scholarly journals Using ante-natal clinic prevalence data to monitor temporal changes in malaria incidence in a humanitarian setting in the Democratic Republic of Congo

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Joel Hellewell ◽  
Patrick Walker ◽  
Azra Ghani ◽  
Bhargavi Rao ◽  
Thomas S. Churcher
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Malaria Incidence ◽  
Temporal Changes ◽  
Prevalence Data ◽  
Republic Of Congo ◽  
Humanitarian Setting

scholarly journals Management of diabetes and associated costs in a complex humanitarian setting in the Democratic Republic of Congo: a retrospective cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030176
Author(s):  
Éimhín Mary Ansbro ◽  
Michel Biringanine ◽  
Grazia Caleo ◽  
David Prieto-Merino ◽  
Zia Sadique ◽  
...  
Keyword(s):  
Glycaemic Control ◽  
Retrospective Cohort ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Hiv Care ◽  
Patient Volume ◽  
Republic Of Congo ◽  
North Kivu ◽  
Humanitarian Setting ◽  
Diabetes Patients

ObjectiveWe aimed to evaluate an Integrated Diabetic Clinic within a Hospital Outpatient Department (IDC-OPD) in a complex humanitarian setting in North Kivu, Democratic Republic of Congo. Specific objectives were to: (1) analyse diabetes intermediate clinical and programmatic outcomes (blood pressure (BP)/glycaemic control, visit volume and frequency); (2) explore the association of key insecurity and related programmatic events with these outcomes; and (3) describe incremental IDC-OPD programme costs.DesignRetrospective cohort analysis of routine programmatic data collected from January 2014 to February 2017; analysis of programme costs for 2014/2015.SettingOutpatient diabetes programme in Mweso hospital, supported by Médecins sans Frontières, in North Kivu, Demographic Republic of Congo.ParticipantsDiabetes patients attending IDC-OPD.Outcome measuresIntermediate clinical and programmatic outcome trends (BP/ glycaemic control; visit volume/frequency); incremental programme costs.ResultsOf 243 diabetes patients, 44.6% were women, median age was 45 (IQR 32–56); 51.4% were classified type 2. On introduction of IDC-OPD, glucose control improved and patient volume and visit interval increased. During insecurity, control rates were initially maintained by a nurse-provided, scaled-back service, while patient volume and visit interval decreased. Following service suspension due to drug stock-outs, patients were less likely to achieve control, improving on service resumption. Total costs decreased 16% from 2014 (€36 573) to 2015 (€30 861). Annual cost per patient dropped from €475 in 2014 to €214 in 2015 due to reduced supply costs and increased patient numbers.ConclusionsIn a chronic conflict setting, we documented that control of diabetes intermediate outcomes was achievable during stable periods. During insecure periods, a simplified, nurse-led model maintained control rates until drug stock-outs occurred. Incremental per patient annual costs were lower than chronic HIV care costs in low-income settings. Future operational research should define a simplified diabetes care package including emergency preparedness.

scholarly journals Temporal changes in the outcomes of HIV-exposed infants in Kinshasa, Democratic Republic of Congo during a period of rapidly evolving guidelines for care (2007–2013)

AIDS ◽  
2014 ◽  
Vol 28 ◽  
pp. S301-S311 ◽  
Author(s):  
Lydia Feinstein ◽  
Andrew Edmonds ◽  
Jean Lambert Chalachala ◽  
Vitus Okitolonda ◽  
Jean Lusiama ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Temporal Changes ◽  
Republic Of Congo ◽  
Hiv Exposed Infants ◽  
Hiv Exposed

Forced Sex and Early Marriage: Understanding the Linkages and Norms in a Humanitarian Setting

2019 ◽  
Vol 26 (8) ◽  
pp. 787-802
Author(s):  
Ilana Seff ◽  
Anaise Williams ◽  
Farah Hussain ◽  
Debbie Landis ◽  
Catherine Poulton ◽  
...  
Keyword(s):  
Program Evaluation ◽  
Mixed Methods ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Mixed Methods Study ◽  
Early Marriage ◽  
Republic Of Congo ◽  
Forced Sex ◽  
Depth Interviews ◽  
Humanitarian Setting

This mixed-methods study uses baseline data from a program evaluation in the Democratic Republic of Congo to examine two outcomes of interest: self-reported exposure to forced sex and belief that a girl’s community would force her to marry her hypothetical rapist, for married and unmarried 13- to 14-year-old girls ( n = 377). Married girls are more likely to report both outcomes. Qualitative in-depth interviews with girl participants ( n = 30) and their caregivers ( n = 31) were analyzed for themes related to forced sex and marriage, revealing the normalcy of girls marrying perpetrators and suggesting that some married girls in this setting may have been forced to marry their rapist.

The Role of Gender in Agent Banking: Evidence from the Democratic Republic of Congo

2020 ◽  
Author(s):  
Richard Chamboko ◽  
Robert Cull ◽  
Xavier Gine ◽  
Soren Heitmann ◽  
Fabian Reitzug ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo

Creative Reconstruction: A Systematic Approach to Reinventing Large Cities in Democratic Republic of Congo

2015 ◽  
Vol 8 (1) ◽  
pp. 1485-1497
Author(s):  
Mia Nsokimieno Misilu Eric
Keyword(s):  
Cultural Values ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Mineral Resources ◽  
Capital City ◽  
African Countries ◽  
Republic Of Congo ◽  
Large Cities ◽  
Current State ◽  
Legacy Cities

The current state of large cities in Democratic Republic of Congo highlights the necessity of reinventing cities. More than fifty years after the independence, these major cities, like Kinshasa the capital city, are in a state of are in a state of disrepair. They are damaged, dysfunctional, and more vulnerable. Today, these legacy cities do not meet the international requirements of livable cities. Democratic Republic of Congo faces the challenge of rebuilding its cities for sustainability. The movement for independence of African countries enabled the shift from colonial cities to legacy cities. It is important to understand the cultural and ideological foundations of colonial city. Commonly, colonial cities served as purpose-built settlements for the extraction and transport of mineral resources toward Europe. What's required is a creative reconstruction to achieve a desired successful urban change. Creative reconstruction tends to ensure urban transformation in relation with urbanization, by making continuous and healthy communities. Creative reconstruction seems appropriate way of building back cities in harmony with cultural values. The article provides a framework for urban regeneration. The study is based on principle of thinking globally and acting locally in building back better cities.

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