USAID is the largest bilateral donor in the health sector in the Democratic Republic of the Congo (DRC). The health program represents USAID’s largest investment in the DRC, which is one of the world’s top five contributors to preventable maternal and child mortality.

CROSSCUTTING

USAID’S INTEGRATED HEALTH PROGRAM
Abt Associates
January 31, 2018 - May 29, 2025; $314,151,049
USAID’s Integrated Health Program (IHP) supports Congolese health institutions and communities to deliver quality, integrated health services to sustainably improve the health status of the Congolese population. We support primary health care services in 178 health zones and serve more than 41 million people in nine target provinces: Kasai Oriental, Kasai Central, Sankuru, Lomami, Sud Kivu, Haut Lomami, Haut Katanga, Lualaba, Tanganyika. USAID IHP encompasses USAID programming in six specific health areas: maternal, newborn, and child health (MCH); family planning and reproductive health; malaria; tuberculosis (TB); water, sanitation, and hygiene (WASH); and nutrition.
 
GLOBAL HEALTH SUPPLY CHAIN - TECHNICAL ASSISTANCE/FRANCOPHONE TASK ORDER
Chemonics International
February 8, 2017 - November 28, 2023; $35,000,000

The Global Health Supply Chain – Technical Assistance/Francophone Task Order strengthens country management of health commodities and provides a full range of technical assistance to ensure the long- term availability of health commodities.

GLOBAL HEALTH SUPPLY CHAIN – PROCUREMENT AND SUPPLY MANAGEMENT
Chemonics International
April 1, 2015 - November 28, 2023; $225,000,000 (estimated)

The Global Health Supply Chain – Procurement and Supply Management procures health commodities (family planning, HIV, malaria, maternal and child health) and essential medicines to support the DRC government to improve the health status of the Congolese population.

BREAKTHROUGH ACTION
John Hopkins University Center for Communications Programs

July 21, 2017 - September 30, 2022; $18,799,125
Cost extension: October 1, 2022 - July 31, 2025: $12,000,000 (estimated)

Breakthrough Action is a global field support award funded through multiple health funding streams including Malaria, WASH, Nutrition, Global Health Security Agenda (GHSA), COVID-19, MCH, tuberculosis, Family Planning, and reproductive health. During the initial phase from July 2018 to September 2022, Breakthrough ACTION focused on understanding the determinants of key health behaviors and based on evidence, designed interventions to address behavior change targeting key groups for healthier outcomes. Breakthrough ACTION collaborates with USAID’s Integrated Health
Program (IHP) in Kasai Central, Kasai Oriental, Sankuru, Lomami, Haut Lomami, Lualaba, Haut Katanga, Tanganyika, and Sud Kivu. During the next phase from October 2022 through July 2025, Breakthrough ACTION will continue improving the health and development status of Congolese citizens in target zones through social and behavior-change (SBC) interventions that include generating evidence by specific studies, creating service delivery demand for IHP, and raising awareness on healthy behaviors through interpersonal communication outreach and multimedia activities.

MOMENTUM INTEGRATED HEALTH RESILIENCE
IMA World Health
May 22, 2020 - May 21, 2025; $20,000,000 (estimated)

MOMENTUM Integrated Health Resilience provides targeted technical assistance to the North Kivu Provincial Department of Health and selected Ebola-affected health zones and health areas to improve the provision of quality maternal, newborn, and child health; family planning; TB; and nutrition services. The activity also works at the community level to strengthen demand and community mobilization for health services. A global project, this activity will generate evidence that will inform and guide future health investments and programming in fragile settings.
 
DATA FOR IMPACT
University of North Carolina
September 21, 2018 - September 20, 2023; $7,094,640 (estimated)

Data for Impact conducts an independent evaluation to assess the effectiveness of the USAID Integrated Health Project (IHP) on several types of outcomes, including: the health system’s leadership and governance, access to quality, integrated health services, and the practice of key healthy behaviors. The activity will strengthen the Kinshasa School of Public Health's (KSPH) capacity to implement a performance and impact evaluation of the country’s USAID IHP. Along with this collaborative implementation of a major study, other activities designed to strengthen evaluation capacity among KSPH stakeholders will be offered.

