Papy Makela’s Updates
PROTECTION OF HEALTH CARE PERSONNEL AND ACCESS TO VICTIMS IN THE COMMUNITY (The most serious humanitarian challenges in the world)
Coordination of the RED CROSS BUADI is located on the geographical map in the commune of Ngaliema District Ngoma kikusa of Kinshasa, Democratic Republic of Congo. Papy Makela Human Rights Activist and Ruphin kinakaziko Communication and Public Relations Officer (CRP).
An ICRC study, published in April 2014, identified more than 1,800 incidents involving serious or threatened acts of violence in 23 countries or regions between January 2012 and December 2013. Over 90% of these incidents involved personnel Health services.
Violent acts, which restrict access to health services for the people who need it most and disrupt the functioning of health systems, have serious consequences, both in the short and long term.
Over the past decade, health development policies (PDS) and Violence against health personnel and facilities, medical vehicles and patients during armed conflicts and other situations have been implemented in many countries. They place special emphasis on the implementation of the Community approach. What is the so-called "community approach", how to make it a reality on the ground, and for what purpose?
The community health approach can be defined as a public health approach at the local level, involving residents in identifying the problems they face and finding solutions with the help of facilitators or professionals.
In order for the community-based approach to be effective, it is necessary to provide assistance to those who are to implement it (chief medical officers, management teams and health district staff) to translate what is often written centrally into activities And a practical implementation approach.
Public health at the local level generally refers to all non-curative activities of primary health care components, ie prevention and education activities.
The participation of the inhabitants, called "community participation", refers to a social grouping of people to respond to a public health problem.
Community involvement is "a social process in which people or groups of people with common needs living in a neighborhood are actively engaged in identifying these needs, deciding to seek answers, and To satisfy them. "
The Community approach thus joins the spirit of the administrative policy of decentralization and territorial deconcentration, which aims to build effective communities at the service of responsible citizens, improve local governance and bring power closer to citizens.
Concretely, the involvement of the community in preventive and educational activities requires geographical sharing of the area of responsibility of health centers, such as health areas. The health district management team should establish risk management structures and community coordination with their terms of reference:
The management team should be aware of its role and place in this new dynamic which places the community approach at the heart of the proximity of quality care.
It should be noted, however, that interventions at Community level are often not carried out in accordance with a framework of reference in most countries. They are implemented in the form of experience or operational research. The results of their interventions are undocumented because the monitoring and evaluation system is poorly defined. It is time to scale.