DRC - ReliefWeb News
Gunfire in Ezo County, Western Equatoria state forced dozens into neighbouring Democratic Republic of Congo.
The shooting started at 9 o’clock on Wednesday morning and went on till afternoon, sparking fear among the population.
Ezo County Commissioner Luciano Kumbo-kpite said on Thursday that the shooting started when soldiers responded to reports that a group of people had broken into a food store at a refugee camp.
The Ezo refugee settlement is managed by the United Nations High Commissioner for Refugees (UNHCR) and accommodates nearly four thousand refugees, mainly from the Democratic Republic of Congo.
Kumbo-kpite said the shooting started when the soldiers were being withdrawn.
“When they were being withdrawn, there were gunshots around from 9am to 2pm. One sergeant was killed, one solder wounded and one Congolese was shot by the soldiers and her husband wounded.”
The commissioner said calm had returned on Thursday, but the town was deserted.
“The town is completely empty as I am talking to you now there is no sign of anybody. Some people crossed the border and we understand people are being registered as maybe IDPs or new refugees in Congo.”
In Kalemie, Tanganyika province, MONUSCO held, from 14 October to 14 November, a training session for 37 PNC officers on “communication; the trainer and the adult trainee; pedagogical methods and means; and the organization and facilitation of a training activity.”
This training, delivered as a quick-impact project worth US$ 52,518, was part of activities of the Mpyana island of stability in Manono territory.
The objective was to enable the new Tanganyika province to have PNC commissioned and noncommissioned officers able not only to train other police personnel in the Democratic Republic of the Congo but also to represent the DRC within the multinational peacekeeping and peacebuilding force.
Upon completion of this training, out of the 37 trainees, 33 including 3 women were declared qualified as police trainers.
Such training, which helps reinforce the capacity of the PNC, represents one of the main focus areas of the police component of MONUSCO, the representative of the UN police said.
For his part, General Yav Mukaya, Divisional Commissioner of the PNC, called on the new trainers, as “pioneers to ensure training at the police academy of Tanganyika” and to “be committed, courageous and disciplined.”
World: Sans toilettes, la période de l’enfance est encore plus dangereuse à cause de la malnutrition, affirme l’UNICEF
NEW YORK, 19 novembre 2015 – « L’absence d’accès à des toilettes met en danger des millions d’enfants parmi les plus pauvres du monde », a déclaré l’UNICEF aujourd’hui, en signalant les données de plus en plus nombreuses sur les liens entre un assainissement insuffisant et la malnutrition.
Dans le monde, environ 2,4 millions de personnes n’ont pas de toilettes et 946 millions – soit à peu près une personne sur huit sur la planète – pratiquent la défécation à l’air libre. Parallèlement, environ 159 millions d’enfants âgés de moins de cinq ans sont atteints de retard de croissance (petite taille pour leur âge) et 50 millions d’autres souffrent d’émaciation (faible poids pour leur âge).
Un rapport de l’UNICEF, USAID et l’Organisation mondiale de la Santé publié aujourd’hui et intitulé « Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene » (« Amélioration des résultats en matière de nutrition grâce à de meilleurs services d’eau, d’assainissement et d’hygiène ») rassemble pour la première fois les résultats d’années de recherches et d’études de cas qui démontrent l’existence d’un lien entre l’assainissement et la malnutrition. Surtout, il présente des directives pour les actions à mener.
L’absence d’assainissement, et notamment la défécation à l’air libre, contribuent à l’incidence de la diarrhée et à la propagation des parasites intestinaux qui, à leur tour, sont cause de malnutrition.
« Nous devons apporter des solutions pratiques et novatrices au problème de l’endroit où les gens vont aux toilettes, sinon nous manquons à nos engagements envers des millions d’enfants qui comptent parmi les plus pauvres et les plus vulnérables de la planète », a dit Sanjay Wijesekera, le directeur des programmes mondiaux de l’UNICEF pour l’eau, l’assainissement et l’hygiène. « Le lien prouvé avec la malnutrition est un élément de plus qui souligne à quel point il est important de connecter entre elles les interventions portant sur l’assainissement pour que nos efforts soient couronnés de succès. »
La diarrhée, qui est responsable chaque année de 9 % des décès d’enfants de moins de cinq ans, est essentiellement une maladie fécale-orale qui survient quand des germes sont ingérés à la suite d’un contact avec des matières fécales infectées. Là où les taux d’utilisation de toilettes sont faibles, les taux de diarrhée tendent à être élevés.
