Year: 2019

Améliorer la compréhension sur l’utilisation sécurisée des motos et motos à trois roues pour le transport rural – Rapport Final: République Démocratique du Congo

Ce rapport final de la RDC présente les conclusions spécifiques à la RDC du projet «Améliorer la compréhension sur l’utilisation sécurisée des motos et motos à trois roues pour le transport rural». Ce projet a été réalisé en RDC entre février 2019 et décembre 2019.

Research for Community Access Partnership (ReCAP) est un programme de recherche, financé par UK Aid, dans le but de promouvoir des transports sûrs et durables pour les communautés rurales d’Afrique et d’Asie. ReCAP comprend le Africa Community Access Partnership (AfCAP) et le Asia Community Access Partnership (AsCAP). Ces partenariats soutiennent le partage des connaissances entre les pays participants afi d’améliorer l’adoption de solutions éprouvées à faible coût pour l’accès rural qui maximisent l’utilisation des ressources locales. Le programme ReCAP est géré par Cardno Emerging Markets (UK) Ltd.

La stratégie et la méthodologie de recherche sont largement basées sur celles utilisées pendant la phase initiale de recherche dans quatre pays du projet, appliquée au Ghana, au Kenya, en Tanzanie et en Ouganda en 2018. Après un premier voyage de cadrage (scoping) en RDC qui a eu lieu en février 2019, la stratégie a été examinée et finalisée en même temps que l’identification des principales parties prenantes et partenaires. Les activités comprenaient un examen du cadre réglementaire et de la formation existante, une enquête sur les avantages et les inconvénients des motos et des taxis à trois roues et des entretiens avec des informateurs clés.

Les résultats de cette étude peuvent être utilisés par le gouvernement de la RDC et d’autres parties prenantes clés pour mieux comprendre les problèmes liés à l’utilisation des motos-taxis dans les zones rurales et pour développer des politiques et des pratiques pour afin de maximiser les avantages et minimiser les inconvénients. Un certain nombre de recommandations sont présentées dans ce rapport. Une activité complémentaire est explorée avec les acteurs locaux sur la base des résultats de cette étude, afin d’influencer positivement les conditions pour les opérateurs et utilisateurs de motos et de trois-roues motorisés.

Pour lire le rapport complet, veuillez cliquer ci-dessous.

Emergency Transport Scheme (ETS) Training Guide for Trainers of Bicycle Ambulance (April 2019)

Emergency Transport Schemes (ETS) offer an affordable means of transportation for health emergencies and patient referrals to health facilities, in communities where no formal transport services exist, or where affordable means of transportation lack.

This training manual is intended for trainers who are conducting training on ETS, and introducing bicycles as a solution for community based transport to help expecting mothers and under 5 children with severe malaria in accessing health care when in labour and six weeks after child birth. The topics in this manual have been logically arranged to help guide the trainer follow an approach which aims to maximise the impact of the ETS introduction through clear messaging and instruction.

 The purpose of the ETS training is to develop the knowledge and skills of the community volunteer ETS riders so that they can professionally, safely, actively and effectively contribute to reducing the delay on maternal emergencies and children with severe malaria faced in accessing transportation. This manual acts as a learning tool and reference to be used in conducting training geared towards achieving this. It contains the course layout, proposed timings and gives the trainer comprehensive guidance on critical issues relating to the successful operation of a community managed ETS. It is not meant as a document for general distribution among all ETS volunteer riders, rather for trainers.

Please click below to read the full guide.

Study on Gender Empowerment Outcomes in MAM@Scale Intervention Sites

This report is a study on empowerment outcomes undertaken on behalf of the MAMaZ Against Malaria At Scale project (MAM@Scale). The study looked at the extent to which women and girls in the project’s intervention sites had transitioned from a situation where they had limited power to one where they could challenge power inequalities and access new opportunities for development.

The study was undertaken in December 2019. This was an internally commissioned study, designed and led by a MAM@Scale Senior Technical Adviser who worked alongside the project’s technical team in the project’s two core intervention districts: Chitambo and Serenje in Central Province.

In the project intervention sites a number of gender empowerment-related gains were evident. The extent of change varied depending on the length of time trained CHVs and ETS riders had been active in the community.

The seven ‘gender-smart’ strategies that comprise MAM@Scale’s gender empowerment approach were integral to driving the empowerment gains achieved by the project. There are lessons here for other interventions wishing to achieve empowerment-related outcomes that extend beyond health.

Please click below to read the full report.

