Analyse de la réponse à l’épidémie de choléra dans six (06) zones de sante du Nord et Sud Kivu, en République Démocratique du Congo

Mots clés : Choléra, Réponse, Epidémie, Létalité, suivi épidémiologique, Reprise communautaire. 

English
Abstract

This study analyzes the response to the cholera epidemic in six (6) health zones (HZ) in the provinces of North and South Kivu. This is an opportunity to evaluate de response, characterize the knowledge, attitudes and practices and understand the underlying factors and drivers of the persistent cholera epidemics in the Democratic Republic of Congo (DRC). The work was carried out from January to May 2017 and was based on both the data collected during the project and the exploitation of qualitative and quantitative primary data and quantitative data. At the end of this study, some key points emerged. It was found that the situation of cholera in the six HZ has evolved positively with a very good epidemiological follow-up at the level of the BCZ, which became autonomous and prompt in the notifications of cases and the response. However, at the level of the health areas the epidemiological surveillance is less successful. Similarly, the lethality rate has remained under 1% for 5 years. Despite this decline, there is still a persistence of cases in some health zones and health areas. Prevention activities have been re-enforced around these areas. After five years, the results are convincing but the recurrent outbreaks are not over yet. An analysis of the mapping also showed much more pronounced limitations in the same health areas both at the household level and at the community level. Similarly, the KAP survey revealed a persistence of WASH problems, with very low indicators. Behavioral change remains a major issue in the success of this fight at the personal, family and community levels. As outcome of this study, good results on the overall situation of cholera in the area of intervention have been achieved. In the same way, revamping strategy of the Community Capacity Recovery structures and local leaders by BCZ recently should be strengthened for a smooth exit from the project. Beyond the progress made during this project, in the coming months there is a need to develop strategies more conducive to behavior change on the one hand, and to increase institutional advocacy for infrastructure and synergy of government action on the other, because an integrated approach should be the best way to fight against cholera.

Key words : Cholera, Response, Epidemic, lethality, Epidemiological follow –up, community capacity recovery