DRC

We support the Ministry of Health to protect underserved communities and boost immunisation in the DRC.

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percentage-point surge in coverage

27

percentage-point surge in coverage

Our support for routine immunisation reforms under Mashako 1.0 helped dramatically increase complete vaccination coverage across the nine provinces, protecting hundreds of thousands of children.

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percentage-point net coverage increase

42

percentage-point net coverage increase

PIRI+ (Periodic Intensification of Routine Immunisation) campaigns in three provinces achieved a +5% gain in full immunisation while control areas fell by 37%, protecting 210,000 children across 430 health areas.

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children protected

16M+

children protected

Measles-rubella campaigns across seven provinces reached 97% of the target population, closing critical immunity gaps.

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Spotlight Impact

In late 2025, the Ministry of Health launched PIRI+, an enhanced vaccination drive across 430 health areas. Delivering 500,000 doses to 210,000 children, it reached 40,400 zero-dose individuals. An evaluation revealed PIRI+ significantly boosted first- and second-dose measles coverage and achieved a 42 percentage point net increase in full vaccination.
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Our Insights

Before we knew it: making health systems work
Before we knew it: making health systems work

October 13, 2026

4 min read

What if one of the most familiar ideas in global health is pointing us in the wrong direction?  We talk constantly about the last mile – of vacci…

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Hidden in plain sight: reaching zero-dose children in the DRC
Hidden in plain sight: reaching zero-dose children in the DRC

February 23, 2026

3 min read

In a remote village in the DRC, I recently slept in a health centre 200 km from any urban hub. My goal was to see what was really happening on the gro…

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Too much data, too little insight: what governments need to improve health outcomes
Too much data, too little insight: what governments need to improve health outcomes

June 26, 2025

4 min read

In 2022, Dr. Azra Pechuho, Minister of Health in Sindh, Pakistan, reviewed data suggesting maternal health facilities across the province were functio…

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Building political commitment to deliver, sustain and scale change
Building political commitment to deliver, sustain and scale change

June 6, 2025

4 min read

Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…

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Vaccinating hard-to-reach communities in the DRC
Vaccinating hard-to-reach communities in the DRC

February 28, 2025

3 min read

Vaccination coverage is growing in low- and middle-income countries, yet some communities are being missed entirely. Many communities across low- and…

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How satellite data is helping vaccinators reach missed communities in the DRC
How satellite data is helping vaccinators reach missed communities in the DRC

April 6, 2021

3 min read

In 2017, surveys showed that only one in three children were fully immunised in the Democratic Republic of the Congo (DRC), while one in five did not…

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Our People

Syed Akber

Syed Akber

Project Director | Nigeria, Chad, and DRC

Syed Akber is Project Director at Acasus, where he leads teams delivering large-scale public health and education reform. His work centres on primary health care,…

Arthur-Nils Dufayard

Arthur-Nils Dufayard

Senior Project Manager | The Democratic Republic of the Congo (DRC)

Arthur-Nils Dufayard is a Senior Project Manager at Acasus, where he leads the team focusing on public health transformation and routine immunisation programmes in the…

Bárbara Grossi Hamdan

Bárbara Grossi Hamdan

Senior Project Manager | Mozambique, Chad and the DRC

Bárbara Grossi Hamdan is a Senior Project Manager at Acasus based in the UAE, leading teams across Mozambique, Chad, and the DRC. Her work focuses on improving public…

WHAT WE DO

Our Work

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

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