CASE MANAGEMENT, REDUCTION OF MORBIDITY AND MORTALITY OF MT

Currently, the DRC faces multiple health problems, including malaria and typhoid fever, which are endemic diseases in the country. Each year, 84% of the population falls ill. Many others are pregnant women; children from 0 to 5 years old and young adolescents who are vulnerable to these diseases according to the report of the Ministry of Public Health.

In particular in the province of ITURI in the city of Bunia and its surroundings, 68% of cases of pregnant women are registered in health structures per month; 92% of cases of children from 0 to 5 years old; 75% of young adolescent cases and 42% of adult cases.

The manual problem which is linked to the slowness of patient records,
- Treatment of different cases,
- Follow-up of the evolution of the treatment of the patients,
- Know the drugs concerned for the treatment of patients

Neither the health centres, nor the health zones, nor the national Ministry of Health have an IT system that allows the sharing of information on the cases of these diseases in near real terms.

Contributing factors: unsanitary conditions; no access to drinking water; unsanitary latrines; non-compliance with hand washing; non-use of insecticide-treated mosquito nets.
Lack of a case management system.

The technology that will be used is system automation and improvement of the tracking system.
Second, our solution aims to provide the following activities:
- Raising awareness on good practices in the fight against malaria and typhoid fever as well as sexual abuse and exploitation including gender-based violence;
- Training of community leaders and caregivers on the use of the management system for recording and monitoring patients (cases) as well as on good practices in primary health care;
- Construction of community latrines and in targeted health centers;
- Installation of rainwater harvesting systems and drinking water wells from photovoltaic boreholes;
- Design and implementation of the computer system for the management of registration and monitoring of patients;
- Purchase of essential equipment and teams for the computer system as well as for the management of cases of malaria and typhoid fever for the targeted health centres;
- Distribution of impregnated mosquito nets;
- Monitoring and evaluation.
In each activity, the objective is to give the beneficiary population good practices and sufficient knowledge to support themselves and continue with the initiative after the present project, and therefore the appropriation of the project's achievements.

Response: It reduces the incidence of cases related to malaria and typhoid fever. A case management system will facilitate the exchange of information and will know the progress of cases in real time in order to take the appropriate measures.

Solution: practice of environmental hygiene and sanitation; wash hands regularly before eating and after bathing; construction of hygienic toilets; support with an impregnated mosquito net and sensitize households to sleep under an impregnated mosquito net. It is better in terms of cost because the population is easily accessible and the entire population is well served. The computer system set up and used in the targeted health centers and then managed by the different hierarchical levels of health. Train managers in the use of the system. Purchase of equipment for the installation of the system.

As you read above, our target is children from 0 to 5 years old, pregnant women, young adolescents, including health structures. This project will directly help these beneficiaries in Ituri and indirectly the Congolese government as well as the health structures in the DRC.

We are a multi-system team which is divided as follows: medical team: doctors; nurses and public health workers; the administration team; ICT, management and a community outreach team.

Our frontline workers are trained in primary health care systems and equipped with work supplies to meet the needs of the population served. The needs are Identify each time we receive in our care structures and then trace this information through the patient monitoring management system but also the standard of living in the community in particular the living environment is one of the indicators that we show the real need of the people.

Our organization has effective teams to help part of the Congolese population thanks to this project but we are limited to the financial problem of which in the DRC it is in more than 5 provinces that there are several cases of malaria and typhoid fever . This is why we need financial support to provide assistance and technical support to the Congolese government and its population in the province of Ituri, which we will see in the long term how to extend to the other provinces of the DRC.

A large internally displaced population, unemployed youth, health facilities and marginalized people are in need of humanitarian assistance, as indicated in various national and international documents and information. This is why our organization has found it preferable to submit a solution proposal to SOLVE to be a solver that will save several human lives in precarious situations.

Our solution is innovative because in the DRC there is still a great delay in access to new technologies and good practices in the fight against these diseases are not known to the population and it is through the implementation of activities detailed in one of the previous questions that proves the innovation that we bring to these health structures as well as to the beneficiary population.

