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Congo, Dem. Rep.

Articles by Congo, Dem. Rep.

Dr Nyamalibu supports a client
21 January 2022

A feminist approach to sexual and reproductive health in DRC

Dr Gisele Nyamalibu is a local health worker in the Democratic Republic of Congo (DRC), currently leading the humanitarian response in Bukavu following the volcanic eruption in Goma. Driven by her passion to provide crucial sexual and reproductive healthcare (SRH), she spends her time servicing the refugee community. We spoke to her about why representation and localization are vital in SRH service delivery. A dedicated advocate of sexual and reproductive health and rights (SRHR), Dr Nyamalibu has observed the many complexities in SRHR service delivery for refugee women. In 2015, while working as a health supervisor in a Burundi refugee camp in Kavimvira, she witnessed flaws in the implementation of aid where SRHR needs were “not taken into account.” “Sometimes sexual and reproductive services are not a priority according to the actors who intervene in this sector, and for me, I found that it’s an aspect that is being neglected. Perhaps it’s not seen as a priority, and yet it really is.” A unique insight into the needs of the vulnerable Years of experience working with refugee women and children in camps has given Dr Nyamalibu insight into the reproductive healthcare needs of vulnerable displaced women. “There were cases of young girls who were raped in the refugee camps, and others who became pregnant in the camps. There were women who did not know how to control their fertility and who did not know how to plan their birth and became pregnant in the camps. A woman comes as a refugee, in a difficult situation with children, and gets pregnant in the camp because there was no family planning service.” The DRC-born medical doctor was drawn to SRHR to bridge the gap in service delivery. “There was no service to deal with cases of rape and sexual abuse that occurred among refugees, and from that I said to myself: no, this is a sector that many actors ignore but which is really important.”

Claudine

"In the past, I was wary of 'contraceptive' methods"

“I've heard kids yelling on the street that there was a program to space pregnancies. I've always wanted to do that for the long term. Until then, I'm still trying with the three-month-old pills. Besides, listening to one of the people advertising these services, the address was not very far from my home." Claudine, aged 27, is a sex worker. "In the past, I was wary of 'contraceptive' methods. But once I tried them and I didn't notice any negative impact on my body, I made it a habit in order to not get pregnant". Like all young girls interested in the Women’s Integrated Sexual Health (Lot 1) programme services, Claudine arrives shyly at the center where Association pour le Bien-Etre Familial-Naissances Désirables (ABEF-ND) distributes contraceptive methods. "When I arrived at the center, I thought that there would be no paperwork to do, but I was pleasantly surprised that the organizers want to find out about me and maybe one day they will be able to set up a health centre to follow us regularly," she hopes. In the DRC, few women raise the subject of sexual violence because they are afraid of being rejected and that "poverty sometimes leads us into sex work," she says. "But the consequences are enormous and sometimes harmful. Girls who are not sensitized will have unsafe abortions and catch sexually transmitted infections." Claudine has expectations and hopes regarding this kind of activity: "However, if awareness-raising is regulated, even every three months, we will, I think, have fewer young mothers because they will be more knowledgable about family planning". The WISH project has seen a positive change in women and girls' access to integrated family planning and sexual and reproductive health care. WISH promotes a variety of contraceptive methods and sexual and reproductive health support, ranging from referrals to services for those who need it most.   "I want to feel free in my sexual activities". I have a boyfriend but that doesn't stop me from doing my life. "I make my livelihood as a sex worker and he is a carpenter. That's how we've been trying to make ends meet since we moved to the capital two years ago." "We're going back to the village to take a break, it's not a permanent departure." Claudine and her boyfriend are both from Boende, the capital of the Tshuapa province, in the north-west of the country, 2,285 km from Kinshasa. She was encouraged to move to the capital at the insistence of one of her uncles who had been living there for several years. "The reality is quite different. We have been able to raise enough money to send goods to the village for the past two years. My companion and I will go back there to rest and maybe come back if we get bored in the village again.” “Pakadjuma is a place where almost everyone comes from the village, but it is only here that I see enough interest from associations to sensitize young girls on family planning by distributing condoms to prevent early pregnancies and sexually transmitted diseases. It's all very interesting. It's an opportunity for us and I think it's one of the things I'll miss the most when I go back to the village. I hope to still have friends here who can send me these methods.”

Ruth

"Right now, the most important thing is to continue my studies and take care of my child"

