scholarly journals The resurgence of Ebola disease outbreak in North-Kivu: viewpoint of the health system in the aftermath of the outbreak in the Democratic Republic of Congo

2021 ◽  
Vol 5 ◽  
Author(s):  
Bives Mutume Vivalya ◽  
Astride Lina Piripiri ◽  
Jean Bosco Kahindo Mbeva
2020 ◽  
Vol 1 ◽  
Author(s):  
Bives Mutume Vivalya ◽  
Martial Mumbere Vagheni ◽  
Nolbert Gumisiriza ◽  
Germain Manzekele Bin Kitoko ◽  
Astride Lina Piripiri ◽  
...  

2020 ◽  
Vol 57 (11) ◽  
pp. 1314-1319
Author(s):  
Luc Malemo Kalisya ◽  
Jacques Fadhili Bake ◽  
Bake Elisee ◽  
Kavira Nyavandu ◽  
Robert Perry ◽  
...  

Background: There is a high prevalence of orofacial clefts in low- and middle-income countries with significant unmet need, despite having 50% of the population younger than 18 years in countries such as the Democratic Republic of Congo (DRC). The purpose of this article is to report on the experience of general surgeons with orofacial clefts at a single institution. Methods: This is a retrospective study of patients treated for cleft lip/palate in the province of North Kivu, DRC between 2008 and 2017. Results: A total of 1112 procedures (122/year) were performed. All procedures were performed by general surgeons following training by an international nongovernmental aid organization. A total of 59.2% of patients were male and the median age was 3.4 years (interquartile range: 0.7-13 years). Average distance from surgical center to patient location was 242.6 km (range: 2-1375 km) with outreach performed for distances >200 kms. A majority (82.1%) of patients received general anesthesia (GA) with significant differences in use of GA, age, weight, and length of stay by major orofacial cleft category. Of the 1112 patients, 86.1% were reported to have cleft lip alone, 10.5% had cleft lip and palate, and 3.4% cleft palate alone. Despite this, only 5.3% of patients underwent surgical repair of cleft palate. Conclusions: Multiple factors including malnutrition, risk of bleeding, procedural complexity, and cosmetic results may contribute to the distribution of procedures performed where most cleft palates are not treated. Based on previously published estimates, unmet needs and social burden of cleft lip and palate are high in the DRC.


2017 ◽  
Vol 9 (10) ◽  
pp. 292-305 ◽  
Author(s):  
Charles Sivirihauma ◽  
Walter Ocimati ◽  
Kambale Valimuzigha ◽  
Deborah Karamura ◽  
Joseph Adheka ◽  
...  

2010 ◽  
Vol 7 (2) ◽  
pp. 41-43 ◽  
Author(s):  
Michel Okitapoy On'okoko ◽  
Rachel Jenkins ◽  
Samuel Mampunza Ma Miezi ◽  
Daniel Okitundu Luwa E Andjafono ◽  
Ildephonse Muteba Mushidi

The delivery of mental healthcare in the Democratic Republic of Congo (DRC), formerly Zaire, is influenced by geography, politics, legislation and the structure of the health system, as well as traditional beliefs and culture.


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