Program of Public Health and Assistance for Community Development (PROSPADEC), South Kivu
PROSPADEC is a registered NGO at the provincial level and is currently obtaining national registration.
Bunyakiri, Kabare territory, South Kivu province
The Bunyakiri and Kamituga health zones
Sectors of InterventionHealth (primary health care, triage care for survivors of sexual violence, care for people living with HIV/AIDS, response to malaria, family planning); community development (literacy classes, promotion of agriculture and pastoral activities); education
PROSPADEC (Programme de sante publique et d’appui au développementcommunautaire) was initiated in 2001 to help the Bunyakiri community with urgent needs forhealth care and food security. Bunyakiri was occupied at various times by the RCD-Goma rebelgroup and Mai Mai rebel groups. The occupations caused great hardship for the people inBunyakiri; for example, people traveling from one occupied zone to another for purposes of tradeor medical treatment were treated harshly and with suspicion by the rebel groups. The economysuffered, as did the health and well-being of the local population. The founders of PROSPADECwanted to deal with the health of the community not only by providing health care, but also bystimulating economic recovery and self-reliance through community development. The foundingmembers recruited 86 people, each of whom paid a one-time membership fee of $15 to provide thefunds to launch the organization. PROSPADEC now runs three health centers and uses the fees tosustain its activities. Its motto is: Ask not what the population can do for you but what you can dowith the population. PROSPADEC has worked with international funders such as the InternationalMedical Corps and COOPI.
MissionPromote access to primary health care and fight against poverty
- Fight malaria and other illnesses
- Fight the spread of HIV/AIDS and other STDs
- Promote access to primary health care for vulnerable persons
- Fight malnutrition
- Promote sustainable development in the WASH sector
- Address sexual and gender-based violence
- Rehabilitate community infrastructure (houses, roads, social structures)
- Address illiteracy
- Promote agro-pastoral activities
- Care for young people who have been abandoned, and former child soldiers
- Integrate mothers and their children into activities that promote self-sufficiency
- Promote the conservation of nature
Populations ServedWomen of childbearing age, abandoned and/or malnourished children, and at-risk young people
- Health centers: PROSPADEC manages three health centers in the Bunyakiri area; they provide primary health care, treat malaria victims, offer family-planning assistance, and provide HIV/AIDS education.
- Sexual and gender-based violence: PROSPADEC provides medical care for survivors of sexual violence and referrals as necessary to other institutions, and educates the community about this social problem.
- Literacy classes: In 2009, PROSPADEC built a literacy center in Bunyakiri, where adults learn to read and write.
- Agro-pastoral program: This program introduces improved seeds to local farmers and promotes reforestation. PROSPADEC also plans to start a program to promote the raising of pigs.
The supreme governing body is the general assembly, which has 86 members andmeets annually. The general assembly provides general guidance, approves the annual plan and thebudget, and elects the board of directors. The board has seven members, meets every three months,and oversees PROSPADEC’s operations. An executive body of the board meets twice each week andprovides more detailed management and guidance. PROSPADEC has a membership base (foundingmembers, active members, honorable members, and sympathizers), although it is not actively maintainingits membership or collecting dues. PROSPADEC has four employees at each of its threehealth centers, plus three volunteer workers.
PROSPADEC has an account within COOPEC Chai in Bunyakiri. For financial, administrative,and personnel management, PROSPADEC has:
- A procedures manual with policies for financial management, hiring and personnel issues, and purchasing policies and procedures: YES, but it needs to be strengthened
- A computerized accounting system: NO
- A clearly defined accounting process: YES, but practices need to be strengthened
- Clear procedures for management of payroll, petty cash, procurement, and disbursements: YES, but practices need to be strengthened
- Staff with the technical expertise to undertake projects: YES
- Competent staff that is educated in relation to their tasks
- Good relationships with local authorities
- Owns its own office, one health center, and the literacy center
- Members and staff unified in the cause
- Increased monitoring of members, especially with respect to paying dues
- Increased stability and opportunities for partnerships
- Greater access to essential medical equipment and supplies
- Improved system to get payment from patients
- Refresher training for literacy teachers
Funders and BudgetFor 2010, PROSPADEC’s budget was $14,000. It does not currently have any external funders, but obtains funds through fees at its health centers.
- In February 2011, counseled 78 couples on the issue of family planning; of those, 52 couples agreed jointly to use contraceptives as a method of family planning
- Established and runs three health centers
- Initiated and built a literacy center and community hall in Bunyakiri
- Has two community fields where 55 women farm
Organizational VisionBecome a national organization and provide medical care in the country’s most remote places
- Establishing a soap factory: To fight poverty and unemployment in Bunyakiri, PROSPADEC proposes creating a soap factory that will employ 100 women, with the soap to be sold only by 100 widows, and to use some of the profits to pay school fees for 50 orphans. Cost: $25,400
- Establishing a medical laboratory: To improve health care in Bunyakiri, PROSPADEC proposes building a modern medical laboratory that will enable diagnosis of various diseases, including HIV/AIDS and sexually transmitted diseases. This will strengthen the work of PROSPADEC’s health clinics. Cost: $19,800
- Building institutional capacity: PROSPADEC proposes training its members on administrative and project management, facilitating the production of better reports, and purchasing materials for its office. Cost: $21,600