Our goals for next year and beyond are:
- With the new system, health facilities will continue to share case information and plan responses;
- Sensitized and trained beneficiaries apply good practices and at the end 0 cases of malaria, typhoid fever, GBV, EAS, ...;
- Beneficiaries will disseminate good practices to the rest of the country.

Awareness raising and training will help address GBV, SEA and power inequalities and then enable the applicability of good practices. Sanitation will help manage waste that fights global warming and disease. Toilets, drinking water, mosquito nets will help reduce morbidity and mortality from malaria, typhoid fever and others.

Our theory of change aims to contribute to the fight against insalubrity; no access to drinking water; unsanitary latrines; non-compliance with hand washing; non-use of insecticide-treated mosquito nets, no computerized management system for patient registration and monitoring through a significant and effective response to reduce the incidence of cases related to malaria and typhoid fever, which therefore constitute a solution to hygiene and environmental sanitation practices; wash hands regularly before eating and after bathing; the construction of hygienic toilets, rainwater harvesting systems and the installation of drinking water wells; sensitize households to sleep under insecticide-treated mosquito nets, being better in terms of cost because the population is easily accessible and the entire population is well served.

Raising awareness on gender-based violence (GBV) and sexual exploitation and abuse (SEA); Management of GBV and SEA cases;
waste management and partnerships with local associations to meet these challenges.

When we go to different hospitals and health centers, that is why we conducted our study on the design of a new system.
Seeing the existing system, which caused the anomalies and malfunctions of the different positions expected as results, the proposal of a new system, will bring the solution as:
 Follow-up of patients of different cases;
 Alert employees and doctors in a critical case for internal patients;
 View patient tracking statistics;
 Inform physicians of patient medications;
 Display the results on the improvement of the treatment of the sick
 Display the medication schedule for patients and
 Show doctor name for daily patient tracking.

Data Managers, MEAL managers, Secrétaires, docteurs des structures de santé et chefs d’institutions administratives et de prise de décision en matière de santé.

In all our work, we always work in accordance with fundamental humanitarian principles, of which 100% of our staff, 70% are women and young people of whom we are members of the Ituri Protection Group, the Global Protection Group, from the Human Rights Team, the GBV network and EAS to continue to benefit from technical and operational support in protection mainstreaming and human rights.

Inclusion, diversity, dignity and equality of opportunity and gender are our priorities in all our actions.

Inclusion, diversity, dignity and equal opportunity and gender being our priorities in all our humanitarian actions, we support and help people in precarious situations, including marginalized people, people suffering from crises. , natural disasters and conflicts. In this assistance, we also support the government of a country in achieving its objectives and in all our actions, we carry out our activities with respect and human dignity without discrimination of gender, sex, nationality, race, religion, ethnic group and any other form of discrimination, and non-interference in activities against morality and human rights.

By working with young people, women and everyone without discrimination in accordance with humanitarian principles, including efficient administrative and financial management, adequate supply and logistics, our beneficiaries have confidence in our organization and in our work or assistance. . Carrying out activities that meet the Sustainable Development Goals allows our organization to gain the trust of our financial partners and the beneficiaries of our programs/projects.

The donations, subsidies and legacies that we receive for the operation of our organization, we use them in the realization of income-generating activities at lower cost (agricultural production, technical training, carpentry services, construction, sewing and others). It should be noted that its activities are not only used to support the organization not to miss its own fund to help the population in case of emergency but also that it helps idle young girls and boys to benefit from free training. on income-generating activities and even to directly find a job and more particularly the marginalized people who benefit from it.

As stated above, our plan contains examples that our income-generating activities serve not only to help the organization not lack its own fund to help the population in case of emergency, but also to help young girls and idle boys to benefit from free training on income-generating activities and even to find a job directly, and more particularly the marginalized people who benefit from it. In MALAWI, Ghana, DRC and BURKINAFASO, BIOCHAR's activities have had good results and impacts to date in favor of young girls, boys and women heads of households, pygmies and people with disabilities.