DIGITAL SQUARE
PATH
September 27, 2016 - September 26, 2026; $1,530,134

Digital Square supports the country's leadership in digital transformative initiatives through the Ministry of Health by strengthening the capacity of the ANICiiS (National Digital Health Agency) and assisting the development of a costed investment roadmap for the implementation of the country's digital health strategy. The project assesses which digital health systems are already being used to fight malaria, identifies existing gaps, and supports the National Malaria Control Program (NMCP) to prioritize the next steps. The Digital Square project will co-develop a roadmap for the implementation of a digital tool for community malaria case management to accelerate malaria control progress.

LOCAL HEALTH SYSTEMS SUSTAINABILITY (LHSS)
Abt Associates
June 2022 - May 2023; $850,000

The LHSS project aims at contributing to the implementation of universal health coverage in improving the country’s capacity to effectively mobilize and allocate resources for health. It will be working mainly with the directorate of administrative and financial matters at the Ministry of Health (MOH) level and provide technical support to the MOH to utilize their resources efficiently. The project is aligned to other donors’ commitments toward transforming the country’s financing system for health in reducing (removing) financial barriers and increasing access to quality health care.

MATERNAL AND CHILD HEALTH

MOMENTUM ROUTINE IMMUNIZATION TRANSFORMATION AND EQUITY (MRITE)
John Snow, Inc.
July 27, 2020 – July 26, 2025; $25 million (estimated)

The MOMENTUM Routine Immunization Transformation and Equity (MRITE) project strengthens the planning, delivery, demand, and uptake of immunization services. MRITE informs policies and programs that expand access to immunization programs by overcoming the entrenched obstacles contributing to stagnating and declining immunization rates in maternal child health, family planning and reproductive health, and addressing the barriers to reaching zero-dose and under immunized children with life-saving vaccines and other health services. The activity is also supporting the DRC to introduce and roll out the COVID-19 vaccine.

UNICEF POLIO AND ROUTINE IMMUNIZATION
United Nations Children’s Fund (UNICEF)
January 24, 2022 - September 30, 2031; $29,000,000 (estimated)

USAID’s funding to UNICEF will help eradicate vaccine-derived polioviruses, maintain the eradication of wild poliovirus, strengthen routine immunization efforts, and improve linkages between DRC’s polio and routine immunization programs. This activity will target hard-to-reach and resistant communities with microplanning, training, supervision, and cold chain strengthening support, ultimately building local capacity to deliver quality vaccination services. This programming supports the U.S. government’s global polio eradication commitments and aligns with the Government of DRC’s Mashako Plan goal to boost routine immunization.

WHO - POLIO AND ROUTINE IMMUNIZATION
World Health Organization (WHO)
February 2, 2022 - September 30, 2031; $25,000,000 (estimated)

USAID’s funding to WHO will enable greater surveillance and monitoring of vaccine-derived polioviruses and improve polio vaccination in target areas of DRC. This activity will also strengthen the quality of data reporting by health workers, improve DRC’s national immunization technical capacity, and support efforts to mitigate vaccine refusal.

IFRC
International Federation of the Red Cross (IFRC)
September 21, 2017- September 30, 2022; $4,000,000 (estimated)

In collaboration with the DRC’s Expanded Program on Immunization, USAID’s funding to IFRC will help advance efforts to fully vaccinate at least 80 percent of children 0-23 months each year. IFRC uses trained community volunteers to promote community-based health programming, increase the sustainability of health interventions, and target the most vulnerable and underserved populations.
 
