title: Evaluation of medical supplies essential for the care of survivors of sex- and gender-based violence in post-conflict Eastern Democratic Republic of Congo.
abstract: The fundamental concepts set forth in the formal Post-Conflict Needs Assessment (PCNA) initiative created by the United Nations Development Group have the potential to be adapted to assist local groups in documenting the needs of and the provision of health care to survivors of sex- and gender-based violence (SGBV) in Eastern Democratic Republic of Congo (DRC). In partnership with Congolese health care providers, we took the first step in advocating for a locally-adapted and focused needs assessment through the development and administration of surveys to providers in the South Kivu Province, DRC. The content of the surveys was largely based on lists of medical supplies deemed essential for reproductive health and for the care of survivors by the Reproductive Health Response in Crises Consortium. The providers in both urban and rural settings considered many of the supplies identified on the surveys necessary for the care of survivors (84%; p < 0.05) but considered few accessible (26%; p < 0.05) in their particular clinical settings. Providers also felt that the existing list of supplies was inadequate to meet the needs of survivors, and also that providers needed ongoing training to improve supply procurement and management, more knowledge of the needs of male survivors of SGBV, and more educational opportunities to improve the quality of care to survivors. Given the deficiencies expressed by providers in the surveys, this study demonstrated a critical need for a locally-adapted and focused needs assessment to improve health services to survivors.
authors.affiliation: School of Medicine, Johns Hopkins University, Baltimore, USA. . mrybarc1@jhmi.edu
authors.forename: Megan
authors.initials: M
authors.lastname: Rybarczyk
authors.forename: Mafille
authors.initials: M
authors.lastname: Tosha
authors.forename: Bicky
authors.initials: B
authors.lastname: Mbika
authors.forename: Patricia
authors.initials: P
authors.lastname: Bulonza
authors.forename: Paul
authors.initials: P
authors.lastname: Ramazani
authors.forename: Isaya
authors.initials: I
authors.lastname: Zahiga
authors.forename: Octave
authors.initials: O
authors.lastname: Safari
authors.forename: Richard
authors.initials: R
authors.lastname: Bachunguye
authors.forename: Christian
authors.initials: C
authors.lastname: Safari
authors.forename: Aline
authors.initials: A
authors.lastname: Iragi
authors.forename: Nancy
authors.initials: N
authors.lastname: Glass
mesh_terms: D015023:Democratic Republic of the Congo; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006761:Hospitals; D045809:Human Rights Abuses / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D020380:Needs Assessment; D011287:Prejudice; D011320:Primary Health Care; D011902:Rape / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D017741:Survivors; D014481:United States; D014754:Violence