Reducing mortality and morbidity of women, adolescents, children and newborns and building human capital through a stronger health system and empowered communities.
In French, ASSR stands for Appui au Système de Santé en RDC, which translates into Health Systems Support in DRC. It is an 18-month project funded by the Department for International Development using UK aid that is building on the accomplishments of the recently completed Accès au Soins de Santé Primaire, known locally as ASSP, which was also funded by UK aid and was implemented during the preceding six years.
The overall project goal is to improve the health of women, adolescents, and children through support for disease prevention, delivery of health care and health systems strengthening. It is structured around the six pillars of health systems strengthening, specifically: enhanced health service delivery and quality, improved and sustained human resources, enhanced and appropriate use of medicines and technologies, increased affordability of health services, enhanced health information systems and, lastly, enhanced leadership and governance.
April 2019 to October 2020
Funded by DFID using UK aid
Number of outpatient consultions for curative services
Number and percentage of 1-yr-old children vaccinated against measles
Number of pregnant women and children under one year of age who received a long-lasting insecticide-treated bed net
Number of deliveries attended by a skilled birth attendant
The project supports 9.7 million people across 50 health zones.
ASSR works in four provinces: Kasaï, Kasaï Central, Maniema, and Nord-Ubangi.
Quarter 4 Results
Number and percent of target reached.
- Number of pregnant women who received three doses of IPT while attending antenatal care: 258,144 102% 102%
- Number and percentage of 1-yr-old children vaccinated against measles: 346,479 109% 109%
- Number of Couple Years of Protection (CYPs) achieved through family planning service provision: 240,308 81% 81%
- Number of deliveries attended by a skilled birth attendant: 384,535 107% 107%
- Service utilization for curative services: 6,242,431 113% 113%
- Number of pregnant women and children under one year of age who received a long-lasting insecticide-treated bed nets (LLINs) through routine distribution (in health zones receiving ASSR support for routine distribution of LLINs): 217,756 96% 96%
- Percent of sexual and gender-based violence (SGBV) survivors arriving at a health facility within 72 hours who have received PEP Kits: 89% 137% 137%
- Number of health zones with a DHIS2 data quality score of 80% or more on the data quality reporting appraisal scheme: 33 100% 100%
- Cumulative number of assisted health centers with at least one community score card exercise in the last 12 months: 369 96% 96%
- Average number of CODESAs that were operational: 860 100% 100%
- Percentage of days that health facilities report stock-outs of tracer drugs (DMPA, Oxytocin, SP, Zinc, Amoxicillin): 16.2% 84% 84%
- Percentage of medicines that are wasted due to expiration as a proportion of overall stock at the provincial warehouse: .2% 100% 100%
“That the project has exceeded the Q1 target suggests that we may have underestimated the residual effects of the ASSP project and hints at the longer-term effect the ASSP project had on service utilization.”
ASSR Q1 Report
Number of pregnant women who received three doses of IPT while attending antenatal care
Number of 1-yr-old children vaccinated against measles
Number of Couple Years of Protection achieved through family planning service provision
Number of deliveries attended by a skilled birth attendant
Service utilization for curative services
Number of pregnant women and children under one year of age who received a long-lasting insecticide-treated bed nets through routine distribution
Percent of sexual and gender-based violence survivors arriving at a health facility within 72 hours who have received PEP Kits
Average number of CODESAs that were operational
ASSR progams are building on the successes of the recently completed ASSP project. Click on any link below for more detailed information.
Leadership & Governance
Gender & SGBV
IMA World Health was selected as the consortium lead to implement the ASSR project in collaboration with the Ministry of Health. In addition to acting as consortium lead, IMA oversees project implementation at the provincial level in Maniema and Nord Ubangi, while Sanru is responsible for project implementation in Kasai and Kasai Central. Two technical partners provide assistance at the national level: Pathfinder (Reproductive Health and Family Planning) and BAO Systems (Health Information Systems).
DFID and the SIDA allocated £182,899,146 to support the Government of the Democratic Republic of Congo’s efforts to improve the health of its citizens. Accordingly, IMA World Health was selected as the lead organization to implement ASSP and in collaboration with the MOH. In addition, four implementing partners support the program at the provincial level: SANRU, World Vision, CARITAS and International Rescue Committee. Finally, four technical partners provide assistance at the national level: Tulane University (Operational Research), Pathfinder (Reproductive Health and Family Planning), HISP (Health Information Systems) and IntraHealth (Human Resource Information Systems).
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