Advanced search
Publication Cover
Global Health Action Volume 17, 2024 - Issue 1
Submit an article Journal homepage
1,261
Views
0
CrossRef citations to date
0
Altmetric
Research Article

Facility capacity and provider knowledge for cholera surveillance and diarrhoea case management in cholera hotspots in the Democratic Republic of Congo – a mixed-methods study

Mattias Schedwina Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden;b Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, SwedenCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-3777-2034View further author information
ORCID Icon,
Aurélie Bisumba Furahac Paediatric Department, Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of the CongoORCID Iconhttps://orcid.org/0000-0002-5235-5837View further author information
ORCID Icon,
Kelly Elimiana Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden;d Exhale Health Foundation, Abuja, NigeriaORCID Iconhttps://orcid.org/0000-0003-2729-1613View further author information
ORCID Icon,
Carina Kinga Department of Global Public Health, Karolinska Institutet, Stockholm, SwedenORCID Iconhttps://orcid.org/0000-0002-6885-6716View further author information
ORCID Icon,
Espoir Bwenge Malembakae Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;f Center for Tropical Diseases and Global Health, Université Catholique de Bukavu, Bukavu, Democratic Republic of the CongoORCID Iconhttps://orcid.org/0000-0001-9306-0253View further author information
ORCID Icon,
Marc K Yambayambag Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo;h Section Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, SwitzerlandORCID Iconhttps://orcid.org/0000-0002-8381-0409View further author information
ORCID Icon,
Thorkild Tylleskäri Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayORCID Iconhttps://orcid.org/0000-0003-4801-4324View further author information
ORCID Icon,
Tobias Alfvéna Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden;j Sach’s Children and Youth Hospital, Stockholm, SwedenORCID Iconhttps://orcid.org/0000-0002-2328-3512View further author information
ORCID Icon,
Simone E Carterk Public Health Emergencies, UNICEF, Kinshasa, Democratic Republic of CongoORCID Iconhttps://orcid.org/0000-0003-3818-3538View further author information
ORCID Icon,
Placide Welo Okitayembal Programme National d’Elimination du Choléra et de lutte contre les autres Maladies Diarrhéiques, Ministry of Health, Kinshasa, Democratic Republic of CongoView further author information
,
Mala Ali Mapatanom Department of Nutrition, Kinshasa School of Public Health, Kinshasa, Democratic Republic of CongoORCID Iconhttps://orcid.org/0000-0001-8462-6489View further author information
ORCID Icon &
Helena Hildenwalla Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden;b Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden;n Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, SwedenORCID Iconhttps://orcid.org/0000-0001-7570-9792View further author information
ORCID Icon show all
Article: 2317774 | Received 06 Nov 2023, Accepted 08 Feb 2024, Published online: 05 Mar 2024

References

  • Perin J, Mulick A, Yeung D, Villavicencio F, Lopez G, Strong KL, et al. Global, regional, and national causes of under-5 mortality in 2000-19: an updated systematic analysis with implications for the sustainable development goals. Lancet Child Adolesc Health. 2022 Feb;6:106–15.
  • United Nations Inter-agency Group for Child Mortality Estimation (UNIGME), Levels & trends in child mortality: report 2020, estimates developed by the United Nations inter-agency group for child mortality estimation. New York: United Nations Children’s Fund; 2020.
  • Ingelbeen B, Hendrickx D, Miwanda B, van der Sande MAB, Mossoko M, Vochten H, et al. Recurrent cholera outbreaks, Democratic Republic of the Congo, 2008-2017. Emerg Infect Dis. 2019 May;25:856–864.
  • Ali M, Nelson AR, Lopez AL, Sack DA, Remais JV. Updated global burden of cholera in endemic countries. PLoS Negl Trop Dis. 2015;9:e0003832. doi: 10.1371/journal.pntd.0003832
  • Programme National d’Elimination du Choléra en RDC. Situation épidémiologique du choléra et autres maladies diarrhéiques en RDC, Semaine 51 2022. Kinshasa: Ministère de la Santé Publique; 2022.
  • Programme National d’Elimination du Choléra en RDC. situation épidémiologique du choléra et autres maladies diarrhéiques en RDC, Semaine 4 2023. Kinshasa: Ministère de la Santé Publique; 2023.
