scholarly journals Exacerbation of vulnerability in a hospital setting in Lubumbashi (Democratic Republic of Congo)

2013 ◽  
Vol 20 (1_suppl) ◽  
pp. 51-56 ◽  
Author(s):  
Aimé Kakudji Kyungu
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Hospital Setting ◽  
The State ◽  
Ethnographic Study ◽  
Care Providers ◽  
Republic Of Congo ◽  
Mining Enterprise ◽  
Institutional Instability ◽  
Professional Vulnerability

This article presents an ethnographic study of the pseudonymous Saint Amand Hospital in Lubumbashi (Democratic Republic of Congo) and of the way in which struggles for control of the hospital’s resources contributed to shape certain practices that were damaging to the institution. We examine how, following the disengagement of both the State and a large bankrupt mining enterprise, the ‘atypical’ governance of the hospital and the institutional instability it generated led to professional vulnerability among care providers. We also look at how, in turn, this situation exacerbated the vulnerability of the helpless and uneducated patients attending that hospital.

scholarly journals Pattern of uncontrolled allergic rhinitis in a hospital setting of Kinshasa, Democratic Republic of Congo

2019 ◽  
Vol 7 (4) ◽  
pp. 286-291
Author(s):  
Patricia K. Kakobo ◽  
Hilaire K. Kalala ◽  
Maguy M. Tshibola ◽  
Joseph K. Kelekele ◽  
Dieudonné T. Nyembue ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Hospital Setting ◽  
Republic Of Congo

scholarly journals Social and economic consequences of the cost of obstetric and neonatal care in Lubumbashi, Democratic Republic of Congo: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Musau Nkola Angèle ◽  
Ntambue Mukengeshayi Abel ◽  
Omewatu Mungomba Jacques ◽  
Mundongo Tshamba Henri ◽  
Malonga Kaj Françoise
Keyword(s):  
Health Care Providers ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Neonatal Care ◽  
Economic Consequences ◽  
Health Coverage ◽  
Care Providers ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
The Government

Abstract Background The aim of this study was to explore and measure the social and economic consequences of the costs of obstetric and neonatal care in Lubumbashi, the Democratic Republic of Congo. Methods We conducted a mixed qualitative and quantitative study in the maternity departments of health facilities in Lubumbashi. The qualitative results were based on a case study conducted in 2018 that included 14 respondents (8 mothers of newborns, 2 accompanying family members and 4 health care providers). A quantitative cross-sectional analytical study was carried out in 2019 with 411 women who gave birth at 10 referral hospitals. Data were collected for one month at each hospital, and selected mothers of newborns were included in the study only if they paid out-of-pocket and at the point of care for costs related to obstetric and neonatal care. Results Costs for obstetric and neonatal care averaged US $77, US $207 and US $338 for simple, complicated vaginal and caesarean deliveries, respectively. These health expenditures were greater than or equal to 40% of the ability to pay for 58.4% of households. At the time of delivery, 14.1% of women giving birth did not have enough money to pay for care. Of those who did, 76.5% spent their savings. When households did not pay for care, mothers and their babies were held for a long time at the place of care. This resulted in the prolonged absence of the mother from the household, reduced household income, family conflicts, and the abandonment of the home by the spouse. At the health facility level, the increase in length of stay did not generate any additional financial benefits. Mothers no longer had confidence in nurses; they were sometimes separated from their babies, and they could not access certain prescribed medications or treatments. Conclusion The government of the DRC should implement a mechanism for subsidizing care and associate it with a cost-sharing system. This would place the country on the path to achieving universal health coverage in improving the physical, mental and social health of mothers, their babies and their households.

scholarly journals The need of a forensic center in the Eastern region of the Democratic Republic of Congo: results of the first half-year experience at the State University of Bukavu

2021 ◽  
Vol 5 ◽  
Author(s):  
Daniel Safari Nteranya ◽  
Moise Mbaluku Colombe ◽  
Justin Muderhwa Busingo ◽  
Baudouin Manwa Budwaga ◽  
Pierrot Mulumeoderhwa Kahasha ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
The State ◽  
Eastern Region ◽  
State University ◽  
Republic Of Congo ◽  
Forensic Center

Constructing Spiritual Motherhood in the Democratic Republic of Congo

2019 ◽  
Vol 34 (2) ◽  
pp. 307-330
Author(s):  
Casey Clevenger
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Well Being ◽  
Roman Catholic ◽  
Ethnographic Study ◽  
Republic Of Congo ◽  
Post Colonial ◽  
Catholic Sisters ◽  
Cultural Ideals ◽  
Religious Imagery

Drawing on an ethnographic study of Roman Catholic sisters in the Democratic Republic of Congo, I show how women in the Global South draw on religious imagery to redefine cultural ideals of womanhood and family responsibility. By taking the religious vows of chastity, poverty, and obedience, the Congolese sisters I interviewed seemingly betray local expectations regarding women’s responsibility to reproduce and repair the clan. Although sisters’ vows subject them to social ridicule for violating cultural expectations to bear children and support kin, they devise new strategies to negotiate the connection between womanhood and the maternal role of caregiver and nurturer outside of marriage and fertility. In social ministries that affirm their communal, moral, and spiritual ties to others, the sisters realize these cultural ideals through a “spiritual motherhood” that transforms their traditional heteronormative obligations. Framing their decision to live outside accepted kinship structures in religious terms mutes the radicalness of this lifestyle and provides religious legitimation for what would otherwise be considered a selfish choice for a woman acting independent of family well-being. In this context, I demonstrate how doing religion is inseparable from doing gender as Catholic sisters embody alternative ways of being a woman in post-colonial Congolese society through their religious practices.

