{
    "title": "Eastern DRC: Minova, South Kivu on the brink of a healthcare crisis, MSF calls for urgent action ",
    "modified_at": "2026-05-07 11:35:05",
    "published_at": "2026-05-07 11:35:00",
    "url": "https://prezly.msf.org.uk/eastern-drc-minova-south-kivu-on-the-brink-of-a-healthcare-crisis-msf-calls-for-urgent-action",
    "short_url": "http://prez.ly/BmGd",
    "culture": "en",
    "language": "EN",
    "subtitle": "Minova, South Kivu, 7 May 2026 \u2013 M\u00e9decins Sans Fronti\u00e8res/Doctors Without Borders (MSF) \u2013 Access to care in South Kivu province is deteriorating dangerously, against a backdrop of prolonged conflict and the gradual withdrawal of healthcare international organisations. In Minova, in the territory of Kalehe, the cessation of World Bank funding through the Multisectoral Nutrition and Health Project (PMNS) has had immediate consequences on access to vital care, particularly for pregnant women and newborns. ",
    "slug": "eastern-drc-minova-south-kivu-on-the-brink-of-a-healthcare-crisis-msf-calls-for-urgent-action",
    "body": "\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 100%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/6fa80f4a-5ee4-4e0f-8f3c-f51c091909c6/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"A premature baby being treated at Minova General Referral Hospital, where MSF supports the neonatal care unit. Copyright: MSF/ Djenane Madona Baptiste\"\n                id=\"image-6fa80f4a-5ee4-4e0f-8f3c-f51c091909c6\"\n                data-id=\"6fa80f4a-5ee4-4e0f-8f3c-f51c091909c6\"\n                data-original=\"https://cdn.uc.assets.prezly.com/6fa80f4a-5ee4-4e0f-8f3c-f51c091909c6/-/inline/no/Minova1.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/6fa80f4a-5ee4-4e0f-8f3c-f51c091909c6/-/format/auto/\"\n                alt=\"A premature baby being treated at Minova General Referral Hospital, where MSF supports the neonatal care unit. Copyright: MSF/ Djenane Madona Baptiste\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\">A premature baby being treated at Minova General Referral Hospital, where MSF supports the neonatal care unit. Copyright: MSF/ Djenane Madona Baptiste</figcaption>\n    </figure>\n<p style=\"text-align: justify\"><strong>South Kivu: deprioritized despite immense needs</strong> </p><p style=\"text-align: justify\">Despite the rapidly deteriorating situation in South Kivu in eastern Democratic Republic of Congo (DRC), the province remains particularly neglected. Shortages of medicines, vaccines, and nutritional supplies now affect the majority of the province&rsquo;s health zones. In 2025, measles vaccines were unavailable for several months, despite active outbreaks in 24 of the 34 health zones. </p><p style=\"text-align: justify\"><em>&ldquo;National health programs to combat malaria, tuberculosis, HIV, malnutrition, and immunization are no longer functioning effectively in many areas due to security and logistical constraints, as well as funding withdrawals,&rdquo;</em> explains Issa Moussa, MSF&rsquo;s head of mission in South Kivu. <em>&ldquo;Primary health centers, often without paid staff or essential medicines, cannot meet actual needs.&rdquo;</em> </p><p style=\"text-align: justify\"><strong>Minova: obstetric and neonatal care now out of reach</strong> </p><p style=\"text-align: justify\">The Minova health zone illustrates the alarming reality of this crisis. Since the World Bank halted funding through the Multisectoral Nutrition and Health Project (PMNS) and some partners ended their support in early 2026, Minova General Referral Hospital (HGR) introduced new fees for obstetric and neonatal care, including up to $100 USD for a caesarean section and 50 USD for the care of a premature newborn. </p><p style=\"text-align: justify\">The consequences are immediate and deeply concerning. Some women, unable to pay, remain hospitalised for several days or weeks until they are able to settle their bills, while others simply forgo care, opting instead for high-risk home births. As soon as World Bank support ended, and according to HGR data, maternity ward visits between January and February 2026 dropped by nearly 34 per cent compared to 2025. \u200b <em>&ldquo;We are desperate, worried about our babies and our other children. Some of us have been hospitalised for three days, others for more than two weeks. We have no hope left. I simply cannot pay,&rdquo;</em> says a patient hospitalised in January 2026 at Minova \u200b HGR. </p>\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 100%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/f95b9def-b303-4984-8c07-5d0b56716cf4/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"Originally from Bishange (Masisi, North Kivu), Chance Bakulu is awaiting the birth of her baby at Minova Hospital, where she has been receiving care for the past three weeks, as she cannot afford to pay for treatment or transport. &amp;ldquo;The distance between Bishange and Minova is very long and the road is in poor condition, and I cannot afford the transport. So, I decided to come and wait to give birth at the hospital, especially after hearing that care was free with MSF.