SANRU IIISANRU III

Project Project Status Status ReportReport

Congo is as big as the U.S. East of the Congo is as big as the U.S. East of the MississippiMississippi

With less than 1000km of paved roads. . .With less than 1000km of paved roads. . .

One of those ‘paved roads’…

and an ‘unpaved road’

I.M.A./ECC Partnership Projects in DR Congo

SANRU IIISANRU III ECC-I.M.A.ECC-I.M.A.PMURR-SantéPMURR-SantéDEVRUDEVRU

Project GoalsSANRU III &

PMURR-Health

Strengthen and sustain the capacity of health zones to provide and manage priority primary health care interventions.

1) Exclusive Breastfeeding2) Vaccinate completely3) Vitamin A twice a year4) Sleeping under bednets (ITN) 5) Prompt treatment for fevers6) Oral Rehydration Therapy for diarrhea 7) Washing hands regularly8) Prenatal preventive treatment of malaria9) Child Spacing10) Abstinence and loyalty to avoid AIDS

Priority PHC Interventions

Ten Commandments of Health

The Ten Commandments of Health

SANRU III: Assisting 56 Health Zones

DR Congo’s DR Congo’s 515 Health 515 Health

ZonesZones

A Typical Health Zone of CongoRef. Hospital, BCZS & Health Centers

1)1) Well-defined geographic areasWell-defined geographic areas

2)2) Delimited from the bottom-up Delimited from the bottom-up

3)3) Strongly decentralized in autonomyStrongly decentralized in autonomy

4)4)Often Often co-managed by FBOs or NGOsco-managed by FBOs or NGOs

Health Zones are . . .

Components of a Typical Health Zone

- 200 Communities- 10-15 Health Centers- Central Office- Reference Hospital

SANRU-Assisted Health Improvements

Family Planning (Desirable Births)

VaccinatioVaccination n

CoverageCoverage

Percent of Pregnant Women Buying ITNsComparison of two different promotional Approaches

0%10%20%30%40%50%60%70%80%90%

2003 1st Qtr 04 2nd Qtr 04 3rd Qtr 04

With Social Marketing With Simple Health Message

200,000 ITNs Distributed in 2004 600,000 planned for 2005 by SANRU and PSI

HIV/AIDS% of donated "hot" blood tested for HIV/AIDS

0%

20%

40%

60%

80%

100%

2001-02 2002-03 2003-04 2004-05

% of donated "hot" blood tested for HIV/AIDS

Water, Sanitation & Hygiene

Population Access to Potable Water

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

2000-01 2001-02 2002-03 2003-04 2004-05

Population Access to Potable Water

Santé Pour Tous et Par Tous

ECC-I.M.A.ECC-I.M.A.PMURR-SantéPMURR-Santé

DEVRU: Développement Rural

DEVRU: Développement Rural

The DEVRU project promotes integrated and complementary actions to increase the income and well-being of rural families by:

1) increasing crop production and value;

2) providing small scale credit for investment in production and processing; and

3) preferentially promoting livelihood development opportunities for women.

DEVRU Components1) Improving Manioc Culture2) Enhancing Palm Oil Production3) Improving Grain Legume Production4) Soil Regenerative Technologies5) Agricultural Mechanization6) Promoting Home Gardens7) Promoting Market Gardens8) Developing Rural Financing Structures9) Developing New Markets for Farmers10) Promoting Economic Opportunities

for Women

How DEVRU will Function

• An I.M.A & ECC Partnership Project

• Builds on the foundation of SANRU III

• Implemented by 7 ECC development partners + a collaboration with CRS

• Begin in 18 health zones in 5 provinces

• Expand over four years into 30 health zones