scholarly journals Knowledge and practices of seeking informed consent for medical examinations and procedures by health workers in the Democratic Republic of Congo

2021 ◽  
Vol 21 (1) ◽  
pp. 478-88
Author(s):  
Doudou Nzaumvila ◽  
Patrick Ntotolo ◽  
Indiran Govender ◽  
Philip Lukanu ◽  
JD Landu Niati ◽  
...  
Keyword(s):  
Informed Consent ◽  
Democratic Republic ◽  
Health Workers ◽  
Democratic Republic Of Congo ◽  
Formal Training ◽  
Fisher Exact Test ◽  
Care Providers ◽  
Republic Of Congo ◽  
Knowledge And Practice ◽  
Medical Examinations

Background: Informed consent (IC) is linked to the ethical principle of respecting patient autonomy, respect for human rights and ethical practice, while in many countries it is a standard procedure. Anecdotally, it should be noted that in the Democratic Republic of Congo (DRC) in many instances ICs are not obtained systematically. To date, no research appears to have been conducted on this matter. This study aimed to assess the knowledge and practice of obtaining IC from patients among health care providers (HCP) in the DRC. Methods: This was a cross-sectional study, with a convenient sampling of 422 participants. Data from the questions were collected on an imported Microsoft Excel spreadsheet for review at INSTAT.TM The authors set IC's accurate knowledge and practice at 80% or higher. The Fisher Exact test was used to compare categorical association results, and a p-value < 0.05 was considered statistically significant. Results: Results showed that giving information in detail to patients on their medical condition was associated with formal training on medical ethics and IC (p: 0.0028; OR: 1.894; CI: 1.246 to 2.881), which was also associated with answering the patient’s questions in detail (p: 0.0035; OR: 1.852; CI: 1.236 to 2.774). About 127(30.09 %) of participants scored 80% or higher. Extracurricular training was associated with withholding information from patients, up to 27 times more than other factors (p< 0.0001; OR: 27.042; CI: 13.628 to 53.657). when it comes to get IC, HCP with many years of practice scored better than others, in one of the question the odd ratio was closer to 7 ( p< 0.0001; OR: 6.713; CI: 4.352 to 10.356). Only 47(11.14%) of the participants scored 80% or more of the questions about practice of IC. Conclusion: For a variety of reasons, knowledge and practice of IC among HCPs was very low. A common programme for the country as part of formal training might lead to an improvement. In addition, patients’ education on IC should be displayed in waiting areas at all medical centres. Keywords: Informed consent; medical examinations; procedures by health workers in the Democratic Republic of Congo.

Social and Economic Consequences of the Cost of Obstetric and Neonatal Care in Lubumbashi, in the Democratic Republic of Congo: Mixed Study

2020 ◽  
Author(s):  
Angèle NKOLA MUSAU ◽  
Abel Mukengeshayi Ntambue ◽  
Jacques Mungomba Omewatu ◽  
Henri Tshamba Mundongo ◽  
Françoise Kaj Malonga
Keyword(s):  
Health Care Providers ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Neonatal Care ◽  
Economic Consequences ◽  
Health Coverage ◽  
Care Providers ◽  
Republic Of Congo ◽  
The Social ◽  
The Cost

Abstract Background: The aim of this study was to explore and measure the social and economic consequences of the cost of obstetric and neonatal care in Lubumbashi, the Democratic Republic of Congo.Methods: We conducted a mixed qualitative and quantitative study in the maternity departments of health facilities in Lubumbashi. The qualitative results were based on a case study conducted in 2018 that included 14 respondents (8 parturients, 2 accompanying family members and 4 health care providers). A quantitative cross-sectional analytical study was carried out in 2019 with 411 women who gave birth at 10 referral hospitals. Data were collected for one month at each hospital, and selected parturients were included in the study only if they paid out-of-pocket and at the point of care for costs related to obstetric and neonatal care.Results: Costs for obstetric and neonatal care averaged US $77, US $207 and US $338 for simple, complicated vaginal and cesarean deliveries, respectively. These health expenditures were greater than or equal to 40% of the ability to pay for 58.4% of households. At the time of delivery, 14.1% of women in childbirth did not have enough money to pay for care. Of those who did, 76.5% spent their savings. When households did not pay for care, mothers and their babies were held for a long time at the place of care. This resulted in prolonged absence of the mother from the household, reduced household income, family conflicts, and the abandonment of the home by the spouse. At the health facility level, the length of stay increased without generating any additional financial benefits. Disrespectful care and the deterioration of the relationships between caregivers and parturients were also recorded.Conclusion: To reduce the social and economic consequences of care, the government of the DRC should implement a mechanism for subsidizing care and should associate it with a cost-sharing system. This would result in achieving universal health coverage and improving the physical, mental and social health of mothers, their babies and their households.

scholarly journals The state of emergency care in Democratic Republic of Congo

2015 ◽  
Vol 5 (4) ◽  
pp. 153-158 ◽  
Author(s):  
Luc Malemo Kalisya ◽  
Margaret Salmon ◽  
Kitoga Manwa ◽  
Mundenga Mutendi Muller ◽  
Ken Diango ◽  
...  
Keyword(s):  
Emergency Care ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
The State ◽  
State Of Emergency ◽  
Republic Of Congo
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