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Our Approach
The Democratic Republic of Congo is the second most populous country in sub-Saharan Africa, with an estimated total population of 71 million people—47 percent of which are under the age of 15. In the past, DRC has experienced significant political turbulence and instability, particularly
in eastern Congo and as of 2014 was placed at 186 of 187 countries, according to UNDP’s Human Development Index. IMA World Health began working in the DRC in 2000 and is a recognized leader in partnering with the Ministry of Health, donors, faith-based and non faith-based
organizations to strengthen health systems for improved delivery of services. The Access to Primary Health Care Project, known locally as Accès aux Soins de Santé Primaires or ASSP, has achieved great success in strengthening the health system by focusing on priority interventions such
as the treatment of malaria, pneumonia and diarrhea; nutrition; obstetric and neonatal care; family planning; immunization; and water, hygiene and sanitation that are delivered through the health system. ASSP supports an estimated 8,980,238 people across 52 health zones.
www.asspdrc.org [email protected]
Access to Primary Health Care Project (ASSP)
Improving health for 8 million people in the DRC.
1.47 millionBirths attended at a health facility.
20.4 million people have visited our health centers and Community Care sites for curative consultations. 1.4 million
Children vaccinated against measles.
Over 1.35 million pregnant women and children under 5 received direct and intensive nutrition interventions.
1,479 structures completed to improve water quality and sanitation.
Over 65,000 health workers have been registered in iHRIS health-force
management software.
1.32 million new acceptors of modern methods of family planning.
1.27 million pregnant women received two doses of intermittent preventative treatment in pregnancy.
ASSP has completed 253 health centers, including 79 new construction and 174
completed renovations.
On average, 1,745 health facilities are submitting routine monthly reports using DHIS2.
On average, ASSP programs exceeded targets by 6%.
2.26 million Bed nets distributed.
ASSP Project Areas in The Democtatic Republic of the Congo
Increasing community and service user involvement in service planning and delivery.
Five Project Provinces
Kasai
Kasai Central
Maniema
Tshopo
Nord Ubangi
Health Zones Health Areas
17 365
11
4
10
11
171
57
144
150
50K
100K
150K
200K
250K
300K
350K
400K
Baseline 2014 2015 2016 2017 2018
New Acceptors of Modern Methods of Family Planning
Births Attended by a Skilled Professional
Couple Years Protection
6,000,000
5,500,000
5,000,000
4,500,000
4,000,000
3,500,000
3,000,000
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0Baseline 2014 2015 2016 2017 2018
2,50
4,33
9
2,49
4,79
9
3,11
6,24
4
4,28
6,06
4
4,83
8,51
6
5,63
2,49
1
Reaching the Remote
www.asspdrc.org [email protected]
ASSP has seen a steady increase in annual service utilization since the start of the project, from 2.5 million per year at baseline to 5.6 million at Year 5.
The majority of ASSP’s indicators have also seen a steady increase since the start of the project. 786
health areas completed community scorecards
CODESA (community development commitees) are essential in supporting health activities within their health catchment area. This includes organizing scorecard meetings, as well as the follow-up on community recommendations.
894CODESAs are currently
operational
2.4
2.6
2.8
3.0
3.2
3.4
3.6
3.8
4.0
4.2
4.4
4.6
Buildings condition
Buildings cleanliness
Equipment availability
Drugs availability
Reception Health worker competency
Confidentiality Health worker
presence
Health worker respect
Privacy of care
Affordable rates
Scorecard 1 Scorecard 2
11 Focus-group selected indicators for rating HC performance
Progress in Community Scorecard Indicators(1=worst, 5=best)
At the end of the Year 5, ASSP has successfully integrated the community scorecard program in all 52 assisted HZs, with a coverage of 89% of health areas. This process aids in developing plans to improve a variety of factors that impact health uptake.
50K
100K
150K
200K
250K
300K
350K
400K
Baseline 2014 2015 2016 2017 2018
New Acceptors of Modern Methods of Family Planning
Births Attended by a Skilled Professional
Couple Years Protection
6,000,000
5,500,000
5,000,000
4,500,000
4,000,000
3,500,000
3,000,000
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0Baseline 2014 2015 2016 2017 2018
2,50
4,33
9
2,49
4,79
9
3,11
6,24
4
4,28
6,06
4
4,83
8,51
6
5,63
2,49
1