  • Sreeramareddy CT, Low YP, Forsberg BC. Slow progress in diarrhea case management in low and middle income countries: evidence from cross-sectional national surveys, 1985-2012. BMC Pediatr. 2017 Mar 21;17:83. doi: 10.1186/s12887-017-0836-6
  • Institut National de la Statistique. Enquête par grappes à indicateurs multiples, 2017-2018, rapport de résultats de l’enquête. Kinshasa: Institut National de la Statistique; 2019.
  • Global task force on cholera control. Ending cholera: a global roadmap to 2030. Geneva: World Health Organization; 2017.
  • Vivalya BM, Ayodeji OA, Bafwa YT, Muyisa LK, Piripiri AL, Mbeva JK. Analysis of the management of the tenth Ebola virus disease outbreak in the democratic Republic of Congo: developing a multidisciplinary response model to strengthen the healthcare system during disease outbreaks. Global Health. 2021 Oct 18;17:121. doi: 10.1186/s12992-021-00775-4
  • Ndumbi P, Mboussou F, Otiobanda F, Mbayo G, Bompangue D, Mukinda V. et al. Assessing the preparedness of primary healthcare facilities during a cholera outbreak in Kinshasa, Democratic Republic of the Congo, 2018. Public Health. 2020 Jun;183:102–109.
  • Dalglish SL, Straubinger S, Kavle JA, Gibson L, Mbombeshayi E, Anzolo J, et al. Who are the real community health workers in Tshopo Province, Democratic Republic of the Congo? BMJ Glob Health. 2019;4:e001529. doi: 10.1136/bmjgh-2019-001529
  • Brunner B, Combet V, Callahan S, Holtz J, Mangone E, Barnes J, et al. The role of the Private sector in improving the performance of the health system in the Democratic Republic of Congo. Bethesda: Abt Associates Inc; 2018.
  • Programme National d’Elimination du Choléra en RDC. Situation épidémiologique du choléra et autres maladies diarrhéiques en RDC, Semaine 43, 2022. Kinshasa: Ministère de la Santé Publique; 2022.
  • Bertone MP, Lurton G, Mutombo PB. Investigating the remuneration of health workers in the DR Congo: implications for the health workforce and the health system in a fragile setting. Health Policy Plann. 2016;31:1143–1151. doi: 10.1093/heapol/czv131
  • Kalambay Ntembwa H, Van Lerberghe W. Democratic Republic of the Congo: improving aid coordination in the health sector. Geneva: World Health Organization; 2015.
  • World Health Organization. Rapport de situation: Crise humanitaire dans les 06 provinces cible de la RDC, No 5, juillet 2023. Kinshasa: World Health Organization; 2023.
  • United Nations Children’s Fund. Integrated Analytics Cell 2023 [cited Aug 2023 16]. Available from: https://www.unicef.org/drcongo/en/integrated-analytics-cell
  • Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008 Apr;62:107–15. doi: 10.1111/j.1365-2648.2007.04569.x
  • Hartung C, Lerer A, Anokwa Y, Tseng C, Brunette W, Borriello G. Open data kit: tools to build information services for developing regions. Proceedings of the 4th ACM/IEEE International Conference on Information and Communication Technologies and Development; London, United Kingdom: Association for Computing Machinery; 2010. p. Article 18.
  • Elimian K KC, Diaconu K, Ansah J, Yennan S, Ochu C, Pembi E, et al. Understanding the factors enabling and blocking sustained implementation of cholera interventions in a fragile region of Nigeria: a multi-phase group model building study protocol [version 1; peer review: 1 approved with reservations]. F1000Res. 2021;10:85. doi:10.12688/f1000research.50831.1
  • World Health Organization,United Nations Children’s Fund. Core questions and indicators for monitoring WASH in health care facilities in the sustainable development goals. Geneva: World Health Organization; 2018.
  • World Health Organization. Service Availability and Readiness Assessment (SARA): an annual monitoring system for service delivery. Geneva: World Health Organization; 2015.
  • Global Task Force on Cholera Control. Cholera outbreak response: field manual. Geneva: World Health Organization; 2019.
  • Doctors Without Borders. Management of a cholera epidemic. Geneva: Doctors Without Borders; 2018.
  • Quality Assurance Project, U.S. Agency for International Development. Evaluation of an IMCI computer-based training course in Kenya. Operations research results. Bethesda: U.S Agency for International Development; 2006.