&amp;rdquo; Copyright: MSF/ Djenane Madona Baptiste\"\n                id=\"image-f95b9def-b303-4984-8c07-5d0b56716cf4\"\n                data-id=\"f95b9def-b303-4984-8c07-5d0b56716cf4\"\n                data-original=\"https://cdn.uc.assets.prezly.com/f95b9def-b303-4984-8c07-5d0b56716cf4/-/inline/no/Minova3.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/f95b9def-b303-4984-8c07-5d0b56716cf4/-/format/auto/\"\n                alt=\"Originally from Bishange (Masisi, North Kivu), Chance Bakulu is awaiting the birth of her baby at Minova Hospital, where she has been receiving care for the past three weeks, as she cannot afford to pay for treatment or transport. \u201cThe distance between Bishange and Minova is very long and the road is in poor condition, and I cannot afford the transport. So, I decided to come and wait to give birth at the hospital, especially after hearing that care was free with MSF.\u201d Copyright: MSF/ Djenane Madona Baptiste\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\">Originally from Bishange (Masisi, North Kivu), Chance Bakulu is awaiting the birth of her baby at Minova Hospital, where she has been receiving care for the past three weeks, as she cannot afford to pay for treatment or transport. &ldquo;The distance between Bishange and Minova is very long and the road is in poor condition, and I cannot afford the transport. So, I decided to come and wait to give birth at the hospital, especially after hearing that care was free with MSF.&rdquo; Copyright: MSF/ Djenane Madona Baptiste</figcaption>\n    </figure>\n\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 100%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/cc6b4416-4b3f-4d04-97d6-5fbdeb48c4a9/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"Bushashire MBurano, from Kitembo in South Kivu, gave birth by caesarean section to a premature baby at 31 weeks at the Minova General Referral Hospital. This is her second child. &amp;ldquo;Due to infections, I had to have a caesarean section at 31 weeks&amp;rsquo; gestation. My baby was born prematurely and was admitted to the neonatal unit. If MSF hadn&amp;rsquo;t covered the costs, I would never have been able to pay for the caesarean section or my baby&amp;rsquo;s care on what I earn as a farmer.&amp;rdquo; Copyright: MSF/ Djenane Madona Baptiste\"\n                id=\"image-cc6b4416-4b3f-4d04-97d6-5fbdeb48c4a9\"\n                data-id=\"cc6b4416-4b3f-4d04-97d6-5fbdeb48c4a9\"\n                data-original=\"https://cdn.uc.assets.prezly.com/cc6b4416-4b3f-4d04-97d6-5fbdeb48c4a9/-/inline/no/Minova4.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/cc6b4416-4b3f-4d04-97d6-5fbdeb48c4a9/-/format/auto/\"\n                alt=\"Bushashire MBurano, from Kitembo in South Kivu, gave birth by caesarean section to a premature baby at 31 weeks at the Minova General Referral Hospital. This is her second child. \u201cDue to infections, I had to have a caesarean section at 31 weeks\u2019 gestation. My baby was born prematurely and was admitted to the neonatal unit. If MSF hadn\u2019t covered the costs, I would never have been able to pay for the caesarean section or my baby\u2019s care on what I earn as a farmer.\u201d Copyright: MSF/ Djenane Madona Baptiste\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\">Bushashire MBurano, from Kitembo in South Kivu, gave birth by caesarean section to a premature baby at 31 weeks at the Minova General Referral Hospital. This is her second child. &ldquo;Due to infections, I had to have a caesarean section at 31 weeks&rsquo; gestation. My baby was born prematurely and was admitted to the neonatal unit. If MSF hadn&rsquo;t covered the costs, I would never have been able to pay for the caesarean section or my baby&rsquo;s care on what I earn as a farmer.&rdquo; Copyright: MSF/ Djenane Madona Baptiste</figcaption>\n    </figure>\n\n    <figure\n        class=\"release-content-image release-content-image--contained release-content-image--align-center\"\n        data-component=\"image-zoom-popup\"\n        data-image-zoom-popup-selector=\".release-content-image__image\"\n        data-image-zoom-popup-i18n=\"data:application/json;base64,eyJEb3dubG9hZCI6IkRvd25sb2FkIn0=\"\n        data-image-zoom-popup-tracking-views-event=\"Story Image View\"\n        data-image-zoom-popup-tracking-download-event=\"Story Image Download\"\n        data-image-zoom-popup-placement=\"content\"\n    >\n        <div class=\"image-thumbnail-rollover\" style=\"width: 100%\">\n            <img\n                src=\"https://cdn.uc.assets.prezly.com/0f32eca1-308a-405f-bc8f-95777f852245/-/format/auto/\"\n                                class=\"release-content-image__image image-thumbnail-rollover__image\"\n                data-description=\"Kawaya Desanges Zawadi, from Buganga, a rural village in the Minova area (South Kivu), is a mother of three and has just given birth to a baby girl by caesarean section at the Minova General Referral Hospital. &amp;ldquo;To pay for my first caesarean section, my husband had to take out a loan and work for the lender to raise the money needed to get me out of hospital. Normally, a breastfeeding mother should eat three times a day, but because of poverty, I only eat once. If I am blessed twice, I cannot afford to eat three times a day as required.