Supporting the health care system in South Kivu

Project description

Title: Supporting the health care system in South Kivu
Commissioned by: Swiss Agency for Development and Cooperation
Financed by: Swiss Agency for Development and Cooperation
Lead executing agency: Ministère provincial de la Santé Publique au Sud Kivu
Country: Democratic Republic of the Congo
Overall term: 2015 to 2017


The population of the province of South Kivu in eastern Congo suffers from a poor level of health and inadequate access to health care services. Maternal mortality levels are very high at 846 deaths for every 100,000 live births, while the infant mortality rate is the highest in the Democratic Republic of the Congo, at 139 deaths for every 1,000 live births. The most pressing problem is the lack of trained health professionals. Additional major challenges concern financing, good governance and management, and the availability and quality of appropriate infrastructure and medical products.


The people’s access to high-quality health care is improved in the four health zones of the province of South Kivu, particularly with regard to reproductive and mother and child health.

The national structures within the health care system are working more efficiently.


The Swiss Agency for Development and Cooperation has commissioned GIZ International Services to provide support for the health care system in South Kivu as part of its health programme. A team of experts based in the provincial capital Bukavu focuses its activities on the four health zones of South Kivu, namely Kaziba, Nyantende, Mwana and Nyangezi. The programme works closely with the provincial health ministry, its health department and the health authority.

With regard to health sector financing, the programme assists the health zones and insurers with purchasing medicine, rehabilitating health centres, and awarding performance-based bonuses.

In order to strengthen human and institutional capacity in the local health structures, the programme concentrates on promoting good governance, building the capacity of policy-makers, and supporting the management of infrastructure, medical products supply and health information.


The programme has entered into partnership and service agreements with the health department of the South Kivu health ministry, as well as with four health zones, four hospitals and 50 health centres. These agreements cover a range of curative and preventive health care services including deliveries, immunisations and operations. Within a few months, the medical care for the population has already improved.

The performance-based bonuses paid by the programme to health care professionals in the four health zones have contributed to increased motivation and better health care services.

The programme has begun to rehabilitate the health care infrastructure in the four health zones.

Several studies and training activities have been conducted in order to strengthen the national health system structures with regard to the management of infrastructure, procurement processes and medicines.