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ABSTRACT: Background: The National Healthy Schools and Villages Program aims to provide and maintain water, hygiene and sanitation facilities in rural and peri-urban villages and schools in the Democratic Republic of Congo (DRC). In South Kivu, at least 75% of projects fail when the involvement of the population is not taken into account. This is the case of the Bunyakiri Health Zone where a weak appropriation of the achievements of the Healthy Schools and Villages Program in the postcertification phase is observed, resulting in the loosening of the community. The aim of the study was to determine the factors associated with low ownership of the post-certification phase of Healthy Schools and Villages Program.
Methodology: The study was descriptive cross-section using a semi-structured questionnaire. It involved 383 households located in healthy villages and 69 certified schools. Data processing and analysis was done using Stata v14 software. We used the Chi-square test to compare categorical variables at the level of statistical significance set at p <0.05.
Results: The level of ownership of the Heathy Schools and Villages Program in the post-certification phase is low and associated with the negative perceptions of the community towards the Healthy Schools and Villages Program (p = 0.0294); insufficient and / or lack of financial resources (p = 0.0327); the absence / non-existence of community-based committees in some villages and schools (p = 0.0000); the lack of motivation of the members of the existing committees and the effectiveness of these committees (p = 0.0134); the insufficiency / absence of supervision of permanent monitoring of activities by the BCZ and the technical and financial partners (p = 0.0024 and 0.0286) and the low or not community mobilization in the village (p = 0.0000).
Discussion and Conclusion: The low ownership of Healthy Schools and Villages Program remains a major problem in communities and the involvement of all stakeholders in the process is of great importance. Intervention projects should set up dynamic committees and motivate them, a monitoring plan and financial support while building community support in order to sustain interventions.
KEYWORDS: Community participation, appropriation, National Healtyh Schools and Villages, Post-certification phase, Bunyakiri, South Kivu, Democratic Republic of Congo.
RÉSUMÉ: Introduction: Le programme national Ecoles et Villages Assainis (PNEVA) vise a fournir et a...