Democratic Republic of the Congo

Report Card
Meets UN diagnosis and treatment targets4 Drug sensitive TB Needs improvement
Multi-drug resistant TB Needs improvement
Children with TB Approaching target
Provides universal health coverage and health equity National public-sector financing5 Approaching target
SDG 1.3
Social protection system6
Needs improvement
SDG 3.8.2
Catastrophic health expenditure7
On target
SDG 3.8.1
UHC service coverage score8
Needs improvement
Addresses multi-sectoral drivers of TB SDG 2.1
Prevalence of under-
nourishment9
Needs improvement
SDG 3.3
ART access for HIV+ patients10
Needs improvement
Tobacco taxation11 On target
SDG 3.9
Air pollution12
Needs improvement
Political will Low13

Disease Burden

20171

Number of cases per 100,000 population: 322
Percentage of global burden: 2.6
Number of people who fell ill: 262,000
Of those who fell ill, % not diagnosed or notified: 42
TB deaths: 56,000

TB Financing

20182

National TB budget: USD 74 million
Funded: 51%

United NationsTargets

(Number of cases, cumulative 2018–2022)3

Diagnosis and treatment: 1,117,200
MDR: 18,254
Prevention: 1,130,600
Child TB: 134,600

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Recommendations

  • Develop and publish a clear plan outlining how the government will deliver its share of the global targets agreed in the Political Declaration from the High-Level Meeting on TB and establish a cross-governmental working group to monitor and evaluate progress made against those targets. This means fully funding the National TB budget (currently only 52% funded).
  • Ensure patient- and family-centered services are available to all individuals who receive care for TB, guaranteeing that high quality diagnostics and treatment are available to all wherever they seek care.
  • Reach populations at high risk for TB, beginning with those most easily identified, through rapid screening, diagnosis and robust treatment support. Active case-finding and treatment in high-risk populations demands community engagement and adequate resources available to reach these populations.
  • Support community systems for TB and HIV care, while also increasing capacity for drug-susceptibility testing, antiretroviral therapy and preventive therapy coverage.
  • Boost domestic resource mobilization by increasing the distribution of public resources to health, pooling financing and allocating tax revenues to health. DR Congo can increase domestic financing for TB by more than 500% between now and 2023.

Endnotes

  • 1 WHO Global TB report (2018).
  • 2 WHO Global TB report (2018).
  • 3 STOP TB partnership (2018).
  • 4 Targets adapted from Global TB Caucus Country profiles (2018). Colors denote proportion of target population that will be reached by existing efforts, if current course maintained, as a fraction of projected targets outlined in 2018 High Level Meeting declaration, per country. Green, >90% towards annual target, Amber 60–90% towards annual, Red <60% off annual targets. For further info: from: https://www.globaltbcaucus.org/en-research.
  • 5 World Health Organization. The Abuja Declaration: Ten Years On. (2018). Green >15%, Amber 10-15%, Red <15%, proportion of health spending as proportion of total health spending.
  • 6 WHO Global TB report (2018). Green >60%, Amber 20–59%, Red <20% proportion of country population covered by social protection system.
  • 7 WHO (2018). Green >13%, Amber 6–13%, Red <6% proportion of population facing catastrophic health expenditures, data cover the period 2002–2015.
  • 8 WHO (2018). Green >70, Amber 46–69, Red <45. UData from WHO UHC Service Coverage Index are from 2015.
  • 9 WHO (2018). Measured as prevalence of under-nutrition in population. Green <5%, Amber 5–20%, Red >20%.
  • 10 WHO (2018). Measured as proportion of population with HIV that have access to ART. Green >80%, Amber 60–79%, Red <60%.
  • 11 WHO (2018). Green: taxes added onto a tobacco purchase >25 % of price of the most sold brand of cigarettes in a country. Amber: taxes added onto a tobacco purchase <25 % of price of the most sold brand of cigarettes in a country. Red: no taxes added or unknown.
  • 12 WHO (2018). Measured as concentrations of fine particulate matter [PM2.5]. Green <10 µg/m3, Amber 10–30 µg/m3 Red >30 µg/m3.
  • 13 Based on visible public statement made in the past year. High: Head of State or Government statement at High-Level Meeting on TB or platform of equal prominence; Moderate: Ministerial statement at High-Level Meeting on TB; Low: No record of public statement at high-level venue.