WHO Bulletin: Use of rectal artesunate for severe malaria at the community level, Zambia

The World Health Organisation (WHO) has reported on a Transaid project in Zambia, which has helped to dramatically reduce severe malaria mortality in children under six years of age, as being “feasible, safe and effective in hard-to-reach communities”. In this official report, the WHO research bulletin identifies the project’s approach – which included a bicycle ambulance system implemented by Transaid – as being highly adaptable, stating it “could be used in other countries with a high malaria burden”.

Zambia’s Health Minister, Dr Chitalu Chilufya, has also praised the success of the pilot. Speaking during the Global Fund’s Sixth Replenishment Conference in Lyon, France, attended by heads of state, heads of government, philanthropists and NGOs, he reinforced the need for partnership to ensure that pre-referral anti-malarial treatments could be financed and rolled out at national level.

Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes; and is highly prevalent in young children. Despite it being preventable and curable, the WHO African Region carries a disproportionately high share of the global malaria burden – being home to 92 per cent of malaria cases and 93 per cent of malaria deaths in 2017.

Transaid worked on the initial pilot project (MAMaZ Against Malaria) in Serenje District with Medicines for Malaria Venture (MMV) between 2017 and 2018, in collaboration with a consortium of partners which included DAI Global Health (formally Health Partners International), Development Data, Disacare, the Zambian National Malaria Elimination Centre and District Health Management Team. Following its success, this year Transaid became part of a scale-up programme, securing matched funding from Grand Challenges Canada and the Government of Canada to enable the initial project to quadruple in size, potentially benefiting as many as 250,000 people in rural Zambia by the end of 2020.

The WHO research focused on a 12-month period during the pilot, using data from three sources including surveys carried out near the beginning and end of the intervention period, health facilities contributing data on malaria to the Zambia Health Management Information System and a community monitoring system. It also collected qualitative data via case studies, feedback from government officials and reports of informal discussions with community health volunteers and communities.

In the year before the intervention, 18 deaths occurred in 224 cases of confirmed severe malaria among children younger than five years of age seen at intervention health facilities (case fatality rate: 8%). During the intervention, three out of 619 comparable children with severe malaria died (case fatality rate: 0.5%).

To read the full report, please click below.

Enhancing understanding on safe motorcycle and three-wheeler use for rural transport in Democratic Republic of Congo – Progress Report

This Progress Report details progress between April and July 2019 of the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks in DRC’. Strong advancements have been made during the reporting period and all deliverables are on track. The survey of benefits and disbenefits of motorcycles taxis and three-wheeler in rural areas has been translated into French and Lingala and ethical approval has been granted. A review of motorcycle and three-wheeler taxi-related legislation, training and enforcement has been completed. A wide range of stakeholders have been engaged and have shared their insights on motorcycle taxis and three wheelers. The survey was carried out in two Provinces to obtain information from riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use motorcycle or three-wheeler taxis. A total of 296 interviews were successfully completed and the preliminary findings are presented in this progress report.

To read the full report, click below.

Enhancing understanding on safe motorcycle and three-wheeler use for rural transport in DRC – Inception Report

This Inception Report details progress during the first four weeks of the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks in DRC’. The main purpose of Phase 1 (Inception) is to build an understanding of the existing situation in the Democratic Republic of Congo (DRC), and to use this understanding to develop the detailed research strategy and methodology. The understanding of the existing situation is being developed through stakeholder mapping, stakeholder engagement and a literature review.

The research strategy and methodology is broadly based on the strategy and methodology used in Phase 1 of the project and applied in Ghana, Kenya, Tanzania and Uganda (2018 – find reports in the Knowledge Centre). After an initial scoping trip to DRC that took place in February 2019, the strategy was reviewed and finalised together with identifying key stakeholders and partners.

Data collection tools used in Phase 1 have been reviewed for use in DRC. They have been adapted for the DRC context, however the integrity of the questionnaires have been maintained to allow for cross-country comparisons.

To read the full report, click below.

Survey on the Benefits and Disbenefits of Motorcycles and Motorised Three-wheelers: Taxi Riders’ Questionnaire

This tool can be used to better understand the benefits and disbenefits of motorcycles taxis and three-wheelers in rural areas in sub-Saharan Africa.  The tool has five parts which target different groups including motorcycle and three-wheeler riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use these modes of transport. This tool was designed to gather data to inform research on two- and three-wheeler taxi use and training, to influence the development of policy and legislation. The surveys are available in English and French.

