Report of the activities of the NGO Impératif Développement durable (April to December 2018)
The IDD started its activities in the outskirts of Kinshasa more precisely in the communes of N'Djili and Matete. With the help of qualified nurses, the DLI offered free screening for high blood pressure and diabetes to people in need. She used posters to educate people about risk factors and healthy eating habits. Since October 2018, awareness campaigns have been carried out in markets, schools, maternity hospitals and churches in the city-province of Kinshasa; in the provinces of Kongo central and Kwilu. In order to reach a large number of women, the IDD has opened a cell in Kikwit in Kwilu, and a second cell has just been born in Matadi in central Kongo. To achieve this, DLI uses communication tools such as banners, posters, and megaphones.
I. Free screening for high blood pressure and diabetes
Going door to door and from house to house through the districts of Matete and N'Djili, our nurses Achille and Alice have carried out several screenings and identified needy people whose blood sugar and / or blood pressure are high. From April 2018 to date, our brave nurses have been following 19 patients including 13 women and 6 men aged 44 to 86 years old. Each patient receives 2 visits per week. Their blood sugar levels are checked at 6 a.m. and this even before Achilles and Alice go to their respective places of work. They then share the tasks to go quickly, the values obtained as well as remarks are noted in a register provided for this purpose.
Table representing chronically ill patients monitored by the DLI
However, there are many difficulties encountered in the field in carrying out this work. We can cite among others:
In the ghettos of Kinshasa, the risk of encountering "kulunas", gangs who attack with machetes, is very high. Our nurses leave their homes around 5.30 am to be able to carry out the first blood sugar tests at 6 am;
Neighborhoods which are often flooded during the rainy season and which do not allow visits to the sick;
High risk of electrocution;
Neighborhoods isolated by lack of road infrastructure, which force our nurses to travel long distances on foot;
Roads in very poor condition or impassable in rural areas;
The inability to obtain ambulance service in an emergency;
In isolated areas, the evacuation of a patient in a state of emergency to a hospital center is carried out on the backs of members of his family or of people of good will who take it in turns to carry him; or on a motorcycle;
Counseling has little effect because, being deprived, the patient eats badly, eats late, often eats what is forbidden to him, takes his medications with many interruptions, is content with makeshift health centers and drugs of questionable origin;
Patients come across fake drugs that are sold to them in the streets at a lower cost.
It happened once to the 2 nurses to use their own money to evacuate a patient in a state of emergency.
II. October-Pink campaign 2018
In addition to this, you need to know more about it.
Started on Saturday, October 6, the “October-Pink” campaign was very successful as we provided help to many women and girls who had various symptoms of breast cancer without realizing it. They were totally unaware of the unfortunate consequences of the disease. The information received during the campaign encouraged them to be tested and the results are encouraging.
The day the campaign was launched, 2 young girls, students, came to meet us to seek help. The first, named Bénédicte, saw us pass in front of her house when we were going to the Synkin market in Bandal. Having followed our presentation, she understood the danger she is running. She told us about her young cousin Sara who lives with her and who also has the same symptom as her. Sara, had not yet gone to be tested for lack of money but the IDD offered her a consultation at HBMM
The second girl we met at the Synkin market was even more worried. She told us that several times she asked her aunt to take her to the hospital, but she always kept her waiting. Unfortunately, the DLI member who spoke to her failed to take her contact details.
During the campaign, IDD advised Biamba Marie Mutombo Hospital (HBMM) for reliable screening tests at an unbeatable price. Bénédicte is awaiting the results of the biopsy performed on her.
During our visit to the mixed secondary school “Mama Pauline Tati” on October 15 in Bandal, the director was delighted to receive us because it was the first time that an educational activity of this kind was organized in her establishment. She donated 8,000 FC (5.00USD) and asked us to come back with other similar activities. More than 500 young people and girls have been sensitized on breast cancer
On October 17, our team visited the small maternity hospital belonging to a Protestant parish in Bandal, the doctor-director asked the IDD team to come back every Tuesday and Wednesday to talk about breast cancer to women who come either for the prenatal consultation either to have their babies vaccinated, or to those who are interned in the maternity ward.
In the countryside at the Moulaert market in Bandal on October 20, a lady seller of vegetables told us about her young daughter, also a pupil, who "suffers from breasts" but who receives treatment from the native for lack of money. DLI sent our supervisor Marie to visit the young girl but she has not yet had the chance to meet her.
A lady in her forties, employed in a bank, who had followed us quite by chance, thanked us because the screening examinations carried out on her showed nothing except a cyst.
We also made 2 successive visits to the Lycée Mgr. Dr. Shaumba, the largest Protestant school for girls in the capital on November 10th and 17th. Nearly 1,000 young girls have become aware of the risks of breast cancer. 18 young girls who believe they have one of the symptoms of breast cancer have individually shared their concerns with us in private. In order to help them, the DLI team took care to write down their names, classes and telephone numbers of their parents. The young girls of the Mgr. Dr. Shaumba High School were very interested in the information received on breast cancer. They quickly memorized the disease control motto (Observe-Palpate-Pinch-in case of doubt Consult) and mastered the actions that save. We were impressed with the quality of the questions asked. Some students did not hesitate to share their experiences with people affected by breast cancer in their entourage. Seizing this opportunity, Dr. Tshidibu and I encouraged them to adopt a healthy lifestyle in terms of their diet, and the cosmetic products they use. In addition, the IDD closed its visit to high school by calling on young girls to become bearers of the pink ribbon by continuing to relay information on breast cancer in the family, at school, everywhere in order to reach more. large number of women.