MOMENTUM SAFE SURGERY IN FAMILY PLANNING AND OBSTETRICS (MSSFPO)
Engender Health
September 25, 2020 – September 24, 2025; $16,142,899

The MSSFPO project seeks to build country capacity and country leadership to provide respectful, holistic care for the prevention and treatment of obstetric and iatrogenic fistula and to expand informed and voluntary access to choice of family planning methods. This holistic fistula work will build upon the successes of previous fistula-focused projects and will strengthen labor management, birthing care, fistula prevention, and Cesarean delivery for obstetric complications. MSSFPO will also expand access to voluntary family planning, including insertion and removal of long-acting reversible contraceptives and provision of permanent methods of contraception as part of the holistic package of childbirth and postpartum care; and fistula prevention, screening, referral, and repair interventions.

ONE HEALTH WORKFORCE NEXT GENERATION
University of California, Davis
October 1, 2019 - September 30, 2024; $1,298,159

One Health Workforce Next Generation (OHW-NG) supports scholarships to Kinshasa School of Public Health to train the next generation of public health leaders in DRC. The scholarship activity builds from OHW-NG centrally-funded activities to design and develop sustainable training and educational offerings to transform health workforces to be better prepared in preventing, detecting, and responding to complex health challenges using a One Health (animal and human) approach. It will contribute to a better anticipated response to further epidemic threats in the DRC.

MALARIA

IMPACT MALARIA
Population Services International
February 2018 - February 2023; $4,500,000 (estimated)

Impact Malaria supports the National Malaria Control Program (NMCP) to implement the national malaria diagnostics quality assurance system. It mobilizes the national cadre of expert trainers and national archive of malaria slides to implement training and external quality assurance in laboratories of supported provinces. This activity supports the NMCP to identify innovative and cost-effective quality assurance approaches to achieve broad impact. It will improve the quality of services in new provincial laboratories by providing equipment where gaps exist.

PMI MEASURE MALARIA
University of North Carolina
June 20, 2019 - June 19, 2024; $9,000,000 (estimated)

President's Malaria Initiative (PMI) Measure Malaria provides technical assistance, leadership, and training to strengthen the monitoring and evaluation component of the National Malaria Control Program and the National Health Management Information Systems. It works at central and provincial levels to support the collection, analysis, and dissemination of data for decision-making purposes.

VECTORLINK
Abt Associates
September 30, 2017- September 29, 2023; $4,500,000 (estimated)

VectorLink helps the DRC’s National Malaria Control Program generate entomological data on mosquitoes (seasonal vector distribution, biting and resting behavior, infectivity rates, and species composition) to inform the procurement of insecticide-treated nets. Entomological monitoring activities are conducted in about eleven different sites every year, including in the following provinces: Kasai Central, Haut Katanga, Sud Kivu, Nord Ubangi, Bas Uele, Tshopo, Kinshasa, Kongo Central, Sankuru, Tanganyika and Mai Ndombe. The entomological surveillance will help improve future decision-making regarding choice of vector control tools.

USAID’S END MALARIA PROJECT
Chemonics International
March 1, 2021 - February 28, 2026; $39,933,446

USAID’s End Malaria Project is a cost-plus fixed fees activity that supports the DRC National Malaria Control Program to achieve and maintain its goal of universal coverage of insecticide-treated bed nets through mass and school-based distribution. Campaigns will be conducted in targeted provinces as determined by NMCP and PMI increasing coverage of households to 90% and reaching 95% of eligible school children. USAID’s End Malaria distributes bednets procured by PMI and other donors such as Against Malaria Foundation and the Global Fund.

PROMOTING THE QUALITY OF MEDICINES PLUS (PQM+)
United States Pharmacopeial Convention
September 29, 2019 - September 26, 2024; $1,500,000 (estimated)

PQM+’s goal is to sustainably strengthen medical product quality assurance systems in low and middle- income countries. In DRC, PQM+ will conduct post marketing surveillance of antimalarial medicines and provide technical assistance to the Direction de la Pharmacie et du Médicament (DPM) and National Quality Control Laboratory to strengthen quality assurance and quality control of antimalarial medicines.