Les enfants de moins de cinq ans représentent 1,7 milliard de cas de diarrhée par an. Ceux des pays à faible revenu sont les plus éprouvés, subissant en moyenne trois épisodes par an. La fréquence la plus élevée se trouve chez les enfants de moins de deux ans, qui sont les plus faibles et les plus vulnérables. Des épisodes répétés de diarrhée altèrent de façon permanente leurs intestins et empêchent l’absorption des nutriments indispensables, ce qui les expose au risque du retard de croissance, voire même de décès.
Environ 300 000 enfants de moins de cinq ans meurent chaque année – soit plus de 800 par jour – de maladies diarrhéiques liées à des services insuffisants d’eau, d’assainissement et d’hygiène. Les enfants les plus pauvres de l’Afrique subsaharienne et de l’Asie du Sud sont particulièrement vulnérables.
Des parasites intestinaux comme les ascaris, les vers trichocéphales et les ankylostomes sont transmis par l’intermédiaire des sols contaminés dans les zones où est pratiquée la défécation à l’air libre. Les ankylostomes sont l’une des causes principales d’anémie chez les femmes enceintes, la conséquence étant des bébés souffrant de malnutrition et d’un poids insuffisant.
Certains pays ont fait des progrès considérables, tant dans l’accès à l’assainissement que dans l’état nutritionnel de leurs enfants. Beaucoup d’entre eux ont utilisé avec succès l’approche d'Assainissement total piloté par la communauté (CLTS) de l’UNICEF dans laquelle les populations affectées conçoivent elles-mêmes des solutions locales au problème de la défécation à l’air libre.
• Le Pakistan a atteint l’Objectif du Millénaire pour le développement de 2015 qui était de réduire de moitié la part de personnes qui, en 1990, n’avaient pas accès à des services d’assainissement amélioré. En utilisant le CLTS, des communautés entières ont cessé de pratiquer la défécation à l’air libre, ce qui a eu pour conséquence une amélioration des indicateurs de santé et de nutrition chez leurs enfants.
• L’Éthiopie a mobilisé des agents communautaires et est parvenu à la diminution la plus importante du monde de la partie de la population pratiquant la défécation à l’air libre. Malgré la croissance démographique, cette pratique est passée de 92 % (44 millions de personnes) en 1990 à 29 % (28 millions de personnes) en 2015.
• Au Mali, l’approche CLTS a également été utilisée dans les communautés ayant des taux élevés de malnutrition, aggravés par la sécheresse dans la région du Sahel. Un meilleur accès et une meilleure utilisation des latrines ont suivi ainsi qu’une meilleure santé et une meilleure nutrition chez les enfants.
• Durant la crise liée au conflit en République démocratique du Congo, des interventions intégrées portant sur la nutrition et l’eau, l’assainissement et l’hygiène ont été utilisées dans le cas des communautés déplacées. La dénutrition et les maladies d’origine hydrique ont diminué de façon sensible chez les enfants de moins de cinq ans. Environ 60 % de la population a bâti des latrines et près de 90 % des enfants atteints de malnutrition ont retrouvé leur poids normal au bout de douze mois.
« On ne saurait excuser l’inaction au niveau de l’accès aux toilettes, même dans les communautés les plus pauvres ou pendant les situations d’urgence, a dit Sanjay Wijesekera. Mais il existe des millions de raisons – chacune étant un enfant qui souffre d’un retard de croissance ou d’émaciation ou, pire, qui tombe malade et meurt – pour traiter ce problème avec l’urgence qu’il mérite. »
Note aux rédactions : Pour plus d’informations sur les niveaux internationaux des services d’assainissement, veuillez consulter Progrès en matière d'assainissement et d'eau potable: mise à jour et évaluation des OMD, rapport 2015
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World: Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene: Practical Solutions for Policies and Programmes
UNICEF: Without toilets, childhood is even riskier due to malnutrition
NEW YORK, 19 November 2015– Lack of access to toilets is endangering millions of the world’s poorest children, UNICEF said today, pointing to emerging evidence of links between inadequate sanitation and malnutrition.
