Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo

Background: Prolonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. Poor reproductive health (RH) indicators illustrate the effect that the prolonged crisis in DRC has had on the on the reproductive health (RH) of Congolese women. In 2007, with support from the RAISE Initiative, the International Rescue Committee (IRC) and CARE conducted baseline assessments of public hospitals to evaluate their capacities to meet the RH needs of the local populations and to determine availability, utilization and quality of RH services including emergency obstetric care (EmOC) and family planning (FP). Methods: Data were collected from facility assessments at nine general referral hospitals in five provinces in the DRC during March, April and November 2007. Interviews, observation and clinical record review were used to assess the general infrastructure, EmOC and FP services provided, and the infection prevention environment in each of the facilities. Results: None of the nine hospitals met the criteria for classification as an EmOC facility (either basic or comprehensive). Most facilities lacked any FP services. Shortage of trained staff, essential supplies and medicines and poor infection prevention practices were consistently documented. All facilities had poor systems for routine monitoring of RH services, especially with regard to EmOC. Conclusions: Women's lives can be saved and their well-being improved with functioning RH services. As the DRC stabilizes, IRC and CARE in partnership with the local Ministry of Health and other service provision partners are improving RH services by: 1) providing necessary equipment and renovations to health facilities; 2) improving supply management systems; 3) providing comprehensive competency-based training for health providers in RH and infection prevention; 4) improving referral systems to the hospitals; 5) advocating for changes in national RH policies and protocols; and 6) providing technical assistance for monitoring and evaluation of key RH indicators. Together, these initiatives will improve the quality and accessibility of RH services in the DRC - services which are urgently needed and to which Congolese women are entitled by international human rights law

Enhancing Photocatalytic Degradation of Methyl Blue Using PVP-Capped and Uncapped CdSe Nanoparticles

Quantum confinement of semiconductor nanoparticles is a potential feature which can be interesting for photocatalysis, and cadmium selenide is one simple type of quantum dot to use in the following photocatalytic degradation of organic dyes. CdSe nanoparticles capped with polyvinylpyrrolidone (PVP) in various concentration ratios were synthesized by the chemical reduction method and characterized. The transmission electron microscopy (TEM) analysis of the samples showed that 50% PVP-capped CdSe nanoparticles were uniformly distributed in size with an average of 2.7 nm and shape which was spherical-like. The photocatalytic degradation of methyl blue (MB) in water showed efficiencies of 31% and 48% when using uncapped and 50% PVP-capped CdSe nanoparticles as photocatalysts, respectively. The efficiency of PVP-capped CdSe nanoparticles indicated that a complete green process can be utilized for photocatalytic treatment of water and waste water