Madam Pitshouna Bolenga, an evangelist and IDD facilitator, spoke with 39 female followers of a church called “Ministry of Intercession and Evangelism” in Kingabwa commune on October 25. Later that same week, she spoke to a group of 9 neighbors in the Kokolo military camp where she lives.
On Thursday, November 29, I met, quite by chance, a young mother in her forties named Perside who was operated on for breast cancer 2 years ago but who still complains of pain. . In addition, she has a large mass the size of a ping-pong ball under her armpits. I suggested that she be seen at HBMM, but she refused, justifying that this hospital is very expensive. I managed to convince her by offering to pay for a consultation and an ultrasound at HBMM
In all the sites where the DLI has visited, its members have demonstrated life-saving gestures and invited their audiences to reproduce them.
At the moment, the DLI is in the process of negotiating a partnership with the HBMM which would involve sending students from various schools and indigent people for free screening examinations.
The difficulties encountered are as follows:
There is no national structure for the fight against breast cancer in DR Congo that can support the efforts of the IDD;
Several municipal authorities did not grant us permission to raise awareness despite the explanations provided by the NGO. Correspondence and requests for hearing have remained unanswered until today;
Not always grasping the humanitarian significance of our work, the DLI was sometimes forced to tip in order to obtain a service;
Due to lack of funds, the IDD was unable to print leaflets and stickers that reproduce the symptoms of breast cancer and self-examination;
Women living in the provinces where we have done awareness must travel long distances in difficult conditions to get to be screened;
Many women forgo these exams because of the high cost.
III. Activities carried out in the hinterland
From 23 to 25 October 2018, the IDD-Kikwit cell began awareness campaigns in the hinterland, particularly in markets, maternity hospitals and schools in Kikwit and Masi-Manimba. This team was made up of:
Mr. Pierrot MUKENZI, Nurse and Head of the IDD Kikwit cell
Ms. Mpia OLEME, Nurse and facilitator
Mr. Désiré MASINI
Mrs Valentine KATEMBO
Mr. Narro NSAY
Ms. Esther MUKENZI
Mrs Mado KAYANDA
On the morning of October 23, our team beat breast cancer awareness campaign at Kazamba market in Kikwit, a market that embraces locals from the 12 surrounding villages. At 2 o'clock in the afternoon, the team was expected by the doctor-director of the Kikwit General Hospital. There, we spoke to pregnant women who had come for a monthly prenatal consultation; to newborns interned in the maternity hospital; and nurses holding a meeting at the blood bank.
The IDD team began the day on October 24 with a visit to the LUNIA health center in Kikwit where they met, once again, with the women who had come for the prenatal consultation and to deliveries.
Then, she paid a visit to Lycée Mawete where the DLI delighted 400 young girls. They asked us to redo the campaign.
The awareness campaign in Kikwit ended on October 25 at the central market of the “Base City”.
From October 26, the team went down to Masi-Manimba. Authorizations for the campaign having been obtained, on October 27, we raised awareness among more than 500 young girls from Lycée Ngemba. The days of October 29 and 30 were also very eventful. We were received at the Catholic mission of Lumbi; then at the Higher Institute of Medical Techniques (ISTM) in Lumbi where we addressed an audience of 266 students> We ended the campaign at the Txingudi Secondary Hospital where 5 of the 76 nurses joined us to talk about breast cancer.
The following table represents the number of cases with symptoms of breast cancer that need our assistance.
In addition to this, you need to know more about it.
It is important to point out that during the campaign the IDD-Kikwit team recorded several cases of cervical cancer, and a few neglected breast cancer cases in Lumbi.
During the month of November 2018, our team offered free diabetes and hypertension screenings with the means on board. A total of 25 cases of diabetes, and 30 cases of hypertension have been recorded, and are followed by our nurses in Kikwit.
As part of this major campaign, DLI plans to use tents in which our nurses will receive women and talk to them about breast cancer. We intend to work in partnership with health centers (dispensaries).
This allows to :
Avoid certain administrative hassles, etc., because we operate under the protection of health centers or partner hospitals.
Better measure the results and impact of the campaign,
To talk to women confidentially
Open branches in the big cities of the hinterland, in particular in the city center of Kikwit and Masi-Manimba to better serve the population;
Continue the campaign to Bulungu, Kenge, Bandundu-ville, and further afield;
Increase the number of nurses for awareness;
Negotiate partnerships with a few hospitals for screening; and the care of patients with breast cancer (These cases pose a real problem in society);
Equip nurses with blood pressure monitors and glucometers for free screenings and controls of arterial hypertension and diabetes;
Acquire motorcycles to move the team to isolated villages that are difficult to access, especially during the rainy season;
Acquire some digital cameras and cameras;
Acquire 2 laptops;
Acquire solar panels to recharge our electrical devices
Acquire plastic boots and raincoats;
Acquire tents and sleeping bags for the team;
Consider purchasing a 4x4 vehicle to cross risk areas.