| Reporting Organization: | Oxfam-Quebec |
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| Total Budget ($CAD): | $ 2,568,899 |
| Timeframe: | March 5, 2012 - March 31, 2015 |
| Status: | Completion |
| Contact Information: | Unspecified |
| Congo (DRC) - $ 2,568,899.00 (100.00%) | |
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| Primary Health Care (70 %) | |
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| Infectious & Communicable Diseases (28 %) | |
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| Nutrition (2 %) | |
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This project aims to reduce maternal and infant mortality rates by strengthening health services in the Bunia and Djugu health districts. The project focuses on the prevention of mother-to-child transmission of HIV and the provision of proper care for HIV/AIDS-affected children; training health care providers; educating and informing communities; and strengthening the administration of health care. Activities include: awareness raising activities on preventing the spread of sexually transmitted diseases and HIV/AIDS, and mother-to-child transmission of HIV; updating training materials on obstetric and neonatal care, family planning, and assistance to women who are victims of violence; providing health care supplies and medicines; and rehabilitation of maternity hospitals. The project reaches 48,444 pregnant women, 230 health care workers, and 3,400 newborns with HIV-positive mothers. Oxfam Québec is working in partnership with Union congolaise des organisations des personnes vivant avec le VIH/sida to implement this project. This project is part of Canada’s Maternal, Newborn and Child Health commitment.
| Gender and age: | Adult women Adolescent females Under-5 children Newborns |
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| Total Direct Population: | 52,074 |
| Total Indirect Population: | 39,749 |
| 18 | General hospitals supplied with inputs |
| 72 | Health centres supplied with inputs |
Unspecified
As of March 2013, the following results have been achieved: 1. Target communities benefit from mother-to-child HIV transmission prevention services: – Number of pregnant women screened for HIV: 43,420 – Number of pregnant women who know their HIV status: 38,759 – Number of HIV-positive women identified: 990 – Number of newborn children of HIV-positive mothers managed (receiving antiretrovirals or ARVs): 484 children
2. Health Centres’ access to materials to help raise awareness of HIV has been increased. Also, patient referrals to mechanisms providing quality maternal and child care have been implemented. Three types of referral measures include visual, community-based intermediary organizations, radio broadcasting
3. The training of providers in mother-to-child HIV transmission prevention services/emergency obstetric and newborn care (EmONC): – Providers trained in EMCT: 276 (including 134 men/142 women) or 51.4% women – Providers trained in paediatric HIV management: 75 (57 men/18 women) or 24% women – Instructors trained in EmONC: 16 (10 men/6 women) or 37.5% women – Providers trained in EmONC: 26 (12 men/14 women) or 53.8% women – Community-based intermediary organizations and community leaders: 234 or about 30% women
4. Supply of inputs (antiretroviral and reactive tests) for health services at 18 general hospitals and 72 health centres
5. An organizational diagnosis conducted and the implementation of a joint sustainability strategy among partners to build health care provider management capacity.
The results listed above help to reinforce healthy and safe practices among target groups as well as bring attention to the need to re establish leadership in the sector in terms of coordination by provincial health authorities.
Results achieved as of the end of the project (March 2015) include: (1) the integration of HIV transmission prevention services into 74 health centers and 18 hospitals; (2) 93.16% (43,420) of HIV-positive pregnant women had access to antiretroviral for prevention of transmission to their children; (3) 95.85% (971 children out of 1013) of children born to HIV-positive mothers received comprehensive preventive services (safer delivery techniques, ARV and breastfeeding according to recommended standards); and (4) more than 90% of the health care providers appreciated the quality of the training and noted that it allowed for improved emergency obstetric and neonatal care for mothers and children. In total, the project reached more than 48,000 direct beneficiaries.