HIV/AIDS

INTEGRATED HIV/AIDS PROJECT-KINSHASA
The Elizabeth Glaser Pediatric AIDS Foundation

March 1, 2017 - March 31, 2023; $28,300,000

The Integrated HIV/AIDS Project works in five health zones in Kinshasa and provides all HIV interventions such as promotion of prevention, testing, care, treatment, and viral load detection.

INTEGRATED HIV/AIDS PROJECT-HAUT KATANGA
PATH
March 1, 2017 - March 31, 2023; $45,458,415

The Integrated HIV/AIDS Project – HAUT Katanga/Lualaba supports HIV activities such as testing, care and treatment, and keeps those patients who are in treatment under retention and viral load suppression. They work in 8 zones in Haut Katanga.

HIV EPIDEMIC CONTROL (HEC) PROJECT-LUALABA
Kheth’Impilo DRC
August 1, 2019 - January 31, 2023; $10,079,379

The HIV Epidemic Control (HEC) Project- LUALABA supports HIV activities such as testing, care and treatment, and keeps those patients who are in treatment under retention and viral load suppression. They work in 14 zones in Lualaba province.

MEETING TARGET AND MAINTAINING EPIDEMIC CONTROL (EPIC)
FHI 360
April 1, 2019 - August 30, 2024; $20,000,000 (estimated)

This five-year global initiative provides strategic technical assistance and direct service delivery to achieve HIV epidemic control and promote self-reliant management of national HIV programs by improving HIV case finding, prevention, treatment programming and viral load suppression. EpiC builds on the USAID- and PEPFAR-funded LINKAGES project, which focuses on addressing the HIV epidemic among key populations. This activity is implemented in Kinshasa, Haut-Katanga and Lualaba provinces.

ACCELERATING SUPPORT TO ADVANCED LOCAL PARTNERS (ASAP)
IntraHealth International
April 1, 2019 - May 30, 2022; $1,000,000

ASAP is a three-year task order contract designed to rapidly prepare local organizations and governments to serve as prime partners for USAID's PEPFAR programming in African countries.

TUBERCULOSIS

STOP TB PARTNERSHIP
UNOPS
February 3, 2015 - September 30, 2022; $5,000,000

Stop TB Partnership works toward the elimination of TB as a public health problem, and ultimately to obtain a world free of TB. It ensures that every TB patient has access to effective diagnosis, treatment, and cure; stops transmission of TB; reduces the inequitable social and economic toll of TB; and develops and implements new preventive, diagnostic, and therapeutic tools and strategies to stop TB.

WHO CONSOLIDATED GRANT II
World Health Organization
September 30, 2021 - September 30, 2026; $2,500,000

This mechanism aims to contribute to the acceleration of the END TB strategy objectives’ achievement by 2035, reinforcing the implementation of the new updated WHO guidelines, and the assessment of the progress made towards the achievement of these objectives according to the respective country's national strategic plans.

TB LOCAL ORGANIZATIONS NETWORK (LON) USAID SASA IVI TB ELIMINATION PROJECT
SANRU
September 30, 2020 - September 29, 2025; $18,465,082

This project strengthens capacity and systems at both the health facility and community levels and reinforces the health zone public health management teams’ capacity to oversee and sustain quality services that meet national standards. Addressing these challenges through reaching clients early and expanding TB diagnosis, treatment, and prevention services to reach those in need requires a combination of approaches and innovations led by the national TB control program and in close collaboration with government and non-governmental partners, donors, civil society organizations, and communities. This activity is implemented in the following provinces: Kasai-Central, Kasai-Oriental, Lomami, Sankuru, Sud-Kivu and Tanganyika.

TB LOCAL ORGANIZATIONS NETWORK (LON) REDUCE TB
Humana People to People
March 29, 2021- March 28, 2026; $9,837,898

This project improves TB services through new partnerships, advocacy, and accountability in select locations. It leverages additional resources in DRC to provide quality services and mobilize the
resources of local entities and organizations to sustainably improve DRC’s TB programs. This activity
supports TB implementation activities in Haut-Katanga, Haut-Lomami, and Lualaba provinces.
 
