Analysis of the Socio-Health Situation of People in Humanitarian Crisis ″Case of Repressed from Congo-Brazzaville″

Abstract

Context: The returnees from Congo Brazaville were received by the town hall of Kinshasa which brought them to Maluku. From there, those with closer family members went home, but the others and their children settled around the Cardinal Malula stadium for lack of accommodation. Purpose: This study is carried out with the aim of analyzing the socio-sanitary situation of people expelled from Brazzaville based around the municipality of Kinshasa. Methods: A descriptive cross-sectional survey made it possible, by interview and direct observation with the support of an interview guide, to collect information from 321 Congolese from the DRC expelled from the Republic of Congo, living in the commune of Kinshasa. This information was statistically analyzed using SPSS version 21 software. Results: It emerges from the descriptive analysis that the majority of respondents, ie 68.2%, were housed in tents. 84.4% experienced both physical and moral violence. 62.6% had an altered physical state. The most frequent problems include: lack of access to health care (100%); insalubrity (80.9%); malaria associated with other pathologies (80.8%) or alone and lack of access to drinking water (74.7%). From the inferential analysis, it emerges that the factors associated with the state of health of the repressed were: poor bowel management resulting in the use of stage [RR = 3.4 (1.70-6.69); p ˂ 0.000] or open air [RR = 2.93 (1.38 – 6.23); p ˂ 0.005] instead of a latrine; violence [RR = 2.91 (2.07 – 4.08); caring for at least 5 children [RR = 1.71 (1.21–2.41); p ˂ 0.002] as well as divorce [RR = 1.49 (1.16 – 1.92); p ˂ 0.002]. Conclusion: The socio-sanitary situation of those expelled from Brazzaville was not favourable. The direct involvement of the political and health authorities of the DRC with the support of national or international organizations would allow the proper management of humanitarian crises in the country.