title: Collaborative medical engagement and needs assessment in the Democratic Republic of the Congo: a preliminary report from Muanda.
abstract: The Democratic Republic of the Congo is the second largest and fourth most populous country in Africa. More than two decades of ongoing conflicts have degraded its healthcare system. A broad range of tropical diseases, along with opportunities for collaborative medical engagements (CMEs), are prevalent. However, reports from such events in this country are sparse. In June 2013, a CME was conducted in the western town of Muanda. Twenty-two hours of didactic sessions were collaboratively presented, and 158 patients were collaboratively evaluated. Durable dental and respiratory equipment, infrastructure improvements, and training opportunities were the top needs identified by the providers. Whether the regional referral hospital received sustainable benefit remains under investigation. However, the approach and needs assessment described herein provide a framework for future engagements or assistance. This CME established a precedence of medical partnership in the region because it led to the largest multidisciplinary joint collaboration in the history of the Democratic Republic of the Congo.
authors.affiliation: Walter Reed Army Institute of Research, Silver Spring, Maryland; Hospital Militaire de Reference de Muanda, Armées de la République Démocratique du Congo, Muanda Military Base, Muanda, Democratic Republic of the Congo; Tripler Army Medical Center, Honolulu, Hawaii; Office of Security Cooperation, U.S. Embassy, Kinshasa, Kinshasha, Democratic Republic of the Congo; 82nd Civil Affairs Battalion, Fort Stewart, Georgia.
authors.forename: Emil
authors.initials: E
authors.lastname: Lesho
authors.forename: Edmond Amisi
authors.initials: EA
authors.lastname: Okito
authors.forename: Kelly
authors.initials: K
authors.lastname: Mann
authors.forename: Michael
authors.initials: M
authors.lastname: McCullough
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Hesse
mesh_terms: D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000379:methods*; D015023:Democratic Republic of the Congo; D006801:Humans; D007391:International Cooperation; D020380:Needs Assessment; D014481:United States