Some 2.4 billion people globally do not have toilets and 946 million – roughly 1 in 8 of the world’s population – defecate in the open. Meanwhile, an estimated 159 million children under 5 years old are stunted (short for their age) and another 50 million are wasted (low weight for age).
A report issued today, Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene, from UNICEF, USAID and the World Health Organization, for the first time brings together years of research and case studies which demonstrate the link between sanitation and malnutrition. More importantly, it provides guidance for action.
Lack of sanitation, and particularly open defecation, contributes to the incidence of diarrhoea and to the spread of intestinal parasites, which in turn cause malnutrition.
“We need to bring concrete and innovative solutions to the problem of where people go to the toilet, otherwise we are failing millions of our poorest and most vulnerable children,” said Sanjay Wijesekera, head of UNICEF’s global water, sanitation and hygiene programmes. “The proven link with malnutrition is one more thread that reinforces how interconnected our responses to sanitation have to be if we are to succeed.”
Diarrhoea accounts for 9 per cent of the deaths of children under 5 years old each year and is essentially a faecal-oral disease, where germs are ingested due to contact with infected faeces. Where rates of toilet use are low, rates of diarrhoea tend to be high.
Children under 5 years old suffer 1.7 billion cases of diarrhoea per year. Those in low income countries are hit hardest, with an average of three episodes per year. The highest frequency is in children under 2 years old, who are weakest and most vulnerable. Multiple episodes of diarrhoea permanently alter their gut, and prevent the absorption of essential nutrients, putting them at risk of stunting and even death.
Some 300,000 children under 5 years old die per year – over 800 every day – from diarrhoeal diseases linked to inadequate water, sanitation and hygiene. The poorest children in sub-Saharan Africa and South Asia are particularly at risk.
Intestinal parasites such as roundworm, whipworm and hookworm, are transmitted through contaminated soil in areas where open defecation is practiced. Hookworm is a major cause of anaemia in pregnant women, leading to malnourished, underweight babies.
Some countries have made significant progress in addressing both access to sanitation and the nutritional status of their children. Many have successfully used UNICEF’s Community Led Total Sanitation (CLTS) approach, in which the affected populations themselves devise local solutions to the problem of open defecation.
• Pakistan met the 2015 Millennium Development Goal to halve the proportion of people who in 1990 did not have access to improved sanitation. Using CLTS, entire communities abandoned the practice of open defecation, leading to improved health and nutrition indicators among their children.
• Ethiopia mobilized community workers and achieved the largest decrease globally in the proportion of the population who defecate in the open. Despite population growth, the practice reduced from 92 per cent (44 million people) in 1990 to 29 per cent (28 million people) in 2015.
• In Mali the CLTS approach was also used in communities with high malnutrition rates, exacerbated by drought in the Sahel region. Improved access and use of latrines ensued, and improved health and nutrition in children.
• During the emergency linked to conflict in the Democratic Republic of the Congo, integrated nutrition and WASH interventions were used for displaced communities. Children under 5 years old saw significantly reduced undernutrition and waterborne diseases. Around 60 per cent of the population constructed latrines and some 90 per cent of malnourished children returned to normal weight during a 12-month period.
“There are no excuses not to act on access to toilets, even in the poorest communities, or during emergencies,” said Wijesekera. “On the other hand, there are millions of reasons – each one a child who is stunted or wasted, or worse, who sickens and dies – to treat this with the urgency it deserves.”
Note to Editors:
For more information about global levels of sanitation please see Progress on Sanitation and Drinking Water: 2015 Update and MDG Assessment
B-roll, videos and photos available at: http://uni.cf/1QkH2Qr
UNICEF promotes the rights and wellbeing of every child, in everything we do. Together with our partners, we work in 190 countries and territories to translate that commitment into practical action, focusing special effort on reaching the most vulnerable and excluded children, to the benefit of all children, everywhere. For more information about UNICEF and its work visit: www.unicef.org.
