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2	Here is Congo
3	Here are the Paved Roads of Congo
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8	A Brief History of Health System Development in DRC 1875-1960: Health Infrastructure Development - Belgian colonial investment in “urban” admin. centers - Missionary initiatives in rural areas - Post WWII investments (from copper revenues) - Traditional health system with 120 territory “districts”
9	The Hospitals of DR Congo (c. 1960)
10	A Brief History of Health System Development in DRC 1900-1960: Health Infrastructure Development 1960-1975: Pioneers in Health System: Sims Ngwete Lejeune Luvivila Fountain Pangu Courtejoie Ruppol Carlson Galloway & many more
11	A Brief History of Health System Development in DRC 1875-1960: Health Infrastructure Development 1960-1975: Pioneers in Health System 1975: National Seminar on Community Medicine - Organized with Catholic and Protestant Medical Offices - Established consensus and mandates for: ~ integrated medicine (primary health care) ~ CEBEC (PHC integrated health centers) ~ decentralized health zones with co-management by FBOs - No funding, but this encouraged pilot HZs to develop
12	Pilot Health Zones (1975-1981)
13	A Brief History of Health System Development in DRC 1875-1960: Health Infrastructure Development 1960-1975: Pioneers in Health System 1975: National Seminar on Community Medicine 1982-1986: Five year health plan - Delimitation/Creation of 306 Health Zones - SANRU I/II and FBOs played leading roles
14	Pilot Health Zones (1975-1981)
15	Health Zones (1982)
16	Health Zones (1984) before delimitation of Health Zones
17	Health Zones (1984) after delimitation of Health Zones
18	Health Zones (1984) after delimitation of Health Zones
19	Health Zones (1984) after delimitation of Health Zones
20	A Brief History of Health System Development in DRC 1875-1960: Health Infrastructure Development 1960-1975: Pioneers in Health System 1975: National Seminar on Community Medicine 1982-1986: Five year health plan 1991-2001: The decade of HZ survival - Economic instability, war, projects closed - ECC & FBOS struggle to continue support to HZs
21	A Brief History of Health System Development in DRC 1875-1960: Health Infrastructure Development 1960-1975: Pioneers in Health System 1975: National Seminar on Community Medicine 1982-1986: Five year health plan 1991-2001: The decade of HZ survival 2001-2005: Revitalizing HZs with Appui Global - ECC/IMA assists 56 HZs with USAID funding (SANRU III) - CRS assists 16 HZs with USAID funding - PMURR: 68 HZs with WB funding (19 by IMA/ECC) - PReSS: 83 HZs proposed with WB funding
22	Four Generations of NGO Development Strategies
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24	Protestant Church of Congo Medical Office (ECC/DOM) ECC/DOM is a Christian Health Association that include 65 member communities ECC/DOM member communities own 80 hospitals and more than 600 health centers ECC co-manages 65 of Congo’s 515 HZs
25	The ECC/DOM Portfolio Liaison with MOH for all ECC health facilities Co-Management of 65 Health Zones with the MOH
26	ECC Co-Manages 65 Health Zones (serving a population of 9,000,000)
27	FBOs Co-Manage 1/3 of Congo’s HZs
28	The ECC/DOM Portfolio Liaison with MOH for all ECC health facilities Co-Management of 65 Health Zones with the MOH Current Projects– 4 major projects and numerous subprojects ($ 15,000,000/yr)
29	ECC/DOM in partnership with I.M.A. is assisting 75 HZs with health systems development
30	Results from Oicha HZ (with EPI and ITNs fully implemented)
31	The ECC/DOM Portfolio Liaison with MOH for all ECC health facilities Co-Management of 65 Health Zones with the MOH Current Projects– 4 major projects and numerous subprojects ($ 15,000,000/yr) For 2006 – hoping for 5 major projects ($20 M/yr) New directions: DEVRU – Developpment Rurale adding agriculture and microenterprise activities for synergistic development
32	Keys to Health Systems Development for FBOs & CHAs Document and map the strengths of FBO networks
33	Keys to Health Systems Development for FBOs & CHAs Document and map the strengths of FBO networks Create continual dialogue/collaboration with MOH Promote FBOs as part of the public sector (FBO/NGO) Work at all levels of the health system, esp. national Create strategies for co-management of health systems Establish partnerships with U.S. groups to handle funding
34	Keys to Health Systems Development for FBOs & CHAs Document and map the strengths of FBO networks Create continual dialogue/collaboration with MOH Promote FBOs as part of the public sector (FBO/NGO) Work at all levels of the health system, esp. national Create strategies for co-management of health systems Establish partnerships with U.S. groups to handle funding Increase your project & systems management capacity Be More Creative!
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