TUBERCULOSIS IMPLEMENTATION FRAMEWORK AGREEMENT (TIFA)
John Snow Inc
July 22, 2019 - August 21, 2024; $7,500,000 (estimated)

The Tuberculosis Implementation Framework Agreement (TIFA) increases the Government of DRC’s ownership and transparency in TB programming. The agreement creates partnerships with government entities in priority provinces to generate local, context-specific solutions to improve case detection, treatment, and prevention services.

TB DATA, IMPACT ASSESSMENT, AND COMMUNICATIONS HUB (TB DIAH)
University of North Carolina
September 24, 2018 - September 23, 2023; $3,000,000 (estimated)

The TB Data Impact Assessment, and Communications Hub improves the use of TB data for decision- making. Improving the capacity and ability of TB decision-makers, primarily at the National TB Program, to collect, analyze, and use reliable information will result in high-quality and sustainable TB services.

SUSTAINING TECHNICAL AND ANALYTIC RESOURCES PROJECT (STAR)
Public Health Institute
May 01, 2018- April 30, 2023; $2,668,904

This project builds capacity in the DRC National TB Program through placement of long-term technical advisors to expand technical and analytical ability. As a high-burden TB country, these advisors will improve DRC’s ability to run an effective, state-of-the-art TB program.

INFECTIOUS DISEASE DETECTION AND SURVEILLANCE (IDDS)
ICF, Inc.
May 22, 2018- May 21, 2023; $1,500,000 (estimated)

The Infectious Disease Detection and Surveillance program strengthens the National TB Referral Laboratory by supporting routine TB diagnostic activities; providing upgrades, repairs, and maintenance of national labs; and providing auxiliary equipment. With additional funds for Global Health Security, the project supports the training and mapping of laboratory systems to improve detection and surveillance of priority infectious diseases.

WATER SUPPLY AND SANITATION

USAID’S SUSTAINABLE WATER AND SANITATION SYSTEM ACTIVITY
Mercy Corps
September 30, 2020 - September 29, 2025; $32,000,000

USAID’s Sustainable Water and Sanitation System increases and sustains access to clean water and safe sanitation services for communities in the North and South Kivu Region of DRC. The activity implements, refines, and tests different market-based models for delivery of water and sanitation (WATSAN) services; strengthens and opens up the WATSAN market for further investment; and accompanies implementation with robust research geared to inform potential investors, operators and authorities on best practices.

ACCELERATING PERI-URBAN WATER AND SANITATION SERVICES IN KASAI ORIENTAL AND LOMAMI PROVINCES ACTIVITY (DRC PERI-URBAN WASH)
Chemonics
July 9, 2020 - July 8, 2025; $21,789,203

This activity increases access to water and sanitation services for individuals in peri-urban areas of Kasai Oriental and Lomami Provinces. The activity seeks to increase access to water and sanitation services for residents in the target regions that are serviced by newly created or existing Water Service Providers (WSPs). The activity will work with WSPs and with relevant municipal and provincial governments to improve the WSPs performance to the point where they will be attractive investments for the private sector, and to graduate community-managed operations to a more professional quality of service and private-sector business model.

RENFORCEMENT DE L’EFFICIENCE DES SERVICES D’EAU POTABLE (RESE II)
Deutsche Gesellschaft fuer Internationale Zusammenarbeit (GIZ)

July 1, 2021 - December 30, 2024; $15,500,000

The purpose of the Delegated Cooperation Arrangement is to utilize German Cooperation’s existing funding mechanism and proven expertise to improve service delivery among key actors in the provision of drinking water and basic sanitation. Support will include the development/creation of a strong and credible regulatory framework that clearly separates the policy making (executive), regulatory, and service delivery functions within the sector, and the creation/reinforcement of the Provincial Water Authority in North Kivu, South Kivu, Kasai Oriental, and Lomami Provinces. The activity will work directly with the Provincial Water Authority to strengthen their capacity to mobilize domestic and private sector investment in water infrastructure

Image
Public Health photo