  • Ministére de la Santé. Site de soins communautaires: guide de mise en oeuvre. Kinshasa: Ministère de la Santé; 2007.
  • World Health Organization. Integrated management of childhood illness: distance learning course module 4. Geneva: World Health Organization; 2014.
  • World Health Organization. Guidelines: updates on paediatric emergency triage, assessment and treatment: care of critically ill children. Geneva: World Health Organization; 2016.
  • King C, Dube A, Zadutsa B, Banda L, Langton J, Desmond N, et al. Paediatric Emergency Triage, Assessment and Treatment (ETAT) - preparedness for implementation at primary care facilities in Malawi. Global Health Action. 2021;14:1989807–1989807. doi: 10.1080/16549716.2021.1989807
  • World Health Organization, United Nations Children’s Fund. Progress on WASH in health care facilities 2000–2021: special focus on WASH and infection prevention and control. Geneva: World Health Organization; 2023.
  • Ministére de la Santé. Indice de disponibilité et de capacité opérationnelle des services de santé: République Démocratique du Congo (SARA). Kinshasa: Ministère de la Santé; 2014.
  • Ecole de Santé Publique de l’Université de Kinshasa, The DHS progam. République Démocratique du Congo: Evaluation des prestations des services de soins de santé 2017-2018. Kinshasa: Ecole de Santé Publique de l’Université de Kinshasa; 2019.
  • Ministére de la Santé Publique. Plan national de développement sanitaire recadré pour la période 2019-2022: Vers la couverture sanitaire universelle. Kinshasa: Ministère de la Santé; 2018.
  • Schroder K, Battu A, Wentworth L, Houdek J, Fashanu C, Wiwa O. et al. Increasing coverage of pediatric diarrhea treatment in high-burden countries. J Glob Health. 2019 Jun;9:0010503.
  • Okitandjate Dimandja A, Kakudji A, Mwembo A, Okenge L, Lunguya O, Mohamed S, et al. Connaissances, Attitudes et Pratiques des Prestataires de Soins et des Leaders Communautaires sur le Choléra à Lubumbashi, République Démocratique du Congo. Health sci dis. 2022;23:12.
  • World Health Organization. Pocket book of hospital care for children. 2nd ed. Geneva: World Health Organization; 2013.
  • Alliance for Health Policy and Systems Research, WHO. Health policy and system research: a methodology reader. Geneva: World Health Organization; 2012.
  • Rowe AK, Rowe SY, Peters DH, Holloway KA, Chalker J, Ross-Degnan D. Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review. Lancet Glob Health. 2018 Nov;6:e1163–e1175. doi: 10.1016/S2214-109X(18)30398-X
  • Sustaining Health Outcomes through the Private Sector Plus Project. Democratic Republic of the Congo private health sector assessment. Brief. Rockville: Sustaining Health Outcomes through the Private Sector Plus Project; 2019.
  • Ilunga-Ilunga F, Levêque A, Ngongo LO, Laokri S, Dramaix M. Treatment-seeking paths in the management of severe malaria in children under 15 years of age treated in reference hospitals of Kinshasa, Democratic Republic of Congo. Trop Med Health. 2015 Mar;43:11–19. doi: 10.2149/tmh.2014-19
  • Mutombo CS, Bakari SA, Ntabaza VN, Nachtergael A, Lumbu JS, Duez P, et al. Perceptions and use of traditional African medicine in Lubumbashi, Haut-Katanga province (DR Congo): a cross-sectional study. PLoS One. 2022;17:e0276325. doi: 10.1371/journal.pone.0276325
  • Minstère de la Santé. Arrêté ministériel N°1250/CAB/MIN/S/AJ/DJKJ 1.2/2002 DU 06/14/2002: portant création et organisation d’un programme national de promotion de la médecine traditionelle des plantes médicinales. Kinshasa: Democratic Republic of Congo; 2002.
  • Alexis NK, Antoine BM, Huguette KL, Cornelie MK. La médicine traditionelle de santé en République démocratique du Congo: perspective d’un status juridique. Int J Soc Sci. 2021;1:53–62.
  • Ministére de la Santé. Rapport narratif: Profil pharmaceutique de la Républiqe démocratique du Congo. Kinshasa: Ministère de la Santé; 2011.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.