PROBLEM OVERVIEW

The context in the east of the Democratic Republic of Congo (DRC) is still unstable, marked by
changing alliances between armed groups, incessant military operations, banditry and violence.
Rapes, murders, kidnappings are the daily lot, making the population and the humanitarian workers
more and more vulnerable. Instability continues to drive people from their homes and limits the
ability of Doctors Without Borders to provide free, lifesaving care.
The Territory of Kalehe is located in the mountainous area, one of the three ecological zones making
up the province of South Kivu, located northwest and northeast of the city of Buhavu.
The Territory of Kalehe is set up in 4 Health Zones (Ihusi-Kalehe, Kalonge, Bunyakiri and Minova).
The Kalehe health zone is one of 34 health zones in the health province of South Kivu , This territory
is made up of 14 health areas, a Hospital Center and 1 General Reference Hospital, Out of 14
operational health centers in the health zone, 8 are located more than 10 km from the General
Reference Hospital (HGR). are the BUSHAKU, LEMERA, KASHEKE, TCHOFI, BUSHUSHU, NYAMUKUBI,
LUSHEBERE, NYABIBWE health centers, but also, we have 3 lake health centers including ISHOVU,
MUSHENYI and CIGERA, a Hospital Center and a Hospital Reference General. The Technical staff of
the General These Hospital is made up of 3 General Practitioners, 5 A1 Nurses, 6 A2 Nurses, 2 Lab
Technicians, 4 midwives, 1 Anesthetist Technician. The Central Office of the Health Zone is located 65
km from the city of Bukavu, capital of the province of South Kivu.
As we can see, the locality of IBINDJA does not have a health center or a hospital. To access care, the
inhabitants of these villages have had to travel a long way in search of appropriate care
The Mbinga-south grouping with an area of 5057 km², where the locality of IBINDJA is located has an
area of 369km², it is one of seven administrative groups that make up the community, chiefdom of
Buhavu in kalehe territory. It includes 10 localities namely: BUSHUSHU, CIBANDJA, IHOKA, IKO,
MUNANIRA, KASHEKE, TCHOFI, ISHOVU, MUHONGOZA and IBINDJA.
However, the locality of IBINDJA is the place where the hospital will be located, given its specificities.
Among the most recurrent diseases in this locality, we have: Malaria, respiratory tract infections,
diarrheal disease, Malnutrition, Aminases.
This is mainly caused by the absence of sources of drinking water in the village of Ibindja, the
ignorance of the population in terms of water hygiene, they get their water from Lake Kivu, the
persistence of waterborne diseases, such as cholera, typhoid fever, vaginal infections in women and
many other related diseases.
Hence the regular presence of communicable diseases, such as typhoid fever, schistosomiasis or
schistosomiasis, etc. in the village. Statistics from the Ibindja health center show that more than 45%
of people living in the villages experience diarrheal diseases due to dirty water intake, but also dirt
hands waterborne diseases.
This project is to set up a hospital in the name of “BUENE HOSPITAL” in the village of IBINDJA fills the
gap in health centers in the region and compensates for the lack of basic care in this predominantly
village area, and therefore, creating jobs for our young people.
In addition, the idea of creating this health structure also comes under the recommendations of the
UNDP consultancy report produced by the APED association as part of a participatory village
diagnosis in the territory of Kalehe, South Kivu from October in December 2008 which was able to
identify the following problems in the health field in the chiefdom of Buhavu where the locality of
IBINDJA is located
Inadequate health, medical and professional health infrastructures, equipment and supply of drugs,
Absence/insufficiency voluntary screening center for STDs and HIV/AIDS.
The following solutions were suggested in the report: Create, rehabilitate, supply and equip health
infrastructures, Creation of hospitals and voluntary screening centers for STDs and HIV/AIDS, Build
medical technical schools.
From these various reviews on the context and the health situation in KALEHE in general and in
particular in the village of IBINDJA, we find that there is a viscerally normative need to intervene in
order to restore hope to this layer of the population and make it an actor of their own socioeconomic change thanks to an effective health system which will take into account preventive
dimensions and curative dimensions