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Democratic Republic of the Congo: RD Congo - Province du Maniema: Personnes déplacées et retournées au 25 Septembre 2015
Plus de 14 000 personnes, en grande majorité fuyant l’insécurité dans la province voisine du Sud-Kivu, ont trouvé refuge dans le Territoire de Pangi, Kasongo, Punia et Kabambare entre Juillet et Septembre 2015, portant à 132 000 la population déplacée interne au Maniema. 100% de ces déplacés vivent dans des familles d’accueil.
Summary of WFP assistance:
While Tanzania has a fast growing economy, this is predominantly an urban phenomenon. A vast majority of Tanzanians reside in rural areas and rely on subsistence level farming, which renders them vulnerable to climatic, economic and seasonal shocks. WFP runs a Country Programme in food insecure areas of the country and a Refugee Operation in north western Tanzania.
Country Programme: To address short term hunger, WFP provides primary school children in drought prone and food insecure Dodoma and Singida regions with one meal a day through its School Meals programme. By supporting over 370,000 school children, WFP aimed to increase attendance, improve concentration in the classroom and reduce dropouts and gender disparity. WFP plans to launch a Home Grown School Feeding pilot to initiate the gradual process of handing over school feeding to government institutions and local communities. WFP is also working with the Ministry of Education and Vocational Training to develop a handover strategy and national guidelines for the School Meals programme. WFP’s Food Assistance for Asset Creation programme (FFA) supports populations unable to mitigate recurring economic, climatic or seasonal shocks. FFA activities provide food in exchange for work on building and rehabilitating productive assets, which in turn strengthens community resilience, reduces vulnerability and enhances local food access and food availability. FFA is complemented by the Korea International Cooperation Agency’s Saemaul Zero Hunger Communities project, which focuses on income generation and community leadership. Activities include building a girls dormitory for secondary students, renovating three dispensaries in Dodoma region, and providing quarterly trainings for communities on post-harvest management, community management and participatory leadership.
On the nutrition front, WFP’s Supplementary Feeding Programme helps treat moderate acute malnutrition (MAM) by providing a monthly take home ration of fortified blended food to pregnant and nursing mothers and children under five.
To prevent stunting, pregnant and nursing women and children under the age of two receive a monthly take home ration of Super Cereal under the Mother and Child Health and Nutrition programme. WFP's nutrition interventions are focused in Dodoma and Singida regions, both of which have high rates of stunting and wasting.
Protracted Relief and Recovery Operation (PRRO): Since the 1970’s, Tanzania has hosted refugees who fled into the north western region following unrest in neighbouring countries. In the nineties, Tanzania hosted over one million refugees in 12 refugee camps. Until April 2015, Nyarugusu Refugee Camp in Kasulu district, Kigoma region was the only remaining refugee camp, populated mainly by around 65,500 Congolese refugees. However, political unrest in Burundi has led over a hundred thousand refugees to flee to Tanzania since the end of April 2015. As a result, the Government of Tanzania has allocated three former camps to accommodate the new Burundian refugees, namely, Nduta, Karago and Mtendeli Refugee Camps. WFP assistance is the main source of food for refugees. WFP provides food to refugees through a general food distribution (GFD) and supplementary feeding programmes. Through GFD, every 28 days, a food basket of Super Cereal, pulses, vegetable oil, and salt provides refugees with their minimum dietary requirement of 2,100 Kcal per person per day.
Purchase for Progress (P4P): Through P4P, WFP connects farmers to agricultural markets and supports them to become competitive players in the market place. P4P covers 14 districts in 10 regions and reaches some 18,000 smallholder farmers, 43 percent of whom are women. To reach farmers, WFP engages with 28 Savings and Credit Cooperatives, which provide credit and savings accounts to smallholders. An agreement between WFP and Tanzania’s National Food Reserve Agency provides P4P-supported farmer’s with a potentially sustainable market for their crops
Patient Procurement Platform (PPP): Ensuring that smallholder farmers are active members of the value chain presents an important opportunity to assist their move away from subsistence farming. PPP brings together private and public partners, to offer mechanisms for smallholder farmers to receive the appropriate information, investment and support from seed to market. PPP plans to reach 75,000 farmers through pre-planting contracts with the private sector.
United Nations Development Assistance Programme (UNDAP): WFP is part of the United Nations Development Assistance Programme (2011-2016), which is the business plan for the UN in Tanzania.
