Development
  • 1960-1975 Pioneers in Health System
  • 1975 National Seminar on Community Medicine
  • 1982-1986 Five year health plan
  • 1991-2001 The decade of HZ survival
  • 2001-2005 Revitalizing HZs with Appui Global
  • - ECC/IMA assists 56 HZs with USAID funding
    (SANRU III)
  • - CRS assists 16 HZs with USAID funding
  • - PMURR 68 HZs with WB funding (19 by IMA/ECC)
  • - PReSS 83 HZs proposed with WB funding

22
Four Generations of NGO Development Strategies
A Final Comment
Adapted from Getting to the 21st Century, by
David Korten
23
The SANRU (Santé Rurale) Program in DR Congo
Where Were Going
by Leon Kintaudi and Franklin Baer
24
Protestant Church of Congo Medical Office
(ECC/DOM)
  • ECC/DOM is a Christian Health Association that
    include 65 member communities
  • ECC/DOM member communities own 80 hospitals and
    more than 600 health centers
  • ECC co-manages 65 of Congos 515 HZs

25
The ECC/DOM Portfolio
  • Liaison with MOH for all ECC health facilities
  • Co-Management of 65 Health Zones with the MOH

26
ECC Co-Manages 65 Health Zones(serving a
population of 9,000,000)
27
FBOs Co-Manage 1/3 of Congos HZs
28
The ECC/DOM Portfolio
  • Liaison with MOH for all ECC health facilities
  • Co-Management of 65 Health Zones with the MOH
  • Current Projects 4 major projects and numerous
    subprojects ( 15,000,000/yr)

29
ECC/DOM in partnership with I.M.A. is assisting
75 HZs with health systems development
- SANRU III (USAID)- PMURR (World Bank)
30
Results from Oicha HZ (with EPI and ITNs fully
implemented)
31
The ECC/DOM Portfolio
  • Liaison with MOH for all ECC health facilities
  • Co-Management of 65 Health Zones with the MOH
  • Current Projects 4 major projects and numerous
    subprojects ( 15,000,000/yr)
  • For 2006 hoping for 5 major projects (20
    M/yr)
  • New directions DEVRU
  • Developpment Rurale
  • adding agriculture and microenterprise
  • activities for synergistic development

32
Keys to Health Systems Development for FBOs
CHAs
  • Document and map the strengths of FBO networks
  • Strengths of FBO Networks
  • More public than private sector
  • Generally willing to co-manage health zones
  • Provide a good infrastructure for HZs (schools,
    etc.)
  • Are effective in community mobilization
  • Have good user fee and management systems
  • Have access to funding not available to the MOH
  • Confidence of donors in working with FBOs
  • FBOs are a permanent sustainable national
    resource

33
Keys to Health Systems Development for FBOs
CHAs
  • Document and map the strengths of FBO networks
  • Create continual dialogue/collaboration with MOH
  • Promote FBOs as part of the public sector
    (FBO/NGO)
  • Work at all levels of the health system, esp.
    national
  • Create strategies for co-management of health
    systems
  • Establish partnerships with U.S. groups to handle
    funding

34
Keys to Health Systems Development for FBOs
CHAs
  • Document and map the strengths of FBO networks
  • Create continual dialogue/collaboration with MOH
  • Promote FBOs as part of the public sector
    (FBO/NGO)
  • Work at all levels of the health system, esp.
    national
  • Create strategies for co-management of health
    systems
  • Establish partnerships with U.S. groups to handle
    funding
  • Increase your project systems management
    capacity
  • Be More Creative!

35
Santé Pour Tous et par Tous
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