This tool was initially designed for and used during the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks’ in DRC, Ghana, Kenya, Tanzania and Uganda between December 2017 and August 2019. The project was funded by the UK’s Department for International Development (DfID) as part of the Research for Community Access Partnership (ReCAP), and was carried out by a consortium which included Transaid, Amend and TRL.

Survey on the Benefits and Disbenefits of Motorcycles and Motorised Three-wheelers: Taxi Owners’ Questionnaire

This tool can be used to better understand the benefits and disbenefits of motorcycles taxis and three-wheelers in rural areas in sub-Saharan Africa.  The tool has five parts which target different groups including motorcycle and three-wheeler riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use these modes of transport. This tool was designed to gather data to inform research on two- and three-wheeler taxi use and training, to influence the development of policy and legislation. The surveys are available in English and French.

This tool was initially designed for and used during the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks’ in DRC, Ghana, Kenya, Tanzania and Uganda between December 2017 and August 2019. The project was funded by the UK’s Department for International Development (DfID) as part of the Research for Community Access Partnership (ReCAP), and was carried out by a consortium which included Transaid, Amend and TRL.

Survey on the Benefits and Disbenefits of Motorcycles and Motorised Three-wheelers: Freight Owners’ Questionnaire

This tool can be used to better understand the benefits and disbenefits of motorcycles taxis and three-wheelers in rural areas in sub-Saharan Africa.  The tool has five parts which target different groups including motorcycle and three-wheeler riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use these modes of transport. This tool was designed to gather data to inform research on two- and three-wheeler taxi use and training, to influence the development of policy and legislation. The surveys are available in English and French.

This tool was initially designed for and used during the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks’ in DRC, Ghana, Kenya, Tanzania and Uganda between December 2017 and August 2019. The project was funded by the UK’s Department for International Development (DfID) as part of the Research for Community Access Partnership (ReCAP), and was carried out by a consortium which included Transaid, Amend and TRL.

Survey on the Benefits and Disbenefits of Motorcycles and Motorised Three-wheelers: Non-users of Motorcycle Taxis (not three-wheelers)

This tool can be used to better understand the benefits and disbenefits of motorcycles taxis and three-wheelers in rural areas in sub-Saharan Africa.  The tool has five parts which target different groups including motorcycle and three-wheeler riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use these modes of transport. This tool was designed to gather data to inform research on two- and three-wheeler taxi use and training, to influence the development of policy and legislation. The surveys are available in English and French.

This tool was initially designed for and used during the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks’ in DRC, Ghana, Kenya, Tanzania and Uganda between December 2017 and August 2019. The project was funded by the UK’s Department for International Development (DfID) as part of the Research for Community Access Partnership (ReCAP), and was carried out by a consortium which included Transaid, Amend and TRL.

Surveys for the ReCAP project: Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks.

This tool can be used to better understand the benefits and disbenefits of motorcycles taxis and three-wheelers in rural areas in sub-Saharan Africa.  The tool has five parts which target different groups including motorcycle and three-wheeler riders, passengers, taxi owners and owners of freight, as well as members of the community who do not use these modes of transport. This tool was designed to gather data to inform research on two- and three-wheeler taxi use and training, to influence the development of policy and legislation. The surveys are available in English and French.

This tool was initially designed for and used during the project ‘Enhancing understanding on safe motorcycle and three-wheeler use for rural transport and the implications for appropriate training and regulatory frameworks’ in DRC, Ghana, Kenya, Tanzania and Uganda between December 2017 and August 2019. The project was funded by the UK’s Department for International Development (DfID) as part of the Research for Community Access Partnership (ReCAP), and was carried out by a consortium which included Transaid, Amend and TRL.

Developing innovative approaches to increase rural access to commodities for the case management of severe malaria in Zambia: Final Project Report (August 2018)

This final report presents the key results from the MAMaZ Against Malaria (MAM) project which was established in July 2017.

MAMaZ against Malaria is a one year pilot project, funded by the Geneva-based foundation, Medicines for Malaria Venture (MMV). The project aims to devise an evidence-based and sustainable strategy to improve the access of hard-to-reach communities to effective treatment for severe malaria (SM) in a high malaria burden setting.

The project is being implemented by a consortium led by Transaid in partnership with Health Partners Zambia, Development Data and Disacare. The consortium is working in partnership with the Ministry of Health in Zambia, specifically the National Malaria Elimination Centre, and the District Health Management Team for Serenje District.

To read this report, please click below.