After her parents divorced, the family dissolved and Ruth found herself in Pakadjuma where she rented a small house. "My boyfriend helps me pay the rent," she says. She thought she would continue with school but could not afford it. After a few years of a relationship, Ruth became pregnant, and explain that "it was late to get an abortion, and I didn't want to put my life in danger." "I would have liked to get my bachelor's degree, but I don't regret it; I loved my child right away." Ruth, aged 19, like other young girls, queues up to learn about the different contraceptive methods the WISH programme offers for girls and women living in Pakadjuma. Some of them sign up directly to take them. Others find out and promise to come back after talking with their companions. The Women’s Integrated Sexual Health (WISH Lot 1) programme offers quality integrated sexual and reproductive health services across the Democratic Republic of Congo through IPPF Member, Association pour le Bien-Etre Familial – Naissances Désirables (ABEF-ND). Ruth is trying the service for the first time. She is in favour of receiving a contraceptive method for the next three months. "Some people have discouraged me because they believe that the 5-year method can destroy the body. But before deciding to come here, I asked around with the neighbours who have already tried it. I didn't have any negative experiences." Ruth asked the organizers about the consequences: "They said it's just to protect me so that I don't get pregnant for 3 months and then I can renew if I feel like it.” Ruth feels that many parents do not discuss sexual matters with their children. They probably feel it is inappropriate. Yet, if young girls get pregnant before they are socially stable, it is also due to a lack of guidance and orientation. "This should be a regular initiative," she says. "It's not late to receive sex education but above all to have free contraceptive methods, because I would have preferred a thousand times to buy milk for my baby than to pay for a condom or a Jadelle. Ruth has an 8-month-old baby, "I didn't want this and having many children will be disadvantageous for me especially as I am not yet married". She lives from small businesses and the money to support from her companion. Ruth says she took this contraceptive method without her partner's advice. "Since the birth of our child, we have been abstinent, and that's good. "He encourages me to go back to school, and I think that's what I should do.”

Association pour le Bien-Etre Familial/Naissances Désirables

The Democratic Republic of Congo is vast: it is Africa’s second largest country and has nearly 68 million inhabitants. The sexual and reproductive health (SRH) challenges are correspondingly immense, with the country recording some of the poorest SRH statistics globally.

The Association de Bien-Etre Familial – Naissances Désirables (ABEF-ND) was founded in 1977, and since then it has worked tirelessly to drive changes which will secure a better future for the country.

ABEF-ND offers sexual and reproductive health (SRH) information, education and communication for young people. It offers HIV and AIDS prevention and management services, and community-based distribution of contraceptives. It also advocates strenuously around SRH issues with legislators and health professionals. As such, it’s central to shaping relevant national policies.

It achieved this through static clinics, associated clinics and community-based distributors (CBDs) and community-based services (CBSs). ABEF-ND has a small number of staff who are backed by a large body of volunteers: together, they are determined to promote sexual and reproductive health and rights for all.

ABEF-ND works in partnership with the Ministry of Health, and in the private sector with faith-based health facilities. Non-governmental organizations partners include Service Centrale d'Education à la Vie (SCEV), the Women’s Action Network (RAF), Radios for the Consolidation of Peace (RCP+), Amo Congo. Donors include Programme National de Lutte contre le Sida (PNLS), UNFPA, UNHCR and GTZ. It is a Member of the National Council of NGOs against AIDS.

 

Dr Nyamalibu supports a client
21 January 2022

A feminist approach to sexual and reproductive health in DRC

Dr Gisele Nyamalibu is a local health worker in the Democratic Republic of Congo (DRC), currently leading the humanitarian response in Bukavu following the volcanic eruption in Goma. Driven by her passion to provide crucial sexual and reproductive healthcare (SRH), she spends her time servicing the refugee community. We spoke to her about why representation and localization are vital in SRH service delivery. A dedicated advocate of sexual and reproductive health and rights (SRHR), Dr Nyamalibu has observed the many complexities in SRHR service delivery for refugee women. In 2015, while working as a health supervisor in a Burundi refugee camp in Kavimvira, she witnessed flaws in the implementation of aid where SRHR needs were “not taken into account.” “Sometimes sexual and reproductive services are not a priority according to the actors who intervene in this sector, and for me, I found that it’s an aspect that is being neglected. Perhaps it’s not seen as a priority, and yet it really is.” A unique insight into the needs of the vulnerable Years of experience working with refugee women and children in camps has given Dr Nyamalibu insight into the reproductive healthcare needs of vulnerable displaced women. “There were cases of young girls who were raped in the refugee camps, and others who became pregnant in the camps. There were women who did not know how to control their fertility and who did not know how to plan their birth and became pregnant in the camps. A woman comes as a refugee, in a difficult situation with children, and gets pregnant in the camp because there was no family planning service.” The DRC-born medical doctor was drawn to SRHR to bridge the gap in service delivery. “There was no service to deal with cases of rape and sexual abuse that occurred among refugees, and from that I said to myself: no, this is a sector that many actors ignore but which is really important.”

Claudine

"In the past, I was wary of 'contraceptive' methods"

