DRC Strategic Overview -1-

1. Accelerate and support polio eradication efforts and surveillance systems across DRC [$4.2M, 18%] PST

Strengthen surveillance systems

Execute comprehensive AFP surveillance enhancement in all 26 provinces with focus on hard-to-reach areas and conflict zones Polio

Achieve nationwide surveillance sensitivity >2/100,000 children under 15 with 80% adequate specimens

Implement cross-border surveillance coordination with neighboring countries (CAR, South Sudan, Angola)

Enhance vaccination campaigns

Support high-quality immunization campaigns targeting cVDPV2 circulation areas and missed children MNCH

Address vaccination gaps in Kasai, Tanganyika, and Ituri provinces with >95% coverage in targeted areas

Strengthen microplanning and social mobilization for hard-to-reach populations

Laboratory capacity strengthening

Enhance poliovirus detection and characterization capabilities at national and sub-national levels Polio

Support INRB laboratory accreditation and environmental surveillance expansion

Implement real-time data sharing and reporting systems for outbreak response

Community engagement

Build community trust and demand for vaccination through targeted social mobilization WEE

Address vaccine hesitancy and misinformation through religious and traditional leaders

Strengthen community feedback mechanisms and two-way communication

2. Accelerate malaria control interventions and strengthen case management [$5.8M, 25%] NCO

Vector control and prevention

Scale up distribution and utilization of insecticide-treated nets (ITNs) and indoor residual spraying Malaria

Achieve 80% household ITN coverage with focus on pregnant women and children under 5

Support seasonal malaria chemoprevention (SMC) in eligible areas

Case management improvement

Strengthen diagnostic capacity and treatment protocols at all health facility levels PHC

Ensure 90% of suspected malaria cases receive diagnostic testing before treatment

Improve severe malaria case management and referral systems

Community health worker programs

Expand and strengthen community case management of malaria MNCH

Train and deploy community health workers for integrated service delivery

Establish supply chain management for community-level commodities

Surveillance and data systems

Strengthen malaria surveillance and data quality for program monitoring ★

Implement real-time reporting systems and dashboard development

Support entomological surveillance and insecticide resistance monitoring

3. Strengthen routine immunization systems and vaccine delivery [$4.5M, 19%] NCO

Cold chain strengthening

Improve vaccine storage and distribution infrastructure across all levels MNCH

Achieve 95% cold chain functionality in priority health zones

Install solar-powered refrigeration systems in off-grid areas

Service delivery improvement

Enhance vaccination service delivery strategies and quality PHC

Increase DPT3 coverage from 57% to 80% through improved service delivery

Implement reach every district (RED) strategies and outreach services

Data systems and monitoring

Strengthen immunization data systems and coverage monitoring ★

Implement electronic immunization registries and real-time monitoring

Conduct regular coverage surveys and data quality assessments

Demand generation

Build community demand and address vaccine hesitancy WEE

Implement behavior change communication strategies

Engage community leaders and women's groups in immunization promotion

4. Strengthen health system governance and capacity building [$3.8M, 16%] ★

Health workforce development

Build capacity of health workers at all levels for integrated service delivery

Train health workers on integrated case management protocols

Establish mentorship and supportive supervision systems

Supply chain strengthening

Improve procurement, storage, and distribution of health commodities

Implement logistics management information systems

Strengthen forecasting and quantification processes

Health information systems

Develop integrated health information systems for decision-making

Implement DHIS2 and strengthen data collection and analysis

Build data use culture and evidence-based decision making

Governance and accountability

Strengthen health system governance and accountability mechanisms

Support development of health sector strategic plans

Enhance monitoring and evaluation frameworks