&amp;rdquo; Copyright: MSF/ Djenane Madona Baptiste\"\n                id=\"image-0f32eca1-308a-405f-bc8f-95777f852245\"\n                data-id=\"0f32eca1-308a-405f-bc8f-95777f852245\"\n                data-original=\"https://cdn.uc.assets.prezly.com/0f32eca1-308a-405f-bc8f-95777f852245/-/inline/no/Minova2.jpg\"\n                data-mfp-src=\"https://cdn.uc.assets.prezly.com/0f32eca1-308a-405f-bc8f-95777f852245/-/format/auto/\"\n                alt=\"Kawaya Desanges Zawadi, from Buganga, a rural village in the Minova area (South Kivu), is a mother of three and has just given birth to a baby girl by caesarean section at the Minova General Referral Hospital. \u201cTo pay for my first caesarean section, my husband had to take out a loan and work for the lender to raise the money needed to get me out of hospital. Normally, a breastfeeding mother should eat three times a day, but because of poverty, I only eat once. If I am blessed twice, I cannot afford to eat three times a day as required.\u201d Copyright: MSF/ Djenane Madona Baptiste\"\n            />\n            <div class=\"image-thumbnail-rollover__caption\">\n                <svg class=\"icon icon-expand image-thumbnail-rollover__caption-icon\">\n                <use xlink:href=\"#icon-expand\"></use>\n            </svg>            </div>\n        </div>\n\n        <figcaption class=\"release-content-image__caption\">Kawaya Desanges Zawadi, from Buganga, a rural village in the Minova area (South Kivu), is a mother of three and has just given birth to a baby girl by caesarean section at the Minova General Referral Hospital. &ldquo;To pay for my first caesarean section, my husband had to take out a loan and work for the lender to raise the money needed to get me out of hospital. Normally, a breastfeeding mother should eat three times a day, but because of poverty, I only eat once. If I am blessed twice, I cannot afford to eat three times a day as required.&rdquo; Copyright: MSF/ Djenane Madona Baptiste</figcaption>\n    </figure>\n<p style=\"text-align: justify\"><strong>Pressure on the few free facilities</strong> </p><p style=\"text-align: justify\">In the highlands, Numbi Hospital is supported by MSF and remains one of the few facilities offering free care. However, it is already operating well beyond capacity. In early 2026, the maternity ward bed occupancy rate exceeded 217 per cent, compared to 95 per cent in October 2025, which means more than a woman per bed. </p><p style=\"text-align: justify\">As a result, the hospital cannot absorb an additional influx of patients from coastal areas, where pregnant women sometimes walk for several hours despite insecurity, due to a lack of financial means. </p><p style=\"text-align: justify\">The deterioration of the healthcare system is occurring against a backdrop of high epidemic risks (measles, cholera, mpox), persistent malnutrition, particularly in the highlands, and extremely concerning levels of sexual violence. </p><p style=\"text-align: justify\"><strong>An urgent call to action</strong> </p><p style=\"text-align: justify\">MSF, which has been present in the area since early 2024, had initially planned a gradual withdrawal from the Minova coastal corridor in early 2026 in order to further concentrate its activities in the Numbi highlands, where humanitarian needs are particularly high. Faced with the worsening situation though, the medical humanitarian organization has had to maintain its support for the Minova General Hospital to prevent a sudden disruption in care, notably by resuming maternity and neonatal care activities since March 2026. During this first month of support, MSF has assisted with 107 deliveries, including 48 caesarean sections, and 41 admissions of babies to the neonatal unit. </p><p style=\"text-align: justify\"><em>&ldquo;However, we cannot permanently replace the health authorities or the humanitarian and development partners who are gradually withdrawing,&rdquo; says Issa Moussa. &ldquo;Without operational support and rapid funding, essential health services risk collapsing, with direct consequences for maternal and infant mortality in South Kivu.