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Abt Leads USAID’s Integrated Health Program in the DRC


  • Maternal/neonatal mortality rates are high while vaccination rates are low.
  • Abt will provide programmatic, technical and operational support and capacity building.
  • Abt will measure improvement in a variety of health indicators.
The Challenge

Despite progress in health indicators, the Democratic Republic of Congo (DRC) remains among the lowest-ranked countries in health outcomes, such as maternal and neonatal mortality and vaccination coverage. Root causes include fiscal and capacity constraints, armed conflicts, gender and cultural norms, and structural barriers, including distances to health facilities and limited transportation options. Aggravating these constraints, new provinces were created without systems, structures or staff to operate effectively.

The Approach

Abt will provide programmatic, technical and operational support and capacity building to government units and civil society organizations to reach the DRC’s vulnerable populations. The goal: create an integrated health program that improves health systems, service-delivery capacity and service quality. In nine provinces, the program will target facilities and community-level primary health care platforms—including provincial administrative authorities and local organizations—while encouraging innovation in processes, technology and clinical services.

The Results

The program will work with DRC counterparts to improve health results by enhancing the quality and volume of health services and improving the health-seeking behavior of target populations. Over seven years, the team will measure improvement of health indicator rates in: maternal mortality; neonatal, infant, and under-five mortality; tuberculosis case notification; malaria prevalence; contraceptive prevalence and acute and chronic malnutrition. Final results are expected in 2025.