Author(s) :

Katolo Nankwaya Denise, Bapidia Nzengu Samuel, Mukandu Basua Babintu Leyka, Tshitadi Makangu Augustin.

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In Kikwit, the skills-based approach is theoretically implemented, but in practice, its existence is difficult to demonstrate, given that teaching is still oriented towards the Objective-Based Approach. This shortcoming can be seen in many of Kikwit's ITMs. The aim of this study is to analyze the impact of integrating the solidarity fund into the implementation of the competencybased approach in Kikwit's technical medical schools, taking into account the experiential experience of the educational players. We used a phenomenological survey, based on a qualitative approach. The understanding of APC is mostly positive, with a consensus around the idea that this approach places the learner at the center of the educational process. The integration of APC into ITM seems to have been gradual, with particular attention paid to teacher training. The changes observed since the adoption of APC are significant. The challenges involved in adopting APC are manifold. On the one hand, infrastructure and material resources are lacking, making it difficult to implement modern teaching methods. The solidarity fund at the Institut Technique Médical (ITM) is seen as an internal financial support, mainly for teachers and the institution, with contributions coming largely from students, while the management of this fund. The solidarity fund and the APC seem to work in synergy, each supporting the other for a more effective and comprehensive implementation of educational reforms within schools.

No. of Downloads :

14

Author(s) :

Kilima Musamba Jean Pierre, Eloko Eya Matangelo Gérard, Ntoto Kunzi Bernard.

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After noting the low involvement of community relays in the Kabondo health zone in primary health care activities, we thought it would be useful to conduct a study on the determinants of the low involvement of community relays in primary health care activities: t he case of the Kabondo health zone, Tshopo province. This is a descriptive cross-sectional study based on a quantitative paradigm. The sample size consisted of 73 community health workers, representing 10% of the total population. Data collection was conducted through interviews supported by a pre-established questionnaire. The collected data were encoded and analyzed using IBM SPSS software version 22. The results of this study revealed that the determinants of low participation of community health workers in primary healthcare activities include the lack of reimbursement for medical expenses during surveys (78.1%), the workload of respondents outside the Health Zone’s activities (56.8%), the absence of benefits after completing health-related activities (63%), and the lack of training and refresher courses provided to CHWs by the Health Zone authorities (71.3%). These findings highlight the importance of an integrated approach to enhance the participation of community health workers. Thus, tailored training programs, better resource allocation, and increased recognition of their role are essential to improving their engagement. The low participation of community health workers in primary healthcare activities is due to the non-reimbursement of medical expenses, the workload outside the activities of the health zone, the lack of certain benefits after completing health activities, and the lack of training and refresher courses for community health workers by the health zone authorities.

No. of Downloads :

11

Author(s) :

Kamoni Kakolongo Victor, Kiluba Tshikala Pitchou, Mukandu Basua Babintu Leyka, Marie-Claire Omanyondo Ohambe.

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Intentional termination of pregnancy and clandestine abortion pose a serious public health problem throughout the world, and the Democratic Republic of Congo is not spared from this scourge. Our preliminary study seeks to highlight the various causes of abortion of pregnancy among students at the Lycée Molende de Buta in Bas-Uélé Province, during the 2023-2024 school year, with 75 cases recorded. The results show that the frequency of abortion in this sample is 14.3%. The majority of respondents were aged between 21 and 23 (34.6%), and 28% were in the 6th year of secondary school. In terms of gestational age, 32% of cases were at 11-12 weeks' amenorrhea. All respondents presented clinical signs such as vaginal bleeding, lumbopelvic pain and fever, followed by expulsion of the egg. Hemorrhagic complications were observed in 82.6% of cases. 72% of participants had a single abortion, and 42.6% used modern abortion drugs. Fear of parental reaction was cited as the main reason for abortion by 53% of respondents. Finally, 90.6% of participants received medical and psychological care.

No. of Downloads :

12

Author(s) :

Kambaj A Kambaj Alexis, Bapidia Nzengu Samuel, Yassa Yonniene Pierre, Mukandu Basua Babintu Leyka.

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Les systèmes de santé en République Démocratique du Congo (RDC) rencontrent plusieurs défis structurels, parmi lesquels la formation continue des professionnels de santé et l'amélioration de la qualité des soins. Le pays est confronté à un grand nombre de difficultés, telles que l’insuffisance des ressources humaines qualifiées, l’insécurité, le manque de matériels médicaux adéquats et la faiblesse des infrastructures de santé, ce qui limite l’efficacité des soins. L’objectif général poursuivi par cette étude est de comprendre la représentation et l’attente de la supervision formative pour l’amélioration de la qualité de soins et service chez les prestataires dans la zone de santé de Manika. Il s’agit d’une étude qualitative qui est inscrite dans l’approche phénoménologique qui s’est déroulée du 10 janvier au 9 février 2025. Menée auprès de 10 prestataires qui sont choisis selon le besoin de l’étude. Pour collecter les données, la méthode utilisée est celle d’enquête, soutenue par la technique d’entrevue qui a été facilité par un guide d’entretien et le dictaphone comme instruments de collecte des données. Les résultats ont montré que les obstacles empêchant la supervision formative correcte sont l’insuffisance des moyens financiers, l’insuffisance appuie des partenaires y compris le manque de moyen de transport. En guise d’améliorer la supervision formative les prestataires proposent d’appuyer par les matériels de supervisions, former les superviseurs et sollicite l’appui technique et financier des partenaires pour la réussite de cette pratique. Pour ce qui est de l’importance de la supervision formative dans la structure, les prestataires estiment qu’elle permet d’améliorer les prestations, les compétences, la performance/efficacité du système de santé ainsi que, la qualité de soins. Healthcare systems in the Democratic Republic of Congo (DRC) face a number of structural challenges, including the ongoing training of healthcare professionals and improving the quality of care. The country is faced with a number of difficulties, such as a shortage of qualified human resources, insecurity, a lack of adequate medical equipment and weak health infrastructures, all of which limit the effectiveness of care. The general objective of this study is to understand the representation and expectations of formative supervision for improving the quality of care and service among providers in the Manika health zone. This is a qualitative study based on the phenomenological approach, which took place from January 10 to February 9, 2025. It involved 10 service providers chosen according to the needs of the study. To collect the data, a survey method was used, supported by an interview technique facilitated by an interview guide and a Dictaphone as data collection instruments. The results showed that the obstacles preventing proper formative supervision are insufficient financial means, insufficient support from partners including lack of means of transport. In order to improve formative supervision, the service providers propose to provide support in the form of supervision materials and supervisor training, and solicit technical and financial support from partners to ensure the success of this practice. As for the importance of formative supervision in the structure, the providers consider that it enables them to improve services, skills, the performance/efficiency of the health system and the quality of care.

No. of Downloads :

32

Author(s) :

Bisimwa Ciregereza Emmanuel, Lukoki Luyeye Félicien, Milau Empwal Fils.

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Les activités anthropiques axées à l’usage des espèces ligneuses au profit des ménages dans la chefferie de Kabare constituent un des phénomènes sérieux de la déforestation. Cette étude vient contribuer par la présentation des relations existantes entre les activités des ménages et la déforestation des espèces ligneuses à la lisière du Parc National de Kahuzi-Biega à Kabare/Sud-Kivu à l’Est de la RDC. Human activities focused on the use of woody species for the benefit of households in the chiefdom of Kabare constitute one of the serious phenomena of deforestation. This study contributes by presenting the existing relationships between household activities and the deforestation of woody species on the edge of the Kahuzi-Biega National Park in Kabare/South Kivu in the East of the DRC.

No. of Downloads :

40

Author(s) :

Ndumba Don Raymond, Ngumba Ngumba Victoire, Ngimbi Ngimbi Jacques, Musianga Siyum Steeve, Mboyo Bokele Julien, Lakubu Esas Patrick, Ndumba Dadou Labem, Nguya Mata Job.

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Le but du présent travail est de faire une étude comparative sur la géologie, la pétrographie, la minéralogie et la cartographie numérique des roches phosphatées de gisements de Kanzi et de Mvuangu. Le microscope pétrographique à lumière polarisée et le logiciel QGIS version 3.6 ont été utilisés. Les résultats obtenus sur base des données de terrain et les analyses de laboratoire indiquent que sur le plan pétrographique, la roche de Kanzi a une structure microgrenue (calcédoine) et grenue alors que celle de Mvuangu est essentiellement constituée par des grains et galets de quartz. Du point de vue minéralogique, ces roches sont constituées principalement de la collophanite mais aussi de l’hématite, de la Kaonite et de l’Illite. La mise valeur de ces roches phosphatées à travers la création d’une industrie locale pour la production des engrais phosphatés au regard de l’importance de ces gisements permettrait de booster le développement de l’agriculture en République démocratique du Congo et dans la sous-région tout en contribuant à la création d’emplois, sachant bien que l’exploitation minière est l’une des principales sources d’emplois formel en Afrique.

No. of Downloads :

2

Author(s) :

Koto-Te-Nyiwa Ngbolua, Guillain Bokoko Bikoko, Gérald Eya Matangelo Eloko, Jean Libima Mokolo, Félicien Kandolo Tshimungu, Marie-Claire Ohambe Omanyondo, Monizi Mawunu.

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In developing countries, under-immunisation and high vaccine drop-out rates remain a major concern across all levels of the healthcare system. This study aimed to identify the underlying factors that contribute to the abandonment of vaccination by parents or guardians of children eligible for immunisation. Using a quantitative case-control design, the study compared caregivers of children aged 6 to 59 months who dropped out of the vaccination program (cases) with those whose children followed the vaccination schedule consistently (controls), within a population of 6,152 children in the Mbandaka health zone. Data were collected through structured questionnaires and processed using Excel 2010 and SPSS 2025. The findings revealed that being in the case group was strongly associated with vaccine drop-out (HR=2.53), as well as belonging to a medium-income household (HR=1.84), being in a polyandrous union (HR=2.92), having illiterate parents (HR=6.04), and residing in the central antenna zone (HR=1.93). These results highlight the urgent need for the health zone to reinforce awareness campaigns targeting parents and decision-makers and to enhance vaccine distribution in remote areas to reduce social inequalities in immunisation coverage.

No. of Downloads :

11

Author(s) :

Mazaba Mata Justin, Kunda Motema Charisme, Mbongopasi Ekeni Bertine.

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This article examines the factors associated with the non-observance of the vaccination calendar for Penta 3 and Var 2 vaccines in children aged 0 to 23 months in the N'djili health zone. Through a descriptive and analytical study, we have identified various elements influencing parents' membership with vaccination recommendations, in particular socio-economic, cultural factors, and linked to access to health services. The results highlight the importance of rigorous monitoring and an evaluation of vaccination programs to improve vaccination coverage and reduce the risk of vaccination preventable diseases.

No. of Downloads :

19