LOCATION: Kinshasa
SITUATION:
Damaged by a long civil war, DRC has experienced real setbacks since 1970 and remains one of the poorest countries in the world. The gradual return to peace is bringing some stability. Doctors of the World is focussing on two health policy areas regarding sexual violence and access to healthcare for vulnerable groups. This is being carried out in partnership with community groups and the local health authorities
SITUATION:
Based on a solid partnership with a local organisation, and contact with a larger network, the programme aims to improve access to healthcare for children living on the streets, with a particular focus on girls. Primary healthcare consultations are provided in four clinics in Kinshasa with referral to appropriate health services, particularly for HIV testing and care. Patients living with AIDS have access to psycho-social support to help them stick to treatment programmes.
A shelter has been set up especially for girls and young women living on the streets to promote reproductive and sexual health medical care. Services such as psycho-social care and re-integration back into society is also proposed. Advocacy activities are targeted at the authorities in order to campaign for street children's rights.
SOLUTION:
16,224 consultations carried out, including 969 in relation to reproductive health (206 pregnancies monitored and 280 women started taking contraception).
BENEFICIARIES: 5186 (targeted at 13877)
OUTLOOK:
Long term project.
In 2011, the focus will be on harm reduction among girls living on the streets in Kinshasa. The project will include prevention treatment for HIV/AIDS, STIs and hepatitis. Sexual violence cases will receive multi-disciplinary support and work with partner organisations will be enhanced.
Case study:
17 year old girl
"I have sickle cell anaemia and because of this they thought I was a witch and threw me out. On the streets I fell pregnant and my illness caused me so much pain I decided to kill myself. One of the centre workers found me with a rope attached to a beam and took me to see a psychologist. We talked a lot. Today my daughter is 5 months old and is doing well."