“I've heard kids yelling on the street that there was a program to space pregnancies. I've always wanted to do that for the long term. Until then, I'm still trying with the three-month-old pills. Besides, listening to one of the people advertising these services, the address was not very far from my home." Claudine, aged 27, is a sex worker. "In the past, I was wary of 'contraceptive' methods. But once I tried them and I didn't notice any negative impact on my body, I made it a habit in order to not get pregnant". Like all young girls interested in the Women’s Integrated Sexual Health (Lot 1) programme services, Claudine arrives shyly at the center where Association pour le Bien-Etre Familial-Naissances Désirables (ABEF-ND) distributes contraceptive methods. "When I arrived at the center, I thought that there would be no paperwork to do, but I was pleasantly surprised that the organizers want to find out about me and maybe one day they will be able to set up a health centre to follow us regularly," she hopes. In the DRC, few women raise the subject of sexual violence because they are afraid of being rejected and that "poverty sometimes leads us into sex work," she says. "But the consequences are enormous and sometimes harmful. Girls who are not sensitized will have unsafe abortions and catch sexually transmitted infections." Claudine has expectations and hopes regarding this kind of activity: "However, if awareness-raising is regulated, even every three months, we will, I think, have fewer young mothers because they will be more knowledgable about family planning". The WISH project has seen a positive change in women and girls' access to integrated family planning and sexual and reproductive health care. WISH promotes a variety of contraceptive methods and sexual and reproductive health support, ranging from referrals to services for those who need it most.   "I want to feel free in my sexual activities". I have a boyfriend but that doesn't stop me from doing my life. "I make my livelihood as a sex worker and he is a carpenter. That's how we've been trying to make ends meet since we moved to the capital two years ago." "We're going back to the village to take a break, it's not a permanent departure." Claudine and her boyfriend are both from Boende, the capital of the Tshuapa province, in the north-west of the country, 2,285 km from Kinshasa. She was encouraged to move to the capital at the insistence of one of her uncles who had been living there for several years. "The reality is quite different. We have been able to raise enough money to send goods to the village for the past two years. My companion and I will go back there to rest and maybe come back if we get bored in the village again.” “Pakadjuma is a place where almost everyone comes from the village, but it is only here that I see enough interest from associations to sensitize young girls on family planning by distributing condoms to prevent early pregnancies and sexually transmitted diseases. It's all very interesting. It's an opportunity for us and I think it's one of the things I'll miss the most when I go back to the village. I hope to still have friends here who can send me these methods.”

Ruth

"Right now, the most important thing is to continue my studies and take care of my child"

After her parents divorced, the family dissolved and Ruth found herself in Pakadjuma where she rented a small house. "My boyfriend helps me pay the rent," she says. She thought she would continue with school but could not afford it. After a few years of a relationship, Ruth became pregnant, and explain that "it was late to get an abortion, and I didn't want to put my life in danger." "I would have liked to get my bachelor's degree, but I don't regret it; I loved my child right away." Ruth, aged 19, like other young girls, queues up to learn about the different contraceptive methods the WISH programme offers for girls and women living in Pakadjuma. Some of them sign up directly to take them. Others find out and promise to come back after talking with their companions. The Women’s Integrated Sexual Health (WISH Lot 1) programme offers quality integrated sexual and reproductive health services across the Democratic Republic of Congo through IPPF Member, Association pour le Bien-Etre Familial – Naissances Désirables (ABEF-ND). Ruth is trying the service for the first time. She is in favour of receiving a contraceptive method for the next three months. "Some people have discouraged me because they believe that the 5-year method can destroy the body. But before deciding to come here, I asked around with the neighbours who have already tried it. I didn't have any negative experiences." Ruth asked the organizers about the consequences: "They said it's just to protect me so that I don't get pregnant for 3 months and then I can renew if I feel like it.” Ruth feels that many parents do not discuss sexual matters with their children. They probably feel it is inappropriate. Yet, if young girls get pregnant before they are socially stable, it is also due to a lack of guidance and orientation. "This should be a regular initiative," she says. "It's not late to receive sex education but above all to have free contraceptive methods, because I would have preferred a thousand times to buy milk for my baby than to pay for a condom or a Jadelle. Ruth has an 8-month-old baby, "I didn't want this and having many children will be disadvantageous for me especially as I am not yet married". She lives from small businesses and the money to support from her companion. Ruth says she took this contraceptive method without her partner's advice. "Since the birth of our child, we have been abstinent, and that's good. "He encourages me to go back to school, and I think that's what I should do.”

Association pour le Bien-Etre Familial/Naissances Désirables

The Democratic Republic of Congo is vast: it is Africa’s second largest country and has nearly 68 million inhabitants. The sexual and reproductive health (SRH) challenges are correspondingly immense, with the country recording some of the poorest SRH statistics globally.

The Association de Bien-Etre Familial – Naissances Désirables (ABEF-ND) was founded in 1977, and since then it has worked tirelessly to drive changes which will secure a better future for the country.

ABEF-ND offers sexual and reproductive health (SRH) information, education and communication for young people. It offers HIV and AIDS prevention and management services, and community-based distribution of contraceptives. It also advocates strenuously around SRH issues with legislators and health professionals. As such, it’s central to shaping relevant national policies.

It achieved this through static clinics, associated clinics and community-based distributors (CBDs) and community-based services (CBSs). ABEF-ND has a small number of staff who are backed by a large body of volunteers: together, they are determined to promote sexual and reproductive health and rights for all.

ABEF-ND works in partnership with the Ministry of Health, and in the private sector with faith-based health facilities. Non-governmental organizations partners include Service Centrale d'Education à la Vie (SCEV), the Women’s Action Network (RAF), Radios for the Consolidation of Peace (RCP+), Amo Congo. Donors include Programme National de Lutte contre le Sida (PNLS), UNFPA, UNHCR and GTZ. It is a Member of the National Council of NGOs against AIDS.