Summary of WFP assistance:
In 2015, WFP implemented a Country Programme (CP) aligned with the WFP Strategic Plan and based on two pillars of the Country Strategy: i) Access to adequate and nutritious food and basic social services; and ii) Risk and disaster management. The CP is composed of four components:
i) School feeding component prioritises 95,000 primary school children to receive hot meals during school days, aimed at increasing school attendance, enrolment, retention, and completion rates in primary schools in the most food insecure regions of the Republic of Congo, while improving children's learning capacities and micronutrient status. Since 2015, the project is assisting 3,500 additional indigenous children through the non-public Observe, React, Act (ORA) schools in the Likouala department.
ii) Safety net component - WFP is providing support to the government for the management of an urban Safety Net programme in selected suburban areas of Brazzaville and Pointe-Noire, and since 2014, in two rural cities for vulnerable populations. The main activities are: providing electronic vouchers to prioritised households as well as Specialised Nutritious Foods for Moderate Acute Malnutrition (MAM) treatment to people living with HIV and/or TB.
iii) Nutrition component People living with HIV and TB patients are receiving, in addition to the monthly e-voucher, Specialised Nutritious Foods for MAM treatment composed of Super cereal and vitamin A & D fortified oil to help them better adhere to their medical treatments – Anti-Retroviral and TB-Director Observational Therapy.
The fourth component on risks and disasters management is not yet being implemented.
In 2015, WFP is still providing food assistance to a decreasing number of refugees from the Democratic Republic of Congo in the Likouala department under the protracted relief and recovery operation (PRRO). Since January 2015, WFP provides food assistance to an increasing number of refugees from the Central African Republic hosted in the Likouala department under the regional emergency operation (EMOP).
Conflict and adverse climatic conditions continue to drive humanitarian needs in the region
Acute sectoral needs continue to be reported in Ethiopia
Flood preparedness in full swing as El Niño expected to cause serious flooding in the region
Civilian death tolls and human rights violations on the rise in Burundi
Urgent access needed to prevent food crisis in Unity State, South Sudan
Regional humanitarian outlook
Resurgence of violence and worsening climatic conditions to remain a threat in eastern Africa
On 23 October humanitarian partners together with donors convened to discuss the humanitarian outlook for the Horn of Africa and the Great Lakes Region. The report presented a four-month trend analysis from June to September 2015 and a humanitarian outlook from October to December 2015. During this period, resurgence in violence in Burundi and South Sudan could lead to an increase in both internal and cross border movements. UNHCR is forecasting an additional 184,000 refugees by year-end, bringing the total number of refugees in the region to 3.37 million.
Climatic conditions are forecast to worsen over the coming months, leading to increased food insecurity. Drought conditions persist in South Sudan, Sudan, Eritrea, Djibouti and primarily Ethiopia where number of food insecure increased from 2.9 million people at the start of 2015 to a projected 15 million people in early 2016. Excessive rain could lead to flooding, directly affecting more than 2 million people especially in Kenya and Somalia. This could result in localised displacement and increased incidence of communicable diseases.
Consequently, funding requirements in the region have risen largely due to increased need due to El Niño and increased displacement. In Ethiopia, with the additional needs identified during the mid-year review, requirements increased from $386 million to $432 million. The Burundi regional refugee appeal was adjusted from $207 million to $306 million as the projected number of refugees was increased from 230,000 to 320,000 by the end of September 2015. Most appeals remain underfunded, with the majority being less than 50 per cent funded at year-end.
Burundi: UNHCR - Burundi Situation - Funding Update, 2015 contributions (USD) as of 17 November 2015
Selon l’aperçu des besoins humanitaires (HNO 2015), 2.3 millions de personnes sont actuellement en besoin d’assistance en RCA. Les zones de priorité élevée identifiées restent la préfecture de l’Ouham et les sous-préfectures de Mbrès, de Boda, de Bambari, de Kouango.
Democratic Republic of the Congo: RD Congo - Province Orientale: Personnes déplacées et retournées au 30 septembre 2015
Le chiffre des personnes déplacées interne des provinces d’Ituri, Haut-Uele, Bas-Uele et de la Tshopo est estimé à près de 160 000 au 30 septembre 2015.
Près de 50 800 personnes se sont nouvellement déplacées dont 42 900 personnes due à l'actvisme des groupes armés et 7 900 personnes due aux conflits fonciers avec violence.
Ali was 11 and his brother Akim was just 8 when they arrived alone in Swaziland in 2010. They remember little about their long journey here from their native Burundi – or maybe they prefer not to talk about leaving their home and what happened to their family. “We don’t have any parents,” the boys say.
“But we do remember that then we had two brothers. They died in the war. We’re scared of war.”
It’s a lot for children to bear. But both Ali and Akim are resilient and determined to make the most of being safe in Swaziland now. The brothers share a room at the Malindza Refugee Reception Centre in the east of the country, close to the border with Mozambique. Caritas Swaziland assists unaccompanied migrant children and adolescents at the centre as part of a three-way agreement with the United Nations High Commissioner for Refugees and the Swaziland Ministry of Home Affairs.
Ali and Akim clean and wash for themselves, cook their own meals using food the Malindza centre gives them. They also enjoy playing football there and at the local school, where they have been enrolled. Ali says “I am grateful to be able to attend lessons – I love English and dream of being a teacher.” Akim is also studious according to staff at the centre. He especially enjoys maths and science and has inspiring ambitions. “I want to be a doctor one day,” Akim says, “but that’s if I can make it to university. Refugees have to pay fees then and we don’t have parents to help us.”
The right to “life, survival and development”, to “education and health care”, to “participation” are all protected under the Convention on the Rights of the Child which is commemorating its 26th anniversary. The Convention broke new ground back in 1989 when it created a universal set of standards specifically for children – be they migrants, refugees, orphans or living with their families. It has become one of the most widely adopted conventions ever and has made signatory countries legally bound to protect the rights of children. Under the Convention, children have their own rights as minors, in addition to the fundamental human rights which should be enjoyed by all people.
The government of Swaziland has respected the rights of children such as Ali and Akim in allowing them to stay at liberty in the country and enrolling them in the local school. Other countries have been criticized for detaining unaccompanied children, who like Ali and Akim arrived not only without their parents but also without any legal documentation. In Swaziland, the right to education isn’t fully protected however, as most unaccompanied children arrive after the school year has begun and cannot be admitted for months. Ali and Akim are both still in primary school – a testament to how much of their education has been lost on their journey to find a safe place to grow up in. Both boys say they can’t remember how long they took to travel the three and a half thousand kilometers from Burundi to Swaziland.
Jeremiah tells a similar story. He’s also at school in Malindza, and at age 17 he is also in the primary classes due to the disruption to his education. Jeremiah didn’t arrive at the refugee center alone though. He came with his parents and siblings when renewed fighting in his native Democratic Republic of Congo forced them to flee in search of sanctuary. After some time in the Malindza center everyone else moved on but – seeing a chance to stay at school and study – Jeremiah remained behind alone. “I thought it was a good decision at the time” he says, “but now I have no idea where my family is. I am alone here and when I turn 18 soon I will legally be an adult. But I’ve not had a proper childhood to learn how to survive alone.”
Jeremiah’s room in the Malindza centre shows all the heartbreaking signs of someone trying to make a real home for themselves. It is clean and tidy and Jeremiah cooks his own meals. He’s a youth member of the Malindza centre’s garden project, which is run by a Caritas Swaziland staff member there. “I don’t know what I shall do in the future, “ says Jeremiah, “but right now, I have safety and security, I have food and a room and I can go to school. I enjoy it – English, maths and social work are my favourite subjects. Maybe one day I can use them to help other people in the same way in which Caritas has helped me here in Malindza.”
At the moment, there are 14 unaccompanied children at the centre – 9 boys and 4 girls. Caritas Swaziland focuses on providing them with food, shelter, water and sanitation while making sure they have access to health and psychological care. Through Caritas’s partnership with government ministries, the children are given legal documentation, education within the local community and the support of a social worker whose job it is to protect their rights, enshrined in the Convention on the Rights of the Child.
Democratic Republic of the Congo: République Démocratique du Congo: Rapport de Situation OMS Choléra & Rougeole | Semaine 45 | 17 novembre 2015
Des cas de choléra en nette régression dans les foyers de Maniema, Kisangani et le reste de la Tshopo (Nord-est) ;
Tendance à la baisse également dans les zones de santé de Fizi, dans le Sud-Kivu (50 cas au cours de la semaine 45 contre 70 cas pendant la semaine 44) et Kalemie (110 cas au cours de la semaine 45 contre 133 cas lors de la semaine 44) dans le Tanganyika, (dans l’ancienne Province du Katanga, Sud-est);
Selon les statistiques fournies par la Direction de la Lutte contre la Maladie (DLM) du Ministère de la Santé Publique, un total cumulé de 18.146 cas avec 274 décès (taux de létalité : 1,50%) ont déjà été enregistrés en RDC de la Semaine 1 à la Semaine 45 de l’année 2015, principalement dans les Provinces de l’ex Katanga (4.220 cas avec 54 décès), Maniema (3.781 cas avec 88 décès), Nord-Kivu (3038 cas dont 12 décès), l’ex Province Orientale (2.785 cas et 105 décès) et le Sud-Kivu (4.322 cas avec 15 décès).
L’OMS, en collaboration avec les autres partenaires, poursuit son appui au Ministère de la Santé Publique dans la riposte à l’épidémie de choléra qui sévit actuellement dans les Provinces de l’Est et du Sud-est de la RDC. Il s’agit en particulier des trois missions multidisciplinaires du Ministère de la Santé Publique financées par l’OMS en vue de renforcer les investigations et la surveillance sur le terrain.
D’autres acteurs humanitaires demeurent mobilisés (CICR, UNICEF et MSF) aux côtés du MSP et des différentes Divisions Provinciales de la Santé (DPS) – en vue de fournir des soins aux malades dans les centres de traitement du choléra (CTC) mis en place à cet effet, et combler les gaps.
Des actions multisectorielles (Santé, Eau, Hygiène, Assainissement et Protection) sont renforcées autour et dans la Prison centrale de Kisangani pour l’amélioration des conditions carcérales des détenus.
Democratic Republic of the Congo: Democratic Republic of the Congo : Profile of preterm and low birth weight prevention and care
Newborns are perhaps the most vulnerable population the world over. Preterm or babies born too early, less than 37 weeks gestation, are particularly at risk. Currently, prematurity is the leading cause of death among children under five around the world, and a leading cause of disability and ill health later in life. Sub-Saharan Africa and south Asia account for over 60 percent of preterm births worldwide. Of the fifteen million babies born too early each year, more than one million die due to complications related to preterm birth. Low birth weight (newborns weighing less than 2,500 grams at birth), due to prematurity and/or restricted growth in utero, is also a major contributor of newborn and child deaths, as well as disability and non-communicable diseases globally.
Nearly 85 percent of preterm babies are born between 32 and 37 weeks gestation and most of these babies do not need intensive care to survive. Solutions to improve the survival and health of vulnerable preterm and low birth weight babies exist. Essential newborn care (drying, warming, immediate and exclusive breastfeeding, hygiene and cord care) as well as basic care for feeding support, infections and breathing difficulties can mean the difference between life and death for small babies. More effort is needed to identify women at risk of preterm labor and support them to give birth in a health facility that can offer extra care when needed, such as support for adequate feeding with breast milk, continuous skin to skin contact, antibiotics, and antenatal corticosteroids. To do this, it is critical that families, communities and health care workers value small babies so that they receive the life-saving care they need.
To turn the tide on these preventable deaths, we need action across the spectrum of care from adolescence and preconception, pregnancy, the safe management of labor and delivery, and effective immediate and later postnatal care.
Current, local data are crucial to inform priorities and drive scale-up.
This national level profile provides the most current national-level information on the status of prevention and care for preterm birth and low birth weight in the Democratic Republic of the Congo. Data presented highlight a number of risk factors relevant to preterm and low birth weight in the Democratic Republic of the Congo as well as the coverage of important care for women and newborns from pregnancy, labor and delivery and the postnatal period.
There is also information that provides insights into the health workforce, health policies, health information and community mobilization relevant to preterm birth and low birth weight.
The information provided here can be used to understand the current situation, increase attention to preterm births in the Democratic Republic of the Congo and to inform dialogue and action among stakeholders. Data can be used to identify the most important risk factors to target and gaps in care in order to identify and implement solutions for improved outcomes.
Much is already being done to prevent preterm birth and low birth weight and to improve outcomes for small babies. A safe and healthy start to life is at the heart of human capital and economic progress in every country, making care for small babies an essential investment in both the short- and long-term. As government leaders, civil society organizations, health workers, families, communities and other partners come together to enact change, we can prevent babies from being born too early and too small, and ensure that small babies get the critical life-saving care and nurturing they need.
Democratic Republic of the Congo: RDC/Nord-Ubangi: au moins 700 nouveaux réfugiés centrafricains recensés
Le Haut-Commissariat des Nations Unies pour les réfugiés (HCR) et les services de sécurité du Nord-Ubangi ont enregistré, il y a une semaine, au moins sept cents nouveaux réfugiés centrafricains dans les territoires de Mobayi-Mbongo et de Bosobolo.
Deux cent quatre-vingt-sept de ces réfugiés sont hébergés au centre de transit de Pangoma, situé à quatre kilomètres de la ville de Gbadolite et proviennent des préfectures centrafricaines de Basse-Kotto, de Kwango et de Ouaka.
Environ quatre cents autres réfugiés ont traversé à Ngapo-rive, au territoire de Mobay Mbongo, fuyant les affrontements répétés entre Anti-Balaka et Seleka dans les villages centrafricains situés en face du groupement Gbanziri.
Le mouvement des réfugiés centrafricains se poursuit également au-delà de la localité Ngapo-rive, ajoute le chef de groupement.
Ces hommes, femmes et enfants disent avoir fui les exécutions sommaires et incendies des maisons par les rebelles Seleka, mais également les affrontements entre les deux milices Anti-Balaka et Seleka.
(Correspondance de Radio Okapi à Mbandaka, RDC)
Democratic Republic of the Congo: RDC-Haut-Katanga, Haut-Lomami, Lualaba, Tanganyika: Qui Fait Quoi Où - 3W (Octobre 2015)
Democratic Republic of the Congo: RDC-Province du Maniema : Qui Fait Quoi Où (3W) au 25 septembre 2015
Democratic Republic of the Congo: Democratic Republic of Congo (DRC): Synthesis of the 13th IPC cycle Results Current situation of the acute food insecurity | September 2015 – March 2016
The 13th IPC acute food insecurity analysis in DRC covered the rural areas of North Kivu, South Kivu, Maniema, Central Kongo and former provinces of Orientale, Katanga and Equateur.
- 7 territories in emergency situation for some localized areas (IPC Phase 4) in the provinces of Maniema (Punia), the former Katanga (Nyunzu and Manono), the former Eastern Province (South Irumu), North Kivu (Beni and Walikale) and South Kivu (Shabunda);
- 6 territories classified in crisis (IPC Phase 3) and as well as some areas of 29 territories ;
- 20 territories classified in stress (IPC Phase 2) ;
- 3 provinces (former Bandundu, former Kasaï Occidental and former Kasaï Oriental) and 17 territories from different provinces were not classified because of lack of sufficient data.
- As in previous IPC cycles, the areas in Emergency (IPC Phase 4) owe their classification mainly to armed conflicts and violence, which caused displacement of major population and seriously affected their livelihoods. In contrast, Punia zone (in Maniema territory) is observing deterioration of food security situation due to a combination of severe persistent structural problems and the spread of collateral effects of armed conflicts in neighbouring provinces.
In total, the number of people in acute food and livelihood crisis (Phases 3 and 4) is estimated at 4.5 million people in areas that have been classified. A decrease from the last IPC cycle is noted in the proportion of the population in crisis, although the difference in absolute terms is small; this is due to different reference bases used for the calculation of the total population in DRC.
Recommendations for response:
- Continued systematic monitoring of the food security situation in areas in crisis or emergency.
- Actions to save lives and prevent the collapse of livelihoods in Phase 4 areas (Maniema, ex-Katanga, ex-Eastern Province, North Kivu and South Kivu).
- Emergency and recovery programs, tailored to the context of each Phase 3 area, to protect livelihoods, prevent malnutrition and prevent deaths by combining the / territory. Furthermore, these territories require multisectoral programs that transform significantly the economy of these regions and create wealth.
- Immediate actions to gather more information for provinces that were unable to be unclassified during this present cycle: conducting surveys and including transition- and development-oriented actors in data solicitations.