&rdquo;</em> </p><p style=\"text-align: justify\">Urgent action is essential. MSF calls on: </p><ul class=\"release-content-list release-content-list--bulleted release-content-list--align-inherit\"><li><span>Donors&#039; organisations reconsider their financial withdrawal from the health sector in South Kivu in order to ensure access to and the continuity of primary and secondary healthcare </span></li><li><span>Humanitarian and health organisations to strengthen their presence and coordination, particularly in Minova \u200b </span></li><li><span>Authorities and parties to the conflict to guarantee safe and unimpeded humanitarian access; furthermore, the parties to the conflict must depoliticize access to healthcare and ensure the continuity of national health programs (HIV, TB, malaria, vaccination, and nutrition) in eastern DRC </span></li><li><span>The entire humanitarian community to place South Kivu at the center of the response to the crisis in eastern DRC. </span></li></ul><p style=\"text-align: justify\"><em> Notes for editors:</em></p><p style=\"text-align: justify\"><em>M&eacute;decins Sans Fronti&egrave;res/Doctors Without Borders (MSF) is a medical humanitarian organization that provides assistance to populations whose health and survival are threatened by conflicts, epidemics, disasters, displacement or exclusion from healthcare. In South Kivu, MSF runs regular projects in the Minova and Bunyakiri health zones, where the organization supports primary and secondary healthcare and can deploy mobile emergency teams throughout the province in response to health crises. </em></p><div class=\"release-content-contact\" id=\"contact-791d6b2e-c280-437c-9730-b55b4ef42a27\">\n    \n    <div class=\"release-content-contact__details\">\n        <strong class=\"release-content-contact__name\">Hannah Hoexter</strong>\n        <em class=\"release-content-contact__description\">Senior Press Officer - NEWS, MSF UK</em>\n        <ul class=\"release-content-contact__details-list\"><li class=\"release-content-contact__details-list-item\"><a href=\"mailto:hannah.hoexter@london.msf.org\"  class=\"release-content-contact__details-list-item-link\" title=\"hannah.hoexter@london.msf.org\"><svg class=\"icon icon-paper-plane release-content-contact__details-list-item-icon\">\n                <use xlink:href=\"#icon-paper-plane\"></use>\n            </svg>hannah.hoexter@london.msf.org</a></li>\n<li class=\"release-content-contact__details-list-item\"><a href=\"tel:(44) 7342 662 441\"  class=\"release-content-contact__details-list-item-link\" title=\"(44) 7342 662 441\"><svg class=\"icon icon-mobile release-content-contact__details-list-item-icon\">\n                <use xlink:href=\"#icon-mobile\"></use>\n            </svg>(44) 7342 662 441</a></li></ul>\n    </div>\n</div><p>&nbsp;</p>",
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            "caption": "A premature baby being treated at Minova General Referral Hospital, where MSF supports the neonatal care unit. Copyright: MSF/ Djenane Madona Baptiste",
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            "caption": "Originally from Bishange (Masisi, North Kivu), Chance Bakulu is awaiting the birth of her baby at Minova Hospital, where she has been receiving care for the past three weeks, as she cannot afford to pay for treatment or transport. \u201cThe distance between Bishange and Minova is very long and the road is in poor condition, and I cannot afford the transport. So, I decided to come and wait to give birth at the hospital, especially after hearing that care was free with MSF.\u201d Copyright: MSF/ Djenane Madona Baptiste",
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            "caption": "Bushashire MBurano, from Kitembo in South Kivu, gave birth by caesarean section to a premature baby at 31 weeks at the Minova General Referral Hospital. This is her second child. \u201cDue to infections, I had to have a caesarean section at 31 weeks\u2019 gestation. My baby was born prematurely and was admitted to the neonatal unit. If MSF hadn\u2019t covered the costs, I would never have been able to pay for the caesarean section or my baby\u2019s care on what I earn as a farmer.\u201d Copyright: MSF/ Djenane Madona Baptiste",
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            "caption": "Kawaya Desanges Zawadi, from Buganga, a rural village in the Minova area (South Kivu), is a mother of three and has just given birth to a baby girl by caesarean section at the Minova General Referral Hospital. \u201cTo pay for my first caesarean section, my husband had to take out a loan and work for the lender to raise the money needed to get me out of hospital. Normally, a breastfeeding mother should eat three times a day, but because of poverty, I only eat once. If I am blessed twice, I cannot afford to eat three times a day as required.\u201d Copyright: MSF/ Djenane Madona Baptiste",
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