DRC health system

Health system for severe malaria

Community level: Two types of volunteer/unpaid health workers called “relais communautaire”.

  1. Community health promoters (relais communautaire promotionnel) carry out health promotion and community mobilization activities
  2. Community treatment workers at integrated community case management (iCCM) sites (called relais des sites de soins communautaires) provide treatment for diarrhoea, fever, and acute respiratory infection, refer malnourished children to health facilities, and distribute a limited package of family planning commodities.

Community treatment workers are selected based on a higher level of education and having an established source of remuneration, independent of their health work.

Reference hospitals: Only 393 of the 516 health zones have a general reference hospital. Faith-based organizations run 34% of these hospitals, which are integrated into the public health system.