Vulnerability of the Katana Health Zone in the Democratic Republic of the Congo: A Resilience Strategy to Malaria Treatment in Healthcare Facilities from 2014 to 2018
Hermès Karemere1,2*, Nadine Muhune1, Rosine Bigirimana1 and Samuel Makali1
1Catholic University of Bukavu, Democratic Republic of the Congo
2Université du Cinquantenaire de Lwiro, Democratic Republic of the Congo
*Corresponding Author: Hermès Karemere, Catholic University of Bukavu, Democratic Republic of the Congo.
October 04, 2021; Published: March 09, 2022
Introduction: The Katana Rural Health Zone has experienced several events, including looting of health centers, the stoppage of funding, or the instability of nursing staff, which could have hampered the functioning of its health structures. These structures continued to function in this unfavourable context, thus showing themselves to be resilient. The objective of this study is, on the one hand, to understand whether the various events that have occurred in the Katana Health Zone partly explain the sustainability of malaria and, on the other hand, to identify the different adaptation mechanisms put in place to facilitate the resilience of the Health Zone in the face of these events in the treatment of malaria.
Methods: The methodology applied approach uses a case study using mixed methods (qualitative and quantitative) for data collection. The study covers the period from 2014 to 2018 and is based on the identification of events that have occurred in the Katana health zone, the analysis of the evolution of cases and deaths linked to malaria, and perceptions of key actors on the nature of the events and their link with the number of cases. The study used a document review and individual interviews targeting 8 key players.
Results: The main destabilising events identified are linked to the management of human resources, the use of health services, the disruption of funding, the availability of curative or preventive inputs, community participation, and security and safety issues. infrastructure. The trend in the development of new cases of malaria is similar for all age groups. Death, on the other hand, evolves in a different way. The health services continued to provide care thanks to the coping mechanisms developed.
Conclusion: The study demonstrates the precariousness of a health system heavily dependent on humanitarian aid, the termination of which can generate dysfunction with effects on mortality, including infant mortality; the weak involvement of the government in supporting structures confronted with the effects of disasters such as the earthquake and looting; the poverty of the population, making it inaccessible to health care despite the drop in prices; and the resilience of health centres following the establishment of endogenous adaptation mechanisms.
Keywords: Resilience; Health System; Malaria; Katana